NBME CBSE EXAM 2023- 2024 with 200 Questions and Answers
70yo M dies in a motor vehicle collision. Was undergoing evaluation for occult blood in the
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Photo of transverse colon shown. Dx? - ANSWER- Tubular adenoma
38yo M with 1-week hx of watery, itchy eyes and a runny nose. Physical shows inflamed nasal mucosa.
No congestion in lower lung. Pharmacotherapy? - ANSWER- Loratadine
16yo girl with 3-day hx of fever, nonproductive cough, and fatigue. T 38.3, P 88/min, BP 102-70. PE
shows pale conjunctivae. CXR shows bilateral interstitial infiltrates. Blood spontaenously agglutinates
while awaiting transport to the laboratory. Antibody isotypes causing agglutination? - ANSWER- IgM
24yo M with small tender blisters on his penis 3 days after unprotected sex. Photograph shown. Causal
agent? - ANSWER- HSV-2
42yo F with 3-year hx of an intermittent facial rash, including the forehead, eyelids, nose, and cheeks.
Rash seems to be getting worse since she moved from New York to Florida last year. Spicy foods
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precipitate a flushing reaction that seems to exacerbate the rash. PE shows erythema over the nose and
cheeks, with scattered telangiectasias and a few papules. Dx? - ANSWER- Rosacea
53yo M returned from Africa, has fever, headache, and abdominal discomfort. Received appropriate
vaccinations prior to the trip. T 39.4C. A wright-stained peripheral smear shown. Dx? - ANSWERMalaria
68yo F with T2DM and hypertension that has been poorly controlled despite hydrochlorothiazide
treatment. BP 150/96, Labs show serum glucose concentration of 130 and proteinuria. In addition to
current Rx, which is most appropriate pharmacotherapy? - ANSWER- Lisinopril
66yo M with stage IV colon cancer with 3-day hx of severe diarrhea after receiving chemotherapy with
fluorouracil, leucovorin, and Irinotecan. prescribed opioid antidiarrheal agent with no CNS effects.
Which med? - ANSWER- Loperamide
35yo M in ED with 2-hour hx of sever fatigue and dizziness. Had profuse, watery diarrhea for 8 hours
despite a lack of oral intake. Recently returned from a medical relief trip to a remove village in
Honduras. T 36.7 C, P 122/min, BP 90/50. PE shows dry skin and decreased capillary refill. Stool for
occult blood is negative; stool is gray
and turbid. Gram stain shows gram-negative, comma-shaped bacteria; no erythrocytes of leukocytes.
MOA of toxin? - ANSWER- Activation
of adenylyl cyclase
59yo F with gradual onset of lack of muscle control in her left arm and leg. Sx 1 mo ago after dx with
metastatic breast cancer. PE shows ataxia
of left upper and lower extremities. Muscle strength, DTR, sensation, proprioception normal. Metastatic
tumor in which location? - ANSWER- cerebellum
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Newborn delivered at 38 weeks' gestation weighs 1800 g. PE shows petechial rash, microcephaly, and
hepatosplenomegaly. Serologic test for CMV: IgG + in mother, + in newborn; IGM - in mother, + in
newborn. Explanation? - ANSWER- Congenital cytomegalovirus infection
Female newborn is delivered at 38 weeks' gestation. Apgar 8 and 8 at 1/5 min. PE shows a bulging,
fluod0filled mass approximately 5 cm in diameter in the midline over the lumbosacral region. No
spontaneous
movements of the lower extremities. Abnormality most likely occurred because of abnormal
development during which periods of
postconception (in days)? - ANSWER- 15 to 40
64yo M in ED 3 hours after SOB with exertion and extreme fatigue. Has ischemic heart disease. P
125/min, BP 105/60. ECG shows atrial fibrillation. Intravenous ibutilide is administered. Ten minutes
later, ECG shows normal sinus rhythm. Risk for which drug effect in the next
6 hours? - ANSWER- torsades de pointes
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