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Exam (elaborations)
USMLE Step 1 NBME Form 31 
Exam Prep & Practice Questions 2026/2027 

A 68-year-old patient with Parkinson disease is prescribed a dopamine receptor agonist. Which medication is classified as an ergot-derived dopamine agonist? 
A.	Pramipexole 
B.	Ropinirole 
C.	Bromocriptine 
D.	Rotigotine 
Correct Answer: C. Bromocriptine 
Rationale: Bromocriptine is an ergot-derived dopamine receptor agonist that can improve Parkinsonian symptoms by directly stimulating dopamine receptors. Pramipexole, ropinirole, and rotigotine are nonergot dopamine agonists. Nonergot age...
Exam (elaborations)
USMLE Step 1 NBME Form 31 
Comprehensive Review & Quiz 
	2026/2027	 

PopularDuring autopsy of a 70-year-old man who died in a motor vehicle collision, a small, pedunculated polyp is identified in the transverse colon. Histologic examination shows closely packed tubular glands lined by dysplastic columnar epithelium. Which diagnosis is most likely? 
A.	Hyperplastic polyp 
B.	Tubular adenoma 
C.	Juvenile polyp 
D.	Inflammatory pseudopolyp 
Correct Answer: B. Tubular adenoma 
Rationale: A tubular adenoma is a neoplastic polyp composed predominantly of dysplastic tubu...