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NBME 31 Test V2 (Latest 2025/ 2026 Update) Questions & Answers| Grade A| 100% Correct (Verified Solution)

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NBME 31 Test V2 (Latest 2025/ 2026 Update) Questions & Answers| Grade A| 100% Correct (Verified Solution) QUESTION superior meatus drains Answer: posterior ethmoid QUESTION middle meatus drains Answer: frontal, maxillary, anterior ethmoid QUESTION inferior meatus drains Answer: nasolacrimal duct (tears) QUESTION how many calories are in a pound? Answer: 3500 calories QUESTION lung mass, dry mouth, muscle weakness, inability to achieve erection, fatigue Answer: small cell lung cancer paraneoplastic lambert eaton impaired Ach release at nm junction QUESTION study where hepatocytes dedifferentiate in culture and lose their functions. when cocultured w biliary epithelial cells preserves many functions. compared w grown alone, cocultured probably produced increased: Answer: urea QUESTION hepatocyte important processes Answer: urea cycle amino acid deamination transamination gluconeogenesis synthesis of albumin & coag factors QUESTION androgenic allopecia is caused by Answer: DHT binding to androgen receptors in terminal follicles over time, DHT promotes terminal follicle miniaturization and transition to vellus hairs QUESTION man w thickening of left ventricle muscle. underlying condition? Answer: hypertension common cause of diastolic + systolic dysfunction chronic HTN associated w left ventricular hypertrophy as a result of constant work against increased afterload QUESTION dextromethorphan Answer: antagonizes NMDA glutamate receptors mild opioid effect when used in excess naloxone for overdose can cause serotonin syndrome QUESTION ketamine moa Answer: NMDA receptor antagonist QUESTION angiomyolipoma Answer: renal tumor blood vessels, smooth muscle, adipose tuberous sclerosis QUESTION renal cell carcinoma Answer: triad: hematuria, palpable mass, flank pain fever, weight loss, paraneoplastic syndrome (EPO, renin, PTH, ACTH) can present w left sided varicocele, can involve the renal vein and block drainage of spermatic vein yellow mass, clear cytoplasm loss of VHL QUESTION renal cell carcinoma is usually Answer: clear cell carcinoma QUESTION renal cell adenocarcinoma involves loss of what tumor suppressor gene? Answer: VHL increased IGF1 increased HIF transcription factor (increases VEGF and PDGF) QUESTION two pathways to develop renal cell carcinoma Answer: sporadic - smokers hereditary - younger, multiple, bilateral QUESTION von hippel lindau disease Answer: AD disorder associated with inactivation of VHL gene leading to increased risk for hemangioblastoma of the cerebellum and renal cell carcinoma QUESTION wilms tumor

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NBMEl 31l Testl V2l (Latestl 2025/l 2026l
Update)l Questionsl &l Answers|l Gradel A|l
100%l Correctl (Verifiedl Solution)




Q:l superiorl meatusl drains
Answer:
posteriorl ethmoid

Q:l middlel meatusl drains
Answer:
frontal,l maxillary,l anteriorl ethmoid

Q:l inferiorl meatusl drains
Answer:
nasolacrimall ductl (tears)

,Q:l howl manyl caloriesl arel inl al pound?
Answer:
3500l calories

Q:l lungl mass,l dryl mouth,l musclel weakness,l inabilityl tol achievel erection,l fatigue
Answer:
smalll celll lungl cancerl
paraneoplasticl
lambertl eaton
impairedl Achl releasel atl nml junction

Q:l studyl wherel hepatocytesl dedifferentiatel inl culturel andl losel theirl functions.l whenl
coculturedl wl biliaryl epitheliall cellsl preservesl manyl functions.l comparedl wl grownl alone,l
coculturedl probablyl producedl increased:
Answer:
urea

Q:l hepatocytel importantl processes
Answer:
ureal cycle
aminol acidl deaminationl
transamination
gluconeogenesis
synthesisl ofl albuminl &l coagl factors

Q:l androgenicl allopecial isl causedl by
Answer:
DHTl bindingl tol androgenl receptorsl inl terminall folliclesl
overl time,l DHTl promotesl terminall folliclel miniaturizationl andl transitionl tol vellusl hairs

,Q:l manl wl thickeningl ofl leftl ventriclel muscle.l underlyingl condition?
Answer:
hypertension
commonl causel ofl diastolicl +l systolicl dysfunction
chronicl HTNl associatedl wl leftl ventricularl hypertrophyl asl al resultl ofl constantl workl
againstl increasedl afterload

Q:l dextromethorphan
Answer:
antagonizesl NMDAl glutamatel receptorsl
mildl opioidl effectl whenl usedl inl excessl
naloxonel forl overdose
canl causel serotoninl syndrome

Q:l ketaminel moa
Answer:
NMDAl receptorl antagonist

Q:l angiomyolipoma
Answer:
renall tumor

, bloodl vessels,l smoothl muscle,l adipose
tuberousl sclerosis

Q:l renall celll carcinoma




Answer:
triad:l hematuria,l palpablel mass,l flankl pain
fever,l weightl loss,l paraneoplasticl syndromel (EPO,l renin,l PTH,l ACTH)
canl presentl wl leftl sidedl varicocele,l canl involvel thel renall veinl andl blockl drainagel ofl
spermaticl vein
yellowl mass,l clearl cytoplasm
lossl ofl VHL

Q:l renall celll carcinomal isl usually
Answer:
clearl celll carcinoma

Q:l renall celll adenocarcinomal involvesl lossl ofl whatl tumorl suppressorl gene?
Answer:
VHL
increasedl IGF1
increasedl HIFl transcriptionl factorl (increasesl VEGFl andl PDGF)

Q:l twol pathwaysl tol developl renall celll carcinoma
Answer:

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