1|Page
NBME CBSE ACTUAL TEST
QUESTIONS AND ANSWERS 2026
TX pulmonary embolism - correct-answer - Heparin/LMWH
THEN
Warfarin
Fat embolism syndrome - correct-answer - Long bone/pelvic fracture
--> neuro, hypoxemia, rash
Fat microglobules in *pulmonary arterioles*
Spontaenous pneumothorax - correct-answer - nontraumatic* rupture of
subpleural blebs*
**20 yo thin TALL man who smokes
,2|Page
*DECREASED PRELOAD*
Tension pneumothorax - correct-answer - Treachea deviates
REQUIRES INTUBATION
ARDS - correct-answer - bilateral infiltrate
**PANCREATITIS RISK
1. *EXUDATIVE* (capillary permeability)
2. *Proliferative* (collagen)
3. *Fibrotic* (pulmonary fiborsis + HTN)
What are the risks from ARDS - correct-answer - Sepsis
Pancreatitis
Pneumo
,3|Page
cystic fibrosis genetics - correct-answer - *dF508 frameshift*
CFT protein - post-tln
HypoNa
Cystic Fibrosis complications - correct-answer - Dec *Vit A* --> Pancreatic
(squamous metaplasia)
Def *Vit E* --> Neuromuscular, hemolytic anemia
Def *Vit K *--> Intracranial hemorrhage
Meconium Ileus; No Vas deferns; Digital clubbing
DEATH FROM PNEUMO
Hemorrhagic infarct is what color and why - correct-answer - RED
Dual blood supply
Empyema - correct-answer - Infected *exudative* pleural effusion
Meniscus opacity
, 4|Page
Increased LDH
COMPLICATES PNEUMO
Lobar pneumonia - correct-answer - *consolidation*
Ex: strep, legionella
--> Red (3-4 d)
--> Grey hepatization (5-7d)
--> Resolution (*Type II regen* in 8 d)
Broncho Pneumonia - correct-answer - *Patchy*
ex: Staph, Strep, Kleb, H flu
Interstitial Pneumonia - correct-answer - Alveolar walls
Ex: Mycoplasma, Chlamydia,
Legionella,
RSV/CMV/flu/adeno
NBME CBSE ACTUAL TEST
QUESTIONS AND ANSWERS 2026
TX pulmonary embolism - correct-answer - Heparin/LMWH
THEN
Warfarin
Fat embolism syndrome - correct-answer - Long bone/pelvic fracture
--> neuro, hypoxemia, rash
Fat microglobules in *pulmonary arterioles*
Spontaenous pneumothorax - correct-answer - nontraumatic* rupture of
subpleural blebs*
**20 yo thin TALL man who smokes
,2|Page
*DECREASED PRELOAD*
Tension pneumothorax - correct-answer - Treachea deviates
REQUIRES INTUBATION
ARDS - correct-answer - bilateral infiltrate
**PANCREATITIS RISK
1. *EXUDATIVE* (capillary permeability)
2. *Proliferative* (collagen)
3. *Fibrotic* (pulmonary fiborsis + HTN)
What are the risks from ARDS - correct-answer - Sepsis
Pancreatitis
Pneumo
,3|Page
cystic fibrosis genetics - correct-answer - *dF508 frameshift*
CFT protein - post-tln
HypoNa
Cystic Fibrosis complications - correct-answer - Dec *Vit A* --> Pancreatic
(squamous metaplasia)
Def *Vit E* --> Neuromuscular, hemolytic anemia
Def *Vit K *--> Intracranial hemorrhage
Meconium Ileus; No Vas deferns; Digital clubbing
DEATH FROM PNEUMO
Hemorrhagic infarct is what color and why - correct-answer - RED
Dual blood supply
Empyema - correct-answer - Infected *exudative* pleural effusion
Meniscus opacity
, 4|Page
Increased LDH
COMPLICATES PNEUMO
Lobar pneumonia - correct-answer - *consolidation*
Ex: strep, legionella
--> Red (3-4 d)
--> Grey hepatization (5-7d)
--> Resolution (*Type II regen* in 8 d)
Broncho Pneumonia - correct-answer - *Patchy*
ex: Staph, Strep, Kleb, H flu
Interstitial Pneumonia - correct-answer - Alveolar walls
Ex: Mycoplasma, Chlamydia,
Legionella,
RSV/CMV/flu/adeno
