NBME 9 Questions and Answers | Graded A

Kid with bed wetting problems + constipation tx? Correct Answer-administration of an osmotic laxative Multiple myeloma is marked by proliferation of ______ B cells Correct Answer-monoclonal In patients with bipolar di ...

Kid with bed wetting problems + constipation tx? Correct Answer-administration of an osmotic laxative Multiple myeloma is marked by proliferation of ______ B cells Correct Answer-monoclonal In patients with bipolar disorder that are suffering from acute depression + stopped taking meds, what do you give them? Correct Answer-bipolar medication like lithium, lamotrigine, quetiapine, and lurasidone SSRIs in bipolar patients can be bad because? Correct Answer-it can precipitate mania or convert depression to mania Patient with afib with a history of TIA or stroke Tx? Correct Answer-warfarin Patient without afib with history of TIA or stroke Tx? Correct Answer-aspirin T/F: Aspirin and clopidogrel are anticoagulants Correct Answer-false 1st line therapy for mild to moderate acne vulgaris Tx? Correct Answer-topical retinoids Patient with juvenile idiopathic arthritis may present with what extraarticular manifestation? Correct Answer-uveitis (screen with slit-lamp exam) In adults, the presence of a destructive bone lesion is more commonly caused by ______ disease rather than primary bone malignancy Correct Answer-metastatic T/F: Osteosarcoma is most common in patients ____ years of age Correct Answer-<30 Patients with severe AS with symptoms or systolic dysfunction (EF <50%) should receive what tx? Correct Answer-aortic valve replacement Patients with HF (EF < 50%) who have AS + asymptomatic in terms of SOB on exertion, should receive what treatment? Correct Answer-Afterload reduction 32 yo woman with bcg vaccine as a child + emigrated from China + PPD skin test of 12 mm risk status and next step? Correct Answer-High risk; isoniazid 92 yr old with left mandibular mass that has enlarged + x ray is normal + smoker + normal VS next step? Correct Answer-biopsy 77 yr old woman with 1 day hx of nausea + vomiting + confusion + has HTN + on diltiazem + BP 160/70 + ox 84% + JVD borderline high + crackles in lungs + S3 + edema + signs of kidney injury Dx and next step? Correct Answer-fluid overload; hemodialysis In diabetic patients, foot injuries can be prevented with? Correct Answer-wearing shoes when standing or walking In diabetic patients, worsening of foot injuries can be prevented with? Correct Answer-daily foot checks 37 yr old woman with no hx of abnormal pap smears + current visit shows pap smear with atypical glandular cells potential dx and next step? Correct Answer-endometrial malignancy; colposcopy with endocervical curettage 37 yr old woman with no hx of abnormal pap smears + current visit shows pap smear with atypical glandular cells After colposcopy with endocervical curettage, what can be considered as a next step? Correct Answerhysteroscopy T/F: Neonate that improved with PPV can be taken off of PPV immediately after Correct Answer-true If there is suspected FSGS, what is the next step? Correct Answer-renal biopsy If there is suspected FSGS, what is the next step after confirming it with renal biopsy? Correct Answerprednisone therapy 1st line tx for Merniere's disease Correct Answer-antihistamines (e.g. Meclizine) 2nd line tx for refractory Merniere's disease Correct Answer-methylprednisolone T/F: Initial step to controlling allergic rhinitis can include use of pillow and mattress covers Correct Answer-true COPD exacerbations can be treated with? Correct Answer-supplemental oxygen, SABA, steroids, antibiotics, and nebulizers COPD daily management should include? Correct Answer-LABA, tiotropioum, steroids T/F: Oral steroids are the main daily treatment for chronic COPD patients. Correct Answer-false T/F: LABA are the main daily treatment for chronic COPD patients. Correct Answer-true What chemical can cause osmotic diarrhea, bloating, and abdominal discomfort when used in excessive quantities? Correct Answer-sorbitol T/F: Aspartame is commonly associated with diarrhea Correct Answer-false Most umbilical hernias regress by ____ years of age Correct Answer-3 Most umbilical hernias that are >____ cm in children >3 years of age are most likely to continue enlarging. Correct Answer-1.5 T/F: CT scan is better for nephrolithiasis than x-ray Correct Answer-true Majority of renal calculi are radioopaque and can be visualized with ____ Correct Answer-CT Struvite and cystine calculi are ______ renal calculi Correct Answer-radiolucent US can be useful for detecting _____ renal calculi Correct Answer-radiolucent 24 yr old woman who has fever + diffuse tenderness on bimanual + tender uterus + 28 hours post vaginal delivery potential dx and next step? Correct Answer-endometritis; IV abx Risk factors for endometritis post delivery Correct Answer-PPROM, prolonged labor, c-section, BV, GBS,