NBME 15

Block 1/Question#6
A 7-year-old boy is brought to the physician ...
Virion release


Block 1/Question#9
A healthy 3-year-old boy has a cleft lip and ...
Multifactorial


Block 1/Question#10
Which of the following best explains why ...
Deoxyhemoglobin is a better buffer of hydrogen ions than oxyhemoglobin


Block 1/Question#11
A 9-year-old boy has mild mental retardation and a ...
Tuberous sclerosis


Block 1/Question#15
A 48-year-old woman comes to the emergency ...
Increased cardiac parasympathetic activity


Block 1/Question#19
A 65-year-old man with a history of ischemic heart ...
33%


Block 1/Question#24
A 3-year-old girl is brought to the physician ...
Interferon-gamma receptor


Block 1/Question#32
A 4-day-old male newborn who was born at home is ...
First


Block 1/Question#33
A 75-year-old woman is brought to the physician ...
Releases NF-κB after undergoing phosphorylation


Block 1/Question#35
One-half hour after an uncomplicated vaginal ...
Oxytocin


Block 1/Question#37
A 36-year-old man who is heterozygous for an ...
LDL receptor


Block 1/Question#38
A 23-year-old woman comes to the physician because ...
Oculomotor nerve


Block 1/Question#39
An investigator is designing a study to compare a ...
Stratification


Block 1/Question#44
A 59-year-old man comes to the physician because of ...
Imatinib


Block 1/Question#46
A 6-year-old boy with severe mental retardation and ...
0.2 to 0.5


Block 1/Question#48
A 22-year-old man is brought to the emergency ...
Deep fibular (peroneal)


Block 1/Question#49
A 23-year-old woman comes to the physician because ...
Glucokinase


Block 1/Question#50
A healthy 25-year-old man participates in a study ...
epp Amplitude: 1; mepp Amplitude: 1; Response to Ach: 1


Block 2/Question#3
A 2-year-old girl is brought to the emergency ...
Atropine


Block 2/Question#4
A 32-year-old man comes to the physician for his ...
Schizoid personality disorder


Block 2/Question#6
A 56-year-old woman comes to the physician because ...
Helicobacter pylori


Block 2/Question#9
A 67-year-old man is brought to the physician ...
Aneurysm of the posterior communicating artery


Block 2/Question#11
A previously healthy 48-year-old man is brought to ...
Degenerating epithelial cells and dirty brown granular casts


Block 2/Question#14
A 25-year-old woman with a history of rheumatic ...
Streptococcus mitis


Block 2/Question#15
A 64-year-old man comes to the physician because of ...
Increased fibrosis in the interstitium


Block 2/Question#20
A 30-year-old man is brought to the physician by ...
Porphobilinogen deaminase


Block 2/Question#21
A 43-year-old woman comes to the physician because ...
Complex partial


Block 2/Question#22
A 22-year-old woman is found to be HIV positive ...
Protein processing


Block 2/Question#23
A previous healthy 26-year-old woman comes to the ...
Area labeled by letter 'E'


Block 2/Question#26
A 47-year-old man is admitted to the hospital for ...
Increased pulmonary capillary pressure


Block 2/Question#28
A 35-year-old woman, gravida 1, para 1, comes to ...
Nicotinic acetylcholine receptor


Block 2/Question#29
A 2-month-old male infant is brought to the ...
Glycine receptor


Block 2/Question#31
A 24-year-old woman with Marfan syndrome comes to ...
Hypervolemia


Block 2/Question#32
A 25-year-old primigravid woman at 25 weeks' ...
Prematurity


Block 2/Question#36
A 72-year-old woman is admitted to the hospital ...
Left coronary, circumflex, posterior interventricular (posterior descending)


Block 2/Question#39
A 43-year-old man with a 10-year history of ...
Decreased glutathione


Block 2/Question#40
A 4-year-old boy is brought to the physician by his ...
Cytoskeleton


Block 2/Question#41
A 45-year-old man comes to the physician for an ...
Mitral regurgitation


Block 2/Question#43
A 37-year-old woman is brought to the emergency ...
Cardiogenic


Block 2/Question#45
A 3-year-old girl is brought to the physician ...
Abnormal targeting of these enzymes to lysosomes


