NBME Mistakes Flashcards
1
Q
polycystic kidney disease
A
acidic, low pCO2, HCO3
2
Q
low dose dexamethasone test
A
no change in ACTH or cortisol
3
Q
preclude restoration after burn in lung
A
basement membrane
4
Q
abnormally brisk and down slowly
A
aortic regurgitation
5
Q
DKA labs
A
decreased arterial pco2, decreased HCO3, anion gap
6
Q
low testosterone in man
A
gynecomastia
7
Q
vancomycin resistance decrease
A
plasmid loss
8
Q
Waterhouse Friedrichson
A
give ACTH stimulation test
9
Q
bilateral hydronephrosis and compression
A
bilateral stents in ureters
10
Q
treatment anemia
A
EPO
11
Q
abnormal cells in smoker
A
pseudostratified columnar epithelial cells
12
Q
unable to flex distal phalanx
A
flexor digitorum profundus tendon
13
Q
no seizure for 5 years
A
can drive
14
Q
bulge of anterior vaginal wall
A
cystocele
15
Q
lytic lesion woman
A
metastatic carcinoma of breast
16
Q
finding shock after motor accident
A
increased sympathetic
17
Q
larynx lesion in child
A
HPV
fibrovascular core
18
Q
tender thyroid
A
subacute granulomatous thyroiditis
19
Q
underventilated but perfused
A
physiologic shunt
20
Q
psychotic findings
A
flattened affect
21
Q
adverse events for drugs
A
3-8 weeks
22
Q
lung findings systemic sclerosis
A
pulmonary HTN
23
Q
lower triglycerides
A
fenofibrate
24
Q
nosebleeds, lesions in tongue
A
osler-weber-rendu
pulmonary AV shunting
25
nosebleeds and megs
decreased gp2b/3a complex
26
growth on specialized medium, gram negative rods
aerosols from environmental source
| legionella
27
weight loss in patient
provide follow ups to monitor progress
28
tubular at PT/macula/medulla
isotonic, hypotonic, hypertonic
29
stimulus for contractions
inflamed maternal decidua release prostaglandin
30
B12 def labs
normal methylmalonic
| increase homocysteine
31
dilated ventricles
eccentric hypertrophy
32
motion sickness med
antagonist to M3 receptors
33
precursor for uroporphyrin
succinyl CoA
34
increased bleeding time and PTT
von Willebrand disease
35
met lower lobe of liver
ileocolic, SMA, portal, right hepatic
36
vitamin D def
problem with intestinal calcium absorption
37
increase total coronary blood flow
adenosine
38
impaired upward gaze and shuffling gait
pineal gland
39
abscess pattern necrosis
liquefaction
40
pseudogout crystals
calcium pyrophosphate
41
increase leukocyte count in cancer patient
filgrastim
42
patients know what they are on
open-labeled clinical trial
43
DMD carrier status
unknown due to X inactivation
44
creamy exudate and sore throat late afternoon
infectious mono
45
beta 1 blockade
decrease renin and AII
46
compression of abducens
in cavernous sinus
47
TNF alpha blocker no longer effective
antibodies to drug
48
gangrene and gram positive rods
produce alpha toxin
49
patient afraid to become addicted
reassure miniscule chance
50
ruptured pregnancy
accumulation in pouch of douglas
51
sterilization c. diff
oven 150C for 30 min
52
flapping hands and mental retardation
trinucleotdie repeat
53
distant heart sounds
pericardium
54
IL in atopic dermatitis
IL-4
55
cause of acne
stimulation of sebacenous glands by androgens
56
interstitial pneumonitis
decrease type I but increase type II and fibroblasts
57
eosinophils and diarrhea
examine stool
58
graunulocytopenia
risk for bacterial infections
59
calcification ring of bladder
schistosomiasis
60
airfluid level and mediastiunum midline
hemopneumothorax not under tension
61
splenic sequestration
sickle and target
| abdominal pain
62
indication pulmonary HTN
P2 louder than A2
63
reactive hyperemia after second occlusion
increased
64
dilated CM, excess glucose
iron
65
girl puberty at 8
normal puberty
66
therapy for infertility
clomiphene
67
CFTR
is a channel not a receptor
| protein structure
68
cause of urticaria
influx of macrohages producing IL-1, 6, TNFalpha
69
measurement of cytokine positive TB test
IFN gamma
70
worried about apnea but no daytime symptoms
reassurance
71
