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NBME 16 Answers

Block 1/Question#1
A 27-year-old man who is being treated for Hodgkin lymphoma ...
Donor T lymphocytes reacting against host cells

Block 1/Question#2
An 18-month-old boy is brought to the emergency department ...
Long-chain acyl-CoA dehydrogenase

Block 1/Question#3
A 38-year-old woman comes to the physician because of a ...
Serum calcium concentration

Block 1/Question#5
A 24-year-old man comes to the physician because of nasal ...
α-Adrenergic agonist

Block 1/Question#7
A 2-year-old boy is brought to the physician because of ...
Amino acids: decreased; Glucose: decreased; Phosphate: decreased; HCO3: decreased

Block 1/Question#8
A 55-year-old man comes to the physician because of ...
Dextromethorphan

Block 1/Question#14
Lesch-Nyhan syndrome, an X-linked recessive disease, is seen ...
1/50,000

Block 1/Question#16
A 40-year-old woman is brought to the emergency department 1 ...
Decreased function of Na+–K+ ATPase

Block 1/Question#17
An investigator is studying the regulation of pulmonary ...
Intravenous infusion of 0.9% saline for 5 minutes

Block 1/Question#18
A screening program is instituted for detection of vaginal ...
10%

Block 1/Question#24
A 79-year-old woman is admitted to the hospital after ...
Go for a long walk outside daily

Block 1/Question#26
A 16-year-old boy is brought to the emergency department 30 ...
Area labeled by the letter 'E'

Block 1/Question#30
A 5-year-old boy is brought to the emergency department ...
Cerebral edema

Block 1/Question#37
A 54-year-old man has an aneurysm in the distal portion of ...
2.4

Block 1/Question#39
A 28-year-old woman comes to the physician because of a ...
Ureter

Block 1/Question#41
An 18-year-old man with acute lymphoblastic leukemia comes to ...
Amphotericin B

Block 1/Question#46
A 55-year-old woman comes to the physician because of a ...
Parathyroid hormone: decreased; 1,25-Dihydroxycholecalciferol: increased

Block 1/Question#47
A 24-year-old African American man comes to the physician ...
Pseudofolliculitis barbae

Block 1/Question#48
A 12-year-old boy is brought to the physician because of a ...
Abnormal myelin sheaths

Block 1/Question#49
During an experiment, the concentration of glycolytic ...
Glyceraldehyde-3-phosphate dehydrogenase

Block 2/Question#3
A 48-year-old woman comes to the physician because of a ...
Increased follicle-stimulating hormone

Block 2/Question#13
A 5-year-old boy is brought to the physician because of an ...
Lysosomes

Block 2/Question#18
An animal study is conducted to assess the effects of smoking ...
Mucus production and secretion: increased; Activity of airway cilia: decreased; Alveolar macrophage function: decreased

Block 2/Question#24
An 85-year-old woman is diagnosed with a fracture of the ...
Morphine is metabolized to active metabolites that accumulate

Block 2/Question#37
A 33-year-old man comes to the physician because of a 3-month ...
Glycogen phosphorylase

Block 2/Question#49
During an experimental study of oxygen consumption in the ...
Proximal tubule

Block 2/Question#50
A 35-year-old man comes to the physician because of a 3-year ...
Adenylyl cyclase

Block 3/Question#1
A 20-year-old man is brought to the physician because of a ...
Induction of cytochrome P450 enzymes that activate acetaminophen to a hepatotoxic metabolite

Block 3/Question#3
An 83-year-old man comes to the physician because of a 3-day ...
Bullous pemphigoid antigen

Block 3/Question#5
A 45-year-old man is admitted to the hospital because of ...
Iron

Block 3/Question#7
A 15-year-old girl is brought to the emergency department 12 ...
Increased absorption of calcium in the gastrointestinal tract

Block 3/Question#9
A 53-year-old homeless man with alcoholism is brought to the ...
Normal oral flora

Block 3/Question#12
An 18-year-old woman comes to the physician because of ...
Interstitial nephritis

Block 3/Question#17
A Gram stain is performed on a sputum specimen. Pink rods and ...
Outer membrane

Block 3/Question#20
An investigator is studying strains of Streptococcus ...
Natural transformation

Block 3/Question#24
An 8-year-old girl is brought to the physician for a ...
“Your daughter’s development is normal.”

