NBME 3

BLOCK 3
1. D.
2. E 
3. A 
4. E
5. C
6. E
7. D
8. D 
9. D 
10. E
11. A 
12. B
13. F
14. F 
15. E 
16. E
17. B 
18. B 
19. C -RBC cholinesterase activity
20. B
21. C 
22. D 
23. E 
24. E 
25. B 
26. B
27. A (P55), preload/postload<<
28. D 
29. B 
30. D 
31. A 
32. E 
33. B 
34. E 
35. B 
36. B 
37. C  (keratoacanthoma角化棘皮瘤)
38. F 
39. D 
40. D 
41. C 
42. C 
43. H 
44. B 
45. A 
46. D 

BLOCK 4 

1. A 
2. D
3. C
4. E 
5. B 
6. D
7. A 
8. B 
9. D 
10. C 
11. E 
12. E 
13. F 
14. A 
15. C 
16. A 
17. A 
18. B
19. B 
20. E 
21. E 
22. D Young-ALWAYS Sarcoidosis
23. E 
24. A 
25. A
26. C 
27. C 
28. B
29. B 
30. A 
31. C 
32. D 
33. A 
34. C 
35. B 
36. D 
37. M 
38. G 
39. C 
40. C 
41. A 
42. B
43. A 
44. E 
45. B 
46. A 
 Block 1
fibromyalgia.  1.a
psychi; 13 yr- age-appropriate behavior 2.b
alcohol baby 3.a
CF carrier mom--> bowel perforation 4.a
suspect CA-->bone: CT of abdomen 5.a
MVP (mid click) -->palpitation  6.d
>>CA (14) from lung CA (~SIADH: Na<5 mmol/L, Na<1%): saline 7.C
psychi 8.C
Schizophrenia- prognosis factor 9.e
septic arthritis -->arthrocentesis 10.e
Abruptio placetae 11.d
CRF- low pro intake. 12.d
gunshot-->laparotomy  13.f
BP>>-->internal capsule-->dysarthria (language OK)+ R extremity 14.e
vomit -->NaCl 15 A
chronic bulky, fool-smelling-->pancreatitis: lipase<<  16.e
delivery-->oxytocin 17.c
pancreatitis-->gallstone 18.D
organophosphate /cholinergic intoxication  19.a
maxillary sinusitis  20.e
inadequate hemostasis 21.D
UTI: trigonal inflam [!!!ureter is ON top] 22.i
pneumothorax 23.a
80%<< L. carotid -->Endarterectomy and daily aspirin 24.e
DKA --> fever 38.5C 25.C
lumbar muscle strain --> use back brace 26.e
septic shock-->cardiac contractility << d/t cytokines/tox 27b
Heat hydration- 39C, all conc>>, BUN/Cr >30. 28.c
1yr, episode pain/bloody stool--> water-soluble contrast enema 29.C
Gonorrhoease and trachomatis 30.e
Delusion 31.D
influenza vacc (winter visit) 32.e
Meniere's 33c
aortic valve replace /Hb 4.6g --> periprosthetic valve leak 34.a
Aortic aneurysm disection 35.e
Marfan--> cystic medial necrosis 36.i
Epidermoid cyst. (blue nevus/mole-->melanoma) 37.A
Seborrheic keratosis (10 yrs) 38.a
HIV/HSV/CA -->C-section 39.b
HA--> sumatriptan (NO CT!!!) 40.B
chondrocalcinosis -->calcium pyrophosphate arthritis 41.D
HIV--> AZT for mom till delivery, AZT for newborn 6wks. 42.e
rheumatic fever 43.A
Mg (2-2.5 mg/dL), alcohol--><<Ca+ w/ hepatitis 44.c
Detrusor instability 45.d
Breast CA-->radiation-->arm>>: lymphatic compression therapy. 46.b

Block 2

Fever, hematuria after 1 unit transfusion --> ABO incompatibility. 1.e

asymptomatic but multiple cardiac risk factors --> stress test 2.b
RHF d/t CF, HTN. 3.F
<<ovarian CA --> use OCP. 4.d
Anal fissure --> stool softner. 5.b
feet swelling-->CRF, due to DM  6.c
SIDS --> two chest thrusts followed by chest compressions 7e
aspirin/ibuprofen--> chronic interstitial nephritis 8.C
takayasu's arteritis (ESR>>, HA, carotid bruit, arthralgy, fever) 9.E
major depression w/ psychotic feature 10.b
G6PD--> hemolysis 11.a
RF d/t Naproxen (for osteoarthritis) 12.b
L. neck bruit-->TIA: d/t retina location 13a
newborn cyanosis d/t close of Ductus Arteriosus (PDA) 14a
GC--> Ceftriaxone and Azithromycin or doxycycline 15.a
HTN --> repeat in 2wks. 16.c
Adrenal crisis (<Na/ >K+) 17.e
Pulsatile tinnitus-/bruit in L. ear -->AVM: HF 18.b
Child abuse (swollen eye, bruise over thorax) 19.C
MM- CRAB: infection d/t <<effective Ab production 20.I
Insolinoma (glu 50, shaking/sweating/confusion) 21.N
Sarcoidosis-->can affect ANY organ, esp lymphnode, parotid. 22 b
Haiti: D-xylose<< (N: 5-8), fat>>(N<7.5) -->small-bowel biopsy 23b
HIV--> ring-lesion, toxo 24m
Parkinson- <<dopamine 25.L
Huntington 26.o
Epidural hematoma 27.D
Febrile neutropaenia: aminogycoside (tobramycin) + ticarcillin 28.b
>>morphine for pain control: end-stage 29. e
ARDS 30.e
fever/decubitus ulcer--> Osteomyelitis 31.d
family therapy 32.e
Histiocytosis (lytic bone lesion) 33a
ADHD --> learning disability 34.e
post-sex contraceptive - high-dose OCP too. 35.c
Sarcoidosis symp-->initial spirometry--> CT-->biopsy 36.d
Mastitis 37.b
Fibroadenoma 38.c
CF Cx --> sperm count<<. 39.c
Agree w/ adult pt. 40.k
skin- cryoglobulin, cryoglobulinemia --> HCV. 41.b
PCOS 42.g
NY landscape architect/arthritis--> borrelia burgdorferi 43.a
Statistics 44.b
L. clavicular bruit--> magnetic resonance angiography 45.a
meat cook/diarrhea -->campylobacter jejuni 46.b