NBME 9 - Latest 2023/2024 solutions

NBME 9 - Latest 2023/2024 solutions Kid with bed wetting problems + constipation tx? -- administration of an osmotic laxative Multiple myeloma is marked by proliferation of ______ B cells -- monoclonal In patients with bipolar disorder that are suffering from acute depression + stopped taking meds, what do you give them? -- bipolar medication like lithium, lamotrigine, quetiapine, and lurasidone SSRIs in bipolar patients can be bad because? -- it can precipitate mania or convert depression to mania Patient with afib with a history of TIA or stroke Tx? -- warfarin Patient without afib with history of TIA or stroke Tx? -- aspirin T/F: Aspirin and clopidogrel are anticoagulants -- false 1st line therapy for mild to moderate acne vulgaris Tx? -- topical retinoids Patient with juvenile idiopathic arthritis may present with what extraarticular manifestation? -- 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 -- metastatic T/F: Osteosarcoma is most common in patients ____ years of age -- <30 Patients with severe AS with symptoms or systolic dysfunction (EF <50%) should receive what tx? -- aortic valve replacement Patients with HF (EF < 50%) who have AS + asymptomatic in terms of SOB on exertion, should receive what treatment? -- Afterload reduction 32 yo woman with bcg vaccine as a child + emigrated from China + PPD skin test of 12 mm risk status and next step? -- High risk; isoniazid 92 yr old with left mandibular mass that has enlarged + x ray is normal + smoker + normal VS next step? -- biopsy 77 yr old woman with 1 day hx of nausea + vomi