Sei sulla pagina 1di 2

Nbme #3

1: E--midshaft fracture of humerus=radial nerve


2. C--super intense cough, thick green sputum. none of the other choices make sense
3. B--INCORRECT I think it should be E operative repair (can sit on cervical perf's but need
surgy for lower down, correct /win 6 hours)
4. C-- recurrent infections with PNA, sinusitis and rhinosinusitis, suggestive of Ig deficiency
5. E--traveler's diarrhea doesn't have to be febrile.
6. A-- restaurant + swelling + shock
7. A-- sounds like asthma..
8. E-- HD unstable wide complex tachy needs cardioversion
9. A-- incontinecne with large prostate + full bladder
10. D-- test for GH excess with IGF-1
11. E INCORRECT I think this should be D warfarin. ?
12. B--i think he has reaction to the PCN--> AIN
13. B--INCORRECT not sure what the right answer is here.
14. C--confusion ataxia nystagmus--wernicke's
15. B--empyema--get a chest tube first. if that doesn't work, decortication
16. A--routine lipid screening
17. E-- papules on arm, fever, sexually active with joint WBC>5000, febrile, no crystals. only
25% of joints with neisseria have + culture
18. C-- give this lad ibuprofen for her osteoarthritis
19. A--calcified pleural plaques in a guy who worked in a shipyard-asbestos
20. E--+FOBT buys you a scope in an old dude hwo may have CRC
21. E--vague sx + vertiginous + dull tympanic membranes-- labrynthitis
22. E-- lady with suddenly not working VIII-- check for fVIII inhibitor. aPTT increased fits too
23. C-- no functional impairment slight memory loss
24. E--tretinoins are bad for babies.
25. D-- treat symptomatic hypercalcemia with NS. and bisphosphonates.
26. A--PNA pneumococcal CTX
27. D-- CTX for complicated UTI i guess
28. H-- osteosarcoma is typically in distal femur and presents in younger pts, lytic lesions.
osteoid osteomas-osteoblastic tumor. severe pain at night. usually around the knee. relief with
NSAIDS round lucency with dense ctrl nidus on img
29. H--she has periorbital edema--> anasarca low albumin.
30. D--sternal pain increases with respiration. decreased with leaning fwd. pericardial rub
31. J-guys with UC and cholestatic LFTs
32. F--he is positive for HCV and had a blood transfusion long time ago. and has anti-HsB abs
so can't be hep b

33. B STE diaphoresis, pain. low o2 sat makes me think RV infarct? plus the hypotension? and
they don't give you specific signs for tamponade. (kussmaul sign, distant heart sounds, electrical
alternans)
34. B--resuscitate
35. F-- INCORRECT don;t know what this one could be. maybe he is obstructed? kinda clueless
here
36. B--INCORRECT this lady has USA stress ecg's are bad for them I think maybe E and she
should go straight to cath? not sure.
37. B--man between 40 and 50 with right sternal border systolic murmur, fatigue, LVH. AS from
bicuspid valve
38. A--INCORRECT this one is melanoma, excise. I thought bc the hairs it may be a benign like
he says in pathoma but google images of melanoma---they give you the color differentiation and
irregular shape on this guy. and its big.
39. B--lactic acidosis with decreased perfusion for that long
40. K--INCORRECT not sure what this is though--what gives you a Gastric outlet obstruction
presentation but in a retarded kid with alopecia areata??
41.E--crackles, JVD, S3. cephalization of the pulmonary vessels- in pulm HTN. he has HF
exacerbation with edema
42. A-- anemia. HOHF
43. A--INCORRECT i think this is supposed to be lung abcess. dependent lobes with air fluid.
44. E--everything is nl except glucose level. vision changes from retinopathy?
45. C--INCORRECT I think were supposed to admit.OR optimize and stress test later.
46. D--polycythemia.
47. D--study design.
48. C--she has a prolactinoma
49. C--he has either folate or B12 deficiency
50. A--DKA

Potrebbero piacerti anche