9/26/25, 3:33 PM Nbme 10 <span style="color:#000;font-weight:bold;">110+</span> (2025-2026 A+ Graded) Exam-Style Questions | Verified Solutio…
Nbme 10 Test Questions and Answers
Question 1
11-year-old girl presents With tanner stage one of the pubic hair, she has a flat left
breast and the right breast is tender and a small mass
What is the best next step?
Correct Answer
Reassurance
This is normal thelarche and can be asymmetric
Question 2
Order of maturation in female
Correct Answer
Thelarche, pubarcge, growth spurt, menarche
Question 3
27-year-old man presents with thrombocytopenia, eczema and recurrent infections
Correct Answer
Wiskott-Aldrich, WAS gene,
Question 4
Patient comes in with ulcerative colitis Treated with prednisone mesalamine and much
more and the doctor decides to add a regimen, due to the addition of the regimen
what should be tested next
Correct Answer
Tuberculosis screening, due to initiation of TNF alpha inhibitor
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,9/26/25, 3:33 PM Nbme 10 <span style="color:#000;font-weight:bold;">110+</span> (2025-2026 A+ Graded) Exam-Style Questions | Verified Solutio…
Question 5
Patient with sickle cell disease comes in with vaso-occlusive crisis it is given pain
control what else should be given with the pain control?
Correct Answer
Intravenous fluids
Question 6
Patient with a MI 10 years ago Comes to the hospital due to vomiting. The patient
ends up getting a transfusion and 30 minutes later starts developing shortness of
breath, what is the most likely cause?
Correct Answer
Transfusion associated circulatory overload
Remember: patience with ABO incompatibility present with flank pain and
hypotension
Question 7
Treatment of transfusion associate circulatory overload
Correct Answer
Oxygen and positive pressure ventilation And possible directions
Question 8
Can lead to psychosis, bizarre behavior, agitation, aggression, nystagmus and ataxia
treatment
Correct Answer
PCP intoxication
Treatment: IM lorazepam or Midazolam
Question 9
38-year-old woman comes in due to seizures, MRI demonstrates unilateral or bilateral
temporal lobe abnormalities, what is the next best step?
Correct Answer
Lumbar puncture: HSV encephalitis
Page 2 of 23
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, 9/26/25, 3:33 PM Nbme 10 <span style="color:#000;font-weight:bold;">110+</span> (2025-2026 A+ Graded) Exam-Style Questions | Verified Solutio…
Question 10
If a patient has stroke like symptoms occurring less than 4 1/2 half hours Without
signs of hemorrhage what is administered?
Correct Answer
Alteplase
Question 11
If the patient comes in with a stroke in the amount of time is unknown, with no
evidence of hemorrhage what is administered?
Correct Answer
Aspirin instead of alteplase
Question 12
Bell's palsy Presents with facial nerve palsy causing facial paralysis that doesn't spread
the forehead, what is the next best step?
Treatment:
Correct Answer
It's diagnose clinically, no further testing indicated
Treatment: glucocorticoids and occasionally antiviral therapy
Question 13
Patient after gastric bypass presents with ataxia, altered mental status and
opthalmoplegia including nystagmus, most likely cause?
Correct Answer
Vit B1 def
Question 14
Immunocompetent child with cervical lymphadenitis presents with a purpleish hue,
And presence of multiple granulomas on excisional biopsy
Correct Answer
Purpleish hue: mycobacterium infection
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Nbme 10 Test Questions and Answers
Question 1
11-year-old girl presents With tanner stage one of the pubic hair, she has a flat left
breast and the right breast is tender and a small mass
What is the best next step?
Correct Answer
Reassurance
This is normal thelarche and can be asymmetric
Question 2
Order of maturation in female
Correct Answer
Thelarche, pubarcge, growth spurt, menarche
Question 3
27-year-old man presents with thrombocytopenia, eczema and recurrent infections
Correct Answer
Wiskott-Aldrich, WAS gene,
Question 4
Patient comes in with ulcerative colitis Treated with prednisone mesalamine and much
more and the doctor decides to add a regimen, due to the addition of the regimen
what should be tested next
Correct Answer
Tuberculosis screening, due to initiation of TNF alpha inhibitor
Page 1 of 23
1/23
,9/26/25, 3:33 PM Nbme 10 <span style="color:#000;font-weight:bold;">110+</span> (2025-2026 A+ Graded) Exam-Style Questions | Verified Solutio…
Question 5
Patient with sickle cell disease comes in with vaso-occlusive crisis it is given pain
control what else should be given with the pain control?
Correct Answer
Intravenous fluids
Question 6
Patient with a MI 10 years ago Comes to the hospital due to vomiting. The patient
ends up getting a transfusion and 30 minutes later starts developing shortness of
breath, what is the most likely cause?
Correct Answer
Transfusion associated circulatory overload
Remember: patience with ABO incompatibility present with flank pain and
hypotension
Question 7
Treatment of transfusion associate circulatory overload
Correct Answer
Oxygen and positive pressure ventilation And possible directions
Question 8
Can lead to psychosis, bizarre behavior, agitation, aggression, nystagmus and ataxia
treatment
Correct Answer
PCP intoxication
Treatment: IM lorazepam or Midazolam
Question 9
38-year-old woman comes in due to seizures, MRI demonstrates unilateral or bilateral
temporal lobe abnormalities, what is the next best step?
Correct Answer
Lumbar puncture: HSV encephalitis
Page 2 of 23
2/23
, 9/26/25, 3:33 PM Nbme 10 <span style="color:#000;font-weight:bold;">110+</span> (2025-2026 A+ Graded) Exam-Style Questions | Verified Solutio…
Question 10
If a patient has stroke like symptoms occurring less than 4 1/2 half hours Without
signs of hemorrhage what is administered?
Correct Answer
Alteplase
Question 11
If the patient comes in with a stroke in the amount of time is unknown, with no
evidence of hemorrhage what is administered?
Correct Answer
Aspirin instead of alteplase
Question 12
Bell's palsy Presents with facial nerve palsy causing facial paralysis that doesn't spread
the forehead, what is the next best step?
Treatment:
Correct Answer
It's diagnose clinically, no further testing indicated
Treatment: glucocorticoids and occasionally antiviral therapy
Question 13
Patient after gastric bypass presents with ataxia, altered mental status and
opthalmoplegia including nystagmus, most likely cause?
Correct Answer
Vit B1 def
Question 14
Immunocompetent child with cervical lymphadenitis presents with a purpleish hue,
And presence of multiple granulomas on excisional biopsy
Correct Answer
Purpleish hue: mycobacterium infection
Page 3 of 23
3/23
