NBME 10 Exam Questions with 100% Correct Answers

11-year-old girl presents With tanner stage one of the pubic hair, she has a flat left breast and the right breast is tender and a small mass What is the best next step? Correct Answer Reassurance This is normal thelarche and can be asymmetric Order of maturation in female Correct Answer Thelarche, pubarcge, growth spurt, menarche 27-year-old man presents with thrombocytopenia, eczema and recurrent infections Correct Answer Wiskott-Aldrich, WAS gene, Patient comes in with ulcerative colitis Treated with prednisone mesalamine and much more and the doctor decides to add a regimen, due to the addition of the regimen what should be tested next Correct Answer Tuberculosis screening, due to initiation of TNF alpha inhibitor Patient with sickle cell disease comes in with vaso-occlusive crisis it is given pain control what else should be given with the pain control? Correct Answer Intravenous fluids Patient with a MI 10 years ago Comes to the hospital due to vomiting. The patient ends up getting a transfusion and 30 minutes later starts developing shortness of breath, what is the most likely cause? Correct Answer Transfusion associated circulatory overload Remember: patience with ABO incompatibility present with flank pain and hypotension Treatment of transfusion associate circulatory overload Correct Answer Oxygen and positive pressure ventilation And possible directions Can lead to psychosis, bizarre behavior, agitation, aggression, nystagmus and ataxia treatment Correct Answer PCP intoxication Treatment: IM lorazepam or Midazolam 38-year-old woman comes in due to seizures, MRI demonstrates unilateral or bilateral temporal lobe abnormalities, what is the next best step? Correct Answer Lumbar puncture: HSV encephalitis If a patient has stroke like symptoms occurring less than 4 1/2 half hours Without signs of hemorrhage what is administered? Correct Answer Alteplase