NBME 9 Questions And Answers 2022/2023

Kid with bed wetting problems + constipation tx? - Answer - administration of an osmotic laxative Multiple myeloma is marked by proliferation of ______ B cells - Answer - monoclonal In patients with bipolar disorder that are suffering from acute depression + stopped taking meds, what do you give them? - Answer - bipolar medication like lithium, lamotrigine, quetiapine, and lurasidone SSRIs in bipolar patients can be bad because? - Answer - it can precipitate mania or convert depression to mania Patient with afib with a history of TIA or stroke Tx? - Answer - warfarin Patient without afib with history of TIA or stroke Tx? - Answer - aspirin T/F: Aspirin and clopidogrel are anticoagulants - Answer - false 1st line therapy for mild to moderate acne vulgaris Tx? - Answer - topical retinoids Patient with juvenile idiopathic arthritis may present with what extraarticular manifestation? - Answer - uveitis (screen with slit-lamp exam) In adults, the presence of a destructive bone lesion is more commonly caused by ______ disease rather than primary bone malignancy - Answer - metastatic T/F: Osteosarcoma is most common in patients ____ years of age - Answer - 30 Patients with severe AS with symptoms or systolic dysfunction (EF 50%) should receive what tx? - Answer - aortic valve replacement Patients with HF (EF 50%) who have AS + asymptomatic in terms of SOB on exertion, should receive what treatment? - Answer - Afterload reduction 32 yo woman with bcg vaccine as a child + emigrated from China + PPD skin test of 12 mm