Surgery nbme 2 - Study guides, Class notes & Summaries

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...

NBME Surgery 2023/2024 Question 1 Answer to the Previous Question -B -SOB, elevated pulse, low BP, JVD (elevated CVP) , crackles. ---> Cardiogenic shock. Question 2 Answer to the Previous Question -G -sphenopalatine artery (MCC of posterior nosebleeds) -Kiesselbach's plexus (MCC of anterior nosebleeds) Question 3 Answer to the Previous Question -B -Carotid duplex. Pt has symptoms of TIA. Question 4 Answer to the Previous Question -B -He is about to have a surgery,for resect...

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 NBME Form 4 - Questions and Answers obese 72 yo - ED 15 min after collapsed at home > wife reports he's had upper abd pain, n/v for past 24 hrs PMHx: HTN and CAD diaphoretic 97.7 F P: 115/min, irr irregular RR: 22/min palp sys BP: 80 mmHg PE: no JVD; lungs clear; no murmurs/gallops; abd tender/rigid pulm art cath: dec CI, mean pulm art pressure, PCWP; inc SVR predominant type of shock in this pt? hypovolemic shocks vs swan-ganz Cath parameters (cardiac index (CI), CVP, PCWP, SVR) 1...

Step 2 CK NBME 8 42 YO male presents with SOB for 3 weeks -Breath sounds decreased over left hemithorax -CXR shows mass involving the left upper and lower lobe -Biopsy shows uniform small round cells with darkly staining nuclei What is initial tx? Small cell lung cancer -initial therapy is chemotherapy bc surgery has limited role given that these tumors are nonresectable 27 YO male with cough , SOB, weight loss in 6 mons. PE shows A/P Cervical LAD and white plaques over buccal mucosa...

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...

NBME -OB/Gyn F1 (2023/ 2024 Update) Questions and Verified Answers|100% Correct| Grade A Q: 57 yo - routine exam PMHx: HTN, T2DM, gen anxiety disorder great aunt: hx of breast cancer tx: hormone therapy w/ estrogen and medroxyprogesterone daily since menopause 5 yrs ago meds: HCTZ, metformin, herbal meds breasts: no masses/nipple discharge what historical finding is greatest risk factor for breast cancer in this pt? Answer: hormone therapy pt has been taking estrogen and medrox...

NBME -OB/Gyn F2 (2023/ 2024 Update) Questions and Verified Answers|100% Correct| Grade A Q: 28 yo - G2P1 LMP: 10 wks ago 1st child: 10 lb male newborn - born by C-section due to arrest of descent during this pregnancy, she's at an inc risk for what? Answer: gestational diabetes since her first child was clearly had macrosomia (10 lb) - there had to be a reason why the baby got this big aka DM macrosomia - birth weight > 4500 g *most classically associated risk factor: preex...

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...

USMLE Step 2 CK NBME 4 High YieldFirst step in infective endocarditis? - correct answer Do blood cultures which confirms the disease. Do not treat empirically first. Differential loss to follow up. - correct answer Bias that occurs when you lose follow up long term. Affects Validity Next step in management with a patient that has neutropenic fever? - correct answer Broad spectrum antibiotic therapy. 15 month baby that had a pneumonia as a kid, and now has fatty stools. What is the ...