mutation in trafficking
dilated RER
| cannot be trafficked to Golgi
72
handling normal grief
schedule regular appointments
73
lack GTPase activity increases
AC
74
smoking adaptations
increase mucus
| decrease activity of airway cilia and macrophages
75
polycythemia as paraneoplastic syndrome
seen in RCC
76
cause of clinical deterioration on morphine
metabolized to active metabolites that accumulate
77
risk factor for pancreatic cancer
cigarette smoking
78
blue eyes and pale skin
inability to produce melanin
79
foramina for V2
rotundum
80
respiratory problems in infant
decreased lamellar bodies
| secretory granules
81
exogenous thyroxine
follicular atrophy
82
ability to be translated without cap
presence of internal ribosome entry site
83
etiology Li-Fraumeni
impaired regulation of apoptosis
84
different rates in MAC
different blood:gas partition coefficient
85
initiation of intracellular killing
NADPH oxidase
86
vocal cord position
closed in all except coughing
87
increase in creatinine in elderly
normal due to decrease in GFR as you age
88
block in RA treatment
TNF-alpha
89
tartrate positive
hairy cell leukemia
90
emperic penicillin in patient with sickle
prevent strep
| penicillin not for gram negative like salmonella
91
impact validity of matched pair
biased measurement of the exposure
92
increased PTT means abnormal
kallikrein formation
93
gastrinoma next check
serum calcium concentration
94
tenderness, exacerbated when reaching above
costochondritis
95
presence of dicarboxylic acids in urine
defect in long chain acyl CoA dehydrogenase
96
MOA fish oil
antagonizes VLDL cholesterol secretion
97
decrease risk of fractures in elderly
go for a long walk
98
inhibited by high glucose concentration
glyceraldehde 3 phosphate dehydrogenase
99
increase lymph flow
IV infusion of saline
100
labs fanconi syndrome
decreased AA, glucose, phosphate and HCO3
101
hammer toes and high step
abnormal myelin sheaths
102
p value of .01
failure to distinguish between statistical and clinical significance
103
high CO and no change in BP after infusion
septic shock
104
using coin to determine group
randomized control
105
inhibits transport of cholesterol through intestine
ezetimibe
106
say ah
out vagus
107
injury to right cerebral cortex
UMN to achilles tendon
108
self reported lidocaine
placebo-saline vs saline with drug
109
infertility and multiple cysts
mucinous adenocarcinoma
110
labia majora in males
scrotum
111
constipation
problem with pelvic splanchnic
112
helical lesion on ear with lots of keratin
actinic keratosis
113
first objective sign of puberty
breast bud
114
confirm diagnosis of hyperthyroid
free T4 levels
115
tender blisters that become open sores on penis
HSV-2
116
studying pharmacokinetics of drug
phase 1
117
defect in beta thal
defect in splicing
118
fluid filled mass in pregnancy error
15-40 days
119
increased amniotic fluid
TE fistula
120
serum hyperthyroid
decrease TSH
decrease free thyroxine
increase triiodi
121
hCG in male
estradiol production from testicle
122
liver biopsy alcoholic
mallory bodies
123
delayed separation of umbilical cord
leukocyte adhesion deficiency
124
treatment delirious man
0.9% saline
125
treatment third degree heart block
pacemaker
126
hyperreflexia
abnormal calcium levels
127
treatment inflamed mucosa
loratadine
| antihistimine for allergies
128
boy in cold pool
increase central blood
| decrease ADH and ANP
129
labs sepsis pregnancy
increased ANCA
130
labs to check in baby with defect in fatty acid oxidation
ABG
131
increased troponin
due to formation of apoptotic bodies
132
uncontrolled movement of left side
problem right subthalamic nucleus
133
vomit milk in newborn
poor LES tone
134
pain atnerior thigh compression nerve
L3-L4
135
skin vs visceral infection
due to temperature sensitivity
136
decreased breath sounds and decreased tactile fremitus, dull percussion
pleural effusion
137
release new glucose in patient
kidney
