NBME 20 Exam Questions and
Answers 100% PASS
Transudate—ANSWER-Low protein content
Due to high hydrostatic or low oncotic
Exudate—ANSWER-High protein content, cloudy
Malignancy, pneumonia, trauma
Heart failure affects on lungs:
Capillary hydrostatic
Interstitial hydrostatic
Interstitial oncotic—ANSWER-CH - up
IH - up
IO - DOWN
Epstein-Barr in transplant patients—ANSWER-B cell lymphomas
Aprepritant—ANSWER-Substance P antagonist
Blocks NK1 (neurokinin-1) receptors in brain
Capsaicin MOA—ANSWER-Activation of TRPV1 increases intracellular Ca
, Also depletion of substance P
Eliminate weak acid in urine—ANSWER-Alkalinize urine
A screening test (rule out disease) should be highly—ANSWER-Sensitive
A diagnostic test (rule in disease) should be highly—ANSWER-Specific
Cilostazol / dipyridamole MOA—ANSWER-PDE inhibitors -> increase cAMP in platelets ->
inhibiting aggregation
AND vasodilates
Cilostazol / dipyridamole uses—ANSWER-Claudication, coronary vasodilation, stroke/TIA
prevention (with aspirin)
Spironolactone uses—ANSWER-Hypertension, K+ depletion, HF, hepatic ascites**,
antiandrogen
Eosin-methylene blue stains for—ANSWER-Lactose fermenters (so shigella wouldn't be
present)
Actinic purpura—ANSWER-Atrophy of dermal collagen -> extravasation of blood into dermis
Chronic sun exposed areas
EBV atypical lymphocytes—ANSWER-CD8 reactive T-cells
NSAID adverse effects—ANSWER-Interstitial nephritis
Gastric ulcer
Renal ischemia
© 2026 Copyright. All Rights Reserved. This document is
protected by copyright law, Copyrighted By Brittie Donald
Answers 100% PASS
Transudate—ANSWER-Low protein content
Due to high hydrostatic or low oncotic
Exudate—ANSWER-High protein content, cloudy
Malignancy, pneumonia, trauma
Heart failure affects on lungs:
Capillary hydrostatic
Interstitial hydrostatic
Interstitial oncotic—ANSWER-CH - up
IH - up
IO - DOWN
Epstein-Barr in transplant patients—ANSWER-B cell lymphomas
Aprepritant—ANSWER-Substance P antagonist
Blocks NK1 (neurokinin-1) receptors in brain
Capsaicin MOA—ANSWER-Activation of TRPV1 increases intracellular Ca
, Also depletion of substance P
Eliminate weak acid in urine—ANSWER-Alkalinize urine
A screening test (rule out disease) should be highly—ANSWER-Sensitive
A diagnostic test (rule in disease) should be highly—ANSWER-Specific
Cilostazol / dipyridamole MOA—ANSWER-PDE inhibitors -> increase cAMP in platelets ->
inhibiting aggregation
AND vasodilates
Cilostazol / dipyridamole uses—ANSWER-Claudication, coronary vasodilation, stroke/TIA
prevention (with aspirin)
Spironolactone uses—ANSWER-Hypertension, K+ depletion, HF, hepatic ascites**,
antiandrogen
Eosin-methylene blue stains for—ANSWER-Lactose fermenters (so shigella wouldn't be
present)
Actinic purpura—ANSWER-Atrophy of dermal collagen -> extravasation of blood into dermis
Chronic sun exposed areas
EBV atypical lymphocytes—ANSWER-CD8 reactive T-cells
NSAID adverse effects—ANSWER-Interstitial nephritis
Gastric ulcer
Renal ischemia
© 2026 Copyright. All Rights Reserved. This document is
protected by copyright law, Copyrighted By Brittie Donald
