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Step One > NBME Mistakes > Flashcards

NBME Mistakes Flashcards

1
Q

polycystic kidney disease

A

acidic, low pCO2, HCO3

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2
Q

low dose dexamethasone test

A

no change in ACTH or cortisol

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3
Q

preclude restoration after burn in lung

A

basement membrane

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4
Q

abnormally brisk and down slowly

A

aortic regurgitation

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5
Q

DKA labs

A

decreased arterial pco2, decreased HCO3, anion gap

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6
Q

low testosterone in man

A

gynecomastia

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7
Q

vancomycin resistance decrease

A

plasmid loss

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8
Q

Waterhouse Friedrichson

A

give ACTH stimulation test

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9
Q

bilateral hydronephrosis and compression

A

bilateral stents in ureters

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10
Q

treatment anemia

A

EPO

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11
Q

abnormal cells in smoker

A

pseudostratified columnar epithelial cells

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12
Q

unable to flex distal phalanx

A

flexor digitorum profundus tendon

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13
Q

no seizure for 5 years

A

can drive

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14
Q

bulge of anterior vaginal wall

A

cystocele

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15
Q

lytic lesion woman

A

metastatic carcinoma of breast

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16
Q

finding shock after motor accident

A

increased sympathetic

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17
Q

larynx lesion in child

A

HPV

fibrovascular core

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18
Q

tender thyroid

A

subacute granulomatous thyroiditis

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19
Q

underventilated but perfused

A

physiologic shunt

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20
Q

psychotic findings

A

flattened affect

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21
Q

adverse events for drugs

A

3-8 weeks

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22
Q

lung findings systemic sclerosis

A

pulmonary HTN

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23
Q

lower triglycerides

A

fenofibrate

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24
Q

nosebleeds, lesions in tongue

A

osler-weber-rendu

pulmonary AV shunting

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25
Q

nosebleeds and megs

A

decreased gp2b/3a complex

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26
Q

growth on specialized medium, gram negative rods

A

aerosols from environmental source

legionella

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27
Q

weight loss in patient

A

provide follow ups to monitor progress

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28
Q

tubular at PT/macula/medulla

A

isotonic, hypotonic, hypertonic

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29
Q

stimulus for contractions

A

inflamed maternal decidua release prostaglandin

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30
Q

B12 def labs

A

normal methylmalonic

increase homocysteine

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31
Q

dilated ventricles

A

eccentric hypertrophy

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32
Q

motion sickness med

A

antagonist to M3 receptors

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33
Q

precursor for uroporphyrin

A

succinyl CoA

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34
Q

increased bleeding time and PTT

A

von Willebrand disease

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35
Q

met lower lobe of liver

A

ileocolic, SMA, portal, right hepatic

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36
Q

vitamin D def

A

problem with intestinal calcium absorption

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37
Q

increase total coronary blood flow

A

adenosine

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38
Q

impaired upward gaze and shuffling gait

A

pineal gland

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39
Q

abscess pattern necrosis

A

liquefaction

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40
Q

pseudogout crystals

A

calcium pyrophosphate

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41
Q

increase leukocyte count in cancer patient

A

filgrastim

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42
Q

patients know what they are on

A

open-labeled clinical trial

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43
Q

DMD carrier status

A

unknown due to X inactivation

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44
Q

creamy exudate and sore throat late afternoon

A

infectious mono

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45
Q

beta 1 blockade

A

decrease renin and AII

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46
Q

compression of abducens

A

in cavernous sinus

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47
Q

TNF alpha blocker no longer effective

A

antibodies to drug

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48
Q

gangrene and gram positive rods

A

produce alpha toxin

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49
Q

patient afraid to become addicted

A

reassure miniscule chance

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50
Q

ruptured pregnancy

A

accumulation in pouch of douglas

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51
Q

sterilization c. diff

