NBME CBSE PRACTICE EXAM Questions
and Answers Latest Update 2025
GRADED A+
A 65-year-old health maintenance exams - He lives is a single-family
home with his cat and dog. He spend much of his time in his basement
woodworking shop. This patient is increased risk for lung cancer due to
which of the following environmental exposures?
Correct Ans - Radon
54- year-old man - intense overwhelming fear. Which portion of brain
stimulated? Correct Ans - Amygdala
b. Fear = amygdala
30 year old woman - recurrent URI - Sweat is Salty- Genetic testing for
36 most common mutations shows detectable G551D in one allele of
CFTR - What is patients clinical phenotype? Correct Ans - The Second
CFTR Gene was not detected by the testing obtained
74 year old - COPD - "I enjoy coming to see you because you remind me
of my daughter. She died 35 years ago". Which is most appropriate
response by physician? Correct Ans - You must miss your
daughter very much. Tell me about her.
b. PT = Transference
9 month old boy - awakens and cries at least once nightly and settles
,back to sleep after drinking a bottle of formula - Explanation for
patient's sleep pattern? Correct Ans - Normal Development
Pubertal gynecomastia in males is norma
A 32 year old - abnormal movement in hands and worse when he feels
angry - Unable to fix his gaze on one point or protrude his tongue for
more than 30 sec - Pt most likely has anatomic
abnormalities in which of the following locations? Correct Ans -
Basal Ganglia
A 14-year-old boy - recurrent otitis media since infancy - underwent
tonsillectomy for obstructive sleep apnea - Cardiac auscultation exam
listen - shows S3 - which is most likely finding? Correct Ans
- Normal Findings
b. normal physiologic splitting
12-year-old - 2 month history of headaches - 6 day history of nausea
and vomiting - bilateral papilledema - broad based gait An MRI - shows
tumor in pineal region. Pt most likely oculuomotor impairment?
Correct Ans - Upward Gaze
Parinaud Syndrome due to compression of tectum- vertical gaze palsy
occurs with pineolmas
52 year old man - 1 day history of nausea, vomiting, and right sided
abdominal pain - radiates to his back - CT scan - shows enlarged right
kidney and wedge shaped areas of hypodensity - no nephrolithiasis -
strongest predisposing factor? Correct Ans - Atrial Fibrillation
Wedge Shaped renal infarct Correct Ans - coagulative necrosis
, 24 year old - rash from hot tub- the infectious agent causing these
findings most likely began to proliferate in which of the following
locations? Correct Ans - Hair Follicle
b. Hot Tub Folliculitis = Pseudomonas
45-year-old - picture of H. Pylori - epigastric heartburn and weight loss -
Which process likely involved? Correct Ans - Elaboration of
proteases and urease with local support tissue
A 14-year-old - hit with baseball bat - unable to dorsiflex his foot.
Which of the following nerves is most likely injured? Correct Ans -
Common Fibular Nerve (peroneal nerve)
26 year old woman - brought to ED - 8 hour history - severe back and
abdominal pain - persistent vaginal bleeding - Ultrasonography shows 2
cm ectopic pregnancy in the ampulla - Ampulla ruptured into
surrounding tissue. Fluid will most likely be found in the following
locations? Correct Ans - Pouch of Douglas
46 year od with ankylosing spondylitis - treated with NSAIDs drugs -
Sulfasalazine treatment has not resulted in improvement - most
appropriate next step in treatment is administration of a drug that
inhibits which of the following? Correct Ans - Tumor Necrosis Factor
47-year-old with organophosphate poisoning - blurred vision, difficult
breathing, diarrhea, muscle weakness, fatigue - Most appropriate
immediate pharmacotherapy? Correct Ans -
Atropine
and Answers Latest Update 2025
GRADED A+
A 65-year-old health maintenance exams - He lives is a single-family
home with his cat and dog. He spend much of his time in his basement
woodworking shop. This patient is increased risk for lung cancer due to
which of the following environmental exposures?
Correct Ans - Radon
54- year-old man - intense overwhelming fear. Which portion of brain
stimulated? Correct Ans - Amygdala
b. Fear = amygdala
30 year old woman - recurrent URI - Sweat is Salty- Genetic testing for
36 most common mutations shows detectable G551D in one allele of
CFTR - What is patients clinical phenotype? Correct Ans - The Second
CFTR Gene was not detected by the testing obtained
74 year old - COPD - "I enjoy coming to see you because you remind me
of my daughter. She died 35 years ago". Which is most appropriate
response by physician? Correct Ans - You must miss your
daughter very much. Tell me about her.
b. PT = Transference
9 month old boy - awakens and cries at least once nightly and settles
,back to sleep after drinking a bottle of formula - Explanation for
patient's sleep pattern? Correct Ans - Normal Development
Pubertal gynecomastia in males is norma
A 32 year old - abnormal movement in hands and worse when he feels
angry - Unable to fix his gaze on one point or protrude his tongue for
more than 30 sec - Pt most likely has anatomic
abnormalities in which of the following locations? Correct Ans -
Basal Ganglia
A 14-year-old boy - recurrent otitis media since infancy - underwent
tonsillectomy for obstructive sleep apnea - Cardiac auscultation exam
listen - shows S3 - which is most likely finding? Correct Ans
- Normal Findings
b. normal physiologic splitting
12-year-old - 2 month history of headaches - 6 day history of nausea
and vomiting - bilateral papilledema - broad based gait An MRI - shows
tumor in pineal region. Pt most likely oculuomotor impairment?
Correct Ans - Upward Gaze
Parinaud Syndrome due to compression of tectum- vertical gaze palsy
occurs with pineolmas
52 year old man - 1 day history of nausea, vomiting, and right sided
abdominal pain - radiates to his back - CT scan - shows enlarged right
kidney and wedge shaped areas of hypodensity - no nephrolithiasis -
strongest predisposing factor? Correct Ans - Atrial Fibrillation
Wedge Shaped renal infarct Correct Ans - coagulative necrosis
, 24 year old - rash from hot tub- the infectious agent causing these
findings most likely began to proliferate in which of the following
locations? Correct Ans - Hair Follicle
b. Hot Tub Folliculitis = Pseudomonas
45-year-old - picture of H. Pylori - epigastric heartburn and weight loss -
Which process likely involved? Correct Ans - Elaboration of
proteases and urease with local support tissue
A 14-year-old - hit with baseball bat - unable to dorsiflex his foot.
Which of the following nerves is most likely injured? Correct Ans -
Common Fibular Nerve (peroneal nerve)
26 year old woman - brought to ED - 8 hour history - severe back and
abdominal pain - persistent vaginal bleeding - Ultrasonography shows 2
cm ectopic pregnancy in the ampulla - Ampulla ruptured into
surrounding tissue. Fluid will most likely be found in the following
locations? Correct Ans - Pouch of Douglas
46 year od with ankylosing spondylitis - treated with NSAIDs drugs -
Sulfasalazine treatment has not resulted in improvement - most
appropriate next step in treatment is administration of a drug that
inhibits which of the following? Correct Ans - Tumor Necrosis Factor
47-year-old with organophosphate poisoning - blurred vision, difficult
breathing, diarrhea, muscle weakness, fatigue - Most appropriate
immediate pharmacotherapy? Correct Ans -
Atropine
