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Exam (elaborations)

NBME FINAL PAPER 2026 EXAM Q&A STUDY GUIDE GRADED A+

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NBME FINAL PAPER 2026 EXAM Q&A STUDY GUIDE GRADED A+

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Institution
NBME
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NBME

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Uploaded on
December 10, 2025
Number of pages
61
Written in
2025/2026
Type
Exam (elaborations)
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Questions & answers

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NBME FINAL PAPER 2026 EXAM Q&A STUDY
GUIDE GRADED A+


◉ Answer to the Previous Question. Answer: -C


-Fever + FND + Normal CT scan + lymphocytosis in CSF -> Think
Viral encephalitis. HSV is particularly unique for the EEG changes
mentioned in the case (i.e., temporal lobe predominance)


-HSV temporal lobe ,fever , blood in CSF: Answer PCR


◉ Image is the Question. Answer:


◉ Answer to the Previous Question. Answer: -E


-This is acute angle closure glaucoma


◉ Image is the Question. Answer:


◉ Answer to the Previous Question. Answer: -A

,◉ Image is the Question. Answer:


◉ Answer to the Previous Question. Answer: -E


-carpal tunnel syndrome. first splint then injection then surgery.


◉ Image is the Question. Answer:


◉ Answer to the Previous Question. Answer: -D


-This is Restless Leg Syndrome


◉ Image is the Question. Answer:


◉ Answer to the Previous Question. Answer: -C


-This is narcolepsy (daytime sleepiness with episodes of cataplexy)


◉ Image is the Question. Answer:


◉ Answer to the Previous Question. Answer: -C

,-Rifampin, usually


◉ Image is the Question. Answer:


◉ Answer to the Question. Answer: -G (this is a tension-type headache)


◉ Image is the Question. Answer:


◉ Answer to the Previous Question. Answer: -E


◉ Image is the Question. Answer:


◉ Answer to the Previous Question. Answer: -A


◉ Image is the Question. Answer:


◉ Answer to the Previous Question. Answer: -E


-Progressive generalized weakness with increasing confusion. Elderly
patients usually have brain atrophy and are more predisposed for
Subdural hematoma.
In Cerebral infarction we have acute neuro deficit not progressive.

, ◉ Image is the Question. Answer:


◉ Answer to the Previous Question. Answer: -E


-if the Rinne test shows that air conduction is greater than bone
conduction in both ears and the Weber test lateralizes to a particular ear,
then there is sensorineural hearing loss in the opposite (weaker) ear


◉ Image is the Question. Answer:


◉ Answer to the Previous Question. Answer: -B


-LFT's are normal because at this point the liver = cirrhosis (shrunken).
Which is burnt out and under-functionining.


-Elevated LFTs are an indicator of initial liver disease while INR >1.5 is
an indicator of late stage liver disease.


-The main problem isn't the bleeding but rather the increased intestinal
absorption of ammonia from the bleeding, so to directly improve the
mental status you give lactulose to bind the ammonia for excretion and
decrease serum levels

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