* Re:NBME 17 questions help #3216568 : youngdoc260 - 05/13/15 17:22 : Dude, that's a pretty tough question for step 1! Question#1 (reveal ... Admit the patient to the hospital for possible myocardial ischemia / / Question#27 (reveal difficulty score) A 24-year old man comes to the physician ... T lymphocytes / / Question#50 (reveal difficulty score) A 43-year-old man comes to the physician for ... "I'm sorry I got delayed. 54yo F with hypertension and bilateral renal artery stenosis starts taking NSAIDS for back pain. 5) Admit the patient to the hospital • Stable angina has progressed to unstable angina → admit to hospital (cath lab) 6) Chest tube placement • Complicated parapneumonic effusion ( pH < 7.2, glucose < 60) • Treat with chest tube placement to drain the pus and IV antibiotic Explanation? 60 y/o man comes to the EMD because of abdominal pain and tenderness, nausea, vomiting and bloody diarrhea + Small intestines is found to have a dark purple-red hemorrhagic appearance; What is the most likely cause? NBME 17 discussion. USMLE Step 1 is the first national board exam all United States medical students must take before graduating medical school. Anyways here are most of them. Rndomized controlled study of 2000 patients with insomnia is conducted to evaluate the efficacy of a new medication to treat this condition. Patient presents w/ severe diarrhea after recieving chemotherapy; The physician prescribes an opioid antidiarrheal agent with little or no ability to produce CNS effects, what drug is this? Select the ONE letteredanswoer or completion that is BEST in each case. * Re:NBME 17 Beh Sci Q #3208308 : corazon - 04/11/15 23:06 : Thank you everyone for your response. No CD40+ T cells. Most common pathogen for Lactational mastitis? He has osteoarthritis treated with naproxen as needed. Additionally, the acceptable range for bias is between 5-20%, which this doesn't approach. 15 y/o girl presents w/ a health maintenance examination + The physician advises her about methods of photoprotection, including daily use of a sunscreen; In a patient this age, what factor is most likely to predict compliance w/ protoprotection? NBME 17 AIDS/Tubercolosis Question. If you are viewing this on the new Reddit layout, please take some time and look at our wiki (/r/step1/wiki) as it has a lot of valuable information regarding advice and approaches on taking Step 1, along with analytical statistics of study resources. 32 y/o woman presents with vaginal bleeding + Rebound tenderness and guarding in the left lower quadrant + Cervical os is closed + BHcG is high + Ultrasonography shows an empty uterus; Diagnosis. Laboratory studies show a serum drug concentration of 0.30 mg/L. NBME Answers & Explanations — Updated daily . Graph shows self-reported pain scores. Patient complains of 2 year history of pain and heavy flow with menses + PE shows a mildly large left ovary and retroflexed uterus + Ultrasonography shows evidence of ovarian cyst and one peritoneal cyst; Biopsy of one of the cyst is most likely to show? You will be given 60 seconds per question. Learn vocabulary, terms, and more with flashcards, games, and other study tools. So my best guess is that because they excluded patients, their results are no longer clinically significant despite being statistically significant (p = 0.001), https://catalogofbias.org/biases/attrition-bias/. It will take time, so … So, clinically, this medication doesn't matter to the subjects because 5 minutes faster might not be that big of a deal. Coinciding with a period of great reforms in medical education and licensure, the NBME was founded in 1915 to establish an examination of such high character that successful candidates could safely be admitted to the practice of medicine by all state boards without further examination. 9 y/o girl has MRI of the brain that shows a calcified mass in the suprasellar region; This tumor is most likely derived from? I'm with @monter and @20132014, as I felt F was probably the second best choice since the physician does not evade the patient's question. NBME Answers & Explanations — Updated daily . 67 y/o man has urinary urgency after placement of a urinary bladder catheter during transurethral resection of prostate cancer; What is the MOA of the appropriate drug? Start studying Psych NBME form 1. The friend reports that the patient injected himself with a drug approximately 6 hours ago. use nbme forms usmle, 2018 19 nba postseason center defense stats blocks per, i need offline nbme forms how can i get them, nbme 12 block 1 pdf scribd, … 28 y/o women has Bulimia nervosa; What additional finding is most likely in this patient? is that correct? 40 y/o woman with intersitiutial pulmonary fibrosis has a greater maximal expiatory flow rate then predicted; What best explains this finding? spoiler. He has osteoarthritis treated with naproxen as needed. I think this info is just to confuse you. 56 y/o woman comes to the physician for a follow up exam 8 weeks after recovering from pneumococcal pneumonia + X-rays show no abnormalities; Why? TL;DR: The proper formation of granulomas to wall off TB requires CD4 Th1 cells and marcophages TB (mycobacterium tuberculosis) begins its life cycle inside of the lungs by being phagocytized by alveolar macrophages abd undergoing intracellular growth and replication within the macrophages.NONactivated macrophages lack the ability to kill TB. 15 yo girl is presents because of a 1 day history of redness and painful skin following sunbathing + She used sunblock every few hours + PE shows severