National Board of Medical Examiners (NBME)
NBME USMLE (United States Medical Licensing
Examination): USMLE Step 1, 2 and 3
NBME CBSSA & NBME CBSE Comprehensive Basic
Science Self- Assessment and Examination
Course Title and Number: NBME CBSSA, NBME CBSE, and
NBME USMLE Exam
Exam Title: NBME
Exam Date: Exam 2025- 2026
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Student Name: ___ [Insert Student’s Name] _____
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Examination
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5. Please answer each question below and click Submit when you
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USMLE Step 2 CK (Clinical Knowledge) NBME USMLE United
States Medical Licensing Examination Questions and Answers |
100% Pass Guaranteed | Graded A+ |
2025- 2026
NBME USMLE (United States Medical Licensing Examination)
USMLE Step 1, Step 2 CK (Clinical Knowledge), Step 2 CS
(Clinical Skills - discontinued), & Step 3
NBME CBSSA & NBME CBSE Comprehensive Basic Science Self-
Assessment and Examination
National Board of Medical Examiners (NBME)
Read All Instructions Carefully and Answer All the
Questions Correctly Good Luck: -
1. 2mo infant is exclusively breastfed. What nutritional
supplement?: Oral VitD to prevent rickets
2. What HTN drug causes peripheral edema, flushing,
dizziness?: CCB eg nifedipine
3. 15yo girl with recurrent candida infections of skin
and mucous membranes since childhood. Dx?:
Chronic mucocutaneous candidiasis (T cell dysfunction)
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4. 57yoM with impotence for 1 year rand bronze
colored skin. Ferritin concen- tration is 4050 NG/ml.
Increased risk for what complication?: 1. Liver
(primary organ)--hepatocellular carcinoma
2. Others: pancreas (DM), heart (CHF), skin, thyroid (hypo),
gonads, joints (arthritis)
5. 87yo's daughter: "we want my mother to receive
hospice care at home but no one wants her to die at
home. Can she still have hospice services?": Yes.
Hospice can provide home based care and attempt to
transfer the pt to another site before death.
6. 32yoF with 4d of fever with lymphatic obstruction.
PE: the left lower extrem- ity is diffuse lay red and
edematous from just below the knee to the ankle,
with a sharp demarcation separating the
erythematous area from the normal skin at the
knee. The erythematous area is painful and
hyperesthetic to touch. The left oral nodes are
enlarged and painful. Dx and cause?: Erysipelas
- usually caused by group A strep
- Tx: IM or oral penicillin/erythromycin
7. 16yo girl with painful genital lesions or 2d. Lots of
sexual partners. Exam shows two 3x3mm ulcerated
lesions on the anterior vaginal vault. How prevent
transmission with new partner?: Consistent condom
use (NOT pharmacological treatment)
8. 37yo primigravid at 25 weeks' gestation with
confusion for 12 hours. Fever and intermittent
nausea and vomiting over the past 2 weeks. No
contractions, but decreased fetal movement. Family
Hx of T1DM, seizure disorder. T 38.8,
P 168/min, BP 187/84. Mildly enlarged thyroid gland.
Lungs clear. 3/6 systolic ejection murmur. Fetal heart
rate 182/min. Labs show: Hb 9.9, platelets 282k, Serum:
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Na 134, Cl 94, K 2.9, Thyroid-stimulating hormone 0.01,
AST 33, LDH 112, Uric acid 5.4. Dx?: Thyroid storm
- Precipitants: infection, DKA, stress (childbirth, trauma,
surgery, illness)
- Sx: fever, tachycardia, agitation, confusion, GI symptoms
(n/v/d)
- Tx: supportive therapy with IV fluids, cooling blankets,
glucose; PTU ever y2h, follow with iodine; beta blockers to
control HR; dexamethasone to impair t3 from T4
9. 37yo F with 4-month history of numbness, burning,
and tingling of the toes and soles of her feet. 3-year
hx of recurrent mouth sores. Numerous oral
apthous ulcers, genital ulcers, and several 2.5-cm red
lesions over the left anterior tibial region. Photophobia.
Ankle reflexes are absent. Proprioception and sensation
to pinprick and vibration decreased in lower ext. Dx?:
Behcet syndrome
- autoimmune vasculititc disease
- Sx: recurrent oral and genital ulcerations (usu painful),
arthritis (knees, ankles), eye involvement (uveitis, optic
neuritis, conjuncitivitis), CNS involvement (intracranial HTN,
meningoencephalitis), fever, wt loss; erythema nodosum-
like lesions, pseudo- folliculitis
- Dx: bx
Tx: steroids
*NOT polyarteritis nodosa
- can be associated with hep B, HIV, drug reactions
- Sx: fever, wt loss, myalgias, abdominal pain (bowel angina)
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