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NBME 17 Answers

Block 1/Question#1
An 80-year-old woman is being evaluated for suspected ...
Additional testing to confirm the diagnosis of TA

Block 1/Question#6
A 55-year-old man with chronic bronchitis is brought to the ...
Naloxone

Block 1/Question#8
A 6-week-old girl is brought to the physician by her mother ...
Immature lower esophageal sphincter

Block 1/Question#14
A 21-year-old man comes to the emergency department because ...
Inferior rectal vein

Block 1/Question#20
A 24-year-old man with a history of intravenous drug use is ...
480

Block 1/Question#21
A 42-year-old farmer has a 7-mm red scaly plaque on the ...
Actinic keratosis

Block 1/Question#28
A 12-year-old boy is swimming in a mountain stream. He is ...
Central blood volume: increased; ADH (vasopressin): decreased; Atrial natriuretic peptide: increased

Block 1/Question#35
A 42-year-old woman comes to the physician because of a ...
Rosacea

Block 1/Question#38
A newborn has male genital ducts but female external ...
Scrotum

Block 1/Question#48
A 9-year-old girl is brought to the physician because of poor ...
Diverticulum of the roof of the embryonic oral cavity

Block 2/Question#4
A 28-year-old woman is brought to the physician because of a ...
Area labeled with letter 'C'

Block 2/Question#5
A 56-year-old man comes to the physician 4 hours after the ...
Right subthalamic

Block 2/Question#6
An 80-year-old woman comes to the emergency department ...
Hydrochlorothiazide

Block 2/Question#9
A randomized clinical trial is conducted to compare wound ...
Neither procedure is superior

Block 2/Question#11
A 13-year-old girl has a grade 2/6, holosystolic murmur that ...
Tricuspid

Block 2/Question#12
A 2-month-old boy is given a vaccine that has been ...
Haemophilus influenzae type b

Block 2/Question#13
A 28-year-old woman at 18 weeks' gestation has palpitations. ...
Free T4

Block 2/Question#19
A 21-year-old man is brought to the emergency department 45 ...
Streptococcus pneumoniae

Block 2/Question#20
A 38-year-old woman comes to the physician because of a ...
Proliferative endometrial tissue

Block 2/Question#22
A 60-year-old man comes to the physician because of a 1-month ...
Pleural effusion

Block 2/Question#24
A 65-year-old woman with ovarian cancer is treated with ...
DNA replication

Block 2/Question#27
In a clinical study, a polymorphic marker with three alleles, ...
2,3

Block 2/Question#33
A study is conducted to assess the effectiveness of ...
Placebo effect

Block 2/Question#34
A 40-year-old man is evaluated because his skin is extremely ...
Heme synthesis

Block 2/Question#35
A 40-year-old woman comes to the physician because of a ...
Sulfasalazine

Block 2/Question#39
A 40-year-old man with interstitial pulmonary fibrosis has a ...
Increased radial traction on airways

Block 2/Question#41
An investigator wishes to conduct a study of the development ...
Cohort

Block 2/Question#45
A 25-year-old woman comes to the physician because of a ...
21-Hydroxylase

Block 2/Question#46
A 38-year-old man is brought to the emergency department 30 ...
Metabolic acidosis

Block 3/Question#2
A 3-year-old boy and his 5-year-old brother bruise easily and ...
Factor VIII (antihemophilic factor)

Block 3/Question#9
A 40-year-old African American woman comes to the physician ...
1,25-Dihydroxycholecalciferol

Block 3/Question#11
A 30-year-old woman who is at 20 weeks' gestation comes to ...
Tracheoesophageal atresia

Block 3/Question#13
A 15-year-old girl is brought to the physician by her mother ...
First-degree burn

Block 3/Question#14
A 16-year-old boy is brought to the physician by his father ...
Luteinizing hormone

Block 3/Question#16
A 14-year-old boy is brought to the physician by his mother ...
Inhaled glue

Block 3/Question#19
A 65-year-old woman undergoes surgical repair of an aneurysm ...
Area labeled with letter 'A'

Block 3/Question#24
A 10-year-old girl is brought to the physician by her mother ...
Breast bud development

Block 3/Question#25
A physician is sad because he has to inform a patient of ...
Yes, it is.

