NBME 9 practice test questions correctly
defined a+ guaranteed
Kid with bed wetting problems + constipation
tx? - n
Ans✔
administration of an osmotic laxative
Qs
Multiple myeloma is marked by proliferation of ______ B cells - n
Ans✔
monoclonal
Qs
In patients with bipolar disorder that are suffering from acute depression + stopped
taking meds, what do you give them? - n
Ans✔
bipolar medication like lithium, lamotrigine, quetiapine, and lurasidone
Qs
SSRIs in bipolar patients can be bad because? - n
Ans✔
it can precipitate mania or convert depression to mania
Qs
Patient with afib with a history of TIA or stroke
Tx? - n
Ans✔
warfarin
,Qs
Patient without afib with history of TIA or stroke
Tx? - n
Ans✔
aspirin
Qs
T/F: Aspirin and clopidogrel are anticoagulants - n
Ans✔
false
Qs
1st line therapy for mild to moderate acne vulgaris
Tx? - n
Ans✔
topical retinoids
Qs
Patient with juvenile idiopathic arthritis may present with what extraarticular
manifestation? - n
Ans✔
uveitis (screen with slit-lamp exam)
Qs
In adults, the presence of a destructive bone lesion is more commonly caused by
______ disease rather than primary bone malignancy - n
Ans✔
,metastatic
Qs
T/F: Osteosarcoma is most common in patients ____ years of age - n
Ans✔
<30
Qs
Patients with severe AS with symptoms or systolic dysfunction (EF <50%) should
receive what tx? - n
Ans✔
aortic valve replacement
Qs
Patients with HF (EF < 50%) who have AS + asymptomatic in terms of SOB on
exertion, should receive what treatment? - n
Ans✔
Afterload reduction
Qs
32 yo woman with bcg vaccine as a child + emigrated from China + PPD skin test
of 12 mm
risk status and next step? - n
Ans✔
High risk; isoniazid
Qs
92 yr old with left mandibular mass that has enlarged + x ray is normal + smoker
+ normal VS
, next step? - n
Ans✔
biopsy
Qs
77 yr old woman with 1 day hx of nausea + vomiting + confusion + has HTN + on
diltiazem + BP 160/70 + ox 84% + JVD borderline high + crackles in lungs + S3 +
edema + signs of kidney injury
Dx and next step? - n
Ans✔
fluid overload; hemodialysis
Qs
In diabetic patients, foot injuries can be prevented with? - n
Ans✔
wearing shoes when standing or walking
Qs
In diabetic patients, worsening of foot injuries can be prevented with? - n
Ans✔
daily foot checks
Qs
37 yr old woman with no hx of abnormal pap smears + current visit shows pap
smear with atypical glandular cells
potential dx and next step? - n
Ans✔
endometrial malignancy; colposcopy with endocervical curettage
defined a+ guaranteed
Kid with bed wetting problems + constipation
tx? - n
Ans✔
administration of an osmotic laxative
Qs
Multiple myeloma is marked by proliferation of ______ B cells - n
Ans✔
monoclonal
Qs
In patients with bipolar disorder that are suffering from acute depression + stopped
taking meds, what do you give them? - n
Ans✔
bipolar medication like lithium, lamotrigine, quetiapine, and lurasidone
Qs
SSRIs in bipolar patients can be bad because? - n
Ans✔
it can precipitate mania or convert depression to mania
Qs
Patient with afib with a history of TIA or stroke
Tx? - n
Ans✔
warfarin
,Qs
Patient without afib with history of TIA or stroke
Tx? - n
Ans✔
aspirin
Qs
T/F: Aspirin and clopidogrel are anticoagulants - n
Ans✔
false
Qs
1st line therapy for mild to moderate acne vulgaris
Tx? - n
Ans✔
topical retinoids
Qs
Patient with juvenile idiopathic arthritis may present with what extraarticular
manifestation? - n
Ans✔
uveitis (screen with slit-lamp exam)
Qs
In adults, the presence of a destructive bone lesion is more commonly caused by
______ disease rather than primary bone malignancy - n
Ans✔
,metastatic
Qs
T/F: Osteosarcoma is most common in patients ____ years of age - n
Ans✔
<30
Qs
Patients with severe AS with symptoms or systolic dysfunction (EF <50%) should
receive what tx? - n
Ans✔
aortic valve replacement
Qs
Patients with HF (EF < 50%) who have AS + asymptomatic in terms of SOB on
exertion, should receive what treatment? - n
Ans✔
Afterload reduction
Qs
32 yo woman with bcg vaccine as a child + emigrated from China + PPD skin test
of 12 mm
risk status and next step? - n
Ans✔
High risk; isoniazid
Qs
92 yr old with left mandibular mass that has enlarged + x ray is normal + smoker
+ normal VS
, next step? - n
Ans✔
biopsy
Qs
77 yr old woman with 1 day hx of nausea + vomiting + confusion + has HTN + on
diltiazem + BP 160/70 + ox 84% + JVD borderline high + crackles in lungs + S3 +
edema + signs of kidney injury
Dx and next step? - n
Ans✔
fluid overload; hemodialysis
Qs
In diabetic patients, foot injuries can be prevented with? - n
Ans✔
wearing shoes when standing or walking
Qs
In diabetic patients, worsening of foot injuries can be prevented with? - n
Ans✔
daily foot checks
Qs
37 yr old woman with no hx of abnormal pap smears + current visit shows pap
smear with atypical glandular cells
potential dx and next step? - n
Ans✔
endometrial malignancy; colposcopy with endocervical curettage
