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NBME 10 EXAM QUESTIONS AND CORRECT ANSWERS 100% VERIFIED!!, Exams of Advanced Education

NBME 10 EXAM QUESTIONS AND CORRECT ANSWERS 100% VERIFIED!!

Typology: Exams

2024/2025

Available from 07/06/2025

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NBME 10 EXAM QUESTIONS AND CORRECT ANSWERS
100% VERIFIED!!
11-year-old girl presents With tanner stage one of the pubic hair, she has a flat left
breast and the right breast is tender and a small mass
What is the best next step? - ANSWER Reassurance
This is normal thelarche and can be asymmetric
Order of maturation in female - ANSWER Thelarche, pubarcge, growth spurt, menarche
27-year-old man presents with thrombocytopenia, eczema and recurrent infections -
ANSWER Wiskott-Aldrich, WAS gene,
Patient comes in with ulcerative colitis Treated with prednisone mesalamine and much
more and the doctor decides to add a regimen, due to the addition of the regimen what
should be tested next - ANSWER Tuberculosis screening, due to initiation of TNF alpha
inhibitor
Patient with sickle cell disease comes in with vaso-occlusive crisis it is given pain
control what else should be given with the pain control? - ANSWER Intravenous fluids
Patient with a MI 10 years ago Comes to the hospital due to vomiting. The patient ends
up getting a transfusion and 30 minutes later starts developing shortness of breath,
what is the most likely cause? - ANSWER Transfusion associated circulatory overload
Remember: patience with ABO incompatibility present with flank pain and hypotension
Treatment of transfusion associate circulatory overload - ANSWER Oxygen and positive
pressure ventilation And possible directions
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Download NBME 10 EXAM QUESTIONS AND CORRECT ANSWERS 100% VERIFIED!! and more Exams Advanced Education in PDF only on Docsity!

NBME 10 EXAM QUESTIONS AND CORRECT ANSWERS

1 00% VERIFIED!!

11-year-old girl presents With tanner stage one of the pubic hair, she has a flat left breast and the right breast is tender and a small mass

What is the best next step? - ANSWER Reassurance

This is normal thelarche and can be asymmetric

Order of maturation in female - ANSWER Thelarche, pubarcge, growth spurt, menarche

27-year-old man presents with thrombocytopenia, eczema and recurrent infections - ANSWER Wiskott-Aldrich, WAS gene,

Patient comes in with ulcerative colitis Treated with prednisone mesalamine and much more and the doctor decides to add a regimen, due to the addition of the regimen what should be tested next - ANSWER Tuberculosis screening, due to initiation of TNF alpha inhibitor

Patient with sickle cell disease comes in with vaso-occlusive crisis it is given pain control what else should be given with the pain control? - ANSWER Intravenous fluids

Patient with a MI 10 years ago Comes to the hospital due to vomiting. The patient ends up getting a transfusion and 30 minutes later starts developing shortness of breath, what is the most likely cause? - ANSWER Transfusion associated circulatory overload

Remember: patience with ABO incompatibility present with flank pain and hypotension

Treatment of transfusion associate circulatory overload - ANSWER Oxygen and positive pressure ventilation And possible directions

Can lead to psychosis, bizarre behavior, agitation, aggression, nystagmus and ataxia

treatment - ANSWER PCP intoxication

Treatment: IM lorazepam or Midazolam

38-year-old woman comes in due to seizures, MRI demonstrates unilateral or bilateral temporal lobe abnormalities, what is the next best step? - ANSWER Lumbar puncture: HSV encephalitis

If a patient has stroke like symptoms occurring less than 4 1/2 half hours Without signs of hemorrhage what is administered? - ANSWER Alteplase

If the patient comes in with a stroke in the amount of time is unknown, with no evidence of hemorrhage what is administered? - ANSWER Aspirin instead of alteplase

Bell's palsy Presents with facial nerve palsy causing facial paralysis that doesn't spread the forehead, what is the next best step?

