NBME CBSE - QUESTIONS AND ANSWERS (ACTUAL
i i i i i i i
TEST)
62i yeari oldi womani -i osteoporosisi -i ai bisphosphonatei isi
prescribed.i i Thei expectedi beneficiali effecti ofi thei drugi isi duei toi
whichi ofi thei i following? Correcti Ansi - Decreasedi
Osteoclasti Activity
Cohoti Studyi ofi elderlyi womeni -i relativei riski ratioi fori hipi
fracturesi i amongi thosei whoi exercisei regularlyi isi 1.2i (95%i
confidencei intervali i ofi 1.1i toi 1.8).i Whichi ofi thei followingi isi
thei conclusioni abouti thei i effecti ofi exercisei oni thei riski ofi hipi
fracture? Correcti Ansi - i
Statisticallyi Significanti Overalli Increasei Risk
52i yeari oldi mani goesi toi ERi withi chesti paini radiatingi toi hisi
jawi i whilei shovelingi snow.i Pulsei isi 80/mini andi bloodi pressurei
isi 130/70.i i Thei mosti immediatei treatmenti mechanismi ofi action?
Correcti
Ansi
- Increasedi nitrici oxidei concentration
24i yeari oldi womani -i spilledi hoti greasei oni heri lefti legi whilei
workingi i ati ai fast-foodi restaurant.i Exami ofi legi showsi 7cmi
pink,i soft,i i granular,i edematousi wound.i Thei formationi ofi thisi
tissuei wasi mosti i likelyi causedi byi increasedi activityi ofi which?
Correcti Ansi - a.i
Vasculari Endotheliali Growthi Factori
VEGFi -i stimulatesi angiogenesiss.
TYPEi IIIi Collageni =i Bloodi Vesselsi -i earlyi woundi repair
27i yeari oldi man-i MVCi -i skulli x-rayi showsi ai linear,i
nondepressedi i basali skulli fracturei -i increasedi serumi osmi andi
decreasedi urini osm.i i Followingi desmopressini urinei osmi
increases.i Desmopressin'si effecti i isi duei toi thei activationi ofi
whichi ofi thei following? Correcti Ansi -
a.i Adenylyli Cyclase
i Adenylatei Cyclasei -i ATPi -i CAMPi --i PROTEKINASEi Ai --i
Cai v2
Ai 10i monthi oldi boyi -i 4i dayi historyi ofi feveri andi cough.i Hei
attendsi i dayi carei center.i Chesti exami showsi intercostali
retractionsi alongi i withi bilateral,i diffusei wheezesi andi expiratoryi
rhonchi.i Thei i infectiousi agenti mosti likelyi hasi whichi ofi thei
followingi properties?
i Correct i Ansi -
Mediationi ofi Celli Entryi viai ai fusioni protein
Ai 17i yeari oldi girli ini EDi -i 15i minutesi afteri beingi stungi byi ai
,bee.i Mildi lighti headednessi buti noi difficultyi swallowing-i Bilaterali
wheezingi -i i Whichi isi mosti appropriatei pharmacotherapyi fori thisi
patient?
