NBME CBSE REAL EXAM QUESTIONS WITH
COMPLETE SOLUTIONS GUARANTEED PASS
2025/2026
10. 59yo F with gradual onset of lack of muscle control in her left arm
and leg. Sx 1 mo ago after dx with metastatic breast cancer. PE shows
ataxia of left upper and lower extremities. Muscle strength, DTR,
sensation, proprioception normal. Metastatic tumor in which
location?
- Cerebellum
11. Newborn delivered at 38 weeks' gestation weighs 1800 g. PE
shows petechial rash, microcephaly, and hepatosplenomegaly.
Serologic test for
CMV: IgG + in mother, + in newborn; IGM - in mother, + in newborn.
Explanation?
- Congenital cytomegalovirus infection
,12. Female newborn is delivered at 38 weeks' gestation. Apgar 8 and 8
at 1/5 min. PE shows a bulging, fluod0filled mass approximately 5 cm
in diameter in the midline over the lumbosacral region. No
spontaneous movements of the lower extremities. Abnormality most
likely occurred because of abnormal development during which
periods of postconception (in days)?
- 15 to 40
13. 64yo M in ED 3 hours after SOB with exertion and extreme fatigue.
Has ischemic heart disease. P 125/min, BP 105/60. ECG shows atrial
fibrillation. Intravenous ibutilide is administered. Ten minutes later,
ECG shows normal sinus rhythm. Risk for which drug effect in the next
6 hours?
- Torsades de pointes
14. 65yo F with 20-year hx of osteoarthritis of the hands now has pain
radiating down the distal anterior thigh, knee, medial leg, and food.
,Bony outgrowth of vertebrae compressing one of the spinal nerves is
suspected.
Nerve root in which intervertebral foramina is effected?
- L-3 to 4
15. 38yo M with 3-year hx of T2DM. Taking an oral antihyperglycemic
agent, he has tried diet and exercise. BMI 32. PE normal. Hb A1c is
10%. Physician recommends initiation of insulin injections. Responds,
"I know that insulin would help control my blood sugar. But a lot of
people in my family have diabetes, and insulin made them really sick
at times. Patient is at which stage of change?
- Contemplation
16. 24yo M with 2-day history of an itchy rash on his arms and legs.
Returned from a camping trip in the woods 5 days ago. PE shows
edematous, erythematous rash with linear vesicles. Cause is
activation of which cell types?
- T lymphocytes
, 17. 70yo M from china with poorly differentiated monoclonal
carcinoma of the nasopharynx. DNA probes of neoplastic cells are
most likely to detect genome of which virus?
- Epstein-Barr virus
18. Epidemiologic study of aniline dye, 500 workers with bladder
cancer and
200 workers without. Exposed to aniline dyes/Have Bladder cancer:
Yes/Yes
(250), Yes/No (50), No/Yes (250), No/No (150). Odds ratio?
-3
19. 24yo M with hx of IVDA could not be aroused. Friend reports that
the patient injected himself with a drug 6 hours ago. Labs show drug
concentration of 0.3. Assuming first-order one-compartment kinetics,
has a half-life of 2 hours, and a volume of distribution of 200 L in this
patient. What is quantity of drug (in mg) injected?
- 480
COMPLETE SOLUTIONS GUARANTEED PASS
2025/2026
10. 59yo F with gradual onset of lack of muscle control in her left arm
and leg. Sx 1 mo ago after dx with metastatic breast cancer. PE shows
ataxia of left upper and lower extremities. Muscle strength, DTR,
sensation, proprioception normal. Metastatic tumor in which
location?
- Cerebellum
11. Newborn delivered at 38 weeks' gestation weighs 1800 g. PE
shows petechial rash, microcephaly, and hepatosplenomegaly.
Serologic test for
CMV: IgG + in mother, + in newborn; IGM - in mother, + in newborn.
Explanation?
- Congenital cytomegalovirus infection
,12. Female newborn is delivered at 38 weeks' gestation. Apgar 8 and 8
at 1/5 min. PE shows a bulging, fluod0filled mass approximately 5 cm
in diameter in the midline over the lumbosacral region. No
spontaneous movements of the lower extremities. Abnormality most
likely occurred because of abnormal development during which
periods of postconception (in days)?
- 15 to 40
13. 64yo M in ED 3 hours after SOB with exertion and extreme fatigue.
Has ischemic heart disease. P 125/min, BP 105/60. ECG shows atrial
fibrillation. Intravenous ibutilide is administered. Ten minutes later,
ECG shows normal sinus rhythm. Risk for which drug effect in the next
6 hours?
- Torsades de pointes
14. 65yo F with 20-year hx of osteoarthritis of the hands now has pain
radiating down the distal anterior thigh, knee, medial leg, and food.
,Bony outgrowth of vertebrae compressing one of the spinal nerves is
suspected.
Nerve root in which intervertebral foramina is effected?
- L-3 to 4
15. 38yo M with 3-year hx of T2DM. Taking an oral antihyperglycemic
agent, he has tried diet and exercise. BMI 32. PE normal. Hb A1c is
10%. Physician recommends initiation of insulin injections. Responds,
"I know that insulin would help control my blood sugar. But a lot of
people in my family have diabetes, and insulin made them really sick
at times. Patient is at which stage of change?
- Contemplation
16. 24yo M with 2-day history of an itchy rash on his arms and legs.
Returned from a camping trip in the woods 5 days ago. PE shows
edematous, erythematous rash with linear vesicles. Cause is
activation of which cell types?
- T lymphocytes
, 17. 70yo M from china with poorly differentiated monoclonal
carcinoma of the nasopharynx. DNA probes of neoplastic cells are
most likely to detect genome of which virus?
- Epstein-Barr virus
18. Epidemiologic study of aniline dye, 500 workers with bladder
cancer and
200 workers without. Exposed to aniline dyes/Have Bladder cancer:
Yes/Yes
(250), Yes/No (50), No/Yes (250), No/No (150). Odds ratio?
-3
19. 24yo M with hx of IVDA could not be aroused. Friend reports that
the patient injected himself with a drug 6 hours ago. Labs show drug
concentration of 0.3. Assuming first-order one-compartment kinetics,
has a half-life of 2 hours, and a volume of distribution of 200 L in this
patient. What is quantity of drug (in mg) injected?
- 480
