NBME CBSE ACTUAL TEST QUESTIONS AND
i i i i i i
ANSWERS(Quiz
bank with all the correct answers)(usmle step
i i i i i i i
1)Medical examination
i
01/16/2023 1
, NBME CBSE ACTUAL TEST 2022/2023
i i i i
62i yeari oldi womani -i osteoporosisi –i ai bisphosphonatei isi prescribed.i Thei expectedi beneficiali effecti
ofi thei drugi isi duei toi whichi ofi thei following?
Decreasedi Osteoclasti Activity
Cohoti Studyi ofi elderlyi womeni –i relativei riski ratioi fori hipi fracturesi amongi thosei whoi exercisei
regularlyi isi 1.2i (95%i confidencei intervali ofi 1.1i toi 1.8).i Whichi ofi thei followingi isi thei conclusioni
abouti thei effecti ofi exercisei oni thei riski ofi hipi fracture?
Statisticallyi Significanti Overalli Increasei Risk
00:03
00:49
52i yeari oldi mani goesi toi ERi withi chesti paini radiatingi toi hisi jawi whilei shovelingi snow.i Pulsei isi
80/mini andi bloodi pressurei isi 130/70.i Thei mosti immediatei treatmenti mechanismi ofi action?
Increasedi nitrici oxidei concentration
24i yeari oldi womani –i spilledi hoti greasei oni heri lefti legi whilei workingi ati ai fast-foodi restaurant.i Exami
ofi legi showsi 7cmi pink,i soft,i granular,i edematousi wound.i Thei formationi ofi thisi tissuei wasi mosti
likelyi causedi byi increasedi activityi ofi which?
a.i VasculariEndothelialiGrowthi 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 basali skulli fracturei –i increasedi
serumi osmi andi decreasedi urini osm.i Followingi desmopressini urinei osmi increases.i Desmopressin’si
effecti isi duei toi thei activationi ofi whichi ofi thei following?
,a. Adenylyli Cyclase
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 dayi carei center.i Chesti exami
showsi intercostali retractionsi alongi withi bilateral,i diffusei wheezesi andi expiratoryi rhonchi.i Thei
infectiousi agenti mosti likelyi hasi whichi ofi thei followingi properties?
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 Whichi isi mosti appropriatei pharmacotherapyi fori thisi
patient?
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 partner.i Physicali exami showi cervicali lymphadenopathyi andi
pharyngeali erythemai withi ai creamyi exudate.i DX?
InfectiousiMononucleosis
57i yeari oldi mani –i radiationi therapyi fori squamousi celli carcinomai ofi thei lung.i Despitei therapy,i tumori
increasesi ini sizei andi hei diesi 6i 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?
G1
28i yeari oldi –i livedi ini sub-Saharani Africai –i untili hei camei toi thei US.i Tempi ofi 100.4i –i imagingi
showsi bilateralihydroureteri andihydronephrosis.iBiopsyishowsi markedi fibrosisiandi scatteredi
granulomas.i DX?
Schistosomiasis
Ai couplei withi ai familyi historyi ofi a-thalassemia.i Womani hasi onei genei deletioni andi mani hasi twoi
genei deletion.i Ifi thei twoi genei isi transi –i whati percentagei ofi offspringi willi havei ai twoi genei
deletion?
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 scatteredi petechiaei andi ecchymosesi overi thei loweri
extremitiesi –i 3+i polychromasiai andi 3+i schistocytesi andi Lowi plateletsi Dx?
ThromboticiThrombocytopeniai Purpurai
00:03
00:49
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?
Hemopneumpothoraxi underi tension
49i yeari oldi womani –i coronaryi arteryi diseasei –i BPi 140/90i -i Highi Cholesterol,i Highi LDLi (190),i Highi
triglyceridesi (350)i –i TXi withi atorvastatini andi losartan.i Whati arei thei effectsi oni HDLi andi
Triglycerides?
HDLi increasedi
Triglyceridesi Decreased
73i yearei oldi –i diffusei weaknessi andi tinglingi ofi heri armsi andi legs.i Sensationi andi vibrationi andi
positioni isi decreasedi ini alli extremities.i Whati vitamini deficiency?
