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PART 3 NBCE PRACTICE QUESTIONS WITH
COMPLETE SOLUTIONS
Question 1: WHAT IS THE MOST LIKELY DIAGNOSIS IN
A 45-YEAR-OLD MALE WEST INDIAN SEASONAL
WORKER WITH DYSPNEA, HEMOPTYSIS AND NIGHT
SWEATS FOR THE PAST THREE MONTHS?
CORRECT ANSWER : TB
Question 2: WHAT IS THE MOST LIKELY CAUSATIVE
ORGANISM IN THIS PATIENT?
CORRECT ANSWER : MYCOBACTERIUM
TUBERCULOSIS
Question 3: WHICH IS THE BEST CULTURE MEDIUM FOR
THE ABOVE CAUSATIVE ORGANISM IN THIS 45 -YEAR-
OLD WEST INDIAN WORKER WITH DYSPNEA,
HEMOPTYSIS AND NIGHT SWEAT S FOR THE PAST
THREE MONTHS?
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CORRECT ANSWER : LOWENSTEIN JENSEN- for
mycobacterium species/TB
Question 4: EXAMINATION OF HIS CHEST REVEALS
STONY DULL PERCUSSION NOTES IN THE BASE OF
THE RIGHT LUNG. WHICH IS THE MOST LIKELY
EXPLANATION OF THIS PHYSICAL FIN DING IN HIS
CHEST?
CORRECT ANSWER : PLEURAL EFFUSION
Question 5: WHAT IS THE UNDERLYING
PATHOPHYSIOLOGY OF THE DYSPNEA IN THIS
PATIENT?
CORRECT ANSWER : INADEQUATE VENTILATION
Question 6: WHICH RADIOLOGICAL FINDING WOULD
SUPPORT THE CAUSE OF THE STONY DULLNESS IN
THE BASE OF THE RIGHT LUNG OF THIS PATIENT
WITH DYSPNEA AND HEMOPTYSIS?
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CORRECT ANSWER : OBLITERATION OF THE RIGHT
COSTOPHRENIC ANGLE
Question 7: WHICH IN THE CLINICAL PICTURE OF THIS
PATIENT IS A RED FLAG?
CORRECT ANSWER : COUGHING UP BLOOD
Question 8: WHICH IS THE RECOMMENDED
MANAGEMENT FOR THIS PATIENT?
CORRECT ANSWER : REFER HIM TO THE DEPARTMENT
OF HEALTH
Question 9: WHICH IS THE MOST LIKELY CAUSE OF
ICTERIC SCLERAE IN A 43-YEAR-OLD PATIENT WITH
DARK BROWN-GREEN URINE AND BROWN FECES?
CORRECT ANSWER : CIRRHOSIS
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