NBME Exam Questions with 100% Correct Answers | Latest Version 2024 | Verified

47 YOW comes in with a BMI of 67 , chafed skin on inner thighs, under breasts, twice requiring admission for abtx for panniculitis. Also has thick curdy vaginal discharge.Best long term management for this pt? - gastric bypass 37 YOw bruising on arms and abdomen x3w. ibuprofen for HA. afebrile. PE:eccymoses over upper extremities and trunk. Lungs CTAB, Labs: norm Hb, 6.8k WBC, 45k plt, Bleeding time is high,PT normal. Bone marrow shows megakayocytes. Explanation for findings? - forumulation of antiplatelet antibodies (idiopathic thrombocytopenic purpura) 87 YOM has sudden onset of SOB after emergent colon resection for obstructing Ca. T 100, HR 104, RR 32, BP 88/50. PE: JVD, crackles over midlungfields. NMRG.Liver span is 13. ECG shoews ST elevation. Mostlikely Dx? - Cardiogenic schock (MI) A 13 YOB has increasingly severe left thigh pain and knee pain and limp for 2 days. No Hx of trauma, BMI =20, Passive motion of hip elicits pain, Most likely Dx? - slipped capital femoral epiphysis 12 hours after rod stabilization of a femoral fracture, 27 YO homeless ,an has sudden onset of combativeness and disorientation. HR 120, RR 24, BP 140/85. Exam shows petichiae over axila. Most likely cause? - fat embolism A previosuly healthy 47 YOM comes in with 2 weeks of progressive abd swelling. PE shows distention and shifting dullness, bowel sounds are normal. There is no tenderness, masses or organomegaly. Paracentesis: 50ml milky chylous fluid. Most likely cause? - Lymphoma 52 YOW has back pain with hx of treatment for breast cancer 5 years ago. Decreases sensitivity below nipples. Hyperreflexive and decr strength with + babinski in legs, arms are normal. Where is the lesion? - Thoracic spinal cord: T10 is nipples Previously healthy *YOB has intermittent pain in the right anterior thigh for the past 3 ity level is r notes he limps. 25th percentile ht and wt. Vitals normal. Atalgic gait. Abduction and internal rotation of the feur is limited. Dx? - avascular necrosis of the femoral headASX 72 YOW comes in with decreased renal fx. Elevation in Cr over last 3 days. got 2nd renal transplant from 65 YO donor 1 m ago. Most likely explanation for decr renal fxx? - failure to surpress class II antigen recognition in the host ( rjection)