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NBME 9, Answered

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NBME 9, Answered-Kid with bed wetting problems + constipation tx? - administration of an osmotic laxative Multiple myeloma is marked by proliferation of ______ B cells - monoclonal In patients with bipolar disorder that are suffering from acute depression + stopped taking meds, what do you...

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  • 28 de diciembre de 2023
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NBME 9, Answered
Kid with bed wetting problems + constipation

tx? - administration of an osmotic laxative

Multiple myeloma is marked by proliferation of ______ B cells - monoclonal

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

SSRIs in bipolar patients can be bad because? - it can precipitate mania or convert
depression to mania

Patient with afib with a history of TIA or stroke

Tx? - warfarin

Patient without afib with history of TIA or stroke

Tx? - aspirin

T/F: Aspirin and clopidogrel are anticoagulants - false

1st line therapy for mild to moderate acne vulgaris

Tx? - topical retinoids

Patient with juvenile idiopathic arthritis may present with what extraarticular
manifestation? - uveitis (screen with slit-lamp exam)

In adults, the presence of a destructive bone lesion is more commonly caused by
______ disease rather than primary bone malignancy - metastatic

,T/F: Osteosarcoma is most common in patients ____ years of age - <30

Patients with severe AS with symptoms or systolic dysfunction (EF <50%) should
receive what tx? - aortic valve replacement

Patients with HF (EF < 50%) who have AS + asymptomatic in terms of SOB on
exertion, should receive what treatment? - Afterload reduction

32 yo woman with bcg vaccine as a child + emigrated from China + PPD skin test
of 12 mm

risk status and next step? - High risk; isoniazid

92 yr old with left mandibular mass that has enlarged + x ray is normal + smoker +
normal VS

next step? - biopsy

77 yr old woman with 1 day hx of nausea + vomiting + confusion + has HTN + on
diltiazem + BP 160/70 + ox 84% + JVD borderline high + crackles in lungs + S3 +
edema + signs of kidney injury

Dx and next step? - fluid overload; hemodialysis

In diabetic patients, foot injuries can be prevented with? - wearing shoes when
standing or walking

In diabetic patients, worsening of foot injuries can be prevented with? - daily foot
checks

37 yr old woman with no hx of abnormal pap smears + current visit shows pap
smear with atypical glandular cells

, potential dx and next step? - endometrial malignancy; colposcopy with
endocervical curettage

37 yr old woman with no hx of abnormal pap smears + current visit shows pap
smear with atypical glandular cells

After colposcopy with endocervical curettage, what can be considered as a next
step? - hysteroscopy

T/F: Neonate that improved with PPV can be taken off of PPV immediately after -
true

If there is suspected FSGS, what is the next step? - renal biopsy

If there is suspected FSGS, what is the next step after confirming it with renal
biopsy? - prednisone therapy

1st line tx for Merniere's disease - antihistamines (e.g. Meclizine)

2nd line tx for refractory Merniere's disease - methylprednisolone

T/F: Initial step to controlling allergic rhinitis can include use of pillow and
mattress covers - true

COPD exacerbations can be treated with? - supplemental oxygen, SABA, steroids,
antibiotics, and nebulizers

COPD daily management should include? - LABA, tiotropioum, steroids

T/F: Oral steroids are the main daily treatment for chronic COPD patients. - false

T/F: LABA are the main daily treatment for chronic COPD patients. - true

What chemical can cause osmotic diarrhea, bloating, and abdominal discomfort
when used in excessive quantities? - sorbitol

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