NBME 17NBME CBSE REAL EXAM 200 QUESTIONS AND
CORRECT ANSWERS LATEST 2026/2027 COMPLETE EXAM
70yoJMJdiesJinJaJmotorJvehicleJcollision.JWasJundergoingJevaluationJforJoccultJbloodJinJtheJstool.JPh
otoJofJtransverseJcolonJshown.JDx?J-JCORRECTJANSWERSJ-
TubularJadenomaJorJvillousJpolyp.JGIJbloodJlossJsuggestsJaJriskJforJmalignancy
38yoJMJtruckJdriverJwithJ1-
weekJhxJofJwatery,JitchyJeyesJandJaJrunnyJnose.JPhysicalJshowsJinflamedJnasalJmucosa.JNoJcongesti
onJinJlowerJlung.JPharmacotherapy?J-JCORRECTJANSWERSJ-Loratadine--
>JlessJsedatingJantihistamine
16yoJgirlJwithJ3-dayJhxJofJfever,JnonproductiveJcough,JandJfatigue.JTJ38.3,JPJ88/min,JBPJ102-
70.JPEJshowsJpaleJconjunctivae.JCXRJshowsJbilateralJinterstitialJinfiltrates.JBloodJspontaenouslyJagg
lutinatesJwhileJawaitingJtransportJtoJtheJlaboratory.JAntibodyJisotypesJcausingJagglutination?J-
JCORRECTJANSWERSJ-IgMJ(monoJandJmycoplasma)
24yoJMJwithJsmallJtenderJblistersJonJhisJpenisJ3JdaysJafterJunprotectedJsex.JPhotographJshown.JCau
salJagent?J-JCORRECTJANSWERSJ-HSV-2
42yoJFJwithJ3-
yearJhxJofJanJintermittentJfacialJrash,JincludingJtheJforehead,Jeyelids,Jnose,JandJcheeks.JRashJseemsJ
toJbeJgettingJworseJsinceJsheJmovedJfromJNewJYorkJtoJFloridaJlastJyear.JSpicyJfoodsJprecipitateJaJflu
shingJreactionJthatJseemsJtoJexacerbateJtheJrash.JPEJshowsJerythemaJoverJtheJnoseJandJcheeks,Jwit
hJscatteredJtelangiectasiasJandJaJfewJpapules.JDx?J-JCORRECTJANSWERSJ-Rosacea
53yoJMJreturnedJfromJAfrica,JhasJfever,Jheadache,JandJabdominalJdiscomfort.JReceivedJappropriat
eJvaccinationsJpriorJtoJtheJtrip.JTJ39.4C.JAJwright-
stainedJperipheralJsmearJshownJ(ringJformsJinJRBCs).JDx?J-JCORRECTJANSWERSJ-Malaria
,68yoJFJwithJT2DMJandJhypertensionJthatJhasJbeenJpoorlyJcontrolledJdespiteJhydrochlorothiazideJtr
eatment.JBPJ150/96,JLabsJshowJserumJglucoseJconcentrationJofJ130JandJproteinuria.JInJadditionJtoJ
currentJRx,JwhichJisJmostJappropriateJpharmacotherapy?J-JCORRECTJANSWERSJ-ACEJIJ(Lisinopril)
66yoJMJwithJstageJIVJcolonJcancerJwithJ3-
dayJhxJofJsevereJdiarrheaJafterJreceivingJchemotherapyJwithJflourouracil,Jleucovorin,JandJirinoteca
n.JPrescribedJopioidJantidiarrhealJagentJwithJnoJCNSJeffects.JWhichJmed?J-JCORRECTJANSWERSJ-
Loperamide
35yoJMJinJEDJwithJ2-
hourJhxJofJseverJfatigueJandJdizziness.JHadJprofuse,JwateryJdiarrheaJforJ8JhoursJdespiteJaJlackJofJora
lJintake.JRecentlyJreturnedJfromJaJmedicalJreliefJtripJtoJaJremoveJvillageJinJHonduras.JTJ36.7JC,JPJ122
