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NBME CBSE ACTUAL TEST QUESTIONS AND ANSWERS 2024/2025(Quiz bank with all the correct answers)(usmle step 1)Medical examination

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NBME CBSE ACTUAL TEST QUESTIONS AND ANSWERS 2024/2025(Quiz bank with all the correct answers)(usmle step 1)Medical examination

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NBME CBSE
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NBME CBSE

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October 24, 2025
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Written in
2025/2026
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NBME CBSE ACTUAL TEST QUESTIONS AND
ANSWERS 2024/2025
1. Bulbus g cordis:
ANS>> g Smooth gparts g(outflow gtract) gof gleft gand gright gventricles

2. endocardial g cushions: g
ANS>> g g Atrial gseptum, gmembranous ginterventricular gseptum; gAV gand gsemilunar gvalves

neural gcrest

3. left ghorn gof gthe gsinus gvenosus:
gANS>> g gcoronary gsinus




4. posterior, gsub gcardinal, gand gsupra gcardinal gveins:
gANS>> g gIVC




5. Right g common g cardinal g vein g and g right g anterior g cardinal g vein:
gANS>> g g SVC




6. Right ghorn gof gsinus gvenosus: g
ANS>> g Smooth gpart gof gright gatrium g(sinus gvenarum)

7. Patent gforamen govale:
gANS>> g gfailure gof gseptum gprimum gand gseptum gsecundum gto gfuse gafter gbirth




8. Transposition gof gthe ggreat
gvessels gTetralogy gof gFallot

Persistent gtruncus garteriosus:
gANS>> g Conotruncal gabnormalities gassociated gwith gfailure gof gneural gcrest gcells gto

gmigrate




9. ductus gvenosus: g
ANS>> g connects gthe gumbilical gvein gto gthe ginferior gvena gcava, gbypassing gthe gliver
1 g/
g56

,NBME CBSE ACTUAL TEST QUESTIONS AND
ANSWERS 2024/2025

becomes gligamentum gvenosum

10. phrenic g nerve:
gANS>> g g innervates gthe gdiaphragm gand gpericardium




11. S3 g heart g sound: g
ANS>> g g Increased gventricular gfilling gpressure g(e.g., gmitral gregurgitation, gHF), gcommon gin
gdilated gventricles



normal gin gkids gand gpregnant gwomen


12. S4 gheart gsound:

g ANS>> g gatrial gkick glate gdiastole, gright gbefore gS1

best gheard gat gapex gin gLLD gposition
g



High gatrial gpressure.

Stitt/hypertrophic gventricle g(aortic gstenosis, grestrictive gcardiomyopathy)

Always gabnormal

13. atria gcontract:
gANS>> g ga gwave gof gJVP




14. c g wave:
gANS>> g g RV gcontraction g(closed gtricuspid gvalve gbulging ginto gatrium) gwave gof gJVP




2 g/
g56

,NBME CBSE ACTUAL TEST QUESTIONS AND
ANSWERS 2024/2025
15. x gdescent:
gANS>> g gJVP gwave gcorresponding gto gdownward gdisplacement gof gclosed gtricuspid gvalve gduring

grapid gventric- g ular gejection gphase



reduced gor gabsent gin gtricuspid gregurge


16. V g wave: g
ANS>> g JVP gwave gcorresponding gto ginc'd gRA gpressure gdue gto gfilling gagainst gclosed gtricuspid
gvalve




17. y gdescent:
gANS>> g gJVP gwave gcorresponding gto gRA gemptying ginto gRV



absent gin gcardiac gtamponade

18. plusus gparvus get gtardus:
gANS>> g gpulses gare gweak gwith gdelayed gpeak



Aortic gstenosis

19. PR g interval:
gANS>> g g 0.12-0.20 gseconds



120 gmilliseconds

20. QT ginterval glength:
gANS>> g g9 g- g11 gsquares g= g.36 gto g.44 gseconds




21. Hypokalemia:
gANS>> g gU gwave gpresent gon gECG




3 g/
g56

,NBME CBSE ACTUAL TEST QUESTIONS AND
ANSWERS 2024/2025
22. Mg g sulfate:
ANS>> g g for gtorsades gde gpointe, ghypokalemia g(can glengthen gQT gand gcause gtorsades), gand
g

gpre-eclampsia g(prevent gseizures)




23. Romano-Ward gsyndrome:
gANS>> g g-Congenital glong gQT gsyndrome

-Autosomal g dominant, g pure g cardiac g phenotype g (no g deafness).

24. Jervell g and g Lange-Nielsen g syndrome:
gANS>> g g -Congenital glong gQT gsyndrome

-Autosomal grecessive, gsensorineural gdeafness

25. Brugada g syndrome:
gANS>> g g -Autosomal gdominant gdisorder gattecting gNa gchannels gmost gcommon gin gAsian

gmales.

-ECG gpattern gof gpseudo-right gbundle gbranch gblock gand gST gelevations gin gV1-V3 g(anterior gventricular
gseptum)

-inc grisk gof gventricular gtachyarrhythmias gand gsudden gcardiac gdeatgh

Prevent gSCD gwith gimplantable gcardioverter-defibrillator g(ICD).

26. Wolff-Parkinson-White gSyndrome:
ANS>> g gMost gcommon gtype gof gventriuclar gpre-excitation gsydnrome. gAbnormal gfast
g

gaccessory gconduction gpathway gfrom gatria gto gvenricle gbypasses gthe grate-slowing gAV gnode gcausing ga

gdelta gwave gand gwidening gQRS gwith gshortened gPR ginterval. gCould glead gto ga greentrant gcircuit gand

gsuprvaventicular gtachy.




27. First gdegree gAV gblock: g
ANS>> g - gPRI g>5 gboxes/.20 gsec g(200 gmsec)
-Fixed gbut gprolonged gPRI

4 g/
g56
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