Correcti Ansi - B2-i Agonist
, 14i yeari oldi boyi -i 2i dayi historyi ofi sorei throati andi feveri thati
peaksi ini latei afternoon.i 1i weeki ofi fatigue.i Hei recentalyi hadi
sexi withi onei i partner.i Physicali exami showi cervicali
lymphadenopathyi andi i pharyngeali erythemai withi ai creamyi
exudate.i DX? Correcti Ansi -
i Infectiousi
Mononucleosis
57i yeari oldi mani -i radiationi therapyi fori squamousi celli
carcinomai ofi i thei lung.i Despitei therapy,i tumori increasesi ini sizei
andi hei diesi 6i i monthsi later.i Thei progressivei tumori growthi isi
duei toi ai defecti ini celli cyclei arresti ini whichi ofi thei followingi
phasesi ofi celli cycle? Correcti
i Ansi - G1
28i yeari oldi -i livedi ini sub-Saharani Africai -i untili hei camei toi thei
US.i i Tempi ofi 100.4i -i imagingi showsi bilaterali hydroureteri andi
i hydronephrosis.i Biopsyi showsi markedi fibrosisi andi scatteredi i
granulomas.i DX? Correcti Ansi - Schistosomiasis
Ai couplei withi ai familyi historyi ofi a-thalassemia.i Womani hasi onei
i genei deletioni andi mani hasi twoi genei deletion.i Ifi thei twoi genei
isi i transi -i whati percentagei ofi offspringi willi havei ai twoi genei
deletion?i i Correcti Ansi - 50%
previouslyi healthyi 40i yeari broughti toi emergencyi departmenti byi
heri husbandi -i 2i dayi historyi ofi fever,i lethargy,i confusion.i PEi
showsi i scatteredi petechiaei andi ecchymosesi overi thei loweri
extremitiesi -i 3+i polychromasiai andi 3+i schistocytesi andi Lowi
plateletsi Dx? Correcti
i Ansi - Thrombotici Thrombocytopeniai Purpura
16i yeari oldi boyi -i isi admittedi toi thei ERi becausei ofi ai knifei
woundi toi thei lefti sidei ofi hisi chest.i Ani X-rayi ofi thei chesti
showsi ani air-fluidi leveli ini thei lefti sidei ofi thei chest,i partiali
collapsei ofi thei lefti lung,i andi thei elevationi ofi thei stomachi
bubble.i Thei mediastinumi isi midline.i DX? Correcti Ansi -
Hemopneumpothoraxi underi tension
49i yeari oldi womani -i coronaryi arteryi diseasei -i BPi 140/90i -i
Highi i Cholesterol,i Highi LDLi (190),i Highi triglyceridesi (350)i -i
TXi withi i atorvastatini andi losartan.i Whati arei thei effectsi oni
HDLi andi i Triglycerides? Correcti Ansi - HDLi increased
Triglyceridesi Decreased
73i yearei oldi -i diffusei weaknessi andi tinglingi ofi heri armsi andi
legs.i i Sensationi andi vibrationi andi positioni isi decreasedi ini alli
extremities.i i Whati vitamini deficiency? Correcti Ansi -
Vitamini B12i -i i (cyanocobalamin)
Teai andi Toasti -i lowi B12i ini diet
i i i i i i i
TEST)
62i yeari oldi womani -i osteoporosisi -i ai bisphosphonatei isi
prescribed.i i Thei expectedi beneficiali effecti ofi thei drugi isi duei toi
whichi ofi thei i following? Correcti Ansi - Decreasedi
Osteoclasti Activity
Cohoti Studyi ofi elderlyi womeni -i relativei riski ratioi fori hipi
fracturesi i amongi thosei whoi exercisei regularlyi isi 1.2i (95%i
confidencei intervali i ofi 1.1i toi 1.8).i Whichi ofi thei followingi isi
thei conclusioni abouti thei i effecti ofi exercisei oni thei riski ofi hipi
fracture? Correcti Ansi - i
Statisticallyi Significanti Overalli Increasei Risk
52i yeari oldi mani goesi toi ERi withi chesti paini radiatingi toi hisi
jawi i whilei shovelingi snow.i Pulsei isi 80/mini andi bloodi pressurei
isi 130/70.i i Thei mosti immediatei treatmenti mechanismi ofi action?
Correcti
Ansi
- Increasedi nitrici oxidei concentration
24i yeari oldi womani -i spilledi hoti greasei oni heri lefti legi whilei
workingi i ati ai fast-foodi restaurant.i Exami ofi legi showsi 7cmi
pink,i soft,i i granular,i edematousi wound.i Thei formationi ofi thisi
tissuei wasi mosti i likelyi causedi byi increasedi activityi ofi which?
Correcti Ansi - a.i
Vasculari Endotheliali Growthi Factori
VEGFi -i stimulatesi angiogenesiss.
