NBME CBSE FORM 10 ACTUAL EXAMS with Questions and Answers

NBME CBSE FORM 10 ACTUAL EXAMS with Questions and Answers If 13 year old patients concern is excess vaginal spotting do yu need to measure FSH or LH ----------- Correct Answer ------- No Patients with wiskott aldrich syndrome are particularly susceptible to (3) infections ----------- Correct Answer ------- Strep pneumo, neisseria, h flu Patients with wiskott aldrich syndrome are particularly susceptible to what disease (2) ----------- Correct Answer ------- Autoimmune disease, leukemia Which ig values are normal in wiskott aldrich? Which are low ----------- Correct Answer ------- Low IgM, IgG. Normal IgA, IgE Patient with UC is becoming less responsive to prednisone, what is the next step in management and what test do you do before initiating pharmacotherapy ----------- Correct Answer ------- TNF alpha. TB test If stroke is 4.5 hours what treatment ----------- Correct Answer ------- Aspirin If stroke was 24 hours ago and stroke demonstrates anterior circulation stroke what treatment ----------- Correct Answer ------- Mechanical thrombectomy if a thrombus was visualized Unilateral cervical LAD with overlying purplish hue ----------- Correct Answer ------- Mycobacterium avium intracellulare Treatment for mac infection ----------- Correct Answer ------- Surgical excision or combination of macrolide and ethambutol +/- rifampin Is there point tenderness in vertebral osteomyelitis ----------- Correct Answer ------- Yes What cultures for osteomyelitis? What is required for diagnosis (2) ------ ----- Correct Answer ------- Blood culture for the organism. Bone biopsy because blood culture is negative 50% of the time, MRI confirms presence If RA patient has joint swelling do you do x ray or arthrocentesis --------- -- Correct Answer ------- Arthrocentesis, do x ray if there is history of trauma to the joint to determine fracture Hypokalemia presentation ----------- Correct Answer ------- Muscle weakness, ileus, paresthesia, hyporeflexia, long QT Hypocalcemia presentation ----------- Correct Answer ------- Carpopedal spasm, laryngospasm, long QT Hypochloridria presentation ----------- Correct Answer ------- Asymptomatic Hypomagnesemia presentation ----------- Correct Answer -------