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NBME2003SubjExams.pdf

NBME2003SubjExams.pdf

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SUBJECT EXAMINATIONS
Content Outlines and Sample Items
 National Board of Medical Examiners
®
(NBME
®
)
 
TABLE OFCONTENTS
Basic Science Subject Examinations
Behavioral Sciences. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1Biochemistry. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3Gross Anatomy and Embryology. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5Histology and Cell Biology. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7Microbiology. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Neuroscience. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11Pathology. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13Pharmacology. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15Physiology. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Clinical Science Subject Examinations
Clinical Neurology. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19Family Medicine. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21Medicine. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23Obstetrics & Gynecology. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25Pediatrics. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27Psychiatry. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29Surgery. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
Introduction to Clinical Diagnosis Subject Examination
. . . . . . . . . . . . . . . . . . . 33
Comprehensive Subject Examinations
Comprehensive Basic Science Examination. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35Comprehensive Clinical Science Examination. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37Copyright © 2003 by the National Board of Medical Examiners
®
(NBME
®
)
 
 NBME 
®
 Basic Science Subject Examinations
Copyright © 2003 by the National Board of Medical Examiners
®
(NBME
®
)-1-1.Awell-dressed 35-year-old man comes to the physicianrequesting help in losing weight. When given options,he says that he cannot afford a diet high in protein andfresh vegetables and that he has bad legs and cannotexercise. He does not want to attend Weight Watchers,saying that he does not like group activities and that itis difficult for him to drive across town that often. The physician becomes angry and wonders if the patientreally wants help. Which of the following personalitydisorders best explains this patient's behavior?(A)Antisocial(B)Avoidant(C)Borderline(D)Obsessive-compulsive
(E)
Passive-aggressive
2.A50-year-old man develops difficulty walking whilereceiving drug therapy for paranoid behavior. Physicalexamination shows masked facies and diffuse musclerigidity. He is slow in initiating movement and walkswith a shuffling narrow-based gait. Which of thefollowing drugs is the most likely cause of thesefindings?(A)Barbiturate(B)Benzodiazepine(C)Monoamine oxidase inhibito
(D)
Phenothiazine
(E)Tricyclic compound3.Afirstborn 1-year-old girl is hospitalized for evaluationof arrested growth. Pregnancy and delivery wereuncomplicated, and development was normal initially.The infant is listless and has a diaper rash. She is belowthe 5th percentile for length and weight. No other abnormalities are noted. After 1 week of routinehospital care, the infant has gained 1 kg (2.2 lb) and has become more responsive. Which of the following is themost likely explanation for the arrested growth?(A)Hypothyroidism(B)Infantile psoriasis(C)Milk allergy
(D)
Parental neglect
(E)Pyloric stenosis4.A32-year-old man comes to the physician because of along-standing belief that he is being followed byforeign intelligence agents. He has not hadhallucinations of any type. On mental statusexamination, no formal thought disorder or change inmood is detected. His level of functioning at work hasremained high. Which of the following is the mostlikely diagnosis?
(A)
Delusional disorder, persecutory type
(B)Obsessive-compulsive disorder (C)Panic disorde(D)Schizophrenia, paranoid type(E)Schizotypal personality disorde
BEHAVIORALSCIENCES
Progression through life cycle1%5%Psychological and social factors influencing patient behavior5%10%Patient interviewing, consultation, and interactions with the family10%–15%Medical ethics, jurisprudence, and professional behavior5%10% Nutrition including vitamin deficiencies and eating disorders1%–5%Central & peripheral nervous systems50%55% Normal processes (brain stem, brain, motor systems,autonomic nervous systems)5%10%Psychopathologic disorders30%40%Principles of therapy and pharmacodynamicgeneral principles5%10%Gender, ethnic, and behavioral considerations affectingdisease treatment and prevention (including psychosocial,cultural, occupational, and environmental)5%10%

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