A

oven 150C for 30 min

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52
Q

flapping hands and mental retardation

A

trinucleotdie repeat

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53
Q

distant heart sounds

A

pericardium

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54
Q

IL in atopic dermatitis

A

IL-4

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55
Q

cause of acne

A

stimulation of sebacenous glands by androgens

56
Q

interstitial pneumonitis

A

decrease type I but increase type II and fibroblasts

57
Q

eosinophils and diarrhea

A

examine stool

58
Q

graunulocytopenia

A

risk for bacterial infections

59
Q

calcification ring of bladder

A

schistosomiasis

60
Q

airfluid level and mediastiunum midline

A

hemopneumothorax not under tension

61
Q

splenic sequestration

A

sickle and target

abdominal pain

62
Q

indication pulmonary HTN

A

P2 louder than A2

63
Q

reactive hyperemia after second occlusion

A

increased

64
Q

dilated CM, excess glucose

A

iron

65
Q

girl puberty at 8

A

normal puberty

66
Q

therapy for infertility

A

clomiphene

67
Q

CFTR

A

is a channel not a receptor

protein structure

68
Q

cause of urticaria

A

influx of macrohages producing IL-1, 6, TNFalpha

69
Q

measurement of cytokine positive TB test

A

IFN gamma

70
Q

worried about apnea but no daytime symptoms

A

reassurance

71
Q

mutation in trafficking

A

dilated RER

cannot be trafficked to Golgi

72
Q

handling normal grief

A

schedule regular appointments

73
Q

lack GTPase activity increases

A

AC

74
Q

smoking adaptations

A

increase mucus

decrease activity of airway cilia and macrophages

75
Q

polycythemia as paraneoplastic syndrome

A

seen in RCC

76
Q

cause of clinical deterioration on morphine

A

metabolized to active metabolites that accumulate

77
Q

risk factor for pancreatic cancer

A

cigarette smoking

78
Q

blue eyes and pale skin

A

inability to produce melanin

79
Q

foramina for V2

A

rotundum

80
Q

respiratory problems in infant

A

decreased lamellar bodies

secretory granules

81
Q

exogenous thyroxine

A

follicular atrophy

82
Q

ability to be translated without cap

A

presence of internal ribosome entry site

83
Q

etiology Li-Fraumeni

A

impaired regulation of apoptosis

84
Q

different rates in MAC

A

different blood:gas partition coefficient

85
Q

initiation of intracellular killing

A

NADPH oxidase

86
Q

vocal cord position

A

closed in all except coughing

87
Q

increase in creatinine in elderly

A

normal due to decrease in GFR as you age

88
Q

block in RA treatment

A

TNF-alpha

89
Q

tartrate positive

A

hairy cell leukemia

90
Q

emperic penicillin in patient with sickle

A

prevent strep

penicillin not for gram negative like salmonella

91
Q

impact validity of matched pair

A

biased measurement of the exposure

92
Q

increased PTT means abnormal

A

kallikrein formation

93
Q

gastrinoma next check

A

serum calcium concentration

94
Q

tenderness, exacerbated when reaching above

A

costochondritis

95
Q

presence of dicarboxylic acids in urine

A

defect in long chain acyl CoA dehydrogenase

96
Q

MOA fish oil

A

antagonizes VLDL cholesterol secretion

97
Q

decrease risk of fractures in elderly

A

go for a long walk

98
Q

inhibited by high glucose concentration

A

glyceraldehde 3 phosphate dehydrogenase

99
Q

increase lymph flow

A

IV infusion of saline

100
Q

labs fanconi syndrome

A

decreased AA, glucose, phosphate and HCO3

101
Q

hammer toes and high step

A

abnormal myelin sheaths

102
Q

p value of .01

A

failure to distinguish between statistical and clinical significance

103
Q

high CO and no change in BP after infusion

A

septic shock

104
Q

using coin to determine group

A

randomized control

105
Q

inhibits transport of cholesterol through intestine

A

ezetimibe

106
Q

say ah

A

out vagus

107
Q

injury to right cerebral cortex

A

UMN to achilles tendon

108
Q

self reported lidocaine

A

placebo-saline vs saline with drug

109
Q

infertility and multiple cysts

A

mucinous adenocarcinoma

110
Q

labia majora in males

A

scrotum

111
Q

constipation

A

problem with pelvic splanchnic

112
Q

helical lesion on ear with lots of keratin

A

actinic keratosis

113
Q

first objective sign of puberty

A

breast bud

114
Q

confirm diagnosis of hyperthyroid

A

free T4 levels

115
Q

tender blisters that become open sores on penis

A

HSV-2

116
Q

studying pharmacokinetics of drug

A

phase 1

117
Q

defect in beta thal

A

defect in splicing

118
Q

fluid filled mass in pregnancy error

A

15-40 days

119
Q

increased amniotic fluid

A

TE fistula

120
Q

serum hyperthyroid

A

decrease TSH
decrease free thyroxine
increase triiodi

121
Q

hCG in male

A

estradiol production from testicle

122
Q

liver biopsy alcoholic

A

mallory bodies

123
Q

delayed separation of umbilical cord

A

leukocyte adhesion deficiency

124
Q

treatment delirious man

A

0.9% saline

125
Q

treatment third degree heart block

A

pacemaker

126
Q

hyperreflexia

A

abnormal calcium levels

127
Q

treatment inflamed mucosa

A

loratadine

antihistimine for allergies

128
Q

boy in cold pool

A

increase central blood

decrease ADH and ANP

129
Q

labs sepsis pregnancy

A

increased ANCA

130
Q

labs to check in baby with defect in fatty acid oxidation

A

ABG

131
Q

increased troponin

A

due to formation of apoptotic bodies

132
Q

uncontrolled movement of left side

A

problem right subthalamic nucleus

133
Q

vomit milk in newborn

A

poor LES tone

134
Q

pain atnerior thigh compression nerve

A

L3-L4

135
Q

skin vs visceral infection

A

due to temperature sensitivity

136
Q

decreased breath sounds and decreased tactile fremitus, dull percussion

A

pleural effusion

137
Q

release new glucose in patient

A

kidney

Step One (19 decks)

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