NBME 9 TEST WITH COMPLETE SOLUTION 2023-2024
_______ stage of labor (latent + active) occcurs until cervical dilaton and effacement
completion. - ✔First
1st line therapy for mild to moderate acne vulgaris
Tx? - ✔topical retinoids
1st line tx for Merniere's disease - ✔antihistamines (e.g. Meclizine)
1st line tx for pulseless sustained (>30 seconds) VT? - ✔defibrillation
1st line tx for STABLE sustained (>30 seconds) VT? - ✔Class I or III anti-arrhythmics
(lidocaine, amiodarone)
1St line tx for UC? - ✔meSalamine
1st line tx for unstable sustained (>30 seconds) VT? - ✔synchronized cardioversion
2nd line tx for refractory Merniere's disease - ✔methylprednisolone
2nd line tx for UC? - ✔azathioprine and infliximab
4 yr old boy with 2 day hx of increasingly severe pain in right leg with limp + 1 week ago
was treated with amoxicillin for middle ear infection + right hip flexed and externally
rotated + passive ROM of right hip limited by pain + xray normal + no history of falls or
trauma
likely dx and next step? - ✔transient synovitis; measurement of serum inflammatory
markers
4 yr old boy with 3 day hx of fever, cough, runny nose + no chest congestion, sputum,
chest discomfort or SOB
Likely dx? - ✔upper respiratory tract infection
4 yr old boy with 5 day hx of increasingly severe pain in right leg with limp + 1 year ago
was treated with amoxicillin for middle ear infection + right hip flexed and externally
rotated + passive ROM of right hip limited by pain + xray normal (not as sensitive) + fell
7 days ago
likely dx and next step? - ✔fracture; CT scan of right hip
8AM serum cortisol is used for diagnosing? - ✔adrenal insufficiency
, NBME 9 TEST WITH COMPLETE SOLUTION 2023-2024
22 yr old woman with 1 week hx of increasingly severe left knee pain + history of injury
during basketball game 8 days ago + knee effusion + tenderness over medial joint line
dx? - ✔medial meniscus tear
22 yr old woman with 1 week hx of increasingly severe left knee pain + works as a
cleaning lady + acute pain + erythema + swelling over anterior knee + pain on knee
flexion
dx? - ✔prepatellar bursitis
22 yr old woman with 6 month hx of increasingly severe left knee pain + history of injury
during basketball game a year ago + giving away sensation while walking + worse when
walking up stairs or sitting in car + tenderness to palpation along patella + sensation
decreased over left hallux + BMI 46
dx? - ✔ACL tear
24 hour urinary cortisol is used for diagnosing? - ✔Cushing disease
24 yr old college student with 20 day hx of constant heavy vaginal bleeding with
passage of clots + fatigue and lightheadedness with no visual changes or headaches +
hx of brusing + regular menstruation
most likely cause of heavy menses? - ✔VWD
24 yr old college student with 20 day hx of intermittent heavy vaginal bleeding with
passage of clots + fatigue and lightheadedness with no visual changes or headaches +
no hx of brusing + irregular menses
most likely cause of heavy menses? - ✔anovulation
24 yr old woman who has fever + diffuse tenderness on bimanual + tender uterus + 28
hours post vaginal delivery
potential dx and next step? - ✔endometritis; IV abx
27 yr old with 5 day hx of headache, severe diffuse abdominal pain and N/V +
exacerbated by eating and relived by vomiting + hx of Crohn disease + did not taper
dosage 2 weeks ago + distended abdomen + BP low + bowel sonds decreased +
vomitous semi solid -->liquid (after bowels emptied) + LMP 7 weeks ago
dx? - ✔SBO d/t Crohn flare up
_______ stage of labor (latent + active) occcurs until cervical dilaton and effacement
completion. - ✔First
1st line therapy for mild to moderate acne vulgaris
Tx? - ✔topical retinoids
1st line tx for Merniere's disease - ✔antihistamines (e.g. Meclizine)
1st line tx for pulseless sustained (>30 seconds) VT? - ✔defibrillation
1st line tx for STABLE sustained (>30 seconds) VT? - ✔Class I or III anti-arrhythmics
(lidocaine, amiodarone)
1St line tx for UC? - ✔meSalamine
1st line tx for unstable sustained (>30 seconds) VT? - ✔synchronized cardioversion
2nd line tx for refractory Merniere's disease - ✔methylprednisolone
2nd line tx for UC? - ✔azathioprine and infliximab
4 yr old boy with 2 day hx of increasingly severe pain in right leg with limp + 1 week ago
was treated with amoxicillin for middle ear infection + right hip flexed and externally
rotated + passive ROM of right hip limited by pain + xray normal + no history of falls or
trauma
likely dx and next step? - ✔transient synovitis; measurement of serum inflammatory
markers
4 yr old boy with 3 day hx of fever, cough, runny nose + no chest congestion, sputum,
chest discomfort or SOB
Likely dx? - ✔upper respiratory tract infection
4 yr old boy with 5 day hx of increasingly severe pain in right leg with limp + 1 year ago
was treated with amoxicillin for middle ear infection + right hip flexed and externally
rotated + passive ROM of right hip limited by pain + xray normal (not as sensitive) + fell
7 days ago
likely dx and next step? - ✔fracture; CT scan of right hip
8AM serum cortisol is used for diagnosing? - ✔adrenal insufficiency
, NBME 9 TEST WITH COMPLETE SOLUTION 2023-2024
22 yr old woman with 1 week hx of increasingly severe left knee pain + history of injury
during basketball game 8 days ago + knee effusion + tenderness over medial joint line
dx? - ✔medial meniscus tear
22 yr old woman with 1 week hx of increasingly severe left knee pain + works as a
cleaning lady + acute pain + erythema + swelling over anterior knee + pain on knee
flexion
dx? - ✔prepatellar bursitis
22 yr old woman with 6 month hx of increasingly severe left knee pain + history of injury
during basketball game a year ago + giving away sensation while walking + worse when
walking up stairs or sitting in car + tenderness to palpation along patella + sensation
decreased over left hallux + BMI 46
dx? - ✔ACL tear
24 hour urinary cortisol is used for diagnosing? - ✔Cushing disease
24 yr old college student with 20 day hx of constant heavy vaginal bleeding with
passage of clots + fatigue and lightheadedness with no visual changes or headaches +
hx of brusing + regular menstruation
most likely cause of heavy menses? - ✔VWD
24 yr old college student with 20 day hx of intermittent heavy vaginal bleeding with
passage of clots + fatigue and lightheadedness with no visual changes or headaches +
no hx of brusing + irregular menses
most likely cause of heavy menses? - ✔anovulation
24 yr old woman who has fever + diffuse tenderness on bimanual + tender uterus + 28
hours post vaginal delivery
potential dx and next step? - ✔endometritis; IV abx
27 yr old with 5 day hx of headache, severe diffuse abdominal pain and N/V +
exacerbated by eating and relived by vomiting + hx of Crohn disease + did not taper
dosage 2 weeks ago + distended abdomen + BP low + bowel sonds decreased +
vomitous semi solid -->liquid (after bowels emptied) + LMP 7 weeks ago
dx? - ✔SBO d/t Crohn flare up
