NBME 6 WITH QUESTION AND
ANSWERS
[Document subtitle]
,extraintestinal ssx of IBD - correct ans:Fever
bloody diarrhea
weight loss
joint pain
eye findings (iritis/uveitis)
skin (pyoderma gangrenosum, erythema nodosum)
sclerosing cholangitis\
BITrt is mesalamine
little girl with septic knee in pain. control pain or arthrocentesis? - correct
ans:arthrocentesis firsts
low pleural protein in CHF. - correct ans:
stopped taking lorazepam 3 days ago. feels anxious. PTSD or d/c lorazepam?
- correct ans:D/c lorazepam
pericardial tamponade NBSIM? (no pericardiocentesis) - correct ans:Echo
myocardial contusion.(h/o of trauma to chest, and increase PCWP means the
left atrial filling pressure is increased shows blood is not moving forward from
the heart) - correct ans:
lithium pt measure what at 4 months? cr vs TSH? - correct ans:TSH d/t to
weight gain
, neg strept test NBSIM - correct ans:throat culture
gallstone ileus mimics? - correct ans:bowel obsturction
A 20-year-old man comes for a routine health maintenance examination. He
has a 15-year history of difficulty relaxing his hands after tightly gripping
objects or after shaking hands. His father has cataracts and frontal baldness.
Examination shows thin forearms. There is moderate weakness of the hands
and difficulty releasing after gripping with his hands. Which of the following is
the most likely diagnosis?
A) Amyotrophic lateral sclerosis
B) Cervical spondylosis
C) Multiple sclerosis
D) Myasthenia gravis
E) Myasthenic (Lambert-Eaton) syndrome
F) Myotonic muscular dystrophy
G) Polymyalgia rheumatica
H) Polymyositis
I) Progressive neuropathic (peroneal) muscular atrophy - correct
ans:Myotonic muscular dystrophy
ANSWERS
[Document subtitle]
,extraintestinal ssx of IBD - correct ans:Fever
bloody diarrhea
weight loss
joint pain
eye findings (iritis/uveitis)
skin (pyoderma gangrenosum, erythema nodosum)
sclerosing cholangitis\
BITrt is mesalamine
little girl with septic knee in pain. control pain or arthrocentesis? - correct
ans:arthrocentesis firsts
low pleural protein in CHF. - correct ans:
stopped taking lorazepam 3 days ago. feels anxious. PTSD or d/c lorazepam?
- correct ans:D/c lorazepam
pericardial tamponade NBSIM? (no pericardiocentesis) - correct ans:Echo
myocardial contusion.(h/o of trauma to chest, and increase PCWP means the
left atrial filling pressure is increased shows blood is not moving forward from
the heart) - correct ans:
lithium pt measure what at 4 months? cr vs TSH? - correct ans:TSH d/t to
weight gain
, neg strept test NBSIM - correct ans:throat culture
gallstone ileus mimics? - correct ans:bowel obsturction
A 20-year-old man comes for a routine health maintenance examination. He
has a 15-year history of difficulty relaxing his hands after tightly gripping
objects or after shaking hands. His father has cataracts and frontal baldness.
Examination shows thin forearms. There is moderate weakness of the hands
and difficulty releasing after gripping with his hands. Which of the following is
the most likely diagnosis?
A) Amyotrophic lateral sclerosis
B) Cervical spondylosis
C) Multiple sclerosis
D) Myasthenia gravis
E) Myasthenic (Lambert-Eaton) syndrome
F) Myotonic muscular dystrophy
G) Polymyalgia rheumatica
H) Polymyositis
I) Progressive neuropathic (peroneal) muscular atrophy - correct
ans:Myotonic muscular dystrophy