/min,JBPJ90/50.JPEJshowsJdryJskinJandJdecreasedJcapillaryJrefill.JStoolJforJoccultJbloodJisJnegative;Jst
oolJisJgrayJandJturbid.JGramJstainJshowsJgram-negative,Jcomma-
shapedJbacteria;JnoJerythrocytesJofJleukocytes.JMOAJofJtoxin?J-JCORRECTJANSWERSJ-V.JCholerae--
>JactivatesJAC
59yoJFJwithJgradualJonsetJofJlackJofJmuscleJcontrolJinJherJleftJarmJandJleg.JSxJ1JmoJagoJafterJdxJwithJ
metastaticJbreastJcancer.JPEJshowsJataxiaJofJleftJupperJandJlowerJextremities.JMuscleJstrength,JDTR
,Jsensation,JproprioceptionJnormal.JMetastaticJtumorJinJwhichJlocation?J-JCORRECTJANSWERSJ-
Cerebellum
NewbornJdeliveredJatJ38Jweeks'JgestationJweighsJ1800Jg.JPEJshowsJpetechialJrash,Jmicrocephaly,Ja
ndJhepatosplenomegaly.JSerologicJtestJforJCMV:JIgGJ+JinJmother,J+JinJnewborn;JIGMJ-
JinJmother,J+JinJnewborn.JExplanation?J-JCORRECTJANSWERSJ-CongenitalJCMVJinfection
FemaleJnewbornJisJdeliveredJatJ38Jweeks'Jgestation.JApgarJ8JandJ8JatJ1/5Jmin.JPEJshowsJaJbulging,Jfl
uod0filledJmassJapproximatelyJ5JcmJinJdiameterJinJtheJmidlineJoverJtheJlumbosacralJregion.JNoJspo
ntaneousJmovementsJofJtheJlowerJextremities.JAbnormalityJmostJlikelyJoccurredJbecauseJofJabnor
malJdevelopmentJduringJwhichJperiodsJofJpostconceptionJ(inJdays)?J-JCORRECTJANSWERSJ-15-
40;JneutralJtubeJclosesJatJaboutJ4Jweeks
,64yoJMJinJEDJ3JhoursJafterJSOBJwithJexertionJandJextremeJfatigue.JHasJischemicJheartJdisease.JPJ12
5/min,JBPJ105/60.JECGJshowsJatrialJfibrillation.JIntravenousJibutilideJisJadministered.JTenJminutesJl
ater,JECGJshowsJnormalJsinusJrhythm.JRiskJforJwhichJdrugJeffectJinJtheJnextJ6Jhours?J-
JCORRECTJANSWERSJ-TorsadesJdeJpointes
65yoJFJwithJ20-
yearJhxJofJosteoarthritisJofJtheJhandsJnowJhasJpainJradiatingJdownJtheJdistalJanteriorJthigh,Jknee,Jm
edialJleg,JandJfood.JBonyJoutgrowthJofJvertebraeJcompressingJoneJofJtheJspinalJnervesJisJsuspected
.JNerveJrootJinJwhichJintervertebralJforaminaJisJeffected?J-JCORRECTJANSWERSJ-L3JtoJL4
38yoJMJwithJ3-
yearJhxJofJT2DM.JTakingJanJoralJantihyperglycemicJagent,JheJhasJtriedJdietJandJexercise.JBMIJ32.JPEJ
normal.JHbJA1cJisJ10%.JPhysicianJrecommendsJinitiationJofJinsulinJinjections.JResponds,J"IJknowJtha
tJinsulinJwouldJhelpJcontrolJmyJbloodJsugar.JButJaJlotJofJpeopleJinJmyJfamilyJhaveJdiabetes,JandJinsuli
nJmadeJthemJreallyJsickJatJtimes.JPatientJisJatJwhichJstageJofJchange?J-JCORRECTJANSWERSJ-
Contemplation
24yoJMJwithJ2-
