Nbme form 3 Study guides, Class notes & Summaries

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...

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...

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 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...

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 16 Block 1 and 2 (Answered) Verified Solution Lab values in Sarcoidosis 1.Elevated ACE levels- from granuloma 2.Elevated CD4/CD8 counts in BAL. 3.High Calcium 4.HIGH 1,25 DIHYDROXYCHOLICALCIFEROL (Due to increased production of 1 alpha hydroxylase that converts Vit D to its active form -nbme) 5. Low PTH Histology of Sarcoidosis : 1.Epithelioid granuloma - Granuloma with foreign body giant cells (means Giant cells with disorganized nuclei) Type 4 HSN. 2.Asteroid body - Star sha...

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...

Step 2 CK NBME Form 7 with complete solutions-Impaired fertility in a man and high riding bilateral mass. What is the underlying cause? - Varicocele. 82 year old with decreased vision. Dilated veins, widespread retinal hemorrhages intermixed with white plaques on fundoscopic exam. Diagnosis? - Central retinal vein artery occlusion. 15 year old girl she is on chronic steroid therapy. Now presents with acute back pain. What is the most likely cause? - Osteoporotic compression fracture. Pa...

FIRST AID FOR NBME QUESTIONS AND 100%CORRECT ANSWERS 2023/2024 Heart Embryological Structures (8)CORRECT ANSWER-Truncus Arteriosus (TA) --> ascending Aorta & Pulmonary Trunk Bulbus Cordis --> Smooth Parts (outflow tract) of L and R Ventricles Primitive Atria --> Trabeculated part of the L and R Atria Primitive Ventricle --> Trabeculated part of the L and R ventricles Primitive Pulmonary Vein --> Smooth part of the L Atrium Left Horn of Sinus Venosus (SV) --> Coronary ...