NBME PATHOLOGY EXAM 2024
NBME PATHOLOGY EXAM 1 2024/2025
VERIFIED QUESTIONS AND ANSWERS GRADED
A+
25 yo F at 27 weeks w/ severe contractions x6 hours, vaginal spotting, contractions
every 2-3 mins w/ FHR 130 and no decels, cervic 1-2 cm and 70% effaced, GBS is
positive. next step?
IM beclamethasone THEN later can give penicillin
man w/ 15 yr hx of difficult relaxing hands after tightly gripping objects or shaking
hands, difficulty releasing after gripping w/ hands. dx?
myotonic muscular dystrophy
pt unable to see out of R eye since awakening 2 hrs ago. visual acuity 20/200 in R
eye and 20/20 in L. R pupil poorly reactive to light. where is site of lesion?
R optic nerve
6 mo old w/ poor feeding, labored breathing, to and fro murmur in 2nd L
itnercostal space, loud S2, bounding peripheral pulses, widened pulse pressure. dx?
patent ductus arteriosus
, NBME PATHOLOGY EXAM 2024
recurrent lymph node infxns w/ staph a in a kid. what is dx and mechanism?
chronic granulomatous dz --> impaired phagocytic oxidative metabolism
pt hyperkalemic bc missed 2 dialysis appointments. EKG w/ peaked t waves. next
step?
IV calcium gluconate --> THEN can give insulin but this works within minutes
hyaline casts vs WBC casts?
-WBC casts: interstitial nephritis and pyelonephritis
-hyaline casts: AKI
4 yo M in MVC, RR 32 w/ grunting and restractions, hypoxic on ABG, CXR 4 hrs
later shows diffuse infiltrates on R side. dx?
pulmonary contusion
asymptomatic 57 yo M smoker, bruit in RUQ, no masses, BUN 23, Cr 1.4. what is
cause of bruit?
accumulation of lipids in arterial wall --> renal artery stenosis
NBME PATHOLOGY EXAM 1 2024/2025
VERIFIED QUESTIONS AND ANSWERS GRADED
A+
25 yo F at 27 weeks w/ severe contractions x6 hours, vaginal spotting, contractions
every 2-3 mins w/ FHR 130 and no decels, cervic 1-2 cm and 70% effaced, GBS is
positive. next step?
IM beclamethasone THEN later can give penicillin
man w/ 15 yr hx of difficult relaxing hands after tightly gripping objects or shaking
hands, difficulty releasing after gripping w/ hands. dx?
myotonic muscular dystrophy
pt unable to see out of R eye since awakening 2 hrs ago. visual acuity 20/200 in R
eye and 20/20 in L. R pupil poorly reactive to light. where is site of lesion?
R optic nerve
6 mo old w/ poor feeding, labored breathing, to and fro murmur in 2nd L
itnercostal space, loud S2, bounding peripheral pulses, widened pulse pressure. dx?
patent ductus arteriosus
, NBME PATHOLOGY EXAM 2024
recurrent lymph node infxns w/ staph a in a kid. what is dx and mechanism?
chronic granulomatous dz --> impaired phagocytic oxidative metabolism
pt hyperkalemic bc missed 2 dialysis appointments. EKG w/ peaked t waves. next
step?
IV calcium gluconate --> THEN can give insulin but this works within minutes
hyaline casts vs WBC casts?
-WBC casts: interstitial nephritis and pyelonephritis
-hyaline casts: AKI
4 yo M in MVC, RR 32 w/ grunting and restractions, hypoxic on ABG, CXR 4 hrs
later shows diffuse infiltrates on R side. dx?
pulmonary contusion
asymptomatic 57 yo M smoker, bruit in RUQ, no masses, BUN 23, Cr 1.4. what is
cause of bruit?
accumulation of lipids in arterial wall --> renal artery stenosis