dayJhistoryJofJanJitchyJrashJonJhisJarmsJandJlegs.JReturnedJfromJaJcampingJtripJinJtheJwoodsJ5JdaysJa
go.JPEJshowsJedematous,JerythematousJrashJwithJlinearJvesicles.JCauseJisJactivationJofJwhichJcellJty
pes?J-JCORRECTJANSWERSJ-T-lymphocytesJ(typeJIVJHS)
70yoJMJfromJchinaJwithJpoorlyJdifferentiatedJmonoclonalJcarcinomaJofJtheJnasopharynx.JDNAJpro
besJofJneoplasticJcellsJareJmostJlikelyJtoJdetectJgenomeJofJwhichJvirus?J-JCORRECTJANSWERSJ-EBV
24yoJMJwithJhxJofJIVDAJcouldJnotJbeJaroused.JFriendJreportsJthatJtheJpatientJinjectedJhimselfJwithJa
JdrugJ6JhoursJago.JLabsJshowJdrugJconcentrationJofJ0.3.JAssumingJfirst-orderJone-
compartmentJkinetics,JhasJaJhalf-
lifeJofJ2Jhours,JandJaJvolumeJofJdistributionJofJ200JLJinJthisJpatient.JWhatJisJquantityJofJdrugJ(inJmg)Ji
njected?J-JCORRECTJANSWERSJ-=J200J(0.3)J=60
3Jhalf-livesJ=J120,J240,J480
, CompoundJisJtakenJupJbyJbacterialJcells.JNoJenergyJisJnecessaryJforJuptake,JandJtheJcompoundJisJno
tJconcentratedJinJtheJcell.JWhichJdescribesJthisJmechanismJofJtransport?J-JCORRECTJANSWERSJ-
Carrier-mediatedJdiffusion
NewbornJhasJmaleJgenitalJductsJbutJfemaleJexternalJgenitalia.JCytogeneticJanalysisJshowsJaJ46,XYJk
aryotype,JandJgeneticJtestingJshowsJaJmutationJofJtheJgeneJencodingJ5alpha-
reductase.JInJabsenceJofJthisJmutation,JlabiaJmajoraJwouldJhaveJbeen?J-JCORRECTJANSWERSJ-
Scrotum
CorrespondedJtoJpenisJshaft?J-JCORRECTJANSWERSJ-LabiaJminora
StudyJdesignedJtoJevaluateJtheJefficacyJofJcoenzymeJQ10JinJimprovingJcardiacJoutputJinJpatientsJwi
thJCHF.JSixtyJpatientsJwithJCHFJareJrecruited.JEachJassignedJbyJcoinJtossJtoJoneJofJtwJgroups.JDesign
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ADH:J
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ANP:J-JCORRECTJANSWERSJ-ADH:JdecreasedJ(VCJleadsJtoJdecreasedJADH)
ANP:Jincreased
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RandomizedJcontrolledJstudyJofJ2000JpatientsJwithJinsomniaJisJconductedJtoJevaluateJtheJefficacyJ
ofJaJnewJmedicationJtoJtreatJthisJcondition.JTenJsubjectsJfromJbothJtheJcontrolJandJtreatmentJgrou
psJdoJnotJcompleteJtheJstudyJareJareJnotJincludedJinJtheJanalysis.JTreatmentJgroupJableJtoJfallJaslee
pJ5JminutesJfasterJthanJcontrolJ(p=0.001).JNeitherJgroupJreportJanJimprovementJinJqualityJofJlife.JC
oncludeJthatJnewJmedJisJefficaciousJinJtreatingJinsomnia.JTypeJofJerror?J-JCORRECTJANSWERSJ-
FailureJtoJdistinguishJbetweenJstatisticalJsignificantJandJclinicalJsignificance
