NBME 9 Questions And Answers{LATEST,ALL ANSWERS CORRECT}

NBME 9 Questions And Answers{LATEST,ALL ANSWERS CORRECT} Kid with bed wetting problems + constipation tx? – administration of an osmotic laxative Multiple myeloma is marked by proliferation of B cells – monoclonal In patients with bipolar disorder that are suffering from acute depression + stopped taking meds, what do you give them? – bipolar medication like lithium, lamotrigine, quetiapine, and lurasidone SSRIs in bipolar patients can be bad because? – it can precipitate mania or convert depression to mania Patient with afib with a history of TIA or stroke Tx? – warfarin Patient without afib with history of TIA or stroke Tx? – aspirin T/F: Aspirin and clopidogrel are anticoagulants – false 1st line therapy for mild to moderate acne vulgaris Tx? – topical retinoids Patient with juvenile idiopathic arthritis may present with what extraarticular manifestation? – uveitis (screen with slit-lamp exam) In adults, the presence of a destructive bone lesion is more commonly caused by disease rather than primary bone malignancy – metastatic T/F: Osteosarcoma is most common in patients years of age –<30 Patients with severe AS with symptoms or systolic dysfunction (EF <50%) should receive what tx? – aortic valve replacement Patients with HF (EF < 50%) who have AS + asymptomatic in terms of SOB on exertion, should receive what treatment? – Afterload reduction 32 yo woman with bcg vaccine as a child + emigrated from China + PPD skin test of 12 mm risk status and next step? – High risk; isoniazid 92 yr old with left mandibular mass that has enlarged + x ray is normal + smoker + normal VS next step? – biopsy 77 yr old woman with 1 day hx of nausea + vomiting + confusion + has HTN + on diltiazem + BP 160/70 + ox 84% + JVD borderline high + crackles in lungs + S3 + edema + signs of kidney injury Dx and next step? – fluid overload; hemodialysis In diabetic patients, foot injuries can be prevented with? – wearing shoes when standing or walking In diabetic patients, worsening of foot injuries can be prevented with? – daily foot checks 37 yr old woman with no hx of abnormal pap smears + current visit shows pap smear with atypical glandular cells potential dx and next step? – endometrial malignancy; colposcopy with endocervical curettage 37 yr old woman with no hx of abnormal pap smears + current visit shows pap smear with atypical glandular cells After colposcopy wit