NBME Form 11 with complete solutions | Latest 2023/2024

NBME Form 11 with complete solutions | Latest 2023/2024 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, doseresponse 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