NBME 14 Questions with Verified Correct
Answers
emergency orchidopexy (fixation)
treatment for testicular torsion (clinical diagnosis)
cornual (interstitial) pregnancy
11 weeks pregnant, abdominal pain, spotting, gestational sac to the right of the midline and
into the myometrium, free fluid in the cul de sac. hemodynamic instability
complete resolution of symptoms
what is the outcome of Hepatitis A virus?
osteomalacia (increased PTH)
treatment with Vitamin D and calcium
elderly patient with malabsorption syndrome, weakness, intact sensation with
PSEUDOFRACTURES on skeletal survery
Glatiramer (immunomodulator), interferons, MAB
steroids for acute flares
treatment for multiple sclerosis
Type 1 error (alpha)
rejecting the null hypothesis when it is true (false positive)
affected by interim analysis
Type 2 error (beta)
, accepting the null hypothesis when it is false (false negative)
affected by sample size, reduced by meta-analysis
necrotizing fasciitis - antibiotics immediate surgery
elderly patient with red shiny skin on shin and small fluid filled bullae. low grade fever,
anorexia, lethargy
aspirin
reactive thrombocytosis after splenectomy. nbs?
endometrial biosy
patient with irregular, heavy, unpredictable bleeding. s/s of PCOS. normal pap smear 1 year
ago. next step?
upper endoscopy (gastric cancer)
smoker with severe epigastric pain, weight loss, early satiety, microcytic anemia, occult
blood negative. next step?
subdural hematoma
**presentation may not be acute
elderly man with 3 weeks of progressive confusion, daytime sleepiness, and frequent falls
lethargic no focal findings on neurologic exam
iron deficiency anemia
low iron, transferrin, and ferritin
anemia of chronic disease
Answers
emergency orchidopexy (fixation)
treatment for testicular torsion (clinical diagnosis)
cornual (interstitial) pregnancy
11 weeks pregnant, abdominal pain, spotting, gestational sac to the right of the midline and
into the myometrium, free fluid in the cul de sac. hemodynamic instability
complete resolution of symptoms
what is the outcome of Hepatitis A virus?
osteomalacia (increased PTH)
treatment with Vitamin D and calcium
elderly patient with malabsorption syndrome, weakness, intact sensation with
PSEUDOFRACTURES on skeletal survery
Glatiramer (immunomodulator), interferons, MAB
steroids for acute flares
treatment for multiple sclerosis
Type 1 error (alpha)
rejecting the null hypothesis when it is true (false positive)
affected by interim analysis
Type 2 error (beta)
, accepting the null hypothesis when it is false (false negative)
affected by sample size, reduced by meta-analysis
necrotizing fasciitis - antibiotics immediate surgery
elderly patient with red shiny skin on shin and small fluid filled bullae. low grade fever,
anorexia, lethargy
aspirin
reactive thrombocytosis after splenectomy. nbs?
endometrial biosy
patient with irregular, heavy, unpredictable bleeding. s/s of PCOS. normal pap smear 1 year
ago. next step?
upper endoscopy (gastric cancer)
smoker with severe epigastric pain, weight loss, early satiety, microcytic anemia, occult
blood negative. next step?
subdural hematoma
**presentation may not be acute
elderly man with 3 weeks of progressive confusion, daytime sleepiness, and frequent falls
lethargic no focal findings on neurologic exam
iron deficiency anemia
low iron, transferrin, and ferritin
anemia of chronic disease
