NBME CBSE REAL EXAM 200 QUESTIONS
AND ANSWERS LATEST -2024 (usmle step
1)MEDICAL
70yo M dies in a motor vehicle collision. Was undergoing evaluation
for occult blood in the stool. Photo of transverse colon shown. Dx? -
ANSWER- Tubular adenoma
38yo M with 1-week hx of watery, itchy eyes and a runny nose. Physical
shows inflamed nasal mucosa. No congestion in lower lung.
Pharmacotherapy? - ANSWER- Loratadine
16yo girl with
38.3, P 88/min,
bilateral inters
awaiting transp
agglutination? - ANSWER- IgM
3-day hx of fever, nonproductive cough, and fatigue.
TBP 102-70. PE shows pale conjunctivae. CXR shows
24yo M with small tender blisters on his penis 3 days after unprotected sex. Photograph shown. Causal
agent?
- ANSWER- titi al infiltrates. Blood spontaenously agglutinates while
ort to the laboratory. Antibody isotypes causing
42yo F with 3-year hx of an intermittent facial rash, including the
forehead, eyelids, nose, and cheeks. Rash seems to be getting
worse
since she moved from New York to Florida last year. Spicy foods
, NBME CBSE REAL EXAM 200 QUESTIONS AND
ANSWERS LATEST 2023-2024 (usmle step
1)MEDICAL
EXAMINATION LATEST UPDATESJUNE 2023 A
precipitate a flushing reaction that seems to exacerbate the rash. PE shows erythema over the nose and cheeks,
with scattered telangiectasias and a few papules. Dx? - ANSWER-
53yo M returned from Africa, has fever, headache, and abdominal
discomfort. Received appropriate vaccinations prior to the trip. T 39.4C.
A wright-stained peripheral smear shown. Dx? - ANSWER- Malaria
68yo F with T2DM and hypertension that has been poorly controlled
despite hydrochlorothiazide treatment. BP 150/96, Labs show serum
glucose concentration of 130 and proteinuria. In addition to current Rx,
which is most appropriate pharmacotherapy? - ANSWER- Lisinopril
66yo M with stage IV colon cancer with 3-day hx of severe diarrhea
after receiving chemotherapy with fluorouracil, leucovorin, and
Irinotecan. prescribed opioid antidiarrheal agent with no CNS
effects. Which med? - ANSWER- Loperamide
35yo M in ED with 2-hour hx of sever fatigue and dizziness. Had
profuse, watery diarrhea for 8 hours despite a lack of oral intake.
Recently returned from a medical relief trip to a remove village in
Honduras. T 36.7 C, P 122/min, BP 90/50. PE shows dry skin and
decreased capillary refill. Stool for occult blood is negative; stool is gray
and turbid. Gram stain shows gram-negative, comma-shaped bacteria;
no erythrocytes of leukocytes. MOA of toxin? - ANSWER- Activation
of adenylyl
cyclase
59yo F with gradual onset of lack of muscle control in her left arm and
leg. Sx 1 mo ago after dx with metastatic breast cancer. PE shows ataxia
of left upper and lower extremities. Muscle strength, DTR, sensation,
proprioception normal. Metastatic tumor in which location?
-ANSWER-
cerebellum
,NBME CBSE REAL EXAM 200 QUESTIONS AND
ANSWERS LATEST 2023-2024 (usmle step
1)MEDICAL
EXAMINATION LATEST UPDATESJUNE 2023 A
, NBME CBSE REAL EXAM 200 QUESTIONS AND
ANSWERS LATEST 2023-2024 (usmle step
1)MEDICAL
EXAMINATION LATEST UPDATESJUNE 2023 A
Newborn delivered at 38 weeks' gestation weighs 1800 g. PE shows petechial rash, microcephaly, and
hepatosplenomegaly. Serologic test for CMV: IgG + in mother, + in newborn; IGM - in mother, + in newborn.
Explanation? - ANSWER
Female newborn is delivered at 38 weeks' gestation. Apgar 8 and 8 at 1/5
min. PE shows a bulging, fluod0filled mass approximately 5 cm in
diameter in the midline over the lumbosacral region. No spontaneous
postconception (in days)? - ANSWER- ly occurred
movements of the lower extremities.
because of abnormal development during which periods of Abnormality most
likeM in ED 3 hours after SOB with exertion and extreme fatigue. Has ischemic heart disease. P 125/min, BP
64yo
105/60. ECG shows atrial fibrillation. Intravenous ibutilide is administered. Ten minutes later, ECG
shows normal sinus rhythm. Risk for which drug effect in the next
6 hours? - ANSWER- torsades de pointes
65yo F with 20-year hx of osteoarthritis of the hands now has pain radiating down the distal anterior
thigh, knee, medial leg, and food. Bony outgrowth of vertebrae compressing one of the spinal nerves
is suspected. Nerve root in which intervertebral foramina is effected? - ANSWER
38yo M with 3-year hx of T2DM. Taking an oral antihyperglycemic agent, he has tried diet and exercise.
