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NBME CBSE REAL EXAM 200 QUESTIONS AND
ANSWERS LATEST MEDICAL EXAMINATION
55- year old man - nice to nurses - mean to youngest child- Which is the
most likely explanation of patient's behavior? -Answer= Splitting b. Cluster B
- borderline personality (BANH)
A Study designed to evaluate the feasibility of acupuncture in children with
chronic headache - 60 children recruited - In addition to their usual therapy
- all children are treated with acupuncture three times per week for 2
months - Describe findings? -Answer= Case-Series
6 year old girl - 1 week history - lots of infections -raised neutrophil
count- but cells show a delay in bactericidal activity against Staph Aureus-
Most likely cause?
-Answer= Myeloperoxidase
2 year old boy - severe pain, swelling, and redness of his left thumb
(image). PE shows oral vesicle, cervical lymphadenopathy - infectious agent
causing findings in thumb? -Answer= DNA Virus Herpetic Whitlow
Herpetic Whitlow -Answer= vesicles on fingers
7 year old - lives in Kentucky - 2 week history of cramping abdominal pain
and diarrhea - mother looked in underpants and saw earthworm - no travel
history- Transmission via? -Answer= Ingestion of Soil b. Ascaris - fecal oral
transmission
23 year old man with multiple sex partners - dysuria and yellow urethral
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exudate - Gram Stain - numerous neutrophils - many contain gram negative
diplococci. He
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had 3 episodes over the past 2 years. Which property of the organism - explains
reinfection? -Answer= Antigenic Variation b. Gram negative Diplococci
c. N. gonorrhea can change its pilus,
26 year old woman - ED - 2 day history of runny nose - Patient has to wait
6 hours before she is seen. In addition to apologizing, which of the
following is the most appropriate remark? -Answer= Thank you for waiting.
How can I help you today? A 26 year old man - ER -m 30 minutes after
being shot in the leg - Pulse is 120/min, respirations are 16 /min - blood
pressure is 80/60. Findings compared with healthy adult? -Answer=
Baroreceptor Firing decreased
SVR increased
Pulmonary Vascular Resistance Increased Absorption Increased
e. BARORECPTOR - stretch receptors - mirror BP - decreased in hemorrhagic
shock
A 36 year old man - fluid is presenting adbomen in which of the following
areas as indicated by the arrow? -Answer= Omental Bursa (lesser sac)
What is the positive predictive value (refer to chart)? Answer= .67 Probability
that a patient with a positive test has a disease A/(A+B)
A 75 year old woman with T2DM and HTN - Emigrated from Argentina -
Which of the following is the most appropriate person to serve as an
interpreter for
this patient encounter? -Answer= Telephone Interpreter
, MEDSTUDY.COM
During a study of renal glomeruli - if efferent arteriole is constricted - which
starling forces are likely to change in the glomeruli? -Answer= Increased
Hydrostatic Pressure
2 year old with neurocognitive dysfunction - fine during birth - both parents have
learning disabilities - maternal uncle with cognitive disabilities - Irritable making
eye contact with flapping his hands? -Answer= Trinucleotide Repeat
Expansion
b. Fragile X - intellectual disability - trinucleotide repeat in FMR1 gene
A 33 year old man - undergoes radical thyroidectomy - postop serum calcium
h h h h h h h h h h h h
is
7.5 and albumin concentration of 4g/dl - PTH concentration of 200 - damage
h
h h h h h h h h h h h h h h
to
which vessel causes finding? - Answer= Branch of Thyrocervical
h h h h h h h h h
Trunk
b. inferior thyroid arteries, which arise from the thyrocervical trunk. c.
h h h h h h h h h h h h
External
carotid - superior thyroid h h h
46 year old woman - 2 month history of fatigue and muscle weakness - 10
h h h h h h h h h h h h h h h h
year
history of hypertension - treated with thiazide diurectics -
h h h h h h h h h h
measured
hypokalemia, hypotension and decreased BP- brisk h h h h h h
reflexes.
