Nbme 4 step 3 - Study guides, Class notes & Summaries

NBME 9pt who had an organ transplant (or stem cell transplant) present with left-sided face & UE weakness and MRI of brain shows mass ( can be other places outside LN). biopsy of lesion shows proliferation of monoclonal B lymphocytes. which virus is the causes? - correct answer Epstein-Barr virus - can cause post-transplant lymphoproliferative disorder in pts on immunoassays for organ transplant - to treat reduce dosage of immunosuppressants they are on , can add rituximab. What are the...

nbme 4 step 3 practice exam 65 yo F has a 3 month hx of *increasing low back pain*. Had low back pain for past 3 yrs that's been treated w/NSAIDs and codeine. Now rated as 7/10 in severity. Pain radiates to both legs, worsens when walking or standing & Relieved when sitting. 1 YEAR AGO: X ray lumbosacral spine: mild osteoarthritis. Exam: 4/5 mm strength LE, hyporeflexia of knees&ankles b/, unsteady gait b/c of pain. No other abnormalities. Most appropriate diagnostic study of lumbosacral s...

Peds NBME Form 3 - Questions and Answers 18 month - 2 wks of URI PMHx: past 15 months - several episodes of AOM PE: L.TM bluish gray w/ visible landmarks; air-fluid level present behind inf 1/2 of TM; minimal movement on pneumatic otoscopy; R.ext ear, ear canal, and TM gucci most likely dx? serous otitis media pt prone to this considering they have had multiple AOM in the past air-fluid level = serous tx: probably tympanoplasty 6 month boy - difficulty breathing for 2 hrs low-grade fever, nasa...

Step 2CK NBME Review 1. NBME 4: 2. 2mo infant is exclusively breastfed. What nutritional supplement?: Oral VitD to prevent rickets 3. What HTN drug causes peripheral edema, flushing, dizziness?: CCB eg nifedipine 4. 15yo girl with recurrent candida infections of skin and mucous membranes since childhood. Dx?: Chronic mucocutaneous candidiasis (T cell dysfunction) 5. 57yoM with impotence for 1 year rand bronze colored skin. Ferritin concentration is 4050 NG/ml. Increased risk for what com...

Ob-Gyn NBME Form 3 Exam with Questions and Answers 22 yo primigravid - 24 wks gest - fullness in lower pelvic area for 12 hrs no contractions fundal height: 20 cm fetal heart tones good PE: breech; no cervix palpated most likely dx? ANSWER incompetent cervix considering no cervix was palpated 32 yo - G3P2 LMP: 17 wks ago PE: uterine funds palpated midway bet pubic symphysis and umbilicus serum AFP: 2.6 multiples of median next step in mgnt? ANSWER US umbilicus - 20 cm if...

NBME CBSE REAL EXAM 200 QUESTIONS AND ANSWERS LATEST (usmle step 1)MEDICAL EXAMINATION 70yo M dies in a motor vehicle collision. Was undergoing evaluation for occult blood in the stool. Photo of transverse colon shown. Dx? Tubular adenoma or villous polyp. GI blood loss suggests a risk for malignancy 38yo M truck driver with 1-week hx of watery, itchy eyes and a runny nose. Physical shows inflamed nasal mucosa. No congestion in lower lung. Pharmacotherapy? Loratadine--> less sedat...

NBME -OB/Gyn F4 (2023/ 2024 Update) Questions and Verified Answers|100% Correct| Grade A Q: 57 yo - G3P3 - loss of urine for 2 wks kids delivered vaginally PMHx: 3 yrs ago: radiation therapy for cervical ca, cancer free since no meds PE: gucci GU exam: thin, atrophic, moist vaginal mucosa; pool of fluid in vag canal post void residual volume < 10 mL most likely dx? Answer: vesicovaginal fistula consequence of ext prolonged labor or gyn surgery presents w/ continuous lea...

Surgery shelf NBME Exam Updated Questions and Answers 2024 "47 YOW comes in with a BMI of 67 , chafed skin on inner thighs, under breasts, twice requiring admission for abtx for panniculitis. Also has thick curdy vaginal discharge.Best long term management for this pt?", gastric bypass "37 YOw bruising on arms and abdomen x3w. ibuprofen for HA. afebrile. PE:eccymoses over upper extremities and trunk. Lungs CTAB, Labs: norm Hb, 6.8k WBC, 45k plt, Bleeding time is high,PT normal. Bone marr...

Ob-Gyn NBME Form 4 Exam with Questions and Answers 42 yo - 1 yr of vag bleeding 2-5 days q2 wks flow: light to heavy w/ clots menses previously: reg 25-29 days; lasting 7 days w/ heavy flow no PMHx; no meds sex active w/ 1 partner; condoms inconsistently FHx: mom died of colon ca; mat grandma died of breast ca BMI: 29 uterus normal sized ovaries can't be palp occult blood in stool: neg endometrial biopsy: grade I adenoCA w/ atypical endometrial hyperplasia next step in mgnt...

NBME 9 2023 QUESTIONS AND ANSWERS100% VERIFIED AND GRADED A+ 1. Kid with bed wetting problems + constipation tx?: administration of an osmotic laxative 2. Multiple myeloma is marked by proliferation of B cells: monoclonal 3. In patients with bipolar disorder that are suffering from acute depression + stopped taking meds, what do you give them?: bipolar medication like lithium, lamotrigine, quetiapine, and lurasidone 4. SSRIs in bipolar patients can be bad because?: it can precipit...