NBME FULL SOLUTION PACK EXAM 2026
FINAL PAPER EXAM SCRIPT WITH SOLVED
QUESTIONS GRADED A+
⩥ polyglutamic polypeptide capsule. Answer: Bacillus anthracis
⩥ Alginate. Answer: pseudomonas
⩥ glucuronoxylpmannan. Answer: cryptococcus
⩥ Hyaluronic acid capsule. Answer: group A strep
⩥ Polyribitol phosphate capsule. Answer: Haemophilus influenzae type
B
⩥ Randomization. Answer: a process of randomly assigning subjects to
different treatment groups
reducing confounding bias
⩥ Stigaliptin. Answer: competitive inhibitor of DPP-4 inhibitor
prevent breakdown on incretins , promotes release of endogenous insulin
,⩥ acrabose. Answer: alpha-glucosidase inhibitor
⩥ Migitol. Answer: alpha-glucosidase inhibitor
⩥ Pioglitazone. Answer: Thiazolidinedione Antidiabetic
increase peripheral insulin sensitivity by activating PPAR gamma
⩥ Pramlintide. Answer: amylin analog
⩥ Chlorpropamide, tolbutamide. Answer: First Generation Sulfonylureas
⩥ Glipizide, glyburide. Answer: 2 generation sulfoylurea
⩥ Exenatide, liraglutide. Answer: Long acting GLP-1 agonist
⩥ Canagliflozin, dapagliflozin, empagliflozin. Answer: SGLT2
inhibitors
⩥ Nateglinide, repaglinide. Answer: Meglitinides
,same MOA as sulfonylurea
⩥ mutation inactivating vitamin D receptor. Answer: decrease intestinal
caclcium absorption hypogkycemia
increased PTH and increased PTH mediated bone resorption
1,25 vitamin d in normal range
⩥ loss of function in the calcium sensing receptor. Answer:
hypoparathyroidism
⩥ mediators of local muscle blood flow. Answer: adenosine
lactate hydrogen ions partial pressure of oxygen and carbon dioxide-
increase skeletal muscle blood flow during exercise
⩥ secure attachment. Answer: typically developing infants who form
secure attachments with their caregiver will begin to make eye contact at
age 2 months and illustrate delight when their caregiver is present and
distress when is absent
⩥ seperation anxiety age. Answer: 9-12 months
⩥ c1q mutation. Answer: SLE presentation
, ⩥ Mannose-binding lectin. Answer: is a key surface protein and opsonin
within the innate immune system
serves to bind multiple carbohydrate moieties found on bacteria viruses
parasite
⩥ MBL (mannose-binding lectin) mutation. Answer: primary
immunodeficiency
recurrent infection
⩥ pyloric stenosis serum finding. Answer: hypochloremic hypokalemia
metabolic alkalisis
caused by losses of HCL (stomach secretion)
hyponatremia
hypokalemia
hypochloremia
high bicarbonate ( due to RAAS actuvation)
⩥ Cryptococcus neoformans treatment. Answer: Induction with
amphotericin B and flucytosine, maintenance with fluconazole (in AIDS
patients)
FINAL PAPER EXAM SCRIPT WITH SOLVED
QUESTIONS GRADED A+
⩥ polyglutamic polypeptide capsule. Answer: Bacillus anthracis
⩥ Alginate. Answer: pseudomonas
⩥ glucuronoxylpmannan. Answer: cryptococcus
⩥ Hyaluronic acid capsule. Answer: group A strep
⩥ Polyribitol phosphate capsule. Answer: Haemophilus influenzae type
B
⩥ Randomization. Answer: a process of randomly assigning subjects to
different treatment groups
reducing confounding bias
⩥ Stigaliptin. Answer: competitive inhibitor of DPP-4 inhibitor
prevent breakdown on incretins , promotes release of endogenous insulin
,⩥ acrabose. Answer: alpha-glucosidase inhibitor
⩥ Migitol. Answer: alpha-glucosidase inhibitor
⩥ Pioglitazone. Answer: Thiazolidinedione Antidiabetic
increase peripheral insulin sensitivity by activating PPAR gamma
⩥ Pramlintide. Answer: amylin analog
⩥ Chlorpropamide, tolbutamide. Answer: First Generation Sulfonylureas
⩥ Glipizide, glyburide. Answer: 2 generation sulfoylurea
⩥ Exenatide, liraglutide. Answer: Long acting GLP-1 agonist
⩥ Canagliflozin, dapagliflozin, empagliflozin. Answer: SGLT2
inhibitors
⩥ Nateglinide, repaglinide. Answer: Meglitinides
,same MOA as sulfonylurea
⩥ mutation inactivating vitamin D receptor. Answer: decrease intestinal
caclcium absorption hypogkycemia
increased PTH and increased PTH mediated bone resorption
1,25 vitamin d in normal range
⩥ loss of function in the calcium sensing receptor. Answer:
hypoparathyroidism
⩥ mediators of local muscle blood flow. Answer: adenosine
lactate hydrogen ions partial pressure of oxygen and carbon dioxide-
increase skeletal muscle blood flow during exercise
⩥ secure attachment. Answer: typically developing infants who form
secure attachments with their caregiver will begin to make eye contact at
age 2 months and illustrate delight when their caregiver is present and
distress when is absent
⩥ seperation anxiety age. Answer: 9-12 months
⩥ c1q mutation. Answer: SLE presentation
, ⩥ Mannose-binding lectin. Answer: is a key surface protein and opsonin
within the innate immune system
serves to bind multiple carbohydrate moieties found on bacteria viruses
parasite
⩥ MBL (mannose-binding lectin) mutation. Answer: primary
immunodeficiency
recurrent infection
⩥ pyloric stenosis serum finding. Answer: hypochloremic hypokalemia
metabolic alkalisis
caused by losses of HCL (stomach secretion)
hyponatremia
hypokalemia
hypochloremia
high bicarbonate ( due to RAAS actuvation)
⩥ Cryptococcus neoformans treatment. Answer: Induction with
amphotericin B and flucytosine, maintenance with fluconazole (in AIDS
patients)