BMI 32. PE normal. Hb A1c is 10%. Physician recommends initiation of insulin injections. Responds, "I
know that insulin would help control my blood sugar. But a lot of people in my family have diabetes, and
insulin made them really sick at times. Patient is at which stage of change? - ANSWER-
24yo M with 2-day history of an itchy rash on his arms and legs. Returned from a camping trip in the woods 5
days ago. PE shows
AND ANSWERS LATEST -2024 (usmle step
1)MEDICAL
70yo M dies in a motor vehicle collision. Was undergoing evaluation
for occult blood in the stool. Photo of transverse colon shown. Dx? -
ANSWER- Tubular adenoma
38yo M with 1-week hx of watery, itchy eyes and a runny nose. Physical
shows inflamed nasal mucosa. No congestion in lower lung.
Pharmacotherapy? - ANSWER- Loratadine
16yo girl with
38.3, P 88/min,
bilateral inters
awaiting transp
agglutination? - ANSWER- IgM
3-day hx of fever, nonproductive cough, and fatigue.
TBP 102-70. PE shows pale conjunctivae. CXR shows
24yo M with small tender blisters on his penis 3 days after unprotected sex. Photograph shown. Causal
agent?
- ANSWER- titi al infiltrates. Blood spontaenously agglutinates while
ort to the laboratory. Antibody isotypes causing
42yo F with 3-year hx of an intermittent facial rash, including the
forehead, eyelids, nose, and cheeks. Rash seems to be getting
worse
since she moved from New York to Florida last year. Spicy foods
, NBME CBSE REAL EXAM 200 QUESTIONS AND
ANSWERS LATEST 2023-2024 (usmle step
1)MEDICAL
EXAMINATION LATEST UPDATESJUNE 2023 A
precipitate a flushing reaction that seems to exacerbate the rash. PE shows erythema over the nose and cheeks,
with scattered telangiectasias and a few papules. Dx? - ANSWER-
53yo M returned from Africa, has fever, headache, and abdominal
discomfort. Received appropriate vaccinations prior to the trip. T 39.4C.
A wright-stained peripheral smear shown. Dx? - ANSWER- Malaria
68yo F with T2DM and hypertension that has been poorly controlled
despite hydrochlorothiazide treatment. BP 150/96, Labs show serum
glucose concentration of 130 and proteinuria. In addition to current Rx,
which is most appropriate pharmacotherapy? - ANSWER- Lisinopril
66yo M with stage IV colon cancer with 3-day hx of severe diarrhea
after receiving chemotherapy with fluorouracil, leucovorin, and
Irinotecan. prescribed opioid antidiarrheal agent with no CNS
effects. Which med? - ANSWER- Loperamide
35yo M in ED with 2-hour hx of sever fatigue and dizziness. Had
profuse, watery diarrhea for 8 hours despite a lack of oral intake.
Recently returned from a medical relief trip to a remove village in
Honduras. T 36.7 C, P 122/min, BP 90/50. PE shows dry skin and
decreased capillary refill. Stool for occult blood is negative; stool is gray
and turbid. Gram stain shows gram-negative, comma-shaped bacteria;
no erythrocytes of leukocytes. MOA of toxin? - ANSWER- Activation
of adenylyl
cyclase
59yo F with gradual onset of lack of muscle control in her left arm and
leg. Sx 1 mo ago after dx with metastatic breast cancer. PE shows ataxia
of left upper and lower extremities. Muscle strength, DTR, sensation,
proprioception normal. Metastatic tumor in which location?
-ANSWER-
cerebellum
,NBME CBSE REAL EXAM 200 QUESTIONS AND
ANSWERS LATEST 2023-2024 (usmle step
1)MEDICAL
EXAMINATION LATEST UPDATESJUNE 2023 A
, NBME CBSE REAL EXAM 200 QUESTIONS AND
ANSWERS LATEST 2023-2024 (usmle step
1)MEDICAL
EXAMINATION LATEST UPDATESJUNE 2023 A
Newborn delivered at 38 weeks' gestation weighs 1800 g. PE shows petechial rash, microcephaly, and
hepatosplenomegaly. Serologic test for CMV: IgG + in mother, + in newborn; IGM - in mother, + in newborn.
Explanation? - ANSWER
Female newborn is delivered at 38 weeks' gestation. Apgar 8 and 8 at 1/5
min. PE shows a bulging, fluod0filled mass approximately 5 cm in
diameter in the midline over the lumbosacral region. No spontaneous
postconception (in days)? - ANSWER- ly occurred
movements of the lower extremities.
because of abnormal development during which periods of Abnormality most
likeM in ED 3 hours after SOB with exertion and extreme fatigue. Has ischemic heart disease. P 125/min, BP
64yo
105/60. ECG shows atrial fibrillation. Intravenous ibutilide is administered. Ten minutes later, ECG
shows normal sinus rhythm. Risk for which drug effect in the next
6 hours? - ANSWER- torsades de pointes
65yo F with 20-year hx of osteoarthritis of the hands now has pain radiating down the distal anterior
thigh, knee, medial leg, and food. Bony outgrowth of vertebrae compressing one of the spinal nerves
is suspected. Nerve root in which intervertebral foramina is effected? - ANSWER
38yo M with 3-year hx of T2DM. Taking an oral antihyperglycemic agent, he has tried diet and exercise.
BMI 32. PE normal. Hb A1c is 10%. Physician recommends initiation of insulin injections. Responds, "I
know that insulin would help control my blood sugar. But a lot of people in my family have diabetes, and
insulin made them really sick at times. Patient is at which stage of change? - ANSWER-
24yo M with 2-day history of an itchy rash on his arms and legs. Returned from a camping trip in the woods 5
days ago. PE shows
