NBME Ck 9-12 (100% Correct Answers)LATEST 2023/2024

NBME Ck 9-12 (100% Correct Answers) What is the common bug that causes post transplant lymphoproliferative disorder? correct answers Epstein Barr How do you diagnose Botulism? correct answers Repetitive nerve stimulation study What if first line therapy for the treatment of mild to moderate acne vulgaris? correct answers topical retinoids What is a common complication of juvenile rheumatoid arthritis? Wha screening should be done on kids with this condition? correct answers uveitis, lymphadenopathy, an drash. slit lamp exams to detect subtle signs of intraocular inflammation. (usually only detected once it has led to complications such as cataract, glaucoma, or amblyopia. In adults, the presence of destructive bone lesion is more commonly caused by what? correct answers metastatic disease rather than a primary bone malignancy. What kind of cancers tend to metastasize to bone? correct answers lung, breast, thyroid, kidney, and prostate. Patients with severe AS that results in symptoms or evidence of systolic dysfunction (EF <50) should undergo what? correct answers aortic valve replacement. What can develop after a DVT that presents with intermittent or persistent edema, pain, and skin discoloration? correct answers chronic venous insufficiency demmed postphelbitic or post thrombotic syndrome How to you interpret a PPD test with or without a bCG vaccine? correct answers no matter what, if greater than 10mm, start latent TB infection treatment. What is a metric of overall disease burden that takes into account the years of life lost by death but also the years of healthy life lost as a result of disability? correct answers disability adjusted life years. what is used to convey the results of a meta analysis? how is the overall risk found? correct answers forest plot combining data from all individual studies and a p value is reported to indicate significance. in breat cancer what is the most indicative of survival? correct answers tumor stage (has it metastatized) In a patient with orthostatic hypotension and BPH what can you not give? why? What med would be better? correct answers doxazosin since it is an antagonist and would worsen the hypotension finasteride (5a reductase inhibitors) For prophylaxis of migraines what do you give? Prophylaxis.... emphasis on the P.... what's used for abortive treatment? correct answers propranolol ergotamine and sumatriptan What is the next step in therapy with someone who has HIV who is showing signs and symptoms of nephrotic syndrome? which one would it be? correct answers renal biopsy focal segmental glomerulosclerosis How do you manage X linked agammaglobulinemia? correct answers IV IG therapy bone marrow transplant is not used for XLAG what is used to help manage the symptoms that are caused by meniere disease? what kind of med is it? correct answers Meclizine which is an antihistamine medication to treat episodic vertigo and nausea. JVD that increases with inspiration indicates what? what is the other name for this PE finding? What are some examples of what can cause this? correct answers impaired right ventricular filling kussmaul sign constrictive pericardial disease, restrictive cardiomyopathy, pericardial effusion, large PE, tricuspid stenosis, and severe RHF. What is the first step in treating allergic rhinitis? how would you do this? correct answers removal or avoidance of any offending allergens encasing bedding or impermeable pillow and mattress covers. What is first line in the management of COPD who experience frequent exacerbations? correct answers combo therapy with LABA (salmeterol) or muscarinic antagonist tiotropium) and inhaled glucocorticoid. What compound is used as an artificial sweetner and is poorly absorbed in small bowel? what can it cause as a result? correct answers sorbitol osmotic diarrhea, bloating, and abdominal discomfort majority of children with umbilical hernia have spontaneous resolution by when? if a child has a large defect (> 1.5 cm) what can happen? correct answers 3 years of age progressive enlargment of the defect over time First line for diagnosing kindey stones? correct answers CT abdomen without contrast What is an important thing to screen for in preconception visits to ensure baby safety? correct answers serum immunity to MMR + varicella bugs to avoid complications since they are live vaccines What is a common cause of female infertility due to incrased serum prolactin concentration? correct answers hypothyroidism What is the most important determinant of the specificity of the test? sensitivity? correct answers FP rate. since specificity= 1-FP rate false negative rate. since sensitivity= 1-FN rate Patients with vertebral artery occlusion present with what? correct answers vestibulocerebellar sings, ipsilateral cranial nerve dysfunction, and Horner syndrome. with contralateral hemiparesis and sensory loss