NBME CBSE Actual Test Study
Guide 2026–2027 Complete
Quiz Bank with Verified
Questions and Correct Answers
| Updated Medical Exam
Resource for Step 1 & CBSE
Preparation
62 year old woman - osteoporosis - a bisphosphonate is
prescribed. The expected beneficial effect of the drug is due to
which of the following? -Answer= Decreased Osteoclast Activity
Cohot Study of elderly women - relative risk ratio for hip
fractures among those who exercise regularly is 1.2 (95%
confidence interval of 1.1 to 1.8). Which of the following is the
,conclusion about the effect of exercise on the risk of hip
fracture? -Answer= Statistically Significant Overall Increase Risk
52 year old man goes to ER with chest pain radiating to his
jaw while shoveling snow. Pulse is 80/min and blood pressure
is 130/70. The most immediate treatment mechanism of
action? - Answer= Increased nitric oxide concentration
,24 year old woman - spilled hot grease on her left leg while
working at a fast-food restaurant. Exam of leg shows 7cm pink,
soft, granular, edematous wound. The formation of this tissue
was most likely caused by increased activity of which? -Answer=
a. Vascular Endothelial Growth Factor VEGF - stimulates
angiogenesiss.
TYPE III Collagen = Blood Vessels - early wound repair
27 year old man- MVC - skull x-ray shows a linear, nondepressed
basal skull fracture - increased serum osm and decreased urin
osm. Following desmopressin urine osm increases.
Desmopressin's effect is due to the activation of which of the
following? -Answer= a. Adenylyl Cyclase
Adenylate Cyclase - ATP - CAMP --
PROTEKINASE A -- Ca v2
A 10 month old boy - 4 day history of fever and cough. He
attends day care center. Chest exam shows intercostal
retractions along with bilateral, diffuse wheezes and expiratory
rhonchi. The infectious agent most likely has which of the
following properties? -Answer= Mediation of Cell Entry via a
fusion protein
A 17 year old girl in ED - 15 minutes after being stung by a bee.
, Mild light headedness but no difficulty swallowing- Bilateral
wheezing - Which is most appropriate pharmacotherapy for this
patient? -Answer= B2- Agonist
14 year old boy - 2 day history of sore throat and fever that
peaks in late afternoon. 1 week of fatigue. He recentaly had sex
with one partner. Physical exam show cervical lymphadenopathy
and pharyngeal erythema with a creamy exudate. DX? -Answer=
Infectious Mononucleosis
Guide 2026–2027 Complete
Quiz Bank with Verified
Questions and Correct Answers
| Updated Medical Exam
Resource for Step 1 & CBSE
Preparation
62 year old woman - osteoporosis - a bisphosphonate is
prescribed. The expected beneficial effect of the drug is due to
which of the following? -Answer= Decreased Osteoclast Activity
Cohot Study of elderly women - relative risk ratio for hip
fractures among those who exercise regularly is 1.2 (95%
confidence interval of 1.1 to 1.8). Which of the following is the
,conclusion about the effect of exercise on the risk of hip
fracture? -Answer= Statistically Significant Overall Increase Risk
52 year old man goes to ER with chest pain radiating to his
jaw while shoveling snow. Pulse is 80/min and blood pressure
is 130/70. The most immediate treatment mechanism of
action? - Answer= Increased nitric oxide concentration
,24 year old woman - spilled hot grease on her left leg while
working at a fast-food restaurant. Exam of leg shows 7cm pink,
soft, granular, edematous wound. The formation of this tissue
was most likely caused by increased activity of which? -Answer=
a. Vascular Endothelial Growth Factor VEGF - stimulates
angiogenesiss.
TYPE III Collagen = Blood Vessels - early wound repair
27 year old man- MVC - skull x-ray shows a linear, nondepressed
basal skull fracture - increased serum osm and decreased urin
osm. Following desmopressin urine osm increases.
Desmopressin's effect is due to the activation of which of the
following? -Answer= a. Adenylyl Cyclase
Adenylate Cyclase - ATP - CAMP --
PROTEKINASE A -- Ca v2
A 10 month old boy - 4 day history of fever and cough. He
attends day care center. Chest exam shows intercostal
retractions along with bilateral, diffuse wheezes and expiratory
rhonchi. The infectious agent most likely has which of the
following properties? -Answer= Mediation of Cell Entry via a
fusion protein
A 17 year old girl in ED - 15 minutes after being stung by a bee.
, Mild light headedness but no difficulty swallowing- Bilateral
wheezing - Which is most appropriate pharmacotherapy for this
patient? -Answer= B2- Agonist
14 year old boy - 2 day history of sore throat and fever that
peaks in late afternoon. 1 week of fatigue. He recentaly had sex
with one partner. Physical exam show cervical lymphadenopathy
and pharyngeal erythema with a creamy exudate. DX? -Answer=
Infectious Mononucleosis