Treatment: - ANSWER It's diagnose clinically, no further testing indicated

Treatment: glucocorticoids and occasionally antiviral therapy

Patient after gastric bypass presents with ataxia, altered mental status and opthalmoplegia including nystagmus, most likely cause? - ANSWER Vit B1 def

Immunocompetent child with cervical lymphadenitis presents with a purpleish hue, And presence of multiple granulomas on excisional biopsy - ANSWER Purpleish hue: mycobacterium infection

Patient presents with a 2 cm ulcer on the foot and new mid back pain, what is the most likely cause and what is the next best step to confirm the diagnosis? - ANSWER Vertebral osteomyelitis, MRI of the lumbar spine.

Can occur through hematogenous spread

artery hypertension

Lead to local inflammatory response and classically presents with fever in lower left quadrant abdominal pain and bloody diarrhea is less frequent - ANSWER Diverticulitis

Acute abdominal pain in the setting of a recent MI that shows the fuse tenderness most prominent in the left lower quadrant - ANSWER Ischemic colitis

Beta three agonist used to treat overactive bladder - ANSWER Mirabegron

Female with a recent fetal demise With a new pregnancy should undergo - ANSWER Non-stress testing in the third trimester for the next pregnancy

What most likely determines a patient's risk for diabetic nephropathy - ANSWER Measurement of urine microalbumin concentration

Men 1 tumors - ANSWER Pituitary, parathyroid, pancreatic

MEN 2A tumors - ANSWER Medullary carcinoma of the thyroid, pheochromocytoma, parathyroid

Men 2B tumors - ANSWER Medullary carcinoma of the thyroid, pheochromocytoma, neuroma's

Commonly causes diseases in immunocompromise patients in the setting of severe ulcerative colitis, solid organ or allergenic bone marrow transplant Tatian or HIV/aids. Intracellular inclusion bodies are classically observed

Treatment - ANSWER CMV colitis treat with ganciclovir or valganciclovir

Attributable risk - ANSWER AR = [a/a + b] − [c/c + d]

Patient comes in with a severe head injury after a motorcycle collision presents with fixed and dilated pupils unresponsive to all physical and verbal stimuli, no cranial reflexes EEG with no electrical activity. Asks what is the most accurate regarding continuation of mechanical ventilation? - ANSWER Mechanical ventilation can be withdrawn without patient's families permission due to patient being brain dead

Any patient with new onset of A.fib should undergo - ANSWER TSH measurement

Crohn's disease can lead to small bowel obstruction due to - ANSWER Forming small bowel structures

Patient presents with abdominal aneurysm measuring 7 cm and pancreatic Adenocarcinoma, what do you do? Do you fix the aneurysm - ANSWER No because of the patients poor prognosis

Patient with bacteremia and disseminated intravascular coagulation With hypotension, has an increase in creatinine from 1.5 to 3 - ANSWER ATN

Mainly caused by medication's Such as antibiotics, NSIADs, PPIs, infections or autoimmune disorders - ANSWER AIN

After dilation and curettage the beta hCG should drop if it drops and goes back up into the thousands what is your diagnosis? - ANSWER Gestational trophoblastic neoplasia

Pregnant females with SLE or Sjogren are increased risk for what Kind of cardiac issue in the infant - ANSWER AV block

Patient with anaphylactic shock is treated with epinephrine and - ANSWER Normal saline

Pentad of patients with TTP pay close attention, what is treatment? - ANSWER Fever

syndrome - ANSWER Cholesterol emboli

So first line treatment for mild hyponatremia in a patient who is having diarrhea who is also able to take in proper fluids and has normal appetite - ANSWER Oral rehydration

What is contraindicated when delivering an infant with a mother who is HIV positive - ANSWER Placement of fetal scalp electrodes

Protective factors for ovarian cancer - ANSWER OCPs for over five years, lactation, multiple pregnancies, bilateral salpingo-oophorectomy

Patient with Klinefelter's can present with short stature 5 foot five being 17 years old low BMI, minimal facial hair, mild bilateral gynecomastia, testes Tanner one - ANSWER

Number one step in treating a patient with DKA - ANSWER Saline infusion followed by insulin then electrolyte

He sure with the long history of consuming prednisone and has low blood pressure think of and treat with - ANSWER Adrenal crisis treat with corticosteroid therapy

Next best step for patient swallowing Drano - ANSWER Esophagoscopy

Formula for relative risk - ANSWER [a/(a+b)]/[c/(c+d)]