CORRECT ANSWERS LATEST 2026/2027 COMPLETE EXAM
70yoJMJdiesJinJaJmotorJvehicleJcollision.JWasJundergoingJevaluationJforJoccultJbloodJinJtheJstool.JPh
otoJofJtransverseJcolonJshown.JDx?J-JCORRECTJANSWERSJ-
TubularJadenomaJorJvillousJpolyp.JGIJbloodJlossJsuggestsJaJriskJforJmalignancy
38yoJMJtruckJdriverJwithJ1-
weekJhxJofJwatery,JitchyJeyesJandJaJrunnyJnose.JPhysicalJshowsJinflamedJnasalJmucosa.JNoJcongesti
onJinJlowerJlung.JPharmacotherapy?J-JCORRECTJANSWERSJ-Loratadine--
>JlessJsedatingJantihistamine
16yoJgirlJwithJ3-dayJhxJofJfever,JnonproductiveJcough,JandJfatigue.JTJ38.3,JPJ88/min,JBPJ102-
70.JPEJshowsJpaleJconjunctivae.JCXRJshowsJbilateralJinterstitialJinfiltrates.JBloodJspontaenouslyJagg
lutinatesJwhileJawaitingJtransportJtoJtheJlaboratory.JAntibodyJisotypesJcausingJagglutination?J-
JCORRECTJANSWERSJ-IgMJ(monoJandJmycoplasma)
24yoJMJwithJsmallJtenderJblistersJonJhisJpenisJ3JdaysJafterJunprotectedJsex.JPhotographJshown.JCau
salJagent?J-JCORRECTJANSWERSJ-HSV-2
42yoJFJwithJ3-
yearJhxJofJanJintermittentJfacialJrash,JincludingJtheJforehead,Jeyelids,Jnose,JandJcheeks.JRashJseemsJ
toJbeJgettingJworseJsinceJsheJmovedJfromJNewJYorkJtoJFloridaJlastJyear.JSpicyJfoodsJprecipitateJaJflu
shingJreactionJthatJseemsJtoJexacerbateJtheJrash.JPEJshowsJerythemaJoverJtheJnoseJandJcheeks,Jwit
hJscatteredJtelangiectasiasJandJaJfewJpapules.JDx?J-JCORRECTJANSWERSJ-Rosacea
53yoJMJreturnedJfromJAfrica,JhasJfever,Jheadache,JandJabdominalJdiscomfort.JReceivedJappropriat
eJvaccinationsJpriorJtoJtheJtrip.JTJ39.4C.JAJwright-
stainedJperipheralJsmearJshownJ(ringJformsJinJRBCs).JDx?J-JCORRECTJANSWERSJ-Malaria
,68yoJFJwithJT2DMJandJhypertensionJthatJhasJbeenJpoorlyJcontrolledJdespiteJhydrochlorothiazideJtr
eatment.JBPJ150/96,JLabsJshowJserumJglucoseJconcentrationJofJ130JandJproteinuria.JInJadditionJtoJ
currentJRx,JwhichJisJmostJappropriateJpharmacotherapy?J-JCORRECTJANSWERSJ-ACEJIJ(Lisinopril)
66yoJMJwithJstageJIVJcolonJcancerJwithJ3-
dayJhxJofJsevereJdiarrheaJafterJreceivingJchemotherapyJwithJflourouracil,Jleucovorin,JandJirinoteca
n.JPrescribedJopioidJantidiarrhealJagentJwithJnoJCNSJeffects.JWhichJmed?J-JCORRECTJANSWERSJ-
Loperamide
35yoJMJinJEDJwithJ2-
hourJhxJofJseverJfatigueJandJdizziness.JHadJprofuse,JwateryJdiarrheaJforJ8JhoursJdespiteJaJlackJofJora
lJintake.JRecentlyJreturnedJfromJaJmedicalJreliefJtripJtoJaJremoveJvillageJinJHonduras.JTJ36.7JC,JPJ122
