NBME first practice test 1 with correct
answers
(Cr) ii7 iiyears iiold iiboy iiurinary iiincontinence, iioccasional iihard iipainful iistools, iiday iitime
iienuresis, iisince iihe iiwas iitoilet iitrained ii25th ii/35th iiheight iiand iiweight iirespectfully iivital
iisigns iiphysiacal iiexam iiand iiurinalysis iiWNL. iiwhat iiis iithe iibest iinext iistep ii? ii- iiAnswers
ii-Patient iimost iilikely iihas iianuresis iidue iito iicompression iiof iithe iibladder iiby iidilated
iirectum iifrom iihardened iistools
management iiof iihis iiurinary iiincontinence ii? ii- iiAnswers ii-no iiimaging iineeded, iiosmotic
iilaxatives iiand iidiet iimodification iiwith iihigh iifiber iiand iimore iifluids.
urination iiat iinight iievaluation ii? ii- iiAnswers ii-bed iiwetting iialarm iiis iiuseful
when iiwould iiyou iido iiUrinary iiU/s ii? ii- iiAnswers ii-suspected iivesicoureteral
iireflux(recurrent iiUTI) iihydronephrosis iior iicongenital iiurinary iitract
iiabnormalities(congenital iisyndromes iilike iivectral iiand iicharge) iibest iitest iifor iithis
iipatients iiis iiretrograde iicysturethrogram
(cr) ii14 iiyo iiboy, iimother iicomplains iithat iiit iihas iibeen iidificult iito iiwake iihim iiup iifrom
iisleep iisince iihe iistarted iischool ii3 iimonths iiago. iischool iilife iihasnt iichanged, iithe
iipatient iistated iithat iihe iistarted iiwatching iia iitv iishow iiat ii10pm iievery iinight iibecause
iihe iidoes iinot iifeel iitired iiand iienjoys iiwatching iiit. iiphysical iiexam iiis iinormal. iiwhat iiis
iithe iinext iistep iiin iitreatment iiof iithis iipatient ii? ii- iiAnswers ii-no iifurther iitreatment iiis
iinecessary, iipatient iiis iidemonstrating iinormal iiadolescents iibehavior
Modafenil ii- iiAnswers ii-stimulant iiused iifor iinarcolepsy iiOSA
normal iichange iiin iicircadian iirhythm iiin iiadolescents ii? ii- iiAnswers ii-after iipuberty
iiadolescents iicircadian iirhythms iiare iiapproximately ii2h iidelayed
(Cr)37 iifemale iiHIV iipositive iiCD4 iicount ii410, iiviral iiload ii30k iiwhich iiis iithe iibest iistep
iiin iiprevention iiof iithis iipatient iiinfections? ii- iiAnswers ii-pneumococcal iivaccine
types iiand iiadmonistrations ii? ii- iiAnswers ii-23-valent iivaccine iigiven iito ii65+ iipatients
iiand iipatients iiat iirisk ii19-64
13 iivalent iivaccine iiis iigiven iiusually iionly iito iilow iiimmune iisystem iiconditions. ii(HIV,
iilymphoma iileukemia iior iiMM, iiasplenia iipatients)
congenital iiimmunodeficiencies iiESKD iicochlear iiimplant, iicerebrospinal iifluid iileaks,
iisolid iiorgan iitransplants
, (Cr)47 iiwoman ii1 iiweek iiof iileft iisided iiweakness, iishe iihad iia iipancreatic iitransplant ii6
iimonths iiago iiand iitakes iimycophenolate iimofetil iiand iiprednisone. iihomogenous
iienhancing iiright iifrontotemporal iimass iiwith iisurrounding iiedema. iiBiopsy iishows
iimonoclonal iiB iilymphocytes. iimost iilikely iicause ii? ii- iiAnswers ii-B iicell iigives iiclue iito
iiEBV iivirus. ii
called iiPost iiTransplant iiLymphoproliferative iidisorder
evasion iiof iiinfected iiB iilymphocytes iifrom iiT iicells iiand iiproliferation.
management ii? ii- iiAnswers ii-Lower iithe iidose iiof iiimmunosuppressant iiand iigive
iirituximab iiif iinot iieffective iiPrimary iiB iilymphocyte iilymphoma iiregiment
R-CHOP ii- iiAnswers ii-Rituximab ii
C ii= iiCyclophosphamide
H ii= iiDoxorubicin iihydrochloride ii(Hydroxydaunorubicin)
O ii= iiVincristine iisulfate ii(Oncovin)
P ii= iiPrednisone
(WR)multiple iiMyeloma iicell iiline ii? ii- iiAnswers ii-Monoclonal iiB-Lymphocytes ii(plasma
iicells)
Erythroid iiStem iiCells ii? ii- iiAnswers ii-Polycythemia iivera
megakaryotic iistem iicells ii- iiAnswers ii-platelet iicells
Myeloid iistem iicells ii- iiAnswers ii-Acute iimyeloid iiLeukemia ii(myeloblasts iiwould iibe
iiseen ii)
(Cr) iipatient iiwith iihemolysis iiwhat iiare iithe iilabs iiexpected ii? ii- iiAnswers ii-increased
iiindirect iibilirubin iiincrease iiin iiLDH, iidecrease iiin iiHaptoglobin, iiincrease iiin iiurinary
iihemoglobin iiwhat iiabout iiALP ii? ii(only iifrom iibone iiand iigall iibladder)
LDH ii- iiAnswers ii-large iiamounts iiin iierythrocytes iican iibe iiuseful iito iimonitor
iierythrocyte iidamage.
(WR) ii27 iibrought iiin iifor iibizarre iibehavior iifor ii3 iihours. ii10 iiyear iihistory iiof
iischizophrenia iitreated iiwith iiolanzapine. iihe iiwas iigiven iia iiim iiinjection iiof iihaloperidol
iiin iithe iiER iidepartment iifor iiagitation. iihe iiis iimoaning iiand iiagitated iiand iilies iion iiexam
iitable iiwith iiarn iiheld iirigidly iiat iihis iisides. iithe iimouth iiis iiopen iiand iihe iiis iimaximal
iiupward iideviation iiof iithe iieyes. iihe iiis iinot iiable iito iimove iihis iieye iidown iiwhen iiasked.
iiwhat iiis iithe iimost iilikely iicause ii? ii- iiAnswers ii-Acute iiDystonic iireaction
common iipresentations ii? ii- iiAnswers ii-Torticollis(head iitilted iito iithe iiside iiand iidown) ii
Retrocollis ii(head iitilted iiback) iiopisthotonos(Arching iiback) iioculogyric iicrisis ii(deviation
iiof iithe iieyes)
answers
(Cr) ii7 iiyears iiold iiboy iiurinary iiincontinence, iioccasional iihard iipainful iistools, iiday iitime
iienuresis, iisince iihe iiwas iitoilet iitrained ii25th ii/35th iiheight iiand iiweight iirespectfully iivital
iisigns iiphysiacal iiexam iiand iiurinalysis iiWNL. iiwhat iiis iithe iibest iinext iistep ii? ii- iiAnswers
ii-Patient iimost iilikely iihas iianuresis iidue iito iicompression iiof iithe iibladder iiby iidilated
iirectum iifrom iihardened iistools
management iiof iihis iiurinary iiincontinence ii? ii- iiAnswers ii-no iiimaging iineeded, iiosmotic
iilaxatives iiand iidiet iimodification iiwith iihigh iifiber iiand iimore iifluids.
urination iiat iinight iievaluation ii? ii- iiAnswers ii-bed iiwetting iialarm iiis iiuseful
when iiwould iiyou iido iiUrinary iiU/s ii? ii- iiAnswers ii-suspected iivesicoureteral
iireflux(recurrent iiUTI) iihydronephrosis iior iicongenital iiurinary iitract
iiabnormalities(congenital iisyndromes iilike iivectral iiand iicharge) iibest iitest iifor iithis
iipatients iiis iiretrograde iicysturethrogram
(cr) ii14 iiyo iiboy, iimother iicomplains iithat iiit iihas iibeen iidificult iito iiwake iihim iiup iifrom
iisleep iisince iihe iistarted iischool ii3 iimonths iiago. iischool iilife iihasnt iichanged, iithe
iipatient iistated iithat iihe iistarted iiwatching iia iitv iishow iiat ii10pm iievery iinight iibecause
iihe iidoes iinot iifeel iitired iiand iienjoys iiwatching iiit. iiphysical iiexam iiis iinormal. iiwhat iiis
iithe iinext iistep iiin iitreatment iiof iithis iipatient ii? ii- iiAnswers ii-no iifurther iitreatment iiis
iinecessary, iipatient iiis iidemonstrating iinormal iiadolescents iibehavior
Modafenil ii- iiAnswers ii-stimulant iiused iifor iinarcolepsy iiOSA
normal iichange iiin iicircadian iirhythm iiin iiadolescents ii? ii- iiAnswers ii-after iipuberty
iiadolescents iicircadian iirhythms iiare iiapproximately ii2h iidelayed
(Cr)37 iifemale iiHIV iipositive iiCD4 iicount ii410, iiviral iiload ii30k iiwhich iiis iithe iibest iistep
iiin iiprevention iiof iithis iipatient iiinfections? ii- iiAnswers ii-pneumococcal iivaccine
types iiand iiadmonistrations ii? ii- iiAnswers ii-23-valent iivaccine iigiven iito ii65+ iipatients
iiand iipatients iiat iirisk ii19-64
13 iivalent iivaccine iiis iigiven iiusually iionly iito iilow iiimmune iisystem iiconditions. ii(HIV,
iilymphoma iileukemia iior iiMM, iiasplenia iipatients)
congenital iiimmunodeficiencies iiESKD iicochlear iiimplant, iicerebrospinal iifluid iileaks,
iisolid iiorgan iitransplants
, (Cr)47 iiwoman ii1 iiweek iiof iileft iisided iiweakness, iishe iihad iia iipancreatic iitransplant ii6
iimonths iiago iiand iitakes iimycophenolate iimofetil iiand iiprednisone. iihomogenous
iienhancing iiright iifrontotemporal iimass iiwith iisurrounding iiedema. iiBiopsy iishows
iimonoclonal iiB iilymphocytes. iimost iilikely iicause ii? ii- iiAnswers ii-B iicell iigives iiclue iito
iiEBV iivirus. ii
called iiPost iiTransplant iiLymphoproliferative iidisorder
evasion iiof iiinfected iiB iilymphocytes iifrom iiT iicells iiand iiproliferation.
management ii? ii- iiAnswers ii-Lower iithe iidose iiof iiimmunosuppressant iiand iigive
iirituximab iiif iinot iieffective iiPrimary iiB iilymphocyte iilymphoma iiregiment
R-CHOP ii- iiAnswers ii-Rituximab ii
C ii= iiCyclophosphamide
H ii= iiDoxorubicin iihydrochloride ii(Hydroxydaunorubicin)
O ii= iiVincristine iisulfate ii(Oncovin)
P ii= iiPrednisone
(WR)multiple iiMyeloma iicell iiline ii? ii- iiAnswers ii-Monoclonal iiB-Lymphocytes ii(plasma
iicells)
Erythroid iiStem iiCells ii? ii- iiAnswers ii-Polycythemia iivera
megakaryotic iistem iicells ii- iiAnswers ii-platelet iicells
Myeloid iistem iicells ii- iiAnswers ii-Acute iimyeloid iiLeukemia ii(myeloblasts iiwould iibe
iiseen ii)
(Cr) iipatient iiwith iihemolysis iiwhat iiare iithe iilabs iiexpected ii? ii- iiAnswers ii-increased
iiindirect iibilirubin iiincrease iiin iiLDH, iidecrease iiin iiHaptoglobin, iiincrease iiin iiurinary
iihemoglobin iiwhat iiabout iiALP ii? ii(only iifrom iibone iiand iigall iibladder)
LDH ii- iiAnswers ii-large iiamounts iiin iierythrocytes iican iibe iiuseful iito iimonitor
iierythrocyte iidamage.
(WR) ii27 iibrought iiin iifor iibizarre iibehavior iifor ii3 iihours. ii10 iiyear iihistory iiof
iischizophrenia iitreated iiwith iiolanzapine. iihe iiwas iigiven iia iiim iiinjection iiof iihaloperidol
iiin iithe iiER iidepartment iifor iiagitation. iihe iiis iimoaning iiand iiagitated iiand iilies iion iiexam
iitable iiwith iiarn iiheld iirigidly iiat iihis iisides. iithe iimouth iiis iiopen iiand iihe iiis iimaximal
iiupward iideviation iiof iithe iieyes. iihe iiis iinot iiable iito iimove iihis iieye iidown iiwhen iiasked.
iiwhat iiis iithe iimost iilikely iicause ii? ii- iiAnswers ii-Acute iiDystonic iireaction
common iipresentations ii? ii- iiAnswers ii-Torticollis(head iitilted iito iithe iiside iiand iidown) ii
Retrocollis ii(head iitilted iiback) iiopisthotonos(Arching iiback) iioculogyric iicrisis ii(deviation
iiof iithe iieyes)
