NBME 10 Exam Questions with Correct Answers

UC/Crohn's that isn't responsive to initial treatment Correct Answer Consider infliximab, need to test for TB cause it can be reactivated Mgt of sickle cell crisis Correct Answer IV fluids, O2 and pain control Roux en y bypass patient does not follow diet recs post op. Correct Answer At risk for B1 deficiency which can manifest as wernicke encephalopathy - trouble walking, dysconjugate gaze/nystagmus Kid has lymphadenitis with purplish hue. Biopsy shows granulomas Correct Answer Mycobacterium avium intracellulare > treat with macrolide and ethambutol +/- rifampin, definitively treated with surgical excision Young patient has a fracture after a very minor injury. Correct Answer Think osteosarcoma > XR would show mass Need MRI for staging What electrolyte disturbance is usually seen in laxative abuse? Correct Answer Hypokalemia > would cause generalized muscle weakness HFrEF patient has CAP. Do you give fluids? Correct Answer Only if they show signs of shock and need to be fluid resuscitated, otherwise don't for concern of volume overload CXR shows hyperinflation Correct Answer Obstructive pattern (due to air trapping) Loud S2 Correct Answer Pulmonary HTN Diverticulitis vs Ischemic colitis Correct Answer Ischemic colitis would present with bloody diarrhea, diverticulitis rarely does