TYPEi IIIi Collageni =i Bloodi Vesselsi -i earlyi woundi repair
27i yeari oldi man-i MVCi -i skulli x-rayi showsi ai linear,i
nondepressedi i basali skulli fracturei -i increasedi serumi osmi andi
decreasedi urini osm.i i Followingi desmopressini urinei osmi
increases.i Desmopressin'si effecti i isi duei toi thei activationi ofi
whichi ofi thei following? Correcti Ansi -
a.i Adenylyli Cyclase
i Adenylatei Cyclasei -i ATPi -i CAMPi --i PROTEKINASEi Ai --i
Cai v2
Ai 10i monthi oldi boyi -i 4i dayi historyi ofi feveri andi cough.i Hei
attendsi i dayi carei center.i Chesti exami showsi intercostali
retractionsi alongi i withi bilateral,i diffusei wheezesi andi expiratoryi
rhonchi.i Thei i infectiousi agenti mosti likelyi hasi whichi ofi thei
followingi properties?
i Correct i Ansi -
Mediationi ofi Celli Entryi viai ai fusioni protein
Ai 17i yeari oldi girli ini EDi -i 15i minutesi afteri beingi stungi byi ai
,bee.i Mildi lighti headednessi buti noi difficultyi swallowing-i Bilaterali
wheezingi -i i Whichi isi mosti appropriatei pharmacotherapyi fori thisi
patient?
Correcti Ansi - B2-i Agonist
, 14i yeari oldi boyi -i 2i dayi historyi ofi sorei throati andi feveri thati
peaksi ini latei afternoon.i 1i weeki ofi fatigue.i Hei recentalyi hadi
sexi withi onei i partner.i Physicali exami showi cervicali
lymphadenopathyi andi i pharyngeali erythemai withi ai creamyi
exudate.i DX? Correcti Ansi -
i Infectiousi
Mononucleosis
57i yeari oldi mani -i radiationi therapyi fori squamousi celli
carcinomai ofi i thei lung.i Despitei therapy,i tumori increasesi ini sizei
andi hei diesi 6i i monthsi later.i Thei progressivei tumori growthi isi
duei toi ai defecti ini celli cyclei arresti ini whichi ofi thei followingi
phasesi ofi celli cycle? Correcti
i Ansi - G1
28i yeari oldi -i livedi ini sub-Saharani Africai -i untili hei camei toi thei
US.i i Tempi ofi 100.4i -i imagingi showsi bilaterali hydroureteri andi
i hydronephrosis.i Biopsyi showsi markedi fibrosisi andi scatteredi i
granulomas.i DX? Correcti Ansi - Schistosomiasis
Ai couplei withi ai familyi historyi ofi a-thalassemia.i Womani hasi onei
i genei deletioni andi mani hasi twoi genei deletion.i Ifi thei twoi genei
isi i transi -i whati percentagei ofi offspringi willi havei ai twoi genei
deletion?i i Correcti Ansi - 50%
previouslyi healthyi 40i yeari broughti toi emergencyi departmenti byi
heri husbandi -i 2i dayi historyi ofi fever,i lethargy,i confusion.i PEi
showsi i scatteredi petechiaei andi ecchymosesi overi thei loweri
extremitiesi -i 3+i polychromasiai andi 3+i schistocytesi andi Lowi
plateletsi Dx? Correcti
i Ansi - Thrombotici Thrombocytopeniai Purpura
16i yeari oldi boyi -i isi admittedi toi thei ERi becausei ofi ai knifei
woundi toi thei lefti sidei ofi hisi chest.i Ani X-rayi ofi thei chesti
showsi ani air-fluidi leveli ini thei lefti sidei ofi thei chest,i partiali
collapsei ofi thei lefti lung,i andi thei elevationi ofi thei stomachi
bubble.i Thei mediastinumi isi midline.i DX? Correcti Ansi -
Hemopneumpothoraxi underi tension
49i yeari oldi womani -i coronaryi arteryi diseasei -i BPi 140/90i -i
Highi i Cholesterol,i Highi LDLi (190),i Highi triglyceridesi (350)i -i
TXi withi i atorvastatini andi losartan.i Whati arei thei effectsi oni
HDLi andi i Triglycerides? Correcti Ansi - HDLi increased
Triglyceridesi Decreased
73i yearei oldi -i diffusei weaknessi andi tinglingi ofi heri armsi andi
legs.i i Sensationi andi vibrationi andi positioni isi decreasedi ini alli
extremities.i i Whati vitamini deficiency? Correcti Ansi -
Vitamini B12i -i i (cyanocobalamin)
Teai andi Toasti -i lowi B12i ini diet
