NBME UPDATED Exam Questions and 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? - Reassurance This is normal thelarche and can be asymmetric Order of maturation in female - Thelarche, pubarcge, growth spurt, menarche 27-year-old man presents with thrombocytopenia, eczema and recurrent infections - 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 - 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? - Intravenous fluids