Block 3/Question#25
A 27-year-old nulligravid woman comes to the physician ...
Clomiphene

Block 3/Question#26
A study is designed to evaluate the relationship between ...
Cross-sectional

Block 3/Question#30
A 54-year-old woman who works as a nurse comes to the ...
Interferon gamma

Block 3/Question#32
A 65-year-old woman comes to the physician because of a ...
Pulmonary small cell carcinoma metastatic to the brain

Block 3/Question#38
A 68-year-old man comes to the physician because of a 2-hour ...
Right ophthalmic

Block 3/Question#39
A 27-year-old woman comes to the physician because she is ...
Reassurance

Block 3/Question#40
A female newborn is delivered at term to a 35-year-old ...
Enlarged thyroid gland

Block 3/Question#41
A 70-year-old man comes to the physician because of ...
Schedule regular appointments to monitor the patient

Block 3/Question#45
A 25-year-old woman comes to the physician because of a ...
Fasting insulin: increased; Testosterone: increased; Luteinizing hormone: increased

Block 3/Question#50
A 10-year-old girl has fatigue and appears pale. Her father ...
Deficiency of erythrocyte spectrin

Block 4/Question#8
A 24-year-old woman comes to the physician for a follow-up ...
Tuberous sclerosis

Block 4/Question#11
A 78-year-old man comes to the physician because of fever, ...
Bacterial endocarditis

Block 4/Question#12
A 39-year-old woman with rheumatoid arthritis comes to the ...
Tumor necrosis factor-α

Block 4/Question#24
A 35-year-old man comes to the physician because of a 6-month ...
Gastrin

Block 4/Question#26
A 42-year-old woman undergoes biopsy of suspicious ...
High-grade, low-stage neoplasm

Block 4/Question#27
A previously healthy 18-year-old man is brought to the ...
Brief psychotic disorder

Block 4/Question#32
A 70-year-old woman is found to have persistent fever despite ...
Candida albicans

Block 4/Question#34
A 43-year-old woman comes to the physician because of ...
Degeneration of motoneurons of the lumbar cord

Block 4/Question#35
A 51-year-old woman comes to the physician because of a ...
Area labeled by the letter 'B'

Block 4/Question#39
A 32-year-old man begins to laugh while eating dinner with ...
While swallowing: closed; Immediately after laryngeal irritation: closed; while coughing: open

Block 4/Question#40
A new antiplatelet agent is developed for the prevention of ...
8%

Block 4/Question#45
A 42-year-old woman is brought to the emergency department 30 ...
Posterior communicating

Block 4/Question#48
A 32-year-old woman, gravida 4, para 0, aborta 3, delivers a ...
Unbalanced chromosome rearrangement

Block 4/Question#49
A 40-year-old woman comes to the emergency department because ...
Entamoeba histolytica

Block 4/Question#50
A 35-year-old woman participates in a study of a new ...
Day 12

Block 1/Question#15
A full-term female newborn develops respiratory distress ...
Congenital diaphragmatic hernia

Block 1/Question#24
A previously healthy 52-year-old man is brought to the ...
Binding of antibody to the acetylcholine receptor

Block 1/Question#25
A 54-year-old woman is admitted to the hospital with an acute ...
Grade 4/6, holosystolic murmur heard best over the lower left sternal border and the cardiac apex

Block 1/Question#26
A 40-year-old woman comes to the physician for an initial ...
Antagonizes VLDL-cholesterol secretion

Block 1/Question#31
A 55-year-old woman comes to the physician because of a ...
Parathyroid hormone: down; 1,25-Dihydroxycholecalciferol: up

Block 1/Question#34
A 39-year-old woman with type 1 diabetes mellitus comes to ...
Stimulation of hepatic glucose production

Block 1/Question#43
A 15-year-old boy is brought to the physician for an ...
Fibrillin

Block 1/Question#48
A newborn female is diagnosed with hypothyroidism 2 days ...
Thyroxine (T4)

Recent comments ...

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 -1  upvote downvote
submitted by fuckster(-14)

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... fuckster made a comment on nbme16/block1/q#3 (38 yo woman, 10 weeks epigastric pain, frequent stools)
 -2  upvote downvote
submitted by fuckster(-14)

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... daddyyikes made a comment on nbme16/block1/q#48 (12 yo boy, 6 months difficulty walking and leg pain)
 +0  upvote downvote
submitted by daddyyikes(0)

it is charcot marie tooth disease as it is inherited and with abnormal myelin sheath, foot drop, hammer toe etc.

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