VitaminiB12i –i(cyanocobalamin)i
Teai andi Toasti –i lowi B12i ini diet
15i yeari oldi girli –i 3i monthi historyi ofi acnei –i whichi isi thei underlyingi causei ofi thei patientsi acne?i
Stimulationi ofi Sebaceousi Glandsi byi androgens
i i i i i i
ANSWERS(Quiz
bank with all the correct answers)(usmle step
i i i i i i i
1)Medical examination
i
01/16/2023 1
, NBME CBSE ACTUAL TEST 2022/2023
i i i i
62i yeari oldi womani -i osteoporosisi –i ai bisphosphonatei isi prescribed.i Thei expectedi beneficiali effecti
ofi thei drugi isi duei toi whichi ofi thei following?
Decreasedi Osteoclasti Activity
Cohoti Studyi ofi elderlyi womeni –i relativei riski ratioi fori hipi fracturesi amongi thosei whoi exercisei
regularlyi isi 1.2i (95%i confidencei intervali ofi 1.1i toi 1.8).i Whichi ofi thei followingi isi thei conclusioni
abouti thei effecti ofi exercisei oni thei riski ofi hipi fracture?
Statisticallyi Significanti Overalli Increasei Risk
00:03
00:49
52i yeari oldi mani goesi toi ERi withi chesti paini radiatingi toi hisi jawi whilei shovelingi snow.i Pulsei isi
80/mini andi bloodi pressurei isi 130/70.i Thei mosti immediatei treatmenti mechanismi ofi action?
Increasedi nitrici oxidei concentration
24i yeari oldi womani –i spilledi hoti greasei oni heri lefti legi whilei workingi ati ai fast-foodi restaurant.i Exami
ofi legi showsi 7cmi pink,i soft,i granular,i edematousi wound.i Thei formationi ofi thisi tissuei wasi mosti
likelyi causedi byi increasedi activityi ofi which?
a.i VasculariEndothelialiGrowthi 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 basali skulli fracturei –i increasedi
serumi osmi andi decreasedi urini osm.i Followingi desmopressini urinei osmi increases.i Desmopressin’si
effecti isi duei toi thei activationi ofi whichi ofi thei following?
,a. Adenylyli Cyclase
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 dayi carei center.i Chesti exami
showsi intercostali retractionsi alongi withi bilateral,i diffusei wheezesi andi expiratoryi rhonchi.i Thei
infectiousi agenti mosti likelyi hasi whichi ofi thei followingi properties?
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 Whichi isi mosti appropriatei pharmacotherapyi fori thisi
patient?
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 partner.i Physicali exami showi cervicali lymphadenopathyi andi
pharyngeali erythemai withi ai creamyi exudate.i DX?
InfectiousiMononucleosis
57i yeari oldi mani –i radiationi therapyi fori squamousi celli carcinomai ofi thei lung.i Despitei therapy,i tumori
increasesi ini sizei andi hei diesi 6i 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?
G1
28i yeari oldi –i livedi ini sub-Saharani Africai –i untili hei camei toi thei US.i Tempi ofi 100.4i –i imagingi
showsi bilateralihydroureteri andihydronephrosis.iBiopsyishowsi markedi fibrosisiandi scatteredi
granulomas.i DX?
Schistosomiasis
Ai couplei withi ai familyi historyi ofi a-thalassemia.i Womani hasi onei genei deletioni andi mani hasi twoi
genei deletion.i Ifi thei twoi genei isi transi –i whati percentagei ofi offspringi willi havei ai twoi genei
deletion?
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 scatteredi petechiaei andi ecchymosesi overi thei loweri
extremitiesi –i 3+i polychromasiai andi 3+i schistocytesi andi Lowi plateletsi Dx?
ThromboticiThrombocytopeniai Purpurai
00:03
00:49
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?
Hemopneumpothoraxi underi tension
49i yeari oldi womani –i coronaryi arteryi diseasei –i BPi 140/90i -i Highi Cholesterol,i Highi LDLi (190),i Highi
triglyceridesi (350)i –i TXi withi atorvastatini andi losartan.i Whati arei thei effectsi oni HDLi andi
Triglycerides?
HDLi increasedi
Triglyceridesi Decreased
73i yearei oldi –i diffusei weaknessi andi tinglingi ofi heri armsi andi legs.i Sensationi andi vibrationi andi
positioni isi decreasedi ini alli extremities.i Whati vitamini deficiency?
VitaminiB12i –i(cyanocobalamin)i
Teai andi Toasti –i lowi B12i ini diet
15i yeari oldi girli –i 3i monthi historyi ofi acnei –i whichi isi thei underlyingi causei ofi thei patientsi acne?i
Stimulationi ofi Sebaceousi Glandsi byi androgens
