NBME 32 Exam Questions and
Answers 100% PASS
Hairy cell leukemia—ANSWER-In a patient presenting with pancytopenia, splenomegaly,
fatigue, hypocellular bone marrow and peripheral blood smear that is CD20 and CD 103+
cross linking of T lymphocyte receptor Vb with class II MHC molecules—ANSWER-What is
the mechanism behind toxic shock syndrome?
Inhibition of iodide pump activity—ANSWER-In a patient presenting with hyperthyroidism
due to high iodine uptake, what is the cause of the symptoms?
walking on heels due to S1 radiculopathy—ANSWER-In a patient presenting with low back
pain with radiation to right calf absent jerk reflex and decreased sensation along the bottom
of the foot what deficit is likely and what is the reason?
activation of caspase (crypt apoptosis)—ANSWER-In a patient with history of CML,
abdominal pain, diarrhea, and recent bone marrow transplant, what is the reason for the
following biopsy?
anorexia nervosa—ANSWER-In a patient presenting with constipation, hypovolemia,
decreased metabolic rate, prominent anterior superior iliac spines. What is the most likely
cause?
, aldehyde dehydrogenase—ANSWER-Deficiency of ________ leads to accumulation of
acetaldehyde, which stimulates the release of histamine from mast cells causing flushing.
This enzyme converts acetaldehyde to acetic acid
alcohol dehydrogenase—ANSWER-Enzyme that converts ethanol to acetaldehyde, which is
later converted to aldehyde dehydrogenase. Target for fomepizole to treat methanol or
ethylene glycol poisoning.
seminal vesicles, followed by bladder or rectum—ANSWER-Locally advanced prostate cancer
involves extension into which structures?
deep fibular nerve—ANSWER-provides motor innervation to the anterior compartment of
the leg, which contains the tibialis anterior
weakness of dorsiflexors, evertors, and some plantar flexors resulting in foot drop and
diminished sensation—ANSWER-Injury to the peroneal nerve causes what effects.
gastrocnemius—ANSWER-Innervated by the tibial nerve, plantarflexes the foot at the ankle
joint and assists with knee flexion
soleus—ANSWER-innervated by the tibial nerve and plantarflexes at the ankle joint
providing postural stability and endurance during standing and walking.
lactic acidosis—ANSWER-occurs in states of hypovolemia or impaired blood flow with
impaired oxygen deliver. Patients experiencing acute mesenteric ischemia results in shunting
of pyruvate. High anion gap MA
inhibits release of virus particles from other infected cells—ANSWER-What is the MOA of
olseltamivir?
© 2026 Copyright. All Rights Reserved. This document is
protected by copyright law, Copyrighted By Brittie Donald
Answers 100% PASS
Hairy cell leukemia—ANSWER-In a patient presenting with pancytopenia, splenomegaly,
fatigue, hypocellular bone marrow and peripheral blood smear that is CD20 and CD 103+
cross linking of T lymphocyte receptor Vb with class II MHC molecules—ANSWER-What is
the mechanism behind toxic shock syndrome?
Inhibition of iodide pump activity—ANSWER-In a patient presenting with hyperthyroidism
due to high iodine uptake, what is the cause of the symptoms?
walking on heels due to S1 radiculopathy—ANSWER-In a patient presenting with low back
pain with radiation to right calf absent jerk reflex and decreased sensation along the bottom
of the foot what deficit is likely and what is the reason?
activation of caspase (crypt apoptosis)—ANSWER-In a patient with history of CML,
abdominal pain, diarrhea, and recent bone marrow transplant, what is the reason for the
following biopsy?
anorexia nervosa—ANSWER-In a patient presenting with constipation, hypovolemia,
decreased metabolic rate, prominent anterior superior iliac spines. What is the most likely
cause?
, aldehyde dehydrogenase—ANSWER-Deficiency of ________ leads to accumulation of
acetaldehyde, which stimulates the release of histamine from mast cells causing flushing.
This enzyme converts acetaldehyde to acetic acid
alcohol dehydrogenase—ANSWER-Enzyme that converts ethanol to acetaldehyde, which is
later converted to aldehyde dehydrogenase. Target for fomepizole to treat methanol or
ethylene glycol poisoning.
seminal vesicles, followed by bladder or rectum—ANSWER-Locally advanced prostate cancer
involves extension into which structures?
deep fibular nerve—ANSWER-provides motor innervation to the anterior compartment of
the leg, which contains the tibialis anterior
weakness of dorsiflexors, evertors, and some plantar flexors resulting in foot drop and
diminished sensation—ANSWER-Injury to the peroneal nerve causes what effects.
gastrocnemius—ANSWER-Innervated by the tibial nerve, plantarflexes the foot at the ankle
joint and assists with knee flexion
soleus—ANSWER-innervated by the tibial nerve and plantarflexes at the ankle joint
providing postural stability and endurance during standing and walking.
lactic acidosis—ANSWER-occurs in states of hypovolemia or impaired blood flow with
impaired oxygen deliver. Patients experiencing acute mesenteric ischemia results in shunting
of pyruvate. High anion gap MA
inhibits release of virus particles from other infected cells—ANSWER-What is the MOA of
olseltamivir?
© 2026 Copyright. All Rights Reserved. This document is
protected by copyright law, Copyrighted By Brittie Donald
