NBME & Final Review Exam
Questions and Answers 100%
PASS
Pudendal Nerve (S2-S4)—ANSWER-the external anal & urethral sphincters are under
voluntary control via what nerve?
Pelvic Splanchnic Nerves (S2-S4)—ANSWER-Relaxation of the internal urethral sphciner and
internal rectal sphincter is under te control of what nerve?
Addisons Disease
(Primary Adrenal Insufficiency due to immune destruction)
**** No aldosterone / Cortisol
**** high ACTH => high POMC/MSH = pigmentation—ANSWER-42F
- fatigue, weight loss, nausea, dizziness
,- diffuse hyperpigmentation of skin
BP = 87/60
Na⁺: 126 mEq/L (N=136-146)
K⁺: 5.8 mEq/L
Glucose: 62 mg/dL
BUN: 28 mg/dL
↑ACTH
Dx?
Hyperaldosteronism
**HTN, metabolic alkalosis, hypokalemia, low renin—ANSWER-52M
© 2026 Copyright. All Rights Reserved. This document is
protected by copyright law, Copyrighted By Brittie Donald
, - headaches / muscle weakness
BP = 175/95
Na⁺: 142 mEq/L (N=136-146)
K⁺: 1.9 mEq/L
HCO3 = 33mEq/L (N=22-28)
Cortisol = <2
pH = 7.51
pCO2 = 48mm Hg (N=33-45)
Trace Renin detectable
Dx?>
Questions and Answers 100%
PASS
Pudendal Nerve (S2-S4)—ANSWER-the external anal & urethral sphincters are under
voluntary control via what nerve?
Pelvic Splanchnic Nerves (S2-S4)—ANSWER-Relaxation of the internal urethral sphciner and
internal rectal sphincter is under te control of what nerve?
Addisons Disease
(Primary Adrenal Insufficiency due to immune destruction)
**** No aldosterone / Cortisol
**** high ACTH => high POMC/MSH = pigmentation—ANSWER-42F
- fatigue, weight loss, nausea, dizziness
,- diffuse hyperpigmentation of skin
BP = 87/60
Na⁺: 126 mEq/L (N=136-146)
K⁺: 5.8 mEq/L
Glucose: 62 mg/dL
BUN: 28 mg/dL
↑ACTH
Dx?
Hyperaldosteronism
**HTN, metabolic alkalosis, hypokalemia, low renin—ANSWER-52M
© 2026 Copyright. All Rights Reserved. This document is
protected by copyright law, Copyrighted By Brittie Donald
, - headaches / muscle weakness
BP = 175/95
Na⁺: 142 mEq/L (N=136-146)
K⁺: 1.9 mEq/L
HCO3 = 33mEq/L (N=22-28)
Cortisol = <2
pH = 7.51
pCO2 = 48mm Hg (N=33-45)
Trace Renin detectable
Dx?>