Nbme 4 step 3 - Study guides, Class notes & Summaries
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NBME -OB/Gyn F4 (2023/ 2024 Update) Questions and Verified Answers|100% Correct| Grade A
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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...
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Peds NBME Form 3 - Questions and Answers
- Exam (elaborations) • 16 pages • 2024
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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...
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Step 2CK NBME FINAL EXAM REVIEW 100+ QUESTIONS AND CORRECT ANSWERS 2023.
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Step 2CK NBME FINAL 
EXAM REVIEW 100+ 
QUESTIONS AND CORRECT 
ANSWERS 2023. 
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 co...
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NBME 9 2023 QUESTIONS AND ANSWERS100% VERIFIED AND GRADED A+
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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...
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NBME QUESTIONS AND ANSWERS ALREADY GRADED A
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NBME QUESTIONS AND ANSWERS ALREADY GRADED A 
25 yo F at 27 weeks w/ severe contractions x6 hours, vaginal spotting, contractions every 2-3 mins w/ FHR 130 and no decels, cervic 1-2 cm and 70% effaced, GBS is positive. next step? IM beclamethasone THEN later can give penicillin 
man w/ 15 yr hx of difficult relaxing hands after tightly gripping objects or shaking hands, difficulty releasing after gripping w/ hands. dx? myotonic muscular dystrophy 
pt unable to see out of R eye since awakening 2 h...
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NBME CBSE REAL EXAM 200 QUESTIONS AND ANSWERS LATEST (usmle step 1)MEDICAL EXAMINATION
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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...
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Peds NBME Form 4 - Questions and Answers
- Exam (elaborations) • 17 pages • 2024
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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...
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Ob-Gyn NBME Form 1 - Questions and Answers
- Exam (elaborations) • 17 pages • 2024
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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...
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NBME -OB/Gyn F3 (2023/ 2024 Update) Questions and Verified Answers|100% Correct| Grade A
- Exam (elaborations) • 21 pages • 2023
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NBME -OB/Gyn F3 (2023/ 2024 Update) Questions and Verified Answers|100% Correct| Grade A 
 
Q: 23 yo - 3 days of pain and burning w/ urination 
PMHx: 2 yrs ago UTI tx w/ TMP-SMX 
sex active; OCP 
PE: no CVT 
UA: bacteria and pus 
advice about preventing future episodes 
most appropriate recommendation? 
 
 
 Answer: 
voiding immediately after coitus 
doesn't need AB ppx if doesn't categorize under "recurrent UTI" (3+ w/in 6 months or 4+ w/in 12 months) 
cont nightly AB ppx - women w/ 2+ U...
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Ob-Gyn NBME Form 3 - Questions and Answers
- Exam (elaborations) • 17 pages • 2024
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Ob-Gyn NBME Form 3 - Questions and Answers 47 yo PSHx: TAH + BOS for leiomyomata uteri (6 wks ago) no hx of abnormal Paps PE: well-healing incision next step regarding future Paps? no longer indicated can stop screening at 65-70 yo, 3+ normal Pap tests in a row w/o CIN2/3 or higher in past 20 yrs, or if woman had TAH for benign indications and no hx of CIN2/3 or higher hx of CIN2/3 w/ TAH + 3 consecutive neg screening tests can stop 32 yo - 2 days of vag bleeding and lower abd cramps LMP: 7 wk...
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