Block 3/Question#26
A 34-year-old man is evaluated after becoming lightheaded ...
Sympathetic efferent activity: increased; parasympathetic efferent activity: decreased

Block 3/Question#27
A 44-year-old woman comes to the physician for a follow-up ...
Ubiquitin ligase

Block 3/Question#29
A 75-year-old man comes to the physician because of a 2-year ...
Increased hydrostatic pressure in Bowman space

Block 3/Question#31
A 20-year-old man is brought to the emergency department ...
Epinephrine

Block 3/Question#33
A female newborn delivered at 36 weeks' gestation is in ...
Incomplete formation of pleuroperitoneal membrane

Block 3/Question#36
An 18-year-old man with Crohn disease is admitted to the ...
T-lymphocyte function

Block 3/Question#37
A 4-year-old boy is brought to the physician by his parents ...
Congenital ureteral obstruction

Block 3/Question#38
Ten healthy human subjects are given a new oral drug and ...
Phase 1

Block 3/Question#41
A 27-year-old woman is admitted to the hospital because of a ...
Struvite

Block 3/Question#49
A previously healthy 48-year-old nulligravid woman comes to ...
Endometrial hyperplasia

Block 4/Question#1
An 83-year-old man is brought to the emergency department ...
Early septic shock

Block 4/Question#3
A 46-year-old man is treated with oral cyclosporine after a ...
Suppressing the early response of T lymphocytes to activation

Block 4/Question#4
A 54-year-old woman with hypertension and bilateral renal ...
Vasodilating prostaglandins at the afferent arteriole

Block 4/Question#10
A 32-year-old woman, gravida 2, para 1, at 7 weeks' gestation ...
Ectopic pregnancy

Block 4/Question#14
A 55-year-old man is admitted to the hospital for treatment ...
0.9% Saline

Block 4/Question#16
A 32-year-old man comes to the physician because of a 3-month ...
Tissue: Testicle; Effect: Estradiol production

Block 4/Question#20
A 45-year-old man comes to the physician because of yellow ...
Mallory hyaline

Block 4/Question#23
A previously healthy 72-year-old man is brought to the ...
Gastrointestinal blood loss

Block 4/Question#27
A 20-year-old man with suspected appendicitis has ...
T10

Block 4/Question#30
A 45-year-old man comes to the physician because of ...
Tumor necrosis factor

Block 4/Question#33
An otherwise asymptomatic 52-year-old woman comes to the ...
Failure of the ovaries to secrete 17β-estradiol

Block 4/Question#34
A 16-year-old girl comes to the physician because of a 2-year ...
Dopamine β-hydroxylase

Block 4/Question#36
A 41-year-old woman is evaluated because of increasingly ...
Fibromuscular dysplasia

Block 4/Question#40
A 48-year-old man comes to the physician because of ...
Increased intestinal iron absorption

Block 4/Question#47
A 10-year-old boy has had anemia since birth. His spleen is ...
Hereditary spherocytosis

Recent comments ...

... sirminalot made a comment on nbme17/block1/q#1 (80 yo woman evaluated for suspected temporal arteritis)
 -4  upvote downvote
submitted by sirminalot(-47)

[special]

... sirminalot made a comment on nbme17/block1/q#8 (6 week old girl, 6 days of vomiting a small amount of milk)
 -1  upvote downvote
submitted by sirminalot(-47)

[special]

niboonsh  this is disgusting.
... compasses made a comment on nbme17/block1/q#20 (24 yo man, history of intravenous drug use, brought to ER 30 minutes after he could not be aroused)
 +1  upvote downvote
submitted by compasses(1)

total concentration = 0.30mg/l x 200L = 60mg he took the drug 6 hours ago @ t-half of 2 hours 6hrs==60mg 4hours==120mg 2hours==240mg 0hours==480mg

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