Nbme surgery - Study guides, Class notes & Summaries

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 ...

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 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...

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...

Step 2 CK NBME Form 12specific subtype of peripheral arterial disease that presents with claudication, ED, and decreased lower extremity arterial pulses Aortoiliac occlusion, iliac occlusive disease (Leriche syndrome) leading cause of mortality in the US and the risk increases for postmenopausal women as a result of the loss of cardioprotective benefits from estrogen Modifiable risk factors: diet, activity levels, management of comorbidities, and smoking cessation Cardiovascular diseas...

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 Practice NBME 4 |exam review 14. Diabetic gastroparesis?: presents with slowly progressive early satiety, nau- sea, vomiting of undigested food, and abdominal bloating with a succussion splash heard during physical examination. 15. Inguinal hernias?: protrusions of abdominal contents into the inguinal region through a defect in the lower abdominal wall

Step 2 NBME Form 10Respiratory distress, fever/inflammation, triglycerides in milky fluid following breastfeeding - correct answer Chylothorax d/t damage to thoracic duct, chyle accumulate in thoracic space. Thoracic duct carries triglycerides from GI system to central vasculature. Causes: -Congenital malformation of lympathic system or trauma during delivery or procedural intervention - Congenital: Hydrops fetalis, Down syndrome, Turner syndrome, Noonan syndrome Tx: chest tube, su...