/NBME CBSE (usmle step 1)MEDICAL ACTUAL
EXAM NEWEST VERSION 2024-2025 TESTBANK
QUESTIONS AND CORRECT DETAILEDANSWERS
WITH RATIONALES |ALREADYGRADED A+
Terms in this set (1957)
70yo M dies in a motor Tubular adenoma
vehicle collision. Was
undergoing evaluation for
occult blood in the stool.
Photo of transverse colon
shown. Dx?
38yo M with 1-week hx of Loratadine
watery, itchy eyes and a
runny nose. Physical
shows inflamed nasal
mucosa. No congestion in
lower lung.
Pharmacotherapy?
,16yo girl with 3-day hx of IgM
fever, nonproductive
cough, and fatigue. T 38.3,
P 88/min, BP 102-70. PE
shows pale conjunctivae.
CXR shows bilateral
interstitial infiltrates. Blood
spontaenously
agglutinates while
awaiting transport to the
laboratory. Antibody
isotypes causing
agglutination?
24yo M with small tender HSV-2
blisters on his penis 3 days
after unprotected sex.
Photograph shown. Causal
agent?
42yo F with 3-year hx of Rosacea
an intermittent facial rash,
including the forehead,
eyelids, nose, and cheeks.
Rash seems to be getting
worse since she moved
from New York to Florida
last year. Spicy foods
precipitate a flushing
reaction that seems to
exacerbate the rash. PE
shows erythema over the
nose and cheeks, with
scattered telangiectasias
and a few papules. Dx?
,53yo M returned from Malaria
Africa, has fever,
headache, and abdominal
discomfort. Received
appropriate vaccinations
prior to the trip. T 39.4C. A
wright-stained peripheral
smear shown. Dx?
68yo F with T2DM and Lisinopril
hypertension that has
been poorly controlled
despite
hydrochlorothiazide
treatment. BP 150/96, Labs
show serum glucose
concentration of 130 and
proteinuria. In addition to
current Rx, which is most
appropriate
pharmacotherapy?
66yo M with stage IV Loperamide
colon cancer with 3-day
hx of severe diarrhea after
receiving chemotherapy
with fluorouracil,
leucovorin, and Irinotecan.
prescribed opioid
antidiarrheal agent with
no CNS effects. Which
med?
, 35yo M in ED with 2-hour Activation of adenylyl cyclase
hx of sever fatigue and
dizziness. Had profuse,
watery diarrhea for 8
hours despite a lack of
oral intake. Recently
returned from a medical
relief trip to a remove
village in Honduras. T 36.7
C, P 122/min, BP 90/50. PE
shows dry skin and
decreased capillary refill.
Stool for occult blood is
negative; stool is gray and
turbid. Gram stain shows
gram-negative, comma-
shaped bacteria; no
erythrocytes of
leukocytes. MOA of toxin?
59yo F with gradual onset cerebellum
of lack of muscle control
in her left arm and leg. Sx 1
mo ago after dx with
metastatic breast cancer.
PE shows ataxia of left
upper and lower
extremities. Muscle
strength, DTR, sensation,
proprioception normal.
Metastatic tumor in which
location?
EXAM NEWEST VERSION 2024-2025 TESTBANK
QUESTIONS AND CORRECT DETAILEDANSWERS
WITH RATIONALES |ALREADYGRADED A+
Terms in this set (1957)
70yo M dies in a motor Tubular adenoma
vehicle collision. Was
undergoing evaluation for
occult blood in the stool.
Photo of transverse colon
shown. Dx?
38yo M with 1-week hx of Loratadine
watery, itchy eyes and a
runny nose. Physical
shows inflamed nasal
mucosa. No congestion in
lower lung.
Pharmacotherapy?
,16yo girl with 3-day hx of IgM
fever, nonproductive
cough, and fatigue. T 38.3,
P 88/min, BP 102-70. PE
shows pale conjunctivae.
CXR shows bilateral
interstitial infiltrates. Blood
spontaenously
agglutinates while
awaiting transport to the
laboratory. Antibody
isotypes causing
agglutination?
24yo M with small tender HSV-2
blisters on his penis 3 days
after unprotected sex.
Photograph shown. Causal
agent?
42yo F with 3-year hx of Rosacea
an intermittent facial rash,
including the forehead,
eyelids, nose, and cheeks.
Rash seems to be getting
worse since she moved
from New York to Florida
last year. Spicy foods
precipitate a flushing
reaction that seems to
exacerbate the rash. PE
shows erythema over the
nose and cheeks, with
scattered telangiectasias
and a few papules. Dx?
,53yo M returned from Malaria
Africa, has fever,
headache, and abdominal
discomfort. Received
appropriate vaccinations
prior to the trip. T 39.4C. A
wright-stained peripheral
smear shown. Dx?
68yo F with T2DM and Lisinopril
hypertension that has
been poorly controlled
despite
hydrochlorothiazide
treatment. BP 150/96, Labs
show serum glucose
concentration of 130 and
proteinuria. In addition to
current Rx, which is most
appropriate
pharmacotherapy?
66yo M with stage IV Loperamide
colon cancer with 3-day
hx of severe diarrhea after
receiving chemotherapy
with fluorouracil,
leucovorin, and Irinotecan.
prescribed opioid
antidiarrheal agent with
no CNS effects. Which
med?
, 35yo M in ED with 2-hour Activation of adenylyl cyclase
hx of sever fatigue and
dizziness. Had profuse,
watery diarrhea for 8
hours despite a lack of
oral intake. Recently
returned from a medical
relief trip to a remove
village in Honduras. T 36.7
C, P 122/min, BP 90/50. PE
shows dry skin and
decreased capillary refill.
Stool for occult blood is
negative; stool is gray and
turbid. Gram stain shows
gram-negative, comma-
shaped bacteria; no
erythrocytes of
leukocytes. MOA of toxin?
59yo F with gradual onset cerebellum
of lack of muscle control
in her left arm and leg. Sx 1
mo ago after dx with
metastatic breast cancer.
PE shows ataxia of left
upper and lower
extremities. Muscle
strength, DTR, sensation,
proprioception normal.
Metastatic tumor in which
location?
