NBME #3 Answer Key

Nbme#3 1:Emi ds haf tf r ac t ur eofhumer us =r adi al ner v e 2 .Cs up eri n t e ns ec o ug h,t h i c kgr e ens p ut u m.n m. on eo ft h eo t h erc ho i c esma mak es e ns e 3.BI NCORRECTIt hi nki ts houl dbeEoper at i v er epai r( c ans i tonc er v i c al per f ' sbutneed s ur gyf orl owerdown,c or r ec t/ wi n6hour s ) 4.C-r ec ur r enti nf ec t i onswi t hPNA,s i nus i t i sandr hi nos i nus i t i s ,s ugges t i v eofI gdefi ci enc y 5.Et r av el er ' sdi ar r headoes n' thav et obef ebr i l e. 6.A-r es t aur ant+s wel l i ng+s hoc k 7.A-s oundsl i k eas t hma. . 8 .E-HDu ns t a bl ewi d ec o mp mp l e xt a ch yne ed sc a r d i o v er s i o n 9.A-i nc ont i nec newi t hl ar gepr os t at e+f ul l bl adder 10.D-t es tf orGHe x c es swi t hI GF1 1 1.EI NCORRECTIt h i n kt h i ss h ou l db eDwa r f a r i n .? 12.Bi t hi nkhehasr eac t i ont ot hePCN>AI N 1 3.BI NCORRECTn ots u r ewh att h er i g hta ns we ri she r e . 14.Cc onf us i onat ax i an ys t agmus wer ni c k e' s 15.Bempy emagetac hes tt ubefi r s t .i ft hatdoes n' twor k ,dec or t i c at i on 16.Ar out i nel i pi ds cr eeni ng 17.E-papul esonar m,f ev er ,s ex ual l yac t i v ewi t hj oi ntWBC>5000,f ebr i l e,noc r y s t al s .onl y 25% ofj oi nt swi t hnei s ser i ahav e+c ul t ur e 18.C-gi v et hi sl adi bupr of enf orheros t eoar t hr i t i s 19.Ac al c i fi edpl eur al pl aquesi naguywhowor k edi nas hi p y ar das bes t os 20.E+FOBTbuysy ouascopei nanol ddudehwoma mayhav eCRC 21.Ev aguesx+v er t i gi nous+dul l t y mpani mp cme membr anes -l abr y nt hi t i s 22.E-l adywi t hs uddenl ynotwor k i ngVI I I -c hec kf orf VI I Ii nhi bi t or .aPTTi nc r e as edfi t st oo 23.C-nof unc t i onal i mpai r ments l i ghtmemor yl os s 24.Et r et i noi nsar ebadf orbabi es . 2 5.D-t r e ats y mp mp t o ma ma t i chy pe r c al c emi awi t hNS.a ndb i s ph os ph on at e s. 26.APNApneumo mococc al CTX 2 7.D-CTXf o rc omp l i c at e dUTIi g ue s s 28.H-os t eos ar c omai st y pi c al l yi ndi s t al f emurandpr es ent si ny oungerpt s ,l y t i cl es i ons . os t eoi dos t eomas os t eobl as t i ct umor .s ev er epai natni ght .us ual l yar oundt hek nee.r el i efwi t h NSAI DSr o un dl u c en c ywi t hd en s ec t r l n i d usoni mg 29.Hs heha sper i or bi t al edema>anas ar c al o w al bumi n. 30.Ds t er nal pai ni nc r eas eswi t hr es pi r at i on.dec r eas edwi t hl eani ngf wd.per i c ar di al r ub 3 1.J g uy swi t hUCa ndc h ol e s t a t i cLFT s 32.Fhei spos i t i v ef orHCVandha dabl oodt r ans f us i onl ongt i meago.andhasant i Hs Babs s oc an ' tb eh epb

3 3.BSTEd i a pho r e si s ,p ai n .l o wo 2s atma k esmet h i n kRVi nf a r c t ?p l u st h eh y po t e ns i on ?a nd t he ydon' tgi v ey ous pec i fi cs i gnsf ort amponade.( k us s maul s i gn,di s t anthear ts ounds ,el ec t r i c al al t er nans ) 34.Br es us ci t at e 3 5.F-I NCORRECTd on ; tk n owwh att h i son ec o ul db e.ma y behei so bs t r u c t e d?k i n dac l u el e s s h e r e 3 6.BI NCORRECTt h i sl a dyh asUSAs t r e s sec g ' sa r eb adf o rt h em It h i n kma y b eEa nds h e s houl dgos t r ai ghtt oc at h?no ts ur e. 37.Bmanbe t ween40and50wi t hr i ghts t er nal bor ders y s t ol i cmur mur ,f at i gue,L VH.ASf r o m bi c us pi dval v e 3 8.AI NCORRECTt h i son ei sme l a no ma ,e x c i s e.It h ou gh tb ct h eh ai r si tma ybeab eni g nl i k e hesa y si npat homabutgoogl ei magesofmel anomat he ygi v ey out hecol ordi ff er ent i at i onand i r r egul ars hapeont hi sguy . andi t sbi g. 39.Bl ac t i cac i dos i swi t hdec r e as edper f us i onf ort hatl ong 40.KI NCORRECTno ts ur ewhatt hi si st houghwhatgi v e sy ouaGas t r i cout l e tobs t r uc t i on pr es ent at i onbuti nar et ar dedk i dwi t hal opec i aar eat a?? 41. Ec r ac k l es ,J VD,S3.c ephal i z at i onoft hepul monar yv e ss el s -i npul m HTN.hehasHF e x ac er b at i o nwi t hed ema 42.A-anemi a.HOHF 43.AI NCORRECT i t hi nkt hi si ss uppos edt obel ungabc es s .dependentl obeswi t hai rfl ui d. 44.Eev er y t hi ngi snl ex c eptgl uc os el ev el .vi s i onc hangesf r om r et i nopat hy ? 4 5.CI NCORRECTIt h i n kwe r es u ppo s edt oa dmi t . ORo pt i mi z ea nds t r e s st e s tl a t e r . 46.Dpol y c y t hemi a. 47.Ds t udydes i gn. 4 8.Cs h eh asap r o l a ct i n oma 49.Chehasei t herf ol at eorB12defi c i enc y 50.ADKA