Nbme 10 Exam Questions and
Answers 100% PASS
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?—ANSWER-Reassurance
This is normal thelarche and can be asymmetric
Order of maturation in female—ANSWER-Thelarche, pubarcge, growth spurt, menarche
27-year-old man presents with thrombocytopenia, eczema and recurrent infections—
ANSWER-Wiskott-Aldrich, WAS gene,
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—ANSWER-Tuberculosis screening, due to initiation of TNF alpha inhibitor
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?—ANSWER-Intravenous fluids
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?—ANSWER-Transfusion associated circulatory overload
, Remember: patience with ABO incompatibility present with flank pain and hypotension
Treatment of transfusion associate circulatory overload—ANSWER-Oxygen and positive
pressure ventilation And possible directions
Can lead to psychosis, bizarre behavior, agitation, aggression, nystagmus and ataxia
treatment—ANSWER-PCP intoxication
Treatment: IM lorazepam or Midazolam
38-year-old woman comes in due to seizures, MRI demonstrates unilateral or bilateral
temporal lobe abnormalities, what is the next best step?—ANSWER-Lumbar puncture: HSV
encephalitis
If a patient has stroke like symptoms occurring less than 4 1/2 half hours Without signs of
hemorrhage what is administered?—ANSWER-Alteplase
If the patient comes in with a stroke in the amount of time is unknown, with no evidence of
hemorrhage what is administered?—ANSWER-Aspirin instead of alteplase
Bell's palsy Presents with facial nerve palsy causing facial paralysis that doesn't spread the
forehead, what is the next best step?
Treatment:—ANSWER-It's diagnose clinically, no further testing indicated
Treatment: glucocorticoids and occasionally antiviral therapy
Patient after gastric bypass presents with ataxia, altered mental status and opthalmoplegia
including nystagmus, most likely cause?—ANSWER-Vit B1 def
© 2026 Copyright. All Rights Reserved. This document is
protected by copyright law, Copyrighted By Brittie Donald
Answers 100% PASS
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?—ANSWER-Reassurance
This is normal thelarche and can be asymmetric
Order of maturation in female—ANSWER-Thelarche, pubarcge, growth spurt, menarche
27-year-old man presents with thrombocytopenia, eczema and recurrent infections—
ANSWER-Wiskott-Aldrich, WAS gene,
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—ANSWER-Tuberculosis screening, due to initiation of TNF alpha inhibitor
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?—ANSWER-Intravenous fluids
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?—ANSWER-Transfusion associated circulatory overload
, Remember: patience with ABO incompatibility present with flank pain and hypotension
Treatment of transfusion associate circulatory overload—ANSWER-Oxygen and positive
pressure ventilation And possible directions
Can lead to psychosis, bizarre behavior, agitation, aggression, nystagmus and ataxia
treatment—ANSWER-PCP intoxication
Treatment: IM lorazepam or Midazolam
38-year-old woman comes in due to seizures, MRI demonstrates unilateral or bilateral
temporal lobe abnormalities, what is the next best step?—ANSWER-Lumbar puncture: HSV
encephalitis
If a patient has stroke like symptoms occurring less than 4 1/2 half hours Without signs of
hemorrhage what is administered?—ANSWER-Alteplase
If the patient comes in with a stroke in the amount of time is unknown, with no evidence of
hemorrhage what is administered?—ANSWER-Aspirin instead of alteplase
Bell's palsy Presents with facial nerve palsy causing facial paralysis that doesn't spread the
forehead, what is the next best step?
Treatment:—ANSWER-It's diagnose clinically, no further testing indicated
Treatment: glucocorticoids and occasionally antiviral therapy
Patient after gastric bypass presents with ataxia, altered mental status and opthalmoplegia
including nystagmus, most likely cause?—ANSWER-Vit B1 def
© 2026 Copyright. All Rights Reserved. This document is
protected by copyright law, Copyrighted By Brittie Donald
