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NBME 25 100 Verified Questions with Standards-Based Explanations

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NBME 25 100 Verified Questions with Standards-Based Explanations

Institution
NBME 25
Course
NBME 25

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What site in the nephron is impermeable to water and reabsorbs Na, K, and Cl?


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Thick ascending limb of the loop of Henle




How does HSV or VZV confer resistance to guanosine analogs?


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Mutation in the viral thymidine kinase enzyme

, Guanosine analog would not be phosphorylated and thus cannot inhibit viral
DNA polymerase.




Lysosomes in hepatocytes of patients with Inclusion cell disease (mucolipidosis II)
contain abnormal enzyme activities resulting from an inability of these cells to do what?


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Synthesize mannose-6-phosphate residues on proteins



Failure of Golgi-based post-translational modification of ptoteolytic enzymes
that would typically be targeted to the lysosome.


Proteases targeted to the lysosomes are tagged with phosphate at the 6th
carbon on their mannose residues -> mannose 6 phosphate. Defective N
acetylglucosaminyl 1 phosphotransferase enzymes are unable to join
phosphate onto mannose residues. causing the synthesized proteases t be
abnormally routed into vesicles for exocytosis intense o the lysosome.




Bacillus anthracis causes anthrax. Describe the pathogen?


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Gram-positive rod
Facultative anaerobe
Arranges in chains on microscopy

,Nonsmoker woman with a chronic consolidation in the periphery of the lung. What is the
diagnosis and classical histologic findings?


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Adenocarcinoma of the lung

Glandular pattern with mucin-positive stain




What type of hypersensitivity is Graves disease?


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Type II

Thyroid-stimulating antibodies that activate the TSH receptor




What are examples of medications with zero-order elimination kinetics?


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Alcohol
Aspirin
Phenytoin

, What is the function of human chorionic gonadotropin?


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Maintain the corpus luteum and continue its production of progesterone.
Critical in maintaining the pregnancy through the first 8-10 weeks when
placenta is not yet producing its own progesterones.




What lung cancer is associated with hypercalcemia and why?


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Squamous Cell Carcinoma

Because of paraneoplastic parathyroid hormone-related peptide (PTHrP)
production




In aortic stenosis, what would the cardiac pressure tracing reveal?


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Large pressure gradient between the left ventricle and aorta

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Institution
NBME 25
Course
NBME 25

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