NBME 10 Week 3 Exam Questions with 100% Correct Answers

Presentation of ABO incompatibility Correct Answer abdominal or flank pain, fever, and dark urine within minutes of starting transfusion Common presentation of TACO (transfusion associated cardiac overload) Correct Answer respiratory distress from volume overload in a patient with underlying cardiac dysfunction (e.g. past MI) Treatment of Mycobacterium avium lymphadenitis Correct Answer antimicrobial therapy or surgical excision What test should be done to confirm vertebral osteomyelitis Correct Answer MRI of spine (can do blood culture or bone biopsy to identify organism) Order of work-up for osteosarcoma Correct Answer X-ray -- MRI -- bone biopsy What conditions should you be hesitant to give IV maintenance fluids? Correct Answer HF, cirrhosis, and ESRD if hypotension is not present What is medication is contraindicated in right ventricular MI (inferior leads MI)? Correct Answer nitroglycerin (want to keep preload high) Most common tumor of the urinary tract system that presents with painless gross hematuria Correct Answer transitional (urothelial) cell carcinoma Management for pregnant woman with past unexplained intrauterine demise Correct Answer Nonstress testing in the third trimester (starting at 32 weeks) What is the stance on removing mechanical ventilation without family's permission in a person with brain death? Correct Answer no permission is necessary - can withdraw support without family permission or court order Management of anaphylactic shock Correct Answer epinephrine and isotonic IV fluids Management for TTP Correct Answer plasmapheresis to remove circulating antibodies First-line therapy for OCD Correct Answer SSRI Differentiating factor between conduct disorder and oppositional defiant disorder Correct Answer conduct disorder is violating others' basic human rights ODD is defiant behavior without violating others' rights