NBME 3

Question 1

SIBO

Answer 1

Excessive bacteria in small intestine ->

Question 2

Ruptured Esophagus

Answer 2

Blunting of Right costovertebral angle
Not Pancreatits

Crepitus in neck (mediastinatal air)
Hamman Sign (crunching over the heart)
Extravasation into mediastinum and left pleural cavity with contrast

Question 3

Boerhaave

Answer 3

Postemetic esophageal rupture

Question 4

Pulmonary Contusion

Answer 4

Bruise of lung after trauma, damage to capillaries, blood and other fluids accumulate into the lung tissue & causes respiratory disteress

Question 5

ITP

Answer 5

Platelet destruction

Splenectomy

Question 6

Patent Ductus Arteriosus

Answer 6

Aorta to Pulmonary Artery persists
Left to right shunt volume overload, pulmonary HTN, R Heart Failure
Continuous Machine Like Murmur
Wide Pulse Pressure, Bounding peripheral pulses

Question 7

Ruptured Bronchus

Answer 7

Crepitant swelling over face neck and hemithorax

Question 8

PostOp Pneumonectomy risk

Answer 8

FEV1

Question 9

Pulmonary Capilary Wedge Pressure elevation

Answer 9

Increased Left Atrial Pressure (Acute pulmonary Edema) caused by heart failure

Question 10

Amaurosis Fugax

Answer 10

Temporary loss of vision in one or black eyes painless

Can be due to vascular infarct

Question 11

AKI

Answer 11

NSAIDs inhibited synthesis of prostacyclin

Question 12

C8 Nerve

Answer 12

Ulnar

Question 13

C7 Nerve

Answer 13

MIddle FInger

Question 14

C6 Nerve

Answer 14

Radial

Question 15

Endotrachial

Answer 15

Tube

Question 16

Tracheostomy

Answer 16

Incision in Trachea

Question 17

Insulinoma

Answer 17

Tumor in beta cells of pancreas
Hypoglycemia at bizarre times
Diaphoresis, headache, visual disturbances, confusion, seizures, coma,
Dx: 72hr Fast & measure Cpeptide

MEN 1

Question 18

Whipple Triad (Insulinoma)

Answer 18

Hypoglycemia brought on by fasting
Blood glucose <50
Glucose administration relieves symptoms

Question 19

Acute Transfusion Reaction

Answer 19

Preformed antibodies against leukocyte antigens

Question 20

Intravascular Hemolysis

Answer 20

ABO Mismatch
anti IgM attack RBC
Massive intravascular hemolysis
Fever/Chill/Nausea/Vomit/Pain

Question 21

Extravascular Hemolysis

Answer 21

3-4 weeks after transfusion
Minor RBC antigens
Fever/Jaundice/Anemia