NBME Form 11 Questions with Verified
Correct Answers
Heat exhaustion
exercise intolerance, increased core body temperatures, and the absence of neurologic
disturbances
Heat stroke
is characterized by hyperthermia, AMS or neurologic deficits, and variable physical signs and
symptoms depending on severity
Stimulus induced or spontaneous myoclonus is specific for?
Creutzfeldt-Jakob disease
What is the first line treatment for narrow complex SVT?
AV nodal blockage with adenosine
Bradford Hill Criteria for Causality
temporal relationship, strength of association, dose-response relationship, Consistency,
biological plossibility, Consideration of alternate explanations, experiment, Specificity,
coherence
BCG and PPD test
BCG effects wanes 5 years after vaccination
Diagnosis of empyema
Thoracentesis: frank pus or cloudy fluid in pleural space. Pleural fluid: leukocytosis, pH
<7.20, glucose <60 mg/dL, high LDH, elevated protein, maybe infectious organisms.
,Recommendation of treatment is with chest tube placement
What is the initial management of mild carpal tunnel syndrome?
ergonomic changes to relieve the pressure ( Ex. Wrist pad for keyboard) or splinting
What are the risk factors for in-hospital mortality in a patient with a PE?
Advanced age and obstructive shock
Pediatric Hypertension
measurement of serum renin and aldosterone, serum and urine metanephrinphrines, and renal
US with doppler to assess the patency of the renal arteries
What is a distinguishing feature of opioid intoxication?
Miosis
CLABSI
central line associated blood stream infection workup includes drawing blood from the CVC
and another place while starting IV antibiotics
Qualitative study
used to study social phenomena or how individuals perceive their disease, barriers to
pursuing treatment and social stigma surrounding their disease
When to start screening with serum lipid levels?
MEN age 35
WOMEN age 45
, You can start earlier if there is increased risk factors for CVD including HTN, Type 2 DM
and a family history
Midgut volvulus presentation in an infant
bilious vomiting, abdominal distention, and pain
Diagnosis is confirmed via an upper GI series
Treatment of OA of the knee
NSAIDS
Physical therapy
Corticosteroids if conservative management fails
What is the next step in management to help prevent morbitity and mortality in a
patient with VUR?
Daily antibiotic prophylatic to help prevent infections and complications
Serum sickness
systemic injury initiated by antigen-antibody complexes that circulate in the blood
CM: Fever, Rash, arthralgias and arthritis
Following non-human medications like Inflixamab or equine botulism toxin antibody
Inhalant abuse
1. glue, tuolene, nitrous oxide
2. signs of acute intoxication - transient, brief euphoria + loss of consciousness
Correct Answers
Heat exhaustion
exercise intolerance, increased core body temperatures, and the absence of neurologic
disturbances
Heat stroke
is characterized by hyperthermia, AMS or neurologic deficits, and variable physical signs and
symptoms depending on severity
Stimulus induced or spontaneous myoclonus is specific for?
Creutzfeldt-Jakob disease
What is the first line treatment for narrow complex SVT?
AV nodal blockage with adenosine
Bradford Hill Criteria for Causality
temporal relationship, strength of association, dose-response relationship, Consistency,
biological plossibility, Consideration of alternate explanations, experiment, Specificity,
coherence
BCG and PPD test
BCG effects wanes 5 years after vaccination
Diagnosis of empyema
Thoracentesis: frank pus or cloudy fluid in pleural space. Pleural fluid: leukocytosis, pH
<7.20, glucose <60 mg/dL, high LDH, elevated protein, maybe infectious organisms.
,Recommendation of treatment is with chest tube placement
What is the initial management of mild carpal tunnel syndrome?
ergonomic changes to relieve the pressure ( Ex. Wrist pad for keyboard) or splinting
What are the risk factors for in-hospital mortality in a patient with a PE?
Advanced age and obstructive shock
Pediatric Hypertension
measurement of serum renin and aldosterone, serum and urine metanephrinphrines, and renal
US with doppler to assess the patency of the renal arteries
What is a distinguishing feature of opioid intoxication?
Miosis
CLABSI
central line associated blood stream infection workup includes drawing blood from the CVC
and another place while starting IV antibiotics
Qualitative study
used to study social phenomena or how individuals perceive their disease, barriers to
pursuing treatment and social stigma surrounding their disease
When to start screening with serum lipid levels?
MEN age 35
WOMEN age 45
, You can start earlier if there is increased risk factors for CVD including HTN, Type 2 DM
and a family history
Midgut volvulus presentation in an infant
bilious vomiting, abdominal distention, and pain
Diagnosis is confirmed via an upper GI series
Treatment of OA of the knee
NSAIDS
Physical therapy
Corticosteroids if conservative management fails
What is the next step in management to help prevent morbitity and mortality in a
patient with VUR?
Daily antibiotic prophylatic to help prevent infections and complications
Serum sickness
systemic injury initiated by antigen-antibody complexes that circulate in the blood
CM: Fever, Rash, arthralgias and arthritis
Following non-human medications like Inflixamab or equine botulism toxin antibody
Inhalant abuse
1. glue, tuolene, nitrous oxide
2. signs of acute intoxication - transient, brief euphoria + loss of consciousness
