Nbme step 2 form 8 Study guides, Class notes & Summaries

NBME PHYSIOLOGY UPDATED EXAM WITH COMPLETE SOLUTIONS 2023/2024 Prostglandin - CORRECT ANSWER-From mast cells, macrophages, EC, and platelets Vasodilation, pain Rate controlling step in Insulin secretion - CORRECT ANSWER-Phosphorylation of glucose by glucokinase Glucokinase mutation - CORRECT ANSWER-Autosomal dominant form of early onset type 2 diabetes GLUT 2 - CORRECT ANSWER-low affinity high capacity glucose transporter. Uptake by beta cells Insulin release - CORRECT ANSWER-Bloo...

NBME Step 2 Form 8 Deficiency of serum glucuronosyltransferase What type of bilirubin For the mild version, what are the liver labs like - correct answer Gilbert's Disease Unconjugated Hyperbilirubinemia - Think hemolysis or Gilbert/Crigler-Najjar - Crigler-Najjar is typically fatal early on (total enzyme deficiency) - Gilbert becomes apparent when the body is under stress (e.g. infection, dehydration, etc.) - Whatever the cause, bilirubin is not being conjugated, causing a bui...

NBME Form 8 Step 2 CKTourette’s syndrome vocal tics include - correct answer grunting, snorting, throat clearing, yelling, obscenities Absolute Risk Reduction (ARR) - correct answer control rate - treatment rate Likelihood ratio - correct answer sensitivity/(1-specificity) Relative risk reduction - correct answer RRR = 1 − RR HIV ppx - correct answer - CD4 < 200: TMP/SMX (PCP) - CD4 < 100: TMP/SMX (Toxo) - CD4 < 50: Azithromycin (MAC) * no longer used HIV vacci...

United States Medical Licensing Examination - Step 2 Clinical Knowledge USMLE Step 2 CK

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...

Ob-Gyn NBME Form 1 - Questions and Answers 42 yo - G3P3 menses irregular at 2-3 month intervals, last 7-21 days LMP: 6 wks ago PMHx: T2DM (metformin) BMI: 32 PE: no other abnormalities pelvic exam: irregular enlarged uterus (12x8x6 cm) endometrial biopsy: atypical complex hyperplasia strongest predisposing factor for this pt's condition? anovulation endometrial proliferation is normal part of menstrual cycle BMI: 32 aka this woman is obese > excess adipose tissue = inc peripheral conversio...

Peds NBME Form 4 - Questions and Answers 13 yo boy no hx of serious illness past 2 yrs - brown urine when he has a cold; no dysuria or urinary urgency/incontinence CMP: inc BUN; Cr and C3 WNL UA: blood 4+, protein 3+ most likely dx? IgA nephropathy classic: "cola-colored urine" along w/ cold recurrent painless gross hematuria + URI 4 yo boy - fatigue, dec appetite, and 2.3 kg weight loss over past 2 months P: 80/min when supine; 105/min when standing BP: 85/60 mmHg when supine; 75/45 mmHg wh...

Peds NBME Form 2 - Questions and Answers 1 hr after delivery - newborn in resp distress 28 wks gest mom: prenatal care; intrapartum AB ppx APGAR: 8, 8 PE: grunting, nasal flaring, and intercostal retractions CXR: granular appearance of parenchyma w/ air bronchograms most likely dx? RDS of newborn path: surfactant def > atelectasis infant - premature, presents w/ grunting CXR: low long volumes (hypoextended), uniform granular pattern tx: surfactant and mech ventilation if severe VS TTN path:...

Surgery NBME Form 3 - Questions and Answers 3 wk old - 18 days of inc yellow skin/eyes born to 24 yo woman, G2P2, uncomplicated preg/delivery > 3175g at birth breast-fed exclusively today weights 3345g BR = 15 (direct - 13) most likely dx? biliary artesia suspected in 6-8 wk old babies - persistent, prog inc jaundice (more conj) dx: 1 wk of phenobarbital > HIDA scan if no bile reaches duodenum w/ phenobarbital > surgical exploration 22 yo - pain/edema of R.upper ext > 10 days after...

Ob-Gyn NBME Form 2 - Questions and Answers 37 yo - G8P8 - inc vag bleeding over last 5 hrs abd exam: gucci bimanual/rectal exams: 8 cm mass of upper cervix and R.parametrium no ovary palpated separately CT: R.hydroureter above level of mass most likely dx? squamous cell carcinoma of the cervix mass is clearly big and has spread due to ability to palpate mass and hydroureter present involvement of bowel/bladder (a) or distant mets (b) > stage 4 tx: surgery or chemo parametrium = fibrous/fatt...