NBME 12
A specific subtype of PAD presents with claudication, ED, dec LE pulse - correct answer Aortoiliac occlusion
ABI result indicative of PAD - correct answer Less than 0.9
Thoracotomy vs thoracostomy - correct answer Thoracotomy - making an incision to gain access to the thoracic organs
Thoracostomy - in large pneumothorax to evacuate the air in pleural space aiding in lung re- expansion
Heavy vaginal bleeding, plt count of 15k, BM with increased number of megakaryocte, normal plt in PBS - correct answer ITP
Low plt, low hgb, fever, neurologic abnormalities - correct answer TTP
Migratory superficial thrombophlebitis and arterial and venous emboli suggest of this pancreatic tumor location - correct answer Body and tail
Most predictive of poor prognosis in pancreatic CA - correct answer SMA involvement
Any fetus less than ___ is non viable and resuscitation efforts is inappropriate - correct answer 22
Fever, leukocytosis, purulent nasal drainage in setting of et and ng tube with no other signs of infection. Next step? - correct answer Ct scan of sinuses
SCID vs Digeorge - correct answer Di George has thymic hypoplasia or aplasia with conotruncal cardiac defects, hypocalcemia and craniofacial abnormalities Hydromorphone use would show ___ on abg - correct answer Hypercarbia (increase co2 due to decreased Rr)
Intoxicated physician seen in the clinic. Next step? - correct answer Make sure dr doesnt see patients then report to authorities (medical director or state board)
Copd patient with stable vital signs, no symptoms but with decreased bs on auscultation and minimal wheezing. Next step? - correct answer Pulmonary rehabilitation
Bipolar disorder in pregnant patient second trimester. Next step? - correct answer Continue with monitoring of dosaging and fetal cardiac utz. Do not switch to another mood stabilizer as in may cause risk for illness
At prenatal visit, pregnant patients are advised to have weight gain limit during pregnancy. For underweight: For obese: - correct answer 28 to 40 pounds UW
11-20 for obsese
Dx test for suspected SAH - correct answer >6 hours : nom contrast CT
<6 hrs and more sensitive: LP
DM patient with severe epigastric pain, bloating and intermittent N/V, weightloss. Next step? Tx? - correct answer Gastric emptying study
Dx: gastroparesis Tx: metoclop or erythromycin
A specific subtype of PAD presents with claudication, ED, dec LE pulse - correct answer Aortoiliac occlusion
ABI result indicative of PAD - correct answer Less than 0.9
Thoracotomy vs thoracostomy - correct answer Thoracotomy - making an incision to gain access to the thoracic organs
Thoracostomy - in large pneumothorax to evacuate the air in pleural space aiding in lung re- expansion
Heavy vaginal bleeding, plt count of 15k, BM with increased number of megakaryocte, normal plt in PBS - correct answer ITP
Low plt, low hgb, fever, neurologic abnormalities - correct answer TTP
Migratory superficial thrombophlebitis and arterial and venous emboli suggest of this pancreatic tumor location - correct answer Body and tail
Most predictive of poor prognosis in pancreatic CA - correct answer SMA involvement
Any fetus less than ___ is non viable and resuscitation efforts is inappropriate - correct answer 22
Fever, leukocytosis, purulent nasal drainage in setting of et and ng tube with no other signs of infection. Next step? - correct answer Ct scan of sinuses
SCID vs Digeorge - correct answer Di George has thymic hypoplasia or aplasia with conotruncal cardiac defects, hypocalcemia and craniofacial abnormalities Hydromorphone use would show ___ on abg - correct answer Hypercarbia (increase co2 due to decreased Rr)
Intoxicated physician seen in the clinic. Next step? - correct answer Make sure dr doesnt see patients then report to authorities (medical director or state board)
Copd patient with stable vital signs, no symptoms but with decreased bs on auscultation and minimal wheezing. Next step? - correct answer Pulmonary rehabilitation
Bipolar disorder in pregnant patient second trimester. Next step? - correct answer Continue with monitoring of dosaging and fetal cardiac utz. Do not switch to another mood stabilizer as in may cause risk for illness
At prenatal visit, pregnant patients are advised to have weight gain limit during pregnancy. For underweight: For obese: - correct answer 28 to 40 pounds UW
11-20 for obsese
Dx test for suspected SAH - correct answer >6 hours : nom contrast CT
<6 hrs and more sensitive: LP
DM patient with severe epigastric pain, bloating and intermittent N/V, weightloss. Next step? Tx? - correct answer Gastric emptying study
Dx: gastroparesis Tx: metoclop or erythromycin
