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NBME 14 EXAM WITH CORRECT ANSWERS 100 % VERIFIED!!
emergency orchidopexy (fixation) - ANSWER treatment for testicular torsion (clinicaldiagnosis)
cornual (interstitial) pregnancy - ANSWER 11 weeks pregnant, abdominal pain, spotting,gestational sac to the right of the midline and into the myometrium, free fluid in the cul de sac. hemodynamic instability complete resolution of symptoms - ANSWER what is the outcome of Hepatitis A virus? osteomalacia (increased PTH) treatment with Vitamin D and calcium - ANSWER elderly patient with malabsorptionsyndrome, weakness, intact sensation with PSEUDOFRACTURES on skeletal survery
Glatiramer (immunomodulator), interferons, MAB steroids for acute flares - ANSWER treatment for multiple sclerosis Type 1 error (alpha) - ANSWER rejecting the null hypothesis when it is true (falsepositive) affected by interim analysis Type 2 error (beta) - ANSWER accepting the null hypothesis when it is false (falsenegative) affected by sample size, reduced by meta-analysis necrotizing fasciitis - antibiotics immediate surgery - ANSWER elderly patient with redshiny skin on shin and small fluid filled bullae. low grade fever, anorexia, lethargy
aspirin - ANSWER reactive thrombocytosis after splenectomy. nbs? endometrial biosy - ANSWER patient with irregular, heavy, unpredictable bleeding. s/sof PCOS. normal pap smear 1 year ago. next step?
upper endoscopy (gastric cancer) - ANSWER smoker with severe epigastric pain,weight loss, early satiety, microcytic anemia, occult blood negative. next step?
subdural hematoma **presentation may not be acute - ANSWER elderly man with 3 weeks of progressiveconfusion, daytime sleepiness, and frequent falls
lethargic no focal findings on neurologic exam iron deficiency anemia - ANSWER low iron, transferrin, and ferritin anemia of chronic disease - ANSWER Microcytic anemia withiron-binding capacity (TIBC), and normal or ↑ ferritin. ↓ serum iron, ↓ total
ultrasound mass - ANSWER patient with tender lump in "armpit" normal mammogram ten months ago3cm firm round mass, next step?
measure A1C - ANSWER 9 weeks pregnant, poorly controlled T1DM, test to assess riskfor fetal malformation?
degenerative osteoarthritis - ANSWER pain and stiffness in the hands and knees daily,affects DIP joints
IV steroids then radiation - ANSWER cancer patient with superior vena cava syndrome.treatment?
lower potency - ANSWER most likely cause of inadequate pain control in a patientswitched from IV pain meds to oral
celiac plexus blockade - ANSWER pancreatic cancer + severe refractory pain. nextstep?
switch to progesterone only and reexamine in 3 months - ANSWER patient startedcombo oral contraceptive 6 months ago, having HTN in the last 3 months. next step?
asympotamtic young patient with hypercalcemia, elevated PTH, and hypocalciuria (lessthan 100mg Ca excretion) - ANSWER familia hypocalciuric hypercalcemia
actinic keratosis - ANSWER treatment is with 5FU or cryotherapy (do not confuse with seborrheic keratoses) normal activities as tolerated (no braces and no cold compresses) - ANSWER youngpatient with lumbar back pain and radicular symptoms (disc herniation) next step? no tx, supportive care (viral bronchitis) - ANSWER young man with 2 day history of lowgrade fever and productive cough. scattered rhonchi, no abnormalities on cxr
biliary colic due to pigmented gallstones (hemolysis) - ANSWER hx of hereditaryspheorcytosis and abdominal pain. likely cause?
steroids - ANSWER first presentation of ITP. platelet count is 9000. treatment?
abdominal ultrasound - ANSWER patient between 65-75 with history of tobacco use.what test?
arthroscopy and operative repair - ANSWER meniscal injury with increasing pain andlocking sensation. next step?
clindamycin - ANSWER patient with peritonsillar abscess and penicillin allergy. whatantibiotic given after drainage?
percutaneous drainage - ANSWER next best step in a hemodynamically stable patientwith appendicial abscess?
same medication, same dose into adulthood - ANSWER child diagnosed with ADHD.what is true about her medication regimen>
serum calcium (hypocalcemia) - ANSWER expected abnormal lab study in DiGeorgesyndrome?
mammary duct ectasia - ANSWER unilateral green nipple discharge (doesn't matter theage)!!!
bipolar disorder - ANSWER gambling for a weekend without sleep, energetic,irresponsibility, followed by suicidality and depression
