NBME SURGERY SHELF EXAM WITH CORRECT
ACTUAL QUESTIONS AND CORRECTLY WELL
DEFINED ANSWERS LATEST ALREADY GRADED
A+
Terms in this set (170)
"47 YOW comes in with a BMI of 67 , gastric bypass
chafed skin on inner thighs, under
breasts, twice requiring admission
for abtx for panniculitis. Also has
thick curdy vaginal discharge.Best
long term management for this pt?",
"37 YOw bruising on arms and forumulation of antiplatelet antibodies (idiopathic
abdomen x3w. ibuprofen for HA. thrombocytopenic purpura)
afebrile. PE:eccymoses over upper
extremities and trunk. Lungs CTAB,
Labs: norm Hb, 6.8k WBC, 45k plt,
Bleeding time is high,PT normal.
Bone marrow shows
megakayocytes. Explanation for
findings?",
,"87 YOM has sudden onset of SOB Cardiogenic schock (MI)
after emergent colon resection for
obstructing Ca. T 100, HR 104, RR 32,
BP 88/50. PE: JVD, crackles over
midlungfields. NMRG.Liver span is
13. ECG shoews ST elevation.
Mostlikely Dx?",
"A 13 YOB has increasingly severe slipped capital femoral epiphysis
left thigh pain and knee pain and
limp for 2 days. No Hx of trauma,
BMI =20, Passive motion of hip
elicits pain, Most likely Dx?",
"12 hours after rod stabilization of a fat embolism
femoral fracture, 27 YO homeless
,an has sudden onset of
combativeness and disorientation.
HR 120, RR 24, BP 140/85. Exam
shows petichiae over axila. Most
likely cause?",
, "A previosuly healthy 47 YOM Lymphoma
comes in with 2 weeks of
progressive abd swelling. PE shows
distention and shifting dullness,
bowel sounds are normal. There is
no tenderness, masses or
organomegaly. Paracentesis: 50ml
milky chylous fluid. Most likely
cause?",
"52 YOW has back pain with hx of Thoracic spinal cord: T10 is nipples
treatment for breast cancer 5 years
ago. Decreases sensitivity below
nipples. Hyperreflexive and decr
strength with + babinski in legs,
arms are normal. Where is the
lesion?",
Previously healthy *YOB has avascular necrosis of the femoral head
intermittent pain in the right
anterior thigh for the past 3
w.activity level is high.mother notes
he limps. 25th percentile ht and wt.
Vitals normal. Atalgic gait.
Abduction and internal rotation of
the feur is limited. Dx?,
ASX 72 YOW comes in with failure to surpress class II antigen recognition in
decreased renal fx. Elevation in Cr the host ( rejection)
over last 3 days. got 2nd renal
transplant from 65 YO donor 1 m
ago. Most likely explanation for
decr renal fxx?,
ACTUAL QUESTIONS AND CORRECTLY WELL
DEFINED ANSWERS LATEST ALREADY GRADED
A+
Terms in this set (170)
"47 YOW comes in with a BMI of 67 , gastric bypass
chafed skin on inner thighs, under
breasts, twice requiring admission
for abtx for panniculitis. Also has
thick curdy vaginal discharge.Best
long term management for this pt?",
"37 YOw bruising on arms and forumulation of antiplatelet antibodies (idiopathic
abdomen x3w. ibuprofen for HA. thrombocytopenic purpura)
afebrile. PE:eccymoses over upper
extremities and trunk. Lungs CTAB,
Labs: norm Hb, 6.8k WBC, 45k plt,
Bleeding time is high,PT normal.
Bone marrow shows
megakayocytes. Explanation for
findings?",
,"87 YOM has sudden onset of SOB Cardiogenic schock (MI)
after emergent colon resection for
obstructing Ca. T 100, HR 104, RR 32,
BP 88/50. PE: JVD, crackles over
midlungfields. NMRG.Liver span is
13. ECG shoews ST elevation.
Mostlikely Dx?",
"A 13 YOB has increasingly severe slipped capital femoral epiphysis
left thigh pain and knee pain and
limp for 2 days. No Hx of trauma,
BMI =20, Passive motion of hip
elicits pain, Most likely Dx?",
"12 hours after rod stabilization of a fat embolism
femoral fracture, 27 YO homeless
,an has sudden onset of
combativeness and disorientation.
HR 120, RR 24, BP 140/85. Exam
shows petichiae over axila. Most
likely cause?",
, "A previosuly healthy 47 YOM Lymphoma
comes in with 2 weeks of
progressive abd swelling. PE shows
distention and shifting dullness,
bowel sounds are normal. There is
no tenderness, masses or
organomegaly. Paracentesis: 50ml
milky chylous fluid. Most likely
cause?",
"52 YOW has back pain with hx of Thoracic spinal cord: T10 is nipples
treatment for breast cancer 5 years
ago. Decreases sensitivity below
nipples. Hyperreflexive and decr
strength with + babinski in legs,
arms are normal. Where is the
lesion?",
Previously healthy *YOB has avascular necrosis of the femoral head
intermittent pain in the right
anterior thigh for the past 3
w.activity level is high.mother notes
he limps. 25th percentile ht and wt.
Vitals normal. Atalgic gait.
Abduction and internal rotation of
the feur is limited. Dx?,
ASX 72 YOW comes in with failure to surpress class II antigen recognition in
decreased renal fx. Elevation in Cr the host ( rejection)
over last 3 days. got 2nd renal
transplant from 65 YO donor 1 m
ago. Most likely explanation for
decr renal fxx?,
