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NBME CBSE EXAM 2 NEWEST 2025 TEST BANK| COMPLETE
1200 REAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) ALREADY GRADED A+|
NBME CBSE EXAM PREP 2025 (BRAND NEW!!)
19yo F with primary amenorrhea, anosmia, Tanner stage 2 breasts, sparse pubic hair and normal cervix - ANSWER - Kalman syndrome - hypogonadotropic hypogonadism
use of theophylline in asthma - ANSWER - substitute for LABA when ineffective.For patients whose symptoms are not controlled with conventional doses of inhaled glucocorticoids; more effective than increasing the dose of inhaled glucocorticoids.
use of ipratropium bromide in asthma - ANSWER - use in ED for acute exacerbation breathing treatments
use of cromolyn sodium in asthma treatment - ANSWER - for mild persistent asthma with allergic triggers
preferred Tx for relapse prevention in asthma exacerbation - ANSWER - short term oral corticosteroids
Pt with decreased energy, weight loss, hypotension. Hyponatremia, hyperkalemia - ANSWER - Perform an ACTH stimulation test for adrenal insufficiency 1 / 4
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pg. 2 Sx of episodic hypotension in patient with pericardial effusion - ANSWER - Exaggerated decline of BP during systole - pulsus paradoxus (2/2 cardiac tamponade or pericarditis)
first line treatment for gout - ANSWER - NSAIDs (indomethacin)
72yo F with previously controlled HTN p/w HTN and abdominal bruit - cause? - ANSWER - RAAS activation, 2/2 renal artery stenosis
maintenance recommendation for pts with nonvalvular a fib - ANSWER
- anticoagulation with warfarin, dabigatran, rivaroxaban, apixaban, or
deoxidant More effective than aspirin alone and ASA plus clopidogrel
Increasing bone pain, local swelling, +/- pathologic fracture Elevated alk phos XR shows lytic lesion (early) then thickened boned with accentuated
trabeculae at 1+ sites. Late: dense bone. Radionuclide scan shows
increased focal uptake - ANSWER - Paget's Disease of the bone - increased bone turnover
37yo M with nonproductive cough, weight loss. Hx of uveitis. CXR shows hilar adenopathy, PPD negative - ANSWER - sarcoidosis
most common lung ca in non smokers - ANSWER - adenocarcinoma of the lung 2 / 4
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pg. 3 lung cancers and smoking risk - ANSWER - small cell lung cancer- almost exclusively in smokers
non small cell: adeno - most common non-smoking lung ca; squamous -
most common lung cancer, seen in smokers, paraneoplastic
Deficient secretion of antidiuretic hormone (ADH). - ANSWER - Central DI (also called neurohypophyseal or neurogenic DI)
Causes of central DI - ANSWER - Most often idiopathic (possibly due to autoimmune injury to the ADH-producing cells) Trauma, pituitary surgery, or hypoxic or ischemic encephalopathy Rare familial cases
Normal ADH secretion but varying degrees of renal resistance to its water-retaining effect. - ANSWER - Nephrogenic DI
Causes of nephrogenic DI - ANSWER - Severe enough to produce
polyuria:
Hereditary nephrogenic DI in children, and chronic lithium ingestion and hypercalcemia in adults.Acquired causes are often at least partially reversible with cessation of the offending drug or correction of hypercalcemia
Differentiate DI in adults - ANSWER - Central: abrupt onset
Nephrogenic or primary: gradual 3 / 4
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pg. 4 Low plasma Na concentration (less than 137 mEq/L) with a low urine osm (eg, less than one-half the plasma osmolality) - ANSWER - Water overload due to primary polydipsia.
High-normal plasma sodium concentration (greater than 142 mEq/L, due to water loss) particularly if the urine osmolality is less than the plasma osmolality - ANSWER - points toward DI
Water deprivation test and DI - ANSWER - Primary: no change with
desmopressin, should be >800 urine osm
Nephrogenic: no change with desmopression, stays <300
Central: improves with desmopression, goes from <300 to >800
37yo F with 1 yr of heartburn, intermittent diarrhea with wt loss and Raynaud's. VSS normal, painful fingertip edema - ANSWER - Scleroderma
most common sites for osteosarcoma - ANSWER - the metaphyseal region of the long bones.The most common sites of involvement, in
descending order, are: distal femur, proximal tibia, proximal humerus,
middle and proximal femur, and other bones.
Goldman Criteria for risk of periop MI - ANSWER - History: Age >70;
MI within 6 mos (MI > age)
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