NBME 15 BLOCK 1-4 (No Answers Version)

NBME 15
Explanations: https://www.facebook.com/groups/131038058246668/
A) Enterococcus faecalis
B) Group A beta hemolytic streptococci
C) Staphylococcus aureus
D) Streptococcus mitis
E) Streptococcus pneumoniae
A) Atrioventricular block
B) Biliary colic
C) Chronic cough
D) Decreased myocardial contractility
E) Drowsiness
F) Increased blood glucose concentration
G) Intermittent claudication
H) Miosis
I) Seizures
J) Tinnitus
A) Femoral
B) Inferior mesenteric
C) Internal iliac
D) Lumbar
E) Superficial inguinal
A) Consult a colleague for advice about treating a minor without parental consent
B) Discuss with her the need for testing her for other sexually transmitted diseases
C) Interview her sexual partners
D) Notify her parents of the findings
E) Treat her infection and refer her to social services
A) Constriction of the terminal bronchioles
B) Destruction of the alveolar walls
C) Increased fibrosis in the interstitium
D) Increased mucus secretion in the bronchioles
E) Loss of elastic support to the walls of the bronchioles
A) Adsorption and penetration
B) Early protein synthesis
C) Genome integration
D) Late protein synthesis
E) Nucleic acid synthesis
F) Packaging and assembly
G) Protein processing
H) Release
I) Uncoating
A) Anaphylactic
B) Cardiogenic
C) Hypovolemic
D) Neurogenic
E) Septic
A) Glossopharyngeal nerve
B) Hypoglossal nerve
C) Motor fibers from the vagus nerve
D) Parasympathetic fibers from the vagus nerve
E) Sympathetic fibers from the superior cervical ganglion
A) Aplastic anemia
B) Folic acid deficiency
C) Sickle cell disease
D) Beta-Thalassemia minor
E) Vitamin B12 (cobalamin) deficiency
A) Down syndrome
B) Heart defect
C) Hypothyroidism
D) Neural tube defect
E) Prematurity
A) Arthus reaction
B) Chronic granulomatous disease
C) Delayed (type IV) hypersensitivity reaction
D) Insect bites
E) Localized anaphylaxis
F) Sunburn
A) Decreased vascular resistance
B) Hypervolemia
C) Increased cutaneous blood flow
D) Increased metabolic rate
E) Weight gain
A) Cytoskeleton
B) Endoplasmic reticulum
C) Golgi apparatus
D) Mitochondria
E) Nucleolus
F) Nucleus
A) Anaphylaxis as a result of antibiotic hypersensitivity
B) Decreased risk for endocarditis
C) Decreased risk for hemolytic uremic syndrome
D) Establishment of a chronic carrier state in the spleen
E) Prolonged fecal excretion of the organism
A) Anemia
B) Drug induced alveolar hyperventilation
C) Residence at a high altitude
D) Severe regional mismatching of alveolar ventilation and pulmonary capillary perfusion
E) Voluntary hyperventilation
A) The cytotrophoblast is present, but the syncytiotrophoblast has not yet formed
B) Gastrulation is complete, but there are only two germ layers
C) The neural plate is present, but the neural tube is not yet complete
D) Placental development is complete, but the embryo is resistant to teratogens
E) The sclerotome cells have begun migrating, but the somites have not yet formed
A) Amyl nitrite
B) Erythropoietin
C) Ethanol
D) Hyperbaric oxygen
E) Physostigmine
7.15 30 30 10
7.28 50 60 27
7.40 30 40 24
7.40 80 70 42
7.50 80 30 24
1 0.5 0.5
1 1 1
2 0.2 0.2
5 0.2 0.1
15 1 1
40 50 35
40 60 40
50 25 10
50 80 10
60 35 25
Increased increased no change
Increased decreased decreased
No change increased decreased
Decreased no change decreased
Decreased decreased increased
A) Endometrial tissues become hyperplastic in the absence of estrogen
B) The patient has been noncompliant in taking the estrogen receptor antagonist
C) The patient’s breast cancer has metastasized to the patient’s uterus
D) The patient’s breast cancer is associated with an estrogen secreting ovarian cancer
E) The patient’s medication has an agonist effect on endometrial estrogen receptors
F) The patient’s serum estrogen concentrations are increased due to ectopic production of human chorionic gonadotropin
A) “Glucosamine hasn’t been studied well enough for me to recommend it.”
B) “Glucosamine’s side effects aren’t listed. It may be more dangerous than we realize.”
C) “Ibuprofen has been proven effective for your condition.”
D) “What have you heard about using glucosamine to treat arthritis?”
E) “Why did you come to me if you don’t want to take what I recommend?”
F) “You should really see a naturopathic doctor.”
A) Occipital lobe
B) Optic Chiasm
C) Optic nerve
D) Parietal lobe
E) Temporal lobe
A) Calcium absorption from the gut
B) Calcium concentration in feces
C) Calcium concentration in muscle
D) Calcium concentration in plasma
E) Calcium loss from bone
A) Advanced paternal age
B) Consanguinity
C) De novo mutation
D) Genomic imprinting
E) Germline mosaicism
A) Calcium carbonate
B) Cimetidine
C) Metoclopramide
D) Omeprazole
E) Sucralfate

NBME 15 BLOCK 1-4 (No Answers Version)

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NBME 15 BLOCK 1-4 (No Answers Version)

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NBME 15

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