NBME EXAM 2023 WITH 100% CORRECT ANSWERS

Document Content and Description Below

25 yo F at 27 weeks w/ severe contractions x6 hours, vaginal spotting, contractions every 2-3 mins w/ FHR 130 and no decels, cervic 1-2 cm and 70% effaced, GBS is positive. next step? IM beclamethasone THEN later can give penicillin man w/ 15 yr hx of difficult relaxing hands after tightly gripping objects or shaking hands, difficulty releasing after gripping w/ hands. dx? myotonic muscular dystrophy pt unable to see out of R eye since awakening 2 hrs ago. visual acuity 20/200 in R eye and 20/20 in L. R pupil poorly reactive to light. where is site of lesion? R optic nerve 6 mo old w/ poor feeding, labored breathing, to and fro murmur in 2nd L itnercostal space, loud S2, bounding peripheral pulses, widened pulse pressure. dx? patent ductus arteriosus recurrent lymph node infxns w/ staph a in a kid. what is dx and mechanism? chronic granulomatous dz --> impaired phagocytic oxidative metabolism pt hyperkalemic bc missed 2 dialysis appointments. EKG w/ peaked t waves. next step? IV calcium gluconate --> THEN can give insulin but this works within minutes hyaline casts vs WBC casts? -WBC casts: interstitial nephritis and pyelonephritis -hyaline casts: AKI 4 yo M in MVC, RR 32 w/ grunting and restractions, hypoxic on ABG, CXR 4 hrs later shows diffuse infiltrates on R side. dx? pulmonary contusion asymptomatic 57 yo M smoker, bruit in RUQ, no masses, BUN 23, Cr 1.4. what is cause of bruit? accumulation of lipids in arterial wall --> renal artery stenosis 52 yo F w/ decreased libido, underwent TAH and bilateral salpingo-oophorectomy for leiomyomata uteri and menorrhagia. on hormone replacement + estrogen since sx. exam w/ moist, rugated vagina. what is cause? decreased androgens/testosterone --> due to oophoreectomy = decreased androstenedione and DHEA = aka hypergonadotropic hypogonadism ant pituitary works ovaries don't 67 yo F w/ afib on warfarin, INR 6 so meds stopped, next day she had abdominal pain and vomiting x24 hours, Hgb 13 --> 7.8. cause? intramural hematoma of proximal small bowel --> rare complication of warfarin 67 yo M w/ 1 hours of vertigo, nausea, imbalance, small R pupil, mild R ptosis, nystagmus, weakness of R palate, sensation to pinprick is decreased over R face and L extremities + incoordination of finger to nose and heel-shin. where is occlusion? R vertebral 77 yo F w/ cramping abdominal pain and distention w/ n/v. no hx of abdominal sx. afebrile, tachy. distended abdomen w/ mild diffuse tenderness. BS are high pitched. x-ray of abdomen shows air fluid levels in SB and liver but no gas in colon or free air. dx? gallstone ileus --> air in billiary tree/liver even though all other signs sound like SBO 18 mo old has not used L arm since he fell while walking & holding hands w/ sister. he is holding LUE at side w/ forearm pronated. no tenderness of LLE, restricted movement of elbow. next step? passive hypersupination of forearm --> nurse maid elbow aka radial head dislocation (can also hyperpronate) asthmatic teen w/ asthma attack, she hast not been taking her meds. what is best way to get her to be compliant negotiate a contract regarding med compliance

[Show More]

Last updated: 3 years ago

Preview 1 out of 11 pages

Buy Now

Instant download

Preview of NBME EXAM 2023 WITH 100% CORRECT ANSWERS

Buy this Document to get the Full Access Instantly

Provided by Students Who Aced it

We Verify Document Content to Gurantee Accuracy

Buy Now

Report Copyright Violation

Also available in bundle (1)

Click Below to Access Bundle(s)

NBME BUNDLED EXAMS 2023 WITH 100% CORRECT ANSWERS

NBME EXAM 2023 WITH 100% CORRECT ANSWERS NBME 25 exam 2023 with 100% correct answers NBME EXAM 2023 WITH 100% CORRECT ANSWERS NBME review exam 2023 with 100% correct answers

By Tenhang 3 years ago

$30