Likely cause? -Answer= Adverse Drug
h h h h h
Effect
b. Treated with a thiazide diuretic for HTN with measured
h h h h h h h h h h h
hypokalemia,
hypotension and decreased Hg h h h
23 year old woman - genetic counseling - brother and maternal uncle
h h h h h h h h h h h h h
had
Duchene Muscular Dystrophy - Serum CK of 120 - and mother serum CK
h h h h h h h h h h h h h h
300-
What is assessment of carrier status?
h h h h h h
-
NBME CBSE REAL EXAM 200 QUESTIONS AND
ANSWERS LATEST MEDICAL EXAMINATION
55- year old man - nice to nurses - mean to youngest child- Which is the
most likely explanation of patient's behavior? -Answer= Splitting b. Cluster B
- borderline personality (BANH)
A Study designed to evaluate the feasibility of acupuncture in children with
chronic headache - 60 children recruited - In addition to their usual therapy
- all children are treated with acupuncture three times per week for 2
months - Describe findings? -Answer= Case-Series
6 year old girl - 1 week history - lots of infections -raised neutrophil
count- but cells show a delay in bactericidal activity against Staph Aureus-
Most likely cause?
-Answer= Myeloperoxidase
2 year old boy - severe pain, swelling, and redness of his left thumb
(image). PE shows oral vesicle, cervical lymphadenopathy - infectious agent
causing findings in thumb? -Answer= DNA Virus Herpetic Whitlow
Herpetic Whitlow -Answer= vesicles on fingers
7 year old - lives in Kentucky - 2 week history of cramping abdominal pain
and diarrhea - mother looked in underpants and saw earthworm - no travel
history- Transmission via? -Answer= Ingestion of Soil b. Ascaris - fecal oral
transmission
23 year old man with multiple sex partners - dysuria and yellow urethral
,MEDSTUDY.COM
exudate - Gram Stain - numerous neutrophils - many contain gram negative
diplococci. He
,MEDSTUDY.COM
had 3 episodes over the past 2 years. Which property of the organism - explains
reinfection? -Answer= Antigenic Variation b. Gram negative Diplococci
c. N. gonorrhea can change its pilus,
26 year old woman - ED - 2 day history of runny nose - Patient has to wait
6 hours before she is seen. In addition to apologizing, which of the
following is the most appropriate remark? -Answer= Thank you for waiting.
How can I help you today? A 26 year old man - ER -m 30 minutes after
being shot in the leg - Pulse is 120/min, respirations are 16 /min - blood
pressure is 80/60. Findings compared with healthy adult? -Answer=
Baroreceptor Firing decreased
SVR increased
Pulmonary Vascular Resistance Increased Absorption Increased
e. BARORECPTOR - stretch receptors - mirror BP - decreased in hemorrhagic
shock
A 36 year old man - fluid is presenting adbomen in which of the following
areas as indicated by the arrow? -Answer= Omental Bursa (lesser sac)
What is the positive predictive value (refer to chart)? Answer= .67 Probability
that a patient with a positive test has a disease A/(A+B)
A 75 year old woman with T2DM and HTN - Emigrated from Argentina -
Which of the following is the most appropriate person to serve as an
interpreter for
this patient encounter? -Answer= Telephone Interpreter
, MEDSTUDY.COM
During a study of renal glomeruli - if efferent arteriole is constricted - which
starling forces are likely to change in the glomeruli? -Answer= Increased
Hydrostatic Pressure
2 year old with neurocognitive dysfunction - fine during birth - both parents have
learning disabilities - maternal uncle with cognitive disabilities - Irritable making
eye contact with flapping his hands? -Answer= Trinucleotide Repeat
Expansion
b. Fragile X - intellectual disability - trinucleotide repeat in FMR1 gene
A 33 year old man - undergoes radical thyroidectomy - postop serum calcium
h h h h h h h h h h h h
is
7.5 and albumin concentration of 4g/dl - PTH concentration of 200 - damage
h
h h h h h h h h h h h h h h
to
which vessel causes finding? - Answer= Branch of Thyrocervical
h h h h h h h h h
Trunk
b. inferior thyroid arteries, which arise from the thyrocervical trunk. c.
h h h h h h h h h h h h
External
carotid - superior thyroid h h h
46 year old woman - 2 month history of fatigue and muscle weakness - 10
h h h h h h h h h h h h h h h h
year
history of hypertension - treated with thiazide diurectics -
h h h h h h h h h h
measured
hypokalemia, hypotension and decreased BP- brisk h h h h h h
reflexes.
Likely cause? -Answer= Adverse Drug
h h h h h
Effect
b. Treated with a thiazide diuretic for HTN with measured
h h h h h h h h h h h
hypokalemia,
hypotension and decreased Hg h h h
23 year old woman - genetic counseling - brother and maternal uncle
h h h h h h h h h h h h h
had
Duchene Muscular Dystrophy - Serum CK of 120 - and mother serum CK
h h h h h h h h h h h h h h
300-
What is assessment of carrier status?
h h h h h h
-
