NBME 25 EXAM SCRIPT 2025/2026 QUESTIONS WITH
ANSWERS GRADED A+
✔✔the fibers responsible for pupil control of the oculomotor nerve are first affected by
external compression because - ✔✔they are on the superficial aspect of the nerve
✔✔aneurysm of the posterior communicating artery - ✔✔CN III palsy
✔✔what nerves are involved in the cremasteric reflex (2) - ✔✔1. genitofemoral
2. ilioinguinal
✔✔what nerve leaves the pelvis at the greater sciatic foramen, crosses the
sacropspinous ligaments and then re enters the pelvis through the lesser sciatic
foramen and is susceptible to compression from a bike seat - ✔✔pudendal nerve
✔✔patients in this stage are not interested in changing their habit and may not see their
detrimental habit as a problem - ✔✔pre contemplation
✔✔what heart valve is affected by intravenous drug use - ✔✔tricuspid
✔✔erythroblastosis fetalis is an example of what type of hypersensitivity rxn - ✔✔type 2
✔✔graves disease is what type of hypersensitivity rxn - ✔✔type 2
✔✔poison ivy dermatitis is what type of hypersensitivity rxn - ✔✔type 4
✔✔graft versus host disease is what type of hypersensitivity rxn - ✔✔type 4
✔✔polyribotol phosphate - ✔✔h. flu type b
✔✔acoustic neuroma causes - ✔✔ipsilateral hearing loss and sensation of head and
body position
✔✔acoustic neuroma mass effect can compress nearby ____________, leading to
ipsilateral dysmetria - ✔✔cerebellar peduncles
✔✔allocation of subjects or analysis of results within a trial by a factor other than the
treatment given - ✔✔stratification
✔✔patients assigned one-by-one in a series fashion - ✔✔alternation
✔✔childhood primary hemophagocytic lymphohistiocytosis is charcterized by deficiency
of what - ✔✔perforin
, ✔✔ligament that connects the uterus at the level of the cervix to the sacrum posteriorly -
✔✔uterosacral
✔✔mesometrium, mesosalpinx, mesovarium - ✔✔3 parts of broad ligament
✔✔remnant of gubernaculum that begins at the cornua of the utures, passes through
inguinal cancal, terminates in the labia majora - ✔✔round ligament of the uterus
✔✔mucicarmine - ✔✔Cryptococcus
✔✔medial border of spigelian hernia - ✔✔rectus abdominus
✔✔lateral border of spigelian hernia - ✔✔linea semilunaris
✔✔pyloric stenosis causes what metabolic derangement - ✔✔hypochloremic,
hypokalemic metabolic alkalosis
✔✔mutations involving C1Q and low levels of it are assoc. with - ✔✔SLE
✔✔what comprises 90% of case of primary hyperparathyroidism - ✔✔parathyroid
adenoma
✔✔what shifts hemoglobin curve left with loss of sigmoidal curve - ✔✔CO
✔✔atretic esophagus and anencephaly cause what effect on amniotic fluid -
✔✔polyhydramnios
✔✔slowly rising decreased volume carotid pulse - ✔✔aortic stenosis
✔✔pulsus parvus et tardus - ✔✔aortic stenosis
✔✔Normal jugular venous pressure - ✔✔<8-10
✔✔jugular cannon waves - ✔✔arrhthmias
✔✔trypsin and chymotrypsin do what within lumen of duodenum - ✔✔produced di and
tripeptides
✔✔what digests peptides into amino acids - ✔✔brush border of intestinal mucosa
✔✔human herpes virus 5 - ✔✔CMV
ANSWERS GRADED A+
✔✔the fibers responsible for pupil control of the oculomotor nerve are first affected by
external compression because - ✔✔they are on the superficial aspect of the nerve
✔✔aneurysm of the posterior communicating artery - ✔✔CN III palsy
✔✔what nerves are involved in the cremasteric reflex (2) - ✔✔1. genitofemoral
2. ilioinguinal
✔✔what nerve leaves the pelvis at the greater sciatic foramen, crosses the
sacropspinous ligaments and then re enters the pelvis through the lesser sciatic
foramen and is susceptible to compression from a bike seat - ✔✔pudendal nerve
✔✔patients in this stage are not interested in changing their habit and may not see their
detrimental habit as a problem - ✔✔pre contemplation
✔✔what heart valve is affected by intravenous drug use - ✔✔tricuspid
✔✔erythroblastosis fetalis is an example of what type of hypersensitivity rxn - ✔✔type 2
✔✔graves disease is what type of hypersensitivity rxn - ✔✔type 2
✔✔poison ivy dermatitis is what type of hypersensitivity rxn - ✔✔type 4
✔✔graft versus host disease is what type of hypersensitivity rxn - ✔✔type 4
✔✔polyribotol phosphate - ✔✔h. flu type b
✔✔acoustic neuroma causes - ✔✔ipsilateral hearing loss and sensation of head and
body position
✔✔acoustic neuroma mass effect can compress nearby ____________, leading to
ipsilateral dysmetria - ✔✔cerebellar peduncles
✔✔allocation of subjects or analysis of results within a trial by a factor other than the
treatment given - ✔✔stratification
✔✔patients assigned one-by-one in a series fashion - ✔✔alternation
✔✔childhood primary hemophagocytic lymphohistiocytosis is charcterized by deficiency
of what - ✔✔perforin
, ✔✔ligament that connects the uterus at the level of the cervix to the sacrum posteriorly -
✔✔uterosacral
✔✔mesometrium, mesosalpinx, mesovarium - ✔✔3 parts of broad ligament
✔✔remnant of gubernaculum that begins at the cornua of the utures, passes through
inguinal cancal, terminates in the labia majora - ✔✔round ligament of the uterus
✔✔mucicarmine - ✔✔Cryptococcus
✔✔medial border of spigelian hernia - ✔✔rectus abdominus
✔✔lateral border of spigelian hernia - ✔✔linea semilunaris
✔✔pyloric stenosis causes what metabolic derangement - ✔✔hypochloremic,
hypokalemic metabolic alkalosis
✔✔mutations involving C1Q and low levels of it are assoc. with - ✔✔SLE
✔✔what comprises 90% of case of primary hyperparathyroidism - ✔✔parathyroid
adenoma
✔✔what shifts hemoglobin curve left with loss of sigmoidal curve - ✔✔CO
✔✔atretic esophagus and anencephaly cause what effect on amniotic fluid -
✔✔polyhydramnios
✔✔slowly rising decreased volume carotid pulse - ✔✔aortic stenosis
✔✔pulsus parvus et tardus - ✔✔aortic stenosis
✔✔Normal jugular venous pressure - ✔✔<8-10
✔✔jugular cannon waves - ✔✔arrhthmias
✔✔trypsin and chymotrypsin do what within lumen of duodenum - ✔✔produced di and
tripeptides
✔✔what digests peptides into amino acids - ✔✔brush border of intestinal mucosa
✔✔human herpes virus 5 - ✔✔CMV