Number needed to Treat - ANSWER 1/ARR

ARR= control - treatment

The safety, toxicity and pharmacologic properties of a drug or determined in which phase clinical trial - ANSWER Phase 1

A clinical trial that compares the efficacy of the new intervention to the current standard of care or placebo in a large number of patients which phase - ANSWER Phase 3

What improves validity of clinical trials - ANSWER Randomization, controlled, double blind

Patience with multiple myeloma are prone to what type of infections - ANSWER Infections with encapsulated organisms

SHiN EColi Klebsiella Salmonella Group B

When a fertilized egg implants into the endometrial lining but an embryo fails to develop, often due to severe fetal chromosomal abnormalities - ANSWER Blighted ovum

Patient presents with infective endocarditis what is the next best step - ANSWER Blood cultures before giving antibiotics makes perfect sense

Call me immunoglobulin that is found within the mucosal membrane's - ANSWER IGA

Causes erythematous call Ms. slightly edematous papule at the sight of the sand fly bite may increase in size an old street or become wart like. Hyperkeratotic eschar may form

  • ANSWER Leishmaniasis

Treatment of Pseudo gout - ANSWER Oral NSAIDs

Typically presents with pain and weakness in the direction of shoulder motion and a positive drop arm test - ANSWER Rotator cuff tear

Most common form of superventricular tachycardia - ANSWER Atrial ventricular nodal reentrant tachycardia

SVTs can be provoked by alcohol, caffeine call Mike surgeon, stress or

For a patient with papillary or follicular thyroid cancer what is helpful in monitoring if there's secondary recurrence of cancer - ANSWER Thyroglobulin

First-line therapy in patients with cardiogenic shock - ANSWER Dobutamine, dopamine, norepinephrine

The difference in risk mortality between two groups can be expressed by - ANSWER Hazards ratio

Positive predictive value varies directly with - ANSWER Prevalence

Negative predictive value varies inversely with - ANSWER Prevalence

A technique in which statistical analysis are conducted after the data has been collected and seen by investigators - ANSWER Post hoc analysis

Treatment of oral candidiasis - ANSWER Fluconazole

Treatment for MS, acute flares - ANSWER Corticosteroids

Treatment for MS, long-term - ANSWER Interferon beta therapy or monoclonal antibodies

Strongest modifiable risk factor for stroke - ANSWER Hypertension

Strongest non-modifiable risk factor for stroke - ANSWER Age

Mucocutaneous bleeding or bruising with thrombocytopenia without any other abnormalities - ANSWER Immune thrombocytopenic purpura

Treatment of ITP in adults - ANSWER prednisone (IVIG if refractory) if refractory and not respondent to any of these therapies -> splenectomy

Medication that causes agranulocytosis leading to pharyngitis and neutropenia - ANSWER Trimethoprim sulfamethoxazole

Patients with headaches can induce their symptoms by over using medication for headaches - ANSWER Discontinue

Most common important risk factor for anencephaly as well as caudal neural tube defects - ANSWER Folate deficiency

Accumulation of blood within the anterior chamber of the eye - ANSWER Hyphema

Describe Felty syndrome - ANSWER rheumatoid arthritis (joint arthralgias)

Neutropenia

Splenomegaly

Impairment of ankle dorsiflexion (foot drop), great toe extension and foot diversion along with sensory loss of dorsum of the foot - ANSWER Common peroneal neuropathy

Weakness of hip flexion, knee extension, diminished patellar reflex and impaired sensation of the anterior thigh - ANSWER Femoral neuropathy

Impairment in hip adduction and sensation of the medial proximal thigh - ANSWER Obturator neuropathy

Weakness of ankle plantar flexion along with pain and sensory loss of skin overlying the buttock thigh and posterior leg - ANSWER S1 radiculopathy

Presents with fever, myalgias, headache, tachycardia and hypotension. Seen after giving penicillin for treatment of syphilis - ANSWER Jarisch Herxheimer

Complication of umbilical artery catheterization - ANSWER Renal artery thrombosis leading to hypertension

Elevation of renin and aldosterone

Management of foreign body aspiration - ANSWER Bronchoscopy can be therapeutic and diagnostic

Treatment of IBS - ANSWER Loperamide