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

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...

Surgery NBME Form 2 - Questions and Answers 37 yo - ED 30 min after MVA arrival: abd pain vitals stable PE: abd - diffuse tenderness; dec bowel sounds supine X-ray shown - herniation of abd contents into thorax most likely dx? ruptured diaphragm hx of blunt trauma/MVA, abnormal CXR, left lower lung opacity, elevated hemidiaphragm, and mediastinal deviation MC on the left bc there's no liver to protect it CXR: herniation of abd contents into thorax 42 yo - 2 days of RU abd pain and gen itching...

NBME 9 2023 QUESTIONS WITH VERIFIED SOLUTIONS 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 precipitate mania o...

Step 2 CK NBME Form 7Impaired fertility in a man w/high-riding bilateral scrotal mass. Underlying cause? - correct answer Varicocele. 82 year old with decreased vision. Dilated veins, widespread retinal hemorrhages intermixed with white plaques on fundoscopic exam. Diagnosis? - correct answer Central retinal vein artery occlusion. 15 year old girl on chronic steroid therapy presents with acute back pain. Most likely cause? - correct answer Osteoporotic compression fracture. Patient w...

Ob-Gyn NBME Form 4 - Questions and Answers 52 yo PMHx: mild hypoT (levothyroxine); stage I breast cancer (5 yrs ago; completed tamoxifen therapy 1 yr ago; still in remission) menopause: 4 yrs ago FHx: mom - femoral fx in bike collision at 55 yo SHx: smokes 2 cigs/week for 25 yrs BMI: 19 PE: no thyromegaly; small, well-healed surgical scar over upper outer quadrant of L.breast greatest risk factor for osteoporotic fx? BMI 22 yo - G2P1 - 38 wks gest intermittent, mild, low back pain BP: 130/90 m...

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:...

Peds NBME Form 1 - Questions and Answers 14 yo girl w/ Down Hgb - 16.8 PE: mild-mod cyanosis; digital clubbing; S2 inc in intensity echo: large VSD, dilated main pulm artery cause of polycythemia? pulm artery HTN Down kids are at a higher risk of getting this - upper airway obstruction and congenital heart dz Down is associated w/ inc in anti-angiogenic factors > impairs fetal lung vessel growth > leading to pulm art HTN due to the L>R shunt and inc flow in the R.heart > pulmHTN oc...

NBME CBSE EXAM | ACTUAL EXAM Questions and Verified Answers| 200 Q & A| 2023/ 2024 Newly Updated Q: Male newborn at 28 weeks'. Given ventilatory support with up to 80% oxygen for the next 72 hours, but dies of resp. failure. Cause is inadequate secretion from which labeled cell types? Answer: D. type II pneumocyte (produces surfactant) Q: 9yo girl with poor growth during the past year. < 3rd %ile for height and at 10th percentile for weight. PE normal. Visual field testing sh...

Psych NBME Step 2 CKMDD? - correct answer Dx: >/= 2 weeks with >/= 5 symptoms with one of those being anhedonia or depressed mood *No lifetime history of mania Tx: SSRI/ SNRI/ TCA PDD? - correct answer Persistent depressive disoder (dysthymia) Dx: depressed mood >/= 2 years without a symptom free interval of > 2 months; at least 2 of SIGECAPS Adjustment d/o with depressed mood - correct answer Dx: stressor -> onset within 3 months of stressor -> distress ->...

Surgery NBME Form 1 - Questions and Answers 42 yo - hospital w/ piece of meat lodged in lower esophagus meat removed by esophagoscopy w/ difficulty evening - 101 F most app dx study? water-soluble contrast upper gastrointestinal study don't repeat what procedure damaged her esophagus water-soluble aka gastrograffin - dx esophageal rupture neck x-ray - if food/thing stuck in oropharynx upper GI study - if want to look at thorax if this procedure is non-dx > Ba study if perforation confirmed...