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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USMLE Step 2 CK (Clinical Knowledge) High Yield Rapid Exam
Review NBME First Aid for CK, Secrets for CK, and USMLE World
NBME National Board of Medical Examiners 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: -
A patient with hx of PID presenting with primary infertility. First
line imaging test to assess Fallopian tube patency? -
=Answer>> hysterosalpingogram
infusion of a radio contrast into the cervix under fluoroscopy.
Minimally invasive and also can identify uterine cavity
anomalies.
persistent symptoms of nasal discharge, congestion, cough,
last 10-30 days without improvement. high fevers. and purulent
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nasal drainage for at least 3 days. Most common predisposing
factor? - =Answer>> Most common predisposing factor for
bacterial sinusitis is a viral upper respiratory infection.
Obese Child
with dull hip PAIN or referred knee pain and a painful limp
with restricted ROM and inability to bear weight
on exam has limited rotation and abduction of the hip
Diagnosis & Tx? - =Answer>> Slipped Capital Femoral
Epiphysis
requires immediate surgical screw fixation to reduce risk of
AVN
chronic, progressive leg pain and limp in a 3-12 yo Boy
Limited abduction and internal rotation. Atrophy of proximal
thigh muscles.
Diagnosis & Tx? - =Answer>> Legg-Calve-Perthes Disease
or Idiopathic Osteonecrosis (avascular necrosis) of the femoral
epiphysis.
-Flattened and fragmented femoral head on radiograph
Tx:
Mild: Observation
Moderate: bracing, hip abduction with a petrie cast
Extensive: osteotomy
fall in systemic arterial pressure by more than 10mmHg during
inspiration. What is it? and what cardiac problem is it
associated with? - =Answer>> pulsus paradoxus
-Associated with cardiac Tamponade
-Becktriad can diagnose acute cardiac tamponade:
1. JVD (Kussmaul sign (increased JVD on inspiration))
2. Hypotension
3. Distant heart sounds
fluid accumulation in pericardial cavity increases
intrapericardial pressure restricting venous return to the heart
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lowering R & L ventricular filling. Net result = Decreased
Preload, Stroke Volume , Cardiac output.
Pulsus Parvus (decreased pulse amplitude) and Pulsus Tardus
(delayed pulse upstroke)
(weak,delayed carotid upstroke) and a single or paradoxically
split S2 sound;
systolic murmur radiating to the carotids.
associated with what cardiac defect? - =Answer>> aortic
stenosis
Most common causes:
1. senile calcific aortic stenosis (Elderly)
2. bicuspid aortic valve (<70 yo)
3. rheumatic heart disease
high resistance generated by stenosed aortic valve causes
concentric hypertrophy and stiffening of the left ventricle (S4)
leading to CHF.
Bounding or "water hammer" pulses, with widened pulse
pressure and head bob with heartbeat are associated with what
cardiac defect? Common etiologies? Treatment? -
=Answer>> aortic regurgitation
-Congenital Bicuspid Aortic Valve, Rheumatic Heart Disease,
Endocarditits, Aortic Root Dilation (Marfan, Syphilis)
-tx: Vasodilator therapy (dihydropyridines or ACEIs) for isolated
aortic regurgitation until symptoms become severe enough to
warrant valve replacement.
Acute popping sensation in knee with catching, and locking,
and slow onset joint effusion. patient complains of sensation of
instability. with joint line tenderness on exam.
What is the problem, Diagnosis, and management? -
=Answer>> meniscal tear
-MRI for diagnosis
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