/min,JBPJ90/50.JPEJshowsJdryJskinJandJdecreasedJcapillaryJrefill.JStoolJforJoccultJbloodJisJnegative;Jst
oolJisJgrayJandJturbid.JGramJstainJshowsJgram-negative,Jcomma-
shapedJbacteria;JnoJerythrocytesJofJleukocytes.JMOAJofJtoxin?J-JCORRECTJANSWERSJ-V.JCholerae--
>JactivatesJAC
59yoJFJwithJgradualJonsetJofJlackJofJmuscleJcontrolJinJherJleftJarmJandJleg.JSxJ1JmoJagoJafterJdxJwithJ
metastaticJbreastJcancer.JPEJshowsJataxiaJofJleftJupperJandJlowerJextremities.JMuscleJstrength,JDTR
,Jsensation,JproprioceptionJnormal.JMetastaticJtumorJinJwhichJlocation?J-JCORRECTJANSWERSJ-
Cerebellum
NewbornJdeliveredJatJ38Jweeks'JgestationJweighsJ1800Jg.JPEJshowsJpetechialJrash,Jmicrocephaly,Ja
ndJhepatosplenomegaly.JSerologicJtestJforJCMV:JIgGJ+JinJmother,J+JinJnewborn;JIGMJ-
JinJmother,J+JinJnewborn.JExplanation?J-JCORRECTJANSWERSJ-CongenitalJCMVJinfection
FemaleJnewbornJisJdeliveredJatJ38Jweeks'Jgestation.JApgarJ8JandJ8JatJ1/5Jmin.JPEJshowsJaJbulging,Jfl
uod0filledJmassJapproximatelyJ5JcmJinJdiameterJinJtheJmidlineJoverJtheJlumbosacralJregion.JNoJspo
ntaneousJmovementsJofJtheJlowerJextremities.JAbnormalityJmostJlikelyJoccurredJbecauseJofJabnor
malJdevelopmentJduringJwhichJperiodsJofJpostconceptionJ(inJdays)?J-JCORRECTJANSWERSJ-15-
40;JneutralJtubeJclosesJatJaboutJ4Jweeks
,64yoJMJinJEDJ3JhoursJafterJSOBJwithJexertionJandJextremeJfatigue.JHasJischemicJheartJdisease.JPJ12
5/min,JBPJ105/60.JECGJshowsJatrialJfibrillation.JIntravenousJibutilideJisJadministered.JTenJminutesJl
ater,JECGJshowsJnormalJsinusJrhythm.JRiskJforJwhichJdrugJeffectJinJtheJnextJ6Jhours?J-
JCORRECTJANSWERSJ-TorsadesJdeJpointes
65yoJFJwithJ20-
yearJhxJofJosteoarthritisJofJtheJhandsJnowJhasJpainJradiatingJdownJtheJdistalJanteriorJthigh,Jknee,Jm
edialJleg,JandJfood.JBonyJoutgrowthJofJvertebraeJcompressingJoneJofJtheJspinalJnervesJisJsuspected
.JNerveJrootJinJwhichJintervertebralJforaminaJisJeffected?J-JCORRECTJANSWERSJ-L3JtoJL4
38yoJMJwithJ3-
yearJhxJofJT2DM.JTakingJanJoralJantihyperglycemicJagent,JheJhasJtriedJdietJandJexercise.JBMIJ32.JPEJ
normal.JHbJA1cJisJ10%.JPhysicianJrecommendsJinitiationJofJinsulinJinjections.JResponds,J"IJknowJtha
tJinsulinJwouldJhelpJcontrolJmyJbloodJsugar.JButJaJlotJofJpeopleJinJmyJfamilyJhaveJdiabetes,JandJinsuli
nJmadeJthemJreallyJsickJatJtimes.JPatientJisJatJwhichJstageJofJchange?J-JCORRECTJANSWERSJ-
Contemplation
24yoJMJwithJ2-
dayJhistoryJofJanJitchyJrashJonJhisJarmsJandJlegs.JReturnedJfromJaJcampingJtripJinJtheJwoodsJ5JdaysJa
