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NBME form 11 Exam with correct Answers
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NBME form 11 Exam with correct Answers
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NBME form 11 Exam with correctAnswers
Statistic measure that explains the likelihood of disease being present in a patient with a
positive test and validity of a test - Answer -PPV
Formula for positive likelihood ratio - Answer -TP/FP
T/F: Supraventricular tachycardia commonly occurs in children and infants - Answer -
true
1st line tx for neonate with supraventricular tachycardia? - Answer -AV nodal blockade
via adenosine
T/F: Ethambutol also causes neutropenia and thrombocytopenia - Answer -true
Next step for a patient with spider angiomas and abdominal distension in setting of
ascites and portal HTN? - Answer -EGD for varices
Next step for a patient with AMS, asterixis, and fatigue in setting of ascites and portal
HTN? - Answer -Measurement of ammonia
23 yr old woman with positive PPD skin test of 15 mm + emigrated from Thailand +
received Bcg vaccine in infancy + asymptomatic + normal x-ray
risk status and next step? - Answer -high risk; isoniazid therapy
PPD threshold for immunosuppressed patients? - Answer -5 mm
PPD threshold for health care workers? - Answer -10 mm
PPD threshold for general population? - Answer -15 mm
Bcg wears off after _____ years - Answer -5
23 yr old woman with positive PPD skin test of 15 mm + emigrated from Thailand +
received Bcg vaccine in infancy + hemoptysis + x-ray shows cavitation
risk status and next step? - Answer -high; rifampin, pyrazinamide, ethambutol
, 76 yr old woman with 2 day hx of fever, right sided pleuritic chest pain + chest x-ray
shows pleural effusion + pleural fluid shows leukocytosis + pH < 7.2 + glucose 50
dx and next step? - Answer -empyema; chest tube
76 yr old woman with 2 day hx of fever, right sided pleuritic chest pain + chest x-ray
shows pleural effusion + pleural fluid shows leukocytosis + pH < 7.2 + glucose 50 + this
is her 3rd pleural effusion + pneumothorax sign
dx and next step? - Answer -malignant pleural effusion; pleurodesis
37 yr old man comes to clinic for HTN after dental extraction + BP was normal
previously + medical hx unremarkable + BMI 23 + no other symptoms
next step? - Answer -serum lipid studies (>35 yrs in men, >45 for women with risk
factors)
37 yr old man comes to clinic for HTN after dental extraction + BP was also slightly
elevated before dental procedure + medical hx unremarkable + BMI 23 + edema
next step? - Answer -measurement of urine microalbumin
T/F: You can do upper GI series on infants - Answer -true
3 day old male with 2 hr hx of green vomitus + abdomen is not distended but tender to
palpation
ddx and next step? - Answer -malrotation/volvulus; upper GI series (more sensitive than
X-ray)
Initial test to confirm GI perforation? - Answer -x-ray
4 month old boy with vesicoureteral reflux with UTI and pyelonephritis
What interenvention is needed to prevent future morbidity from this condition? - Answer
-daily abx therapy
T/F: Circumcision does have an effect on preventing UTIs - Answer -true
16 yr old potential victim of bioterror attack + has 4 day hx of malaise, fever, headache,
abdominal pain + vesicular lesions over mouth, face, extremities
Immunizationof patient's contacts against _____ would have prevented what? - Answer
-vaccinia (smallpox)
T/F: Anthrax presents with vesicular rash/lesions - Answer -false
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