NBME CBSE EXAM 2025/2026 ACTUAL COMPLETE REAL EXAM
QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS )
ALREADY GRADED A+.
what antibiotics should you not take with Calcium Carbonate –
ANSWER- Fluoroquinolone (Ciprofloxacin)
Tetracycline
magnesium, aluminum, calcium, iron interfere
Why should you not take ACEi with Spironolactone - ANSWER -
hyper K risk
hyperK risk when taking ACEi with -
ANSWER -*ARB* K sparing (SEAT):
- *Aldo Antag: *Spironolactone, Eplernone
- *ENaC Inhib: *Amiloride, Triamterene
What causes a drug to have a
fast onset - ANSWER -low blood solubility
what causes a drug to be more potent - ANSWER -high
lipid solubility low MAC
,what chromo abnormality has CL/P and omphalocele - ANSWER
-tri 13
Patau
What chromo abnormality has low ears and small mandible -
ANSWER -tri 18
Edwards
Where is the most O2 in fetal circulation - ANSWER -IVC
What does the ductus arteriosus do - ANSWER -bypass the
lungs straight to descending aorta
Where is the SVC derived from - ANSWER -common cardinal
veins
How can congential torticollis happen - ANSWER -Breech
Malpositioning in utero
--> SCM fibrosis
Shaken Baby Syndrome tears what - ANSWER -*Bridging veins *
--> subdural hemorrhage
,- retinal hemorrage
- full fontanelle
What happens as blood-gas coefficient increases (more potent)
– ANSWER- MAC decreases
Tb: CD___ is on ______ - ANSWER -CD 14 on epitheliod
macrophages
Virulence of Tb - ANSWER -Cord factor
--> Caseating granulomas
Tb activates what cells (+ cytokines) - ANSWER -*CD4*
= IFNg and IL-12
--> *macrophage*
What is found in appendicitis abscess - ANSWER -bacteroides
Borrelia stages: symptoms/tx - ANSWER -1. erythema migrans
- Doxycylcine
2. Facial palsy
- Ceftriaxone
, 3. asymmetric migratory arthritis and encephalopathy
What is required to make PG cell wall - ANSWER -
glycosyltransferase
What bacteria does not have a cell wall - ANSWER -Mycoplasma
Hemolytic uremic syndrome - ANSWER -Shigella + E Coli
(O157:H7)
= bloody diarrhea
= Thrombocytopenia
*Microthrombi in small bv *--> AKI
increased *indirect bilirubin &
LDH*,
decreased Hgb & haptoglobin
what can HUS cause in kidney - ANSWER -*microthrombi* in
small bv
= Acute Kidney Injury (hematuria)
AE of inhaled anesthetics (halothane) - ANSWER -hepatotoxic
(p450) increase aminotransferase
QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS )
ALREADY GRADED A+.
what antibiotics should you not take with Calcium Carbonate –
ANSWER- Fluoroquinolone (Ciprofloxacin)
Tetracycline
magnesium, aluminum, calcium, iron interfere
Why should you not take ACEi with Spironolactone - ANSWER -
hyper K risk
hyperK risk when taking ACEi with -
ANSWER -*ARB* K sparing (SEAT):
- *Aldo Antag: *Spironolactone, Eplernone
- *ENaC Inhib: *Amiloride, Triamterene
What causes a drug to have a
fast onset - ANSWER -low blood solubility
what causes a drug to be more potent - ANSWER -high
lipid solubility low MAC
,what chromo abnormality has CL/P and omphalocele - ANSWER
-tri 13
Patau
What chromo abnormality has low ears and small mandible -
ANSWER -tri 18
Edwards
Where is the most O2 in fetal circulation - ANSWER -IVC
What does the ductus arteriosus do - ANSWER -bypass the
lungs straight to descending aorta
Where is the SVC derived from - ANSWER -common cardinal
veins
How can congential torticollis happen - ANSWER -Breech
Malpositioning in utero
--> SCM fibrosis
Shaken Baby Syndrome tears what - ANSWER -*Bridging veins *
--> subdural hemorrhage
,- retinal hemorrage
- full fontanelle
What happens as blood-gas coefficient increases (more potent)
– ANSWER- MAC decreases
Tb: CD___ is on ______ - ANSWER -CD 14 on epitheliod
macrophages
Virulence of Tb - ANSWER -Cord factor
--> Caseating granulomas
Tb activates what cells (+ cytokines) - ANSWER -*CD4*
= IFNg and IL-12
--> *macrophage*
What is found in appendicitis abscess - ANSWER -bacteroides
Borrelia stages: symptoms/tx - ANSWER -1. erythema migrans
- Doxycylcine
2. Facial palsy
- Ceftriaxone
, 3. asymmetric migratory arthritis and encephalopathy
What is required to make PG cell wall - ANSWER -
glycosyltransferase
What bacteria does not have a cell wall - ANSWER -Mycoplasma
Hemolytic uremic syndrome - ANSWER -Shigella + E Coli
(O157:H7)
= bloody diarrhea
= Thrombocytopenia
*Microthrombi in small bv *--> AKI
increased *indirect bilirubin &
LDH*,
decreased Hgb & haptoglobin
what can HUS cause in kidney - ANSWER -*microthrombi* in
small bv
= Acute Kidney Injury (hematuria)
AE of inhaled anesthetics (halothane) - ANSWER -hepatotoxic
(p450) increase aminotransferase
