NBME 4 Correct Answer-
2mo infant is exclusively breastfed. What nutritional supplement? Correct Answer-Oral VitD to prevent
rickets
What HTN drug causes peripheral edema, flushing, dizziness? Correct Answer-CCB eg ni
...
NBME 4 Correct Answer-
2mo infant is exclusively breastfed. What nutritional supplement? Correct Answer-Oral VitD to prevent
rickets
What HTN drug causes peripheral edema, flushing, dizziness? Correct Answer-CCB eg nifedipine
15yo girl with recurrent candida infections of skin and mucous membranes since childhood. Dx? Correct
Answer-Chronic mucocutaneous candidiasis (T cell dysfunction)
57yoM with impotence for 1 year rand bronze colored skin. Ferritin concentration is 4050 NG/ml.
Increased risk for what complication? Correct Answer-1. Liver (primary organ)--hepatocellular carcinoma
2. Others: pancreas (DM), heart (CHF), skin, thyroid (hypo), gonads, joints (arthritis)
87yo's daughter: "we want my mother to receive hospice care at home but no one wants her to die at
home. Can she still have hospice services?" Correct Answer-Yes. Hospice can provide home based care
and attempt to transfer the pt to another site before death.32yoF with 4d of fever with lymphatic obstruction. PE: the left lower extremity is diffuse lay red and
edematous from just below the knee to the ankle, with a sharp demarcation separating the
erythematous area from the normal skin at the knee. The erythematous area is painful and
hyperesthetic to touch. The left oral nodes are enlarged and painful. Dx and cause? Correct AnswerErysipelas
- usually caused by group A strep
- Tx: IM or oral penicillin/erythromycin
16yo girl with painful genital lesions or 2d. Lots of sexual partners. Exam shows two 3x3mm ulcerated
lesions on the anterior vaginal vault. How prevent transmission with new partner? Correct AnswerConsistent condom use (NOT pharmacological treatment)
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