Page 1 of 11
NBCE PART 3 VIGNETTES EXAM QUESTIONS WITH CORRECT
DETAILED ANSWERS [LATEST UPDATE]
Terms in this set (47) Q & A
24 year old female presents with hand pain and shiny skin on her arms and hands.
Provocative cold environment and cryotherapy. X-ray shows erosions of distal tufts and
calcinosis in hands.
- answer- Scleroderma
Scleroderma
• Most likely differential diagnoses:
- answer- 1) Acro-Osteolysis
2) Calcinosis Cutis
3) Systemic Sclerosis
Scleroderma
Most likely associated signs:
- answer- 1) Raynaud's Phenomenon
2) Skin hardening
3) Increase ANA
Scleroderma
, Page 2 of 11
Most likely sequelae to condition:
- answer- 1) Dysphagia
2) Gastric problems
3) Pulmonary fibrosis
62 year old male presents with low back pain, difficulty initiating urine stream, and polyuria in
the middle of the night. Kemps produces LBP in every direction. X-ray shows non-enlarged
ivory white vertebra
- answer- Blastic Mets and Prostate Cancer
Blastic Mets and Prostate Cancer
Positive Labs
- answer- 1) PSA
2) Acid Phosphatase
3) Alkaline Phosphatase
Blastic Mets and Prostate Cancer
• Most likely differential diagnoses from the film:
- answer- 1) Paget's Disease
2) Blastic Mets
3) Hodgkin's Disease
Blastic Mets and Prostate Cancer
NBCE PART 3 VIGNETTES EXAM QUESTIONS WITH CORRECT
DETAILED ANSWERS [LATEST UPDATE]
Terms in this set (47) Q & A
24 year old female presents with hand pain and shiny skin on her arms and hands.
Provocative cold environment and cryotherapy. X-ray shows erosions of distal tufts and
calcinosis in hands.
- answer- Scleroderma
Scleroderma
• Most likely differential diagnoses:
- answer- 1) Acro-Osteolysis
2) Calcinosis Cutis
3) Systemic Sclerosis
Scleroderma
Most likely associated signs:
- answer- 1) Raynaud's Phenomenon
2) Skin hardening
3) Increase ANA
Scleroderma
, Page 2 of 11
Most likely sequelae to condition:
- answer- 1) Dysphagia
2) Gastric problems
3) Pulmonary fibrosis
62 year old male presents with low back pain, difficulty initiating urine stream, and polyuria in
the middle of the night. Kemps produces LBP in every direction. X-ray shows non-enlarged
ivory white vertebra
- answer- Blastic Mets and Prostate Cancer
Blastic Mets and Prostate Cancer
Positive Labs
- answer- 1) PSA
2) Acid Phosphatase
3) Alkaline Phosphatase
Blastic Mets and Prostate Cancer
• Most likely differential diagnoses from the film:
- answer- 1) Paget's Disease
2) Blastic Mets
3) Hodgkin's Disease
Blastic Mets and Prostate Cancer