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NBME CCSE QUESTIONS AND
CORRECT DETAILED ANS WERS
(VERIFIED ANSWERS) |ALREADY
GRADED A+
Question 1: What is the treatment for a child with urinary
incontinence and hard stools?
CORRECT ANSWER: Osmotic laxative or
polyethylene glycol
Question 2: Pt with 10yr h/o schizo treated with
Olanzapine comes to ED with his arms held rigidly by his side, mouth is open and eyes are at maximal upward deviation. He says that he can't relax when asked. Last week he was admitted for hallucinations and was given Haloperidol. What is the NBSM?
CORRECT ANSWER: Anticholinergics
(Diphenhydramine OR Benztropine) for acute dystonia
Question 3: What is the NBSM for a 6 mos old who's
mom uses honey on her pacifier for calming and now has
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s/s of Clostridium botulinum toxin mom puts honey on the pacifier?
CORRECT ANSWER: Electromyography = Repetitive
nerve stimulation study. Will show low amplitude response if (+) Floppy baby synd
Question 4: What are the S/S of vertebral artery
occulsion?
CORRECT ANSWER: Vestibulocerebellar dysfunx
(Vertigo, Nystagmus, Ataxia) + ipsilateral CN dysfunx + Contralateral hemiparesis + contralateral loss of P/T sensation
Question 5: What is the NBSM of vertebral artery
occlusion?
CORRECT ANSWER: If pt has A. Fib give
Anticoagulant (Warfarin) to prevent recurrent stroke If pt DOES NOT have A.Fib give Anti-PLT (ASA + Clopidogrel) to prevent stroke in pts w/o A.Fib
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Question 6: What is the NBSM for pt with an
erythematous swollen joint + systemic sx (fever, nausea, chills, myalgias)?
CORRECT ANSWER: Arthrocentesis
Dx: Septic arthritis
Question 7: What is the MC causal organism in septic
arthritis?
CORRECT ANSWER: S. aureus
Question 8: What is JIA?
CORRECT ANSWER: Juvenile Idopathic Arthritis (aka
Juvenile Rheumatoid arthritis Autoimmune dz in kids <16yo that manifests like RA (morning stiffness and gradual loss of joint motion for 6 weeks)
There are 3 types: Oligoarticular(aka Pauciarticular),
Polyarthritic and Systemic (aka Still dz)
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Question 9: What is the NBSM for 11yo F with pain and
inflammation of weight bearing joints?
CORRECT ANSWER: Slit lamp exam
Dx: JIA
JIA assoc Uveitis is MC in females w/ oligoarthritis and +ANA titers. Uveitis doesn't present until complications occur (glaucoma, cataracts, amblyopia)
Question 10: What locations does lung cancer like to
metastasize?
CORRECT ANSWER: Lung cancer mets are found in
the LABB: Liver, Adrenals, Bone and Brain
Question 11: What cancers like to metastasize to bone?
CORRECT ANSWER: Thyroid, kidney, lung, breast
and prostate
Question 12: What are the RFs for decreased blood
supply in avascular necrosis/osteonecrosis? What is gold standard for dx?