NBME Practices

Question 1

Symptoms of VIPoma?

Answer 1

Flushing, diarrhea, hypokalemia

Question 2

How to biopsy breast tissue?

Answer 2

Core needle biopsy or if not available needle driven open biopsy. FNA is too small (only good for fibroadenomas).

Question 3

How to treat conn syndrome (1cm aldosterone producing tumor?)

Answer 3

Spironolactone

Question 4

Lab values for septic hip?

Answer 4

Elevated sedimentation rate.

Question 5

Acute rejection molecular pathology

Answer 5

Host cytotoxic lymphocytes activate against donor MHC

Question 6

Pathogenesis of ITP

Answer 6

Formation of antiplatelet (gp2B/3A) antibodies, likely after viral illness. increased megakaryocytes on smear.

Question 7

Artery responsible for most serious nosebleeds?

Answer 7

Sphenopalatine artery (posterior nosebleeds)

Question 8

First step if low calcium?

Answer 8

Check ionized calcium.

Question 9

First steps to treat pancreatitis?

Answer 9

IVF (LR), NPO, pain control.
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Give calcium gluconate only if IONIZED calcium is low.

Question 10

How to best assess intraoperative MI risk?

Answer 10

Nuclear stress test

Question 11

How to treat hemorrhoids?

Answer 11

Hemorrhoidectomy

Question 12

Management of suspected temporal arteritis?

Answer 12

Immediate steroids, followed by temporal artery biopsy

Question 13

Toxic synovitis

Answer 13

Pain in hip after upper respiratory infection in young girls