NBME 17NBME CBSE REAL EXAM 200
QUESTIONS AND ANSWERS LATEST
2025 COMPLETE EXAM
Study designed to evaluate the efficacy of coenzyme Q10 in
improving cardiac output in patients with CHF. Sixty patients
with CHF are recruited. Each assigned by coin toss to one of
tw groups. Design? - ✔✔ANSWER✔✔->>RCT
12yo boy immersed up to his neck in 60F water for 20
minutes. Physiological changes?
ADH:
Central Blood volume:
ANP: - ✔✔ANSWER✔✔->>ADH: decreased (VC leads to
decreased ADH)
ANP: increased
Central blood volume: increased
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 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✔✔->>Rosacea
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 (ring forms in RBCs). 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✔✔->>ACE I
(Lisinopril)
66yo M with stage IV colon cancer with 3-day hx of severe
diarrhea after receiving chemotherapy with flourouracil,
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✔✔-
>>V. Cholerae--> activates AC
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
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✔✔->>Congenital CMV infection
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 movements of the
lower extremities. Abnormality most likely occurred because
of abnormal development during which periods of
, postconception (in days)? - ✔✔ANSWER✔✔->>15-40;
neutral tube closes at about 4 weeks
64yo M in ED 3 hours after SOB with exertion and extreme
fatigue. Has ischemic heart disease. P 125/min, BP 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✔✔->>L3
to L4
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✔✔->>Contemplation
QUESTIONS AND ANSWERS LATEST
2025 COMPLETE EXAM
Study designed to evaluate the efficacy of coenzyme Q10 in
improving cardiac output in patients with CHF. Sixty patients
with CHF are recruited. Each assigned by coin toss to one of
tw groups. Design? - ✔✔ANSWER✔✔->>RCT
12yo boy immersed up to his neck in 60F water for 20
minutes. Physiological changes?
ADH:
Central Blood volume:
ANP: - ✔✔ANSWER✔✔->>ADH: decreased (VC leads to
decreased ADH)
ANP: increased
Central blood volume: increased
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 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✔✔->>Rosacea
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 (ring forms in RBCs). 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✔✔->>ACE I
(Lisinopril)
66yo M with stage IV colon cancer with 3-day hx of severe
diarrhea after receiving chemotherapy with flourouracil,
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✔✔-
>>V. Cholerae--> activates AC
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
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✔✔->>Congenital CMV infection
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 movements of the
lower extremities. Abnormality most likely occurred because
of abnormal development during which periods of
, postconception (in days)? - ✔✔ANSWER✔✔->>15-40;
neutral tube closes at about 4 weeks
64yo M in ED 3 hours after SOB with exertion and extreme
fatigue. Has ischemic heart disease. P 125/min, BP 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✔✔->>L3
to L4
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✔✔->>Contemplation
