National Board of Medical Examiners (NBME)
NBME USMLE (United States Medical Licensing
Examination): USMLE Step 1, 2 and 3
NBME CBSSA & NBME CBSE Comprehensive Basic
Science Self- Assessment and Examination
Course Title and Number: NBME CBSSA, NBME CBSE,
and NBME USMLE Exam
Exam Title: NBME
Exam Date: Exam 2025- 2026
Instructor: ____ [Insert Instructor’s Name] _______
Student Name: ___ [Insert Student’s Name] _____
Student ID: ____ [Insert Student ID] _____________
Examination
Time: - ____ Hours: ___ Minutes
Instructions:
1. Read each question carefully.
2. Answer all questions.
3. Use the provided answer sheet to mark your responses.
4. Ensure all answers are final before submitting the exam.
5. Please answer each question below and click Submit when you
have completed the Exam.
6. This test has a time limit, The test will save and submit
automatically when the time expires
7. This is Exam which will assess your knowledge on the course
Learning Resources.
Good Luck……...!
1
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CBSE Comprehensive Basic Science Examination
Review Questions and Answers | 100% Pass
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2025- 2026
NBME CBSSA & NBME CBSE Comprehensive Basic
Science Self- Assessment and Examination
NBME USMLE (United States Medical Licensing
Examination): USMLE Step 1, 2 and 3
Read All Instructions Carefully and Answer All the
Questions Correctly Good Luck: -
1. In a steady state, the difference in CO2 content
between the venous blood leaving a tissue and the
arterial blood entering the tissue is determined by
which of the following ratios?
(A) Alveolar ventilation to tissue blood flow
(B) Alveolar ventilation to tissue O2 consumption
(C) Tissue CO2 production to tissue blood flow
(D) Tissue CO2 production to tissue O2
consumption
(E) Tissue CO2 production to venous PCO2
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, 2. A 16-month-old boy is brought to the physician by his
mother for a well-child examination. His mother
expresses concern that he did not walk until the age
of 14 months, whereas his older sister walked at the
age of 10 months. Physical examination shows no
abnormalities. Which of the following best explains
this patient’s condition?
(A) Autism spectrum disorder
(B) Child abuse
(C) Oppositional defiant disorder
(D) Sensory integration disorder
(E) Normal development
3. A 77-year-old woman is visited by the home care
nurse who notes that the patient is more lethargic
than usual. Her skin and mucous membranes are dry.
An increase in the serum concentration or activity of
which of the following provides the strongest
indication that the patient is dehydrated?
(A) Albumin
(B) Alkaline phosphatase
(C) Bilirubin
(D) Calcium
(E) Uric acid
4. A male newborn delivered at 26 weeks’ gestation
develops respiratory distress immediately after a
spontaneous vaginal delivery. His respirations are
40/min. Physical examination shows cyanosis and
lower rib retractions with respiration. Heart sounds
are normal. Bilateral breath sounds are heard on
auscultation. A chest x-ray shows bilateral lung
opacities. The most likely cause of this patient’s
breathing difficulties is insufficient production of
which of the following substances?
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