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NBME 29 Test V1 (Latest 2025/ 2026 Update) Questions & Answers| Grade A| 100% Correct (Verified Solution)

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NBME 29 Test V1 (Latest 2025/ 2026 Update) Questions & Answers| Grade A| 100% Correct (Verified Solution) QUESTION What can cause atrophic vaginitis in breastfeeding women? Answer: Low Estrogen levels (Prolactin increase => GnRH inhibition) QUESTION Aspirin inhibits the conversion of what molecule via COX 1 and COX 2 inhibition Answer: Arachidonate (arachidonic acid) => Cyclic Endoperoxidases QUESTION Substance found in pufferfish that binds fast voltage-gated sodium channels in nerve tissue preventing depolarization Answer: Tetrodotoxin QUESTION Tamoxifen MOA Answer: Competitive inhibition of estrogen receptor (SERM) QUESTION What forms the crystals in gout? Answer: Sodium Monourate (AKA: monosodium urate) QUESTION Increased levels of what stubtance that is common in states of starvation and untreated T1DM which triggers ketogenesis and formation of ketone bodies. Answer: Increased Acetyl CoA QUESTION Which of the following domains is exchanged from IgM for another Ig subclass in isotype switching? Answer: Constant Region: 2,3, and 4 QUESTION What region of the kidney is most susceptible to anoxic injury (100% nitrogen ventilation) Answer: Proximal Tubule (highest metabolic demand) QUESTION Homovanillic Acid the product of the degradation of what sybstance(s) Answer: Dopamine, NE, EPI QUESTION Deficiency of what enzyme essential for catecholamine synthesis results in progressive dystonia and possible cognitive impairment? Answer: Tyrosine Hydroxylase QUESTION Cholinergic receptors that are located postsynaptically in the effector organs such as smooth muscle, cardiac muscle, and glands supplied by parasympathetic fibers. Answer: Muscarinic Receptors QUESTION On all ANS postganglionic neurons, in the adrenal medulla, and at neuromuscular junctions of skeletal muscle Excitatory when ACh binding occurs Answer: Nicotine Receptors QUESTION Highly polar molecule with many negative charges that therefore has high affinity for water and functions as a shock absorber at the molecular in the artilage surrounding the knee. Answer: Chondroitin sulfate QUESTION MOA for treatment of influenza infection? Answer: Neuraminidase inhibitors: prevent relese of virus form infected cells QUESTION What molecule is responsible for the heart's ability to restore low basal calcium concentrations during diastole Answer: Sodium-Calcium Exchanger QUESTION What are the findings of ferritin, iron, and total iron binding capacity in a patient with anemia due to SLE? Answer: High Ferritin Low Iron Low Total iron-binding capacity QUESTION

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NBMEl 29l Testl V1l (Latestl 2025/l 2026l
Update)l Questionsl &l Answers|l Gradel A|l
100%l Correctl (Verifiedl Solution)

Q:l Whatl canl causel atrophicl vaginitisl inl breastfeedingl women?
Answer:
l Lowl Estrogenl levelsl (Prolactinl increasel =>l GnRHl inhibition)



Q:l Aspirinl inhibitsl thel conversionl ofl whatl moleculel vial COXl 1l andl COXl 2l
inhibition

Answer:
l Arachidonatel (arachidonicl acid)l =>l Cyclicl Endoperoxidases



Q:l Substancel foundl inl pufferfishl thatl bindsl fastl voltage-gatedl sodiuml channelsl inl
nervel tissuel preventingl depolarization

Answer:
l Tetrodotoxin



Q:l Tamoxifenl MOA
Answer:
l Competitivel inhibitionl ofl estrogenl receptorl (SERM)



Q:l Whatl formsl thel crystalsl inl gout?
Answer:
l Sodiuml Monouratel (AKA:l monosodiuml urate)

,Q:l Increasedl levelsl ofl whatl stubtancel thatl isl commonl inl statesl ofl starvationl andl
untreatedl T1DMl whichl triggersl ketogenesisl andl formationl ofl ketonel bodies.

Answer:
l Increasedl Acetyll CoA



Q:l Whichl ofl thel followingl domainsl isl exchangedl froml IgMl forl anotherl Igl subclassl
inl isotypel switching?




Answer:
l Constantl Region:l 2,3,l andl 4



Q:l Whatl regionl ofl thel kidneyl isl mostl susceptiblel tol anoxicl injuryl (100%l nitrogenl
ventilation)

Answer:

,l Proximall Tubulel (highestl metabolicl demand)



Q:l Homovanillicl Acidl thel productl ofl thel degradationl ofl whatl sybstance(s)
Answer:
l Dopamine,l NE,l EPI



Q:l Deficiencyl ofl whatl enzymel essentiall forl catecholaminel synthesisl resultsl inl
progressivel dystonial andl possiblel cognitivel impairment?

Answer:
l Tyrosinel Hydroxylase



Q:l Cholinergicl receptorsl thatl arel locatedl postsynapticallyl inl thel effectorl organsl suchl
asl smoothl muscle,l cardiacl muscle,l andl glandsl suppliedl byl parasympatheticl fibers.

Answer:
l Muscarinicl Receptors



Q:l Onl alll ANSl postganglionicl neurons,l inl thel adrenall medulla,l andl atl neuromuscularl
junctionsl ofl skeletall muscle
Excitatoryl whenl AChl bindingl occurs

Answer:
l Nicotinel Receptors



Q:l Highlyl polarl moleculel withl manyl negativel chargesl thatl thereforel hasl highl affinityl
forl waterl andl functionsl asl al shockl absorberl atl thel molecularl inl thel artilagel
surroundingl thel knee.

Answer:
l Chondroitinl sulfate



Q:l MOAl forl treatmentl ofl influenzal infection?

, Answer:
l Neuraminidasel inhibitors:l preventl relesel ofl virusl forml infectedl cells



Q:l Whatl moleculel isl responsiblel forl thel heart'sl abilityl tol restorel lowl basall calciuml
concentrationsl duringl diastole

Answer:
l Sodium-Calciuml Exchanger



Q:l Whatl arel thel findingsl ofl ferritin,l iron,l andl totall ironl bindingl capacityl inl al patientl
withl anemial duel tol SLE?

Answer:
l Highl Ferritin
Lowl Iron
Lowl Totall iron-bindingl capacity



Q:l Whatl protienl buildsl upl inl parkinsonl disease?
Answer:
l Alpha-synuclein



Q:l Treatmentl withl CPAPl forl OSAl isl mostl usefull inl addressingl whatl majorl
complication?

Answer:
l Loweringl Bloodl Pressure



Q:l Craniall Nervel IXl (afferentl limbl ofl gagl reflex)
Answer:
l Glossopharyngeal



Q:l Craniall Nervel Xl (efferentl limbl ofl gagl reflex)
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