NBME Form 11 Exam Questions and
Answers
Heat exhaustion - Answers -exercise intolerance, increased core body temperatures,
and the absence of neurologic disturbances
Heat stroke - Answers -is characterized by hyperthermia, AMS or neurologic deficits,
and variable physical signs and symptoms depending on severity
Stimulus induced or spontaneous myoclonus is specific for? - Answers -Creutzfeldt-
Jakob disease
What is the first line treatment for narrow complex SVT? - Answers -AV nodal blockage
with adenosine
Bradford Hill Criteria for Causality - Answers -temporal relationship, strength of
association, dose-response relationship, Consistency, biological plossibility,
Consideration of alternate explanations, experiment, Specificity, coherence
BCG and PPD test - Answers -BCG effects wanes 5 years after vaccination
Diagnosis of empyema - Answers -Thoracentesis: frank pus or cloudy fluid in pleural
space. Pleural fluid: leukocytosis, pH <7.20, glucose <60 mg/dL, high LDH, elevated
protein, maybe infectious organisms.
Recommendation of treatment is with chest tube placement
What is the initial management of mild carpal tunnel syndrome? - Answers -ergonomic
changes to relieve the pressure ( Ex. Wrist pad for keyboard) or splinting
What are the risk factors for in-hospital mortality in a patient with a PE? - Answers -
Advanced age and obstructive shock
Pediatric Hypertension - Answers -measurement of serum renin and aldosterone, serum
and urine metanephrinphrines, and renal US with doppler to assess the patency of the
renal arteries
What is a distinguishing feature of opioid intoxication? - Answers -Miosis
CLABSI - Answers -central line associated blood stream infection workup includes
drawing blood from the CVC and another place while starting IV antibiotics
, Qualitative study - Answers -used to study social phenomena or how individuals
perceive their disease, barriers to pursuing treatment and social stigma surrounding
their disease
When to start screening with serum lipid levels? - Answers -MEN age 35
WOMEN age 45
You can start earlier if there is increased risk factors for CVD including HTN, Type 2 DM
and a family history
Midgut volvulus presentation in an infant - Answers -bilious vomiting, abdominal
distention, and pain
Diagnosis is confirmed via an upper GI series
Treatment of OA of the knee - Answers -NSAIDS
Physical therapy
Corticosteroids if conservative management fails
What is the next step in management to help prevent morbitity and mortality in a patient
with VUR? - Answers -Daily antibiotic prophylatic to help prevent infections and
complications
Serum sickness - Answers -systemic injury initiated by antigen-antibody complexes that
circulate in the blood
CM: Fever, Rash, arthralgias and arthritis
Following non-human medications like Inflixamab or equine botulism toxin antibody
Inhalant abuse - Answers -1. glue, tuolene, nitrous oxide
2. signs of acute intoxication - transient, brief euphoria + loss of consciousness
3. immediate effects lasting 15-45 minutes
4. CNS depressants - may cause death
5. dermatitis around mouth or nostrils is apparent
6. liver function tests - may be elevated with repeated use
7. Able to cause nystagmus, AMS, Headache
Suspect in young children and adolescents
Malaria - Answers -fever, fatigue, chills and anemia in a patient with recent endenmic
exposure
Adenomyosis - Answers -benign invasive growth of the endometrium that may cause
heavy, painful menstrual bleeding. Presents with an enlarged boggy uterus on exam.
Treatment is hysterectomy.
Answers
Heat exhaustion - Answers -exercise intolerance, increased core body temperatures,
and the absence of neurologic disturbances
Heat stroke - Answers -is characterized by hyperthermia, AMS or neurologic deficits,
and variable physical signs and symptoms depending on severity
Stimulus induced or spontaneous myoclonus is specific for? - Answers -Creutzfeldt-
Jakob disease
What is the first line treatment for narrow complex SVT? - Answers -AV nodal blockage
with adenosine
Bradford Hill Criteria for Causality - Answers -temporal relationship, strength of
association, dose-response relationship, Consistency, biological plossibility,
Consideration of alternate explanations, experiment, Specificity, coherence
BCG and PPD test - Answers -BCG effects wanes 5 years after vaccination
Diagnosis of empyema - Answers -Thoracentesis: frank pus or cloudy fluid in pleural
space. Pleural fluid: leukocytosis, pH <7.20, glucose <60 mg/dL, high LDH, elevated
protein, maybe infectious organisms.
Recommendation of treatment is with chest tube placement
What is the initial management of mild carpal tunnel syndrome? - Answers -ergonomic
changes to relieve the pressure ( Ex. Wrist pad for keyboard) or splinting
What are the risk factors for in-hospital mortality in a patient with a PE? - Answers -
Advanced age and obstructive shock
Pediatric Hypertension - Answers -measurement of serum renin and aldosterone, serum
and urine metanephrinphrines, and renal US with doppler to assess the patency of the
renal arteries
What is a distinguishing feature of opioid intoxication? - Answers -Miosis
CLABSI - Answers -central line associated blood stream infection workup includes
drawing blood from the CVC and another place while starting IV antibiotics
, Qualitative study - Answers -used to study social phenomena or how individuals
perceive their disease, barriers to pursuing treatment and social stigma surrounding
their disease
When to start screening with serum lipid levels? - Answers -MEN age 35
WOMEN age 45
You can start earlier if there is increased risk factors for CVD including HTN, Type 2 DM
and a family history
Midgut volvulus presentation in an infant - Answers -bilious vomiting, abdominal
distention, and pain
Diagnosis is confirmed via an upper GI series
Treatment of OA of the knee - Answers -NSAIDS
Physical therapy
Corticosteroids if conservative management fails
What is the next step in management to help prevent morbitity and mortality in a patient
with VUR? - Answers -Daily antibiotic prophylatic to help prevent infections and
complications
Serum sickness - Answers -systemic injury initiated by antigen-antibody complexes that
circulate in the blood
CM: Fever, Rash, arthralgias and arthritis
Following non-human medications like Inflixamab or equine botulism toxin antibody
Inhalant abuse - Answers -1. glue, tuolene, nitrous oxide
2. signs of acute intoxication - transient, brief euphoria + loss of consciousness
3. immediate effects lasting 15-45 minutes
4. CNS depressants - may cause death
5. dermatitis around mouth or nostrils is apparent
6. liver function tests - may be elevated with repeated use
7. Able to cause nystagmus, AMS, Headache
Suspect in young children and adolescents
Malaria - Answers -fever, fatigue, chills and anemia in a patient with recent endenmic
exposure
Adenomyosis - Answers -benign invasive growth of the endometrium that may cause
heavy, painful menstrual bleeding. Presents with an enlarged boggy uterus on exam.
Treatment is hysterectomy.