Block 2/Question#47
A 75-year-old man with chronic obstructive ...
C5a


Block 2/Question#49
A study was begun in the 1950s to determine the ...
Cohort study


Block 3/Question#3
A 56-year-old woman is brought to the emergency ...
Lipopolysaccharide


Block 3/Question#6
A 50-year-old man comes to the physician for a ...
Medullary


Block 3/Question#7
A 1-year-old boy is brought to the physician by his ...
RNA splice error


Block 3/Question#9
A newborn undergoes surgical repair of esophageal ...
Endoderm


Block 3/Question#10
A 5-year-old boy is stung on his foot by a bee. ...
Gap formation between endothelial cells


Block 3/Question#15
A 65-year-old man with hypertension volunteers to ...
Acid-base: Metabolic alkalosis; Volume contraction: yes


Block 3/Question#18
A 27-year-old man comes to the physician because of ...
Prolonged fecal excretion of the organism


Block 3/Question#24
A 28-year-old African American man comes to the ...
Ethnicity


Block 3/Question#30
A 13-year-old boy is scheduled to receive ...
T-lymphocyte thymocytes localized to the thymic cortex


Block 3/Question#32
A 2-month-old girl is brought to the physician for ...
Congenital neutropenia


Block 3/Question#39
A 42-year-old woman with multiple sclerosis is ...
Medial longitudinal fasciculus


Block 3/Question#43
An 18-year-old man is brought to the physician by ...
Inquiry about a history of anabolic steroid use


Block 3/Question#45
A 30-year-old woman has had Hodgkin disease that ...
Therapy for Hodgkin disease causes mutations in hematopoietic stem cells, and one mutant cell progresses to leukemia


Block 3/Question#47
A 2-month-old boy is brought to the physician ...
Peroxisomes


Block 3/Question#48
A paper says, "We chose the sample size to have an ...
5%, Type I error


Block 4/Question#3
A 51-year-old man with a 5-year history of Wegener ...
Hematuria


Block 4/Question#5
A male newborn is delivered at term with a ...
Third and fourth branchial pouches


Block 4/Question#7
A 17-year-old boy with chronic renal insufficiency ...
Hydronephrosis


Block 4/Question#8
A newborn delivered at 28 weeks' gestation is in ...
Lung elastic recoil


Block 4/Question#9
A 40-year-old woman with breast cancer is brought ...
Occipital lobe


Block 4/Question#11
A 45-year-old man comes to the physician for a ...
Venous return: decreased; Carotid sinus baroreceptor activity: decreased; Cerebral blood flow: decreased


Block 4/Question#17
A previously healthy 18-year-old woman comes to the ...
β-Lactamase production


Block 4/Question#20
A 52-year-old man is brought to the physician 3 ...
No constriction because the retinal ganglion cells in the left eye have been destroyed


Block 4/Question#25
A couple has two children with osteogenesis ...
Germline mosaicism


Block 4/Question#26
A 65-year-old woman comes to the physician for a ...
Osteoblast activity: decreased; Osteoclast activity: increased; RANKL: increased


Block 4/Question#29
A 45-year-old woman (III,7) comes to the physician ...
Incomplete penetrance


Block 4/Question#30
A 25-year-old woman comes to the physician because ...
Nuclear/retinoid X binding to DNA


Block 4/Question#32
A 70-year-old woman is found dead in her bed in a ...
Hypertrophy


Block 4/Question#33
During a series of normal skeletal muscle twitches, ...
ATP is quickly regenerated from creatine phosphate


Block 4/Question#38
A 25-year-old woman comes to the physician because ...
Thrombocytopenia


Block 4/Question#40
An 18-month-old boy with severe combined ...
Irradiated packed red blood cells


Block 4/Question#42
A 4-year-old boy with a karyotype of 47,XY+21 ...
Excess lymphoblasts


Block 4/Question#44
A 72-year-old woman comes to the physician because ...
Osteomalacia


Block 4/Question#47
A 31-year-old woman is treated for Plasmodium vivax ...
Primaquine kills hypnozoites


Block 4/Question#48
A study is conducted to evaluate the effectiveness ...
Lack of blinding between groups