NBME 17 Answers

RAWALIANS Batch – 37 compilations

NBME – 17 answers

BLOCK #1 B- EBV B- Internal iliac E- Strept Pneumo C- Inhaled glue A-absent LDL receptors D- Middle meningeal A – Adenyl cyclase B- Alveolar macrophages E- Vasodilating PGs afferent arterioles D- Schistocytes A – Calcitonin B- Aortic stenosis A - Decrease plasma rennin A – decrease Ca2+ release from SR B- 9 months age B- Leptin C- 21 alpha hydrxylase deficiency B- Failure to distinguish between clinical and statistical significance F. Trypanosoma cruzi C. maintenance of BM D. increase radial traction B- Decrease doses of 6-Mp A.Early septic shock B. dissecting aneurysm E- spironolactone

F. randomized trial F. TNF B. eztimibe D. antithrombin III B. 1st degree burn E. 2-3 markers D. osteomyelitis B. inhibit osteoclast E. vagus C. GI blood loss A. left Achilles (UMN lesion) D- loperamide A – placebo effect A - 15% A – cholesterol synthesis E- IgM B. carrier mediated B. nephroliathiasis D. MDD E. proliferative endometrial tissue E. scrotum D. parietal cells D. rosacea C. pelvic splanchnic A. metabolic acidosis

BLOCK #2 C- Listeria C- Increased hydrostatic pressure in Bowman space A – Aflatoxin B- Delirium C- Increase intestinal absorption E- LH B- Inferior rectal vein D- Incomplete formation of pleuroperitoneal E- Dyenin arms A – Cerebellum D- vit B12 A – Actinic keratosis C- Doxycycline C- Renal cell adenocarcinoma D- Most ppl find it difficult D- xray of sacroiliac joints D- salicylate poisoning C- Increase ratio of O2 consumption to ATP E- Sulfasalazine E- ubiquitin ligase E- trophoblastic tissue C- Congenital ureteral obstruction A – Infection with HIV2 E- Both decreases D- Increase capillary hydrostatic pressure

D- Tricuspid E- T lymphocytes B- Congenital CMV A – Breast bud development B- Free T4 D- HSV2 B- Phase1 E- Kappa:lambda ratio B- Disruption of normal splicing F- Sertaline B- 15 to 40 B- fibrinous pericarditis C- Neoplastic cells in sub-basement membrane D- Tracheoesophageal atresia C- IL8 E- Pulmonary Neoplasm (SIADH) B- 480 C- 67% B- VII B- Ectopic pregnancy D- Maxillary division of CN-V F- TSH dec, Free Thyroxine dec, Free T3 increase B- Endometrial hyperplasia B- Admit for possible M.I E- Testicle, Estradiol

BLOCK # 3 E- Torsades E- Omeprazole D- Macrophages E- Mallory Hyaline C- Right MLF E- Leukocyte adhesion defect C- Lichen Sclerosis D- Gentamicin B- 25% B- Haemophilus influenza type B C- Hereditary spherocytosis B- Hydrochlorothiazide C- 1, 25 –Dihydroxycholecalciferol A – Calcified 80% stenosis D- 0.9% saline D- transvenous pacemaker D- Inhibition of phosphodiesterase E-Thymoma E- Genes and environment combined D- Gynecomastia B- Mesenteric venous thrombosis A-Epinephrine E- Beta pleated sheet C- Heme synthesis B-cohort

E- Inhibition of muscarinic receptors D- Naloxone F- 3 A – Additional testing to confirm TA C- Family History B- Sympathetic increases, parasympathetic decreases B- Collagen C- Imprinting E- Suppressing early response of T lymphocytes G- Lower limb representation is on medial side D- Schizoid B- Calcium D- Loratadine C- Central volume increases, ADH decreases, ANP increases B- Decrease plasma fibrinogen A – Inferior alveolar nerve A – “How have you been since last time I saw you?” B- Measure acylcarnitine concentrations D- Membrane lipid peroxidation A – Autosomal dominant E- Gonorrhea E- Tubular adenoma D- “It must be difficult for you to accept this diagnosis when you feel healthy” A –Occulomotor III CN nerve C- Information, competence, voluntariness

BLOCK #4 E- Struvite E- TGF-Beta F- Right subthalamic D- Posterior Pituitary C- Immature LES E-Poxvirus (mollascum) B- Autoantibodies against desmosomal proteins C-Parotid gland enlargmement B-Increased blood HCO3 E-Myxoma E-Total hemolytic complement concentration A –Left atrium E-DNA replication E-Wegener granulomatosis C-Rheumatoid arthiritis E-T lymphocyte function A –influenza virus B- Beta glucan in cell wall E- Vitamin E F- Use of sunscreen by her peers B- Contemplation D- “I’m sorry I got delayed. I hope I haven’t made you late somewhere else” C- L3 to L4 A-Neither is superior F- Melanoma

C-Malaria A-Enterococcus faecalis D-Mannose binding Type1 fimbria B-Pellagra D-Lisinopril D-Myoglobin B-T10 C-Junction of SVC and right atrium B-Dopamine B-Hydroxylase D-Strangulation D- Staph Aureus A-Fibromascular dysplasia E-Temperature sensitivity C- IL1 and TNF alpha A - Diverticulum of roof of oral cavity D- Type II pneumocytes F- Pleural effusion E-Pseudomembranes of fibrin and debris E- Failure of ovaries to secrete 17B-estradiol C- The two of you seem to have a important relationship. Of course you may stay together” B- Factor VIII (antihemophillic) B- Kidney B- RV inc, PaO2 decrease, A-a PO2 difference increase D- Increase release of dopamine and norepinephrine A - Albuterol

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