go.JPEJshowsJedematous,JerythematousJrashJwithJlinearJvesicles.JCauseJisJactivationJofJwhichJcellJty
pes?J-JCORRECTJANSWERSJ-T-lymphocytesJ(typeJIVJHS)
70yoJMJfromJchinaJwithJpoorlyJdifferentiatedJmonoclonalJcarcinomaJofJtheJnasopharynx.JDNAJpro
besJofJneoplasticJcellsJareJmostJlikelyJtoJdetectJgenomeJofJwhichJvirus?J-JCORRECTJANSWERSJ-EBV
24yoJMJwithJhxJofJIVDAJcouldJnotJbeJaroused.JFriendJreportsJthatJtheJpatientJinjectedJhimselfJwithJa
JdrugJ6JhoursJago.JLabsJshowJdrugJconcentrationJofJ0.3.JAssumingJfirst-orderJone-
compartmentJkinetics,JhasJaJhalf-
lifeJofJ2Jhours,JandJaJvolumeJofJdistributionJofJ200JLJinJthisJpatient.JWhatJisJquantityJofJdrugJ(inJmg)Ji
njected?J-JCORRECTJANSWERSJ-=J200J(0.3)J=60
3Jhalf-livesJ=J120,J240,J480
, CompoundJisJtakenJupJbyJbacterialJcells.JNoJenergyJisJnecessaryJforJuptake,JandJtheJcompoundJisJno
tJconcentratedJinJtheJcell.JWhichJdescribesJthisJmechanismJofJtransport?J-JCORRECTJANSWERSJ-
Carrier-mediatedJdiffusion
NewbornJhasJmaleJgenitalJductsJbutJfemaleJexternalJgenitalia.JCytogeneticJanalysisJshowsJaJ46,XYJk
aryotype,JandJgeneticJtestingJshowsJaJmutationJofJtheJgeneJencodingJ5alpha-
reductase.JInJabsenceJofJthisJmutation,JlabiaJmajoraJwouldJhaveJbeen?J-JCORRECTJANSWERSJ-
Scrotum
CorrespondedJtoJpenisJshaft?J-JCORRECTJANSWERSJ-LabiaJminora
StudyJdesignedJtoJevaluateJtheJefficacyJofJcoenzymeJQ10JinJimprovingJcardiacJoutputJinJpatientsJwi
thJCHF.JSixtyJpatientsJwithJCHFJareJrecruited.JEachJassignedJbyJcoinJtossJtoJoneJofJtwJgroups.JDesign
?J-JCORRECTJANSWERSJ-RCT
12yoJboyJimmersedJupJtoJhisJneckJinJ60FJwaterJforJ20Jminutes.JPhysiologicalJchanges?
ADH:J
CentralJBloodJvolume:J
ANP:J-JCORRECTJANSWERSJ-ADH:JdecreasedJ(VCJleadsJtoJdecreasedJADH)
ANP:Jincreased
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RandomizedJcontrolledJstudyJofJ2000JpatientsJwithJinsomniaJisJconductedJtoJevaluateJtheJefficacyJ
ofJaJnewJmedicationJtoJtreatJthisJcondition.JTenJsubjectsJfromJbothJtheJcontrolJandJtreatmentJgrou
psJdoJnotJcompleteJtheJstudyJareJareJnotJincludedJinJtheJanalysis.JTreatmentJgroupJableJtoJfallJaslee
pJ5JminutesJfasterJthanJcontrolJ(p=0.001).JNeitherJgroupJreportJanJimprovementJinJqualityJofJlife.JC
oncludeJthatJnewJmedJisJefficaciousJinJtreatingJinsomnia.JTypeJofJerror?J-JCORRECTJANSWERSJ-
FailureJtoJdistinguishJbetweenJstatisticalJsignificantJandJclinicalJsignificance
