NBME CBSE REAL EXAM 200 QUESTIONS AND ANSWERS LATEST (usmle step 1)MEDICAL EXAMINATION LATEST UPDATES FEB 2024 A+ GRADE.

NBME CBSE REAL EXAM 200 i i i i i i




QUESTIONS AND ANSWERS i i i i




LATEST 2024-2025 (usmle i i i




step 1)MEDICAL i




EXAMINATION LATEST i ii




UPDATES FEB 2024 A+GRADE. i i i i




70yo M dies in a motor vehicle collision. Was undergoing evaluation for
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occult blood in the stool. Photo of transverse colon shown. Dx? -
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ANSWER- Tubular adenoma i i




38yo M with 1-week hx of watery, itchy eyes and a runny nose. Physical
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shows inflamed nasal mucosa. No congestion in lower lung.
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Pharmacotherapy? - ANSWER- Loratadine i i i




16yo girl with 3-day hx of fever, nonproductive cough, and fatigue. T
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38.3, P 88/min, BP 102-70. PE shows pale conjunctivae. CXR shows
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bilateral interstitial infiltrates. Blood spontaenously agglutinates while
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awaiting transport to the laboratory. Antibody isotypes causing
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agglutination? - ANSWER- IgM i i i

,24yo M with small tender blisters on his penis 3 days after unprotected
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sex. Photograph shown. Causal agent? - ANSWER- HSV-2
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42yo F with 3-year hx of an intermittent facial rash, including the
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forehead, eyelids, nose, and cheeks. Rash seems to be getting worse
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since she moved from New York to Florida last year. Spicy foods
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,precipitate a flushing reaction that seems to exacerbate the rash. PE
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shows erythema over the nose and cheeks, with scattered telangiectasias
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and a few papules. Dx? - ANSWER- Rosacea
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53yo M returned fromAfrica, has fever, headache, and abdominal
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discomfort. Received appropriate vaccinations prior to the trip. T 39.4C.
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Awright-stained peripheral smear shown. Dx? - ANSWER- Malaria
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68yo F with T2DM and hypertension that has been poorly controlled
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despite hydrochlorothiazide treatment. BP150/96, Labs show serum
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glucose concentration of 130 and proteinuria. In addition to current
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which is most appropriate pharmacotherapy? - ANSWER- Lisinopril
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66yo M with stage IV colon cancer with 3-day hx of severe diarrhea
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after receiving chemotherapy with fluorouracil, leucovorin, and
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Irinotecan. prescribed opioid antidiarrheal agent with no CNS effects.
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Which med? - ANSWER- Loperamide
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, 35yo M in ED with 2-hour hx of sever fatigue and dizziness. Had
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profuse, watery diarrhea for 8 hours despite a lack of oral intake.
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Recently returned from a medical relief trip to a remove village in
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Honduras. T 36.7 C, P 122/min, BP 90/50. PE shows dry skin and
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decreased capillary refill. Stool for occult blood is negative; stool is
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gray and turbid. Gram stain shows gram-negative, comma-shaped
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bacteria; no erythrocytes of leukocytes. MOA of toxin? - ANSWER-
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Activation

of adenylyl cyclase
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59yo F with gradual onset of lack of muscle control in her left arm and
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leg. Sx 1 mo ago after dx with metastatic breast cancer. PE shows ataxia
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of left upper and lower extremities. Muscle strength, DTR, sensation,
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proprioception normal. Metastatic tumor in which location? - ANSWER- i i i i i i i i



cerebellum
GRADE.