NBME CBSE ACTUAL TEST QUESTIONS AND ANSWERS 2026

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NBME CBSE ACTUAL TEST
QUESTIONS AND ANSWERS 2026



TX pulmonary embolism - correct-answer - Heparin/LMWH

THEN

Warfarin




Fat embolism syndrome - correct-answer - Long bone/pelvic fracture

--> neuro, hypoxemia, rash

Fat microglobules in *pulmonary arterioles*




Spontaenous pneumothorax - correct-answer - nontraumatic* rupture of

subpleural blebs*

**20 yo thin TALL man who smokes

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*DECREASED PRELOAD*




Tension pneumothorax - correct-answer - Treachea deviates

REQUIRES INTUBATION




ARDS - correct-answer - bilateral infiltrate

**PANCREATITIS RISK

1. *EXUDATIVE* (capillary permeability)

2. *Proliferative* (collagen)

3. *Fibrotic* (pulmonary fiborsis + HTN)




What are the risks from ARDS - correct-answer - Sepsis

Pancreatitis

Pneumo

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cystic fibrosis genetics - correct-answer - *dF508 frameshift*

CFT protein - post-tln

HypoNa




Cystic Fibrosis complications - correct-answer - Dec *Vit A* --> Pancreatic

(squamous metaplasia)

Def *Vit E* --> Neuromuscular, hemolytic anemia

Def *Vit K *--> Intracranial hemorrhage

Meconium Ileus; No Vas deferns; Digital clubbing

DEATH FROM PNEUMO




Hemorrhagic infarct is what color and why - correct-answer - RED

Dual blood supply




Empyema - correct-answer - Infected *exudative* pleural effusion

Meniscus opacity

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Increased LDH

COMPLICATES PNEUMO




Lobar pneumonia - correct-answer - *consolidation*

Ex: strep, legionella

--> Red (3-4 d)

--> Grey hepatization (5-7d)

--> Resolution (*Type II regen* in 8 d)




Broncho Pneumonia - correct-answer - *Patchy*

ex: Staph, Strep, Kleb, H flu




Interstitial Pneumonia - correct-answer - Alveolar walls

Ex: Mycoplasma, Chlamydia,

Legionella,

RSV/CMV/flu/adeno