NBME 17NBME CBSE REAL EXAM 200 QUESTIONS
AND ANSWERS LATEST 2026 COMPLETE EXAM.,
Exams of Nursing
Section 1: General Principles
1. A 70-year-old man dies in a motor vehicle collision. He was undergoing
evaluation for occult blood in the stool. A photograph of the transverse colon
shows a polyp. What is the most likely diagnosis?
A) Hyperplastic polyp
B) Tubular adenoma or villous polyp
C) Inflammatory polyp
D) Hamartomatous polyp
Answer: B) Tubular adenoma or villous polyp
Rationale: The presence of occult blood in the stool and the gross appearance of a
polyp in the transverse colon is most consistent with a neoplastic adenoma.
Tubular adenomas are precursors to colorectal adenocarcinoma, and GI blood loss
suggests a risk for malignancy .
2. A 38-year-old male truck driver presents with a 1-week history of watery,
itchy eyes and a runny nose. Physical examination shows inflamed nasal mucosa
but no congestion in the lower lung. Which pharmacotherapy is most
appropriate?
A) Diphenhydramine
B) Loratadine
C) Ranitidine
D) Fluticasone nasal spray
, Answer: B) Loratadine
Rationale: This presentation is consistent with allergic rhinitis. Loratadine is a
second-generation, less-sedating antihistamine that is appropriate for a truck
driver who needs to remain alert. First-generation antihistamines have
antimuscarinic effects that would not be ideal for this patient's occupation .
3. A 16-year-old girl presents with a 3-day history of fever, nonproductive cough,
and fatigue. Temperature is 38.3°C, pulse 88/min, BP 102/70. Physical
examination shows pale conjunctivae. Chest x-ray shows bilateral interstitial
infiltrates. Her blood spontaneously agglutinates while awaiting transport to the
laboratory. Which antibody isotype is causing the agglutination?
A) IgG
B) IgA
C) IgM
D) IgE
Answer: C) IgM
Rationale: The presentation of fever, nonproductive cough, bilateral interstitial
infiltrates, and cold agglutination is classic for Mycoplasma pneumoniae or
infectious mononucleosis. Cold agglutinins are typically IgM antibodies that cause
RBC agglutination at lower temperatures .
4. A 24-year-old male presents with small tender blisters on his penis 3 days
after unprotected sexual intercourse. A photograph shows vesicular lesions.
What is the causal agent?
A) Treponema pallidum
B) Human papillomavirus
C) Herpes simplex virus 2
D) Haemophilus ducreyi
Answer: C) Herpes simplex virus 2
Rationale: The presentation of small tender vesicular lesions on the penis 3 days
AND ANSWERS LATEST 2026 COMPLETE EXAM.,
Exams of Nursing
Section 1: General Principles
1. A 70-year-old man dies in a motor vehicle collision. He was undergoing
evaluation for occult blood in the stool. A photograph of the transverse colon
shows a polyp. What is the most likely diagnosis?
A) Hyperplastic polyp
B) Tubular adenoma or villous polyp
C) Inflammatory polyp
D) Hamartomatous polyp
Answer: B) Tubular adenoma or villous polyp
Rationale: The presence of occult blood in the stool and the gross appearance of a
polyp in the transverse colon is most consistent with a neoplastic adenoma.
Tubular adenomas are precursors to colorectal adenocarcinoma, and GI blood loss
suggests a risk for malignancy .
2. A 38-year-old male truck driver presents with a 1-week history of watery,
itchy eyes and a runny nose. Physical examination shows inflamed nasal mucosa
but no congestion in the lower lung. Which pharmacotherapy is most
appropriate?
A) Diphenhydramine
B) Loratadine
C) Ranitidine
D) Fluticasone nasal spray
, Answer: B) Loratadine
Rationale: This presentation is consistent with allergic rhinitis. Loratadine is a
second-generation, less-sedating antihistamine that is appropriate for a truck
driver who needs to remain alert. First-generation antihistamines have
antimuscarinic effects that would not be ideal for this patient's occupation .
3. A 16-year-old girl presents with a 3-day history of fever, nonproductive cough,
and fatigue. Temperature is 38.3°C, pulse 88/min, BP 102/70. Physical
examination shows pale conjunctivae. Chest x-ray shows bilateral interstitial
infiltrates. Her blood spontaneously agglutinates while awaiting transport to the
laboratory. Which antibody isotype is causing the agglutination?
A) IgG
B) IgA
C) IgM
D) IgE
Answer: C) IgM
Rationale: The presentation of fever, nonproductive cough, bilateral interstitial
infiltrates, and cold agglutination is classic for Mycoplasma pneumoniae or
infectious mononucleosis. Cold agglutinins are typically IgM antibodies that cause
RBC agglutination at lower temperatures .
4. A 24-year-old male presents with small tender blisters on his penis 3 days
after unprotected sexual intercourse. A photograph shows vesicular lesions.
What is the causal agent?
A) Treponema pallidum
B) Human papillomavirus
C) Herpes simplex virus 2
D) Haemophilus ducreyi
Answer: C) Herpes simplex virus 2
Rationale: The presentation of small tender vesicular lesions on the penis 3 days
