NBME 11 Exam Questions with Correct Answers (2022)

Male with erectile dysfunction with spontaneous nocturnal erections? Correct Answer Psychological problem Male with erectile dysfunction without spontaneous nocturnal erections? causes? *associated pathology that can cause erectile dysfunction? Correct Answer Organic (internal problem) - meds (SSRIs, B-blocker) -prostate or pelvic surgery causing nerve damage - artery problem from DM or atherosclerosis *Peyronie disease: fibrous plaque within tunica albuginea causing abnormal curve on penis How does pregnancy affect thyroid hormones? Which hormone directly influences the changes? Correct Answer inc. in estrogen causes inc. production of globulin transport proteins (TBG) which bind T3/T4 --> TSH to inc. making more T3/T4 which get bound by TGH but eventually normalize the TSH= normal and T4= high Child in daycare presents with vomiting, diarrhea, oligouria...dehydrated...contagious...what is the virus? Type of genome? How does it damage the body? Correct Answer Rotavirus -dsRNA - destroys villi causing atrophy leading to dec. absorption of Na+ and loss of K+ Who is commonly infected with CMV? *type of genome? *what does CMV cause thats clinically significant? *what do you see in smear? *Rx? Correct Answer immunodeficient, chemotherapy, post transplant, AIDs - DNA - esophagitis and retinitis in AIDs patients -mononucleosis (kissing disease) in EBV (-) - inclusion bodies -gancicylovir, foscarnet Herpes Simplex virus 1 causes? 2 causes? clinical symptoms? Rx? Correct Answer 1- lip ulcers+ vesicles 2- genital herpes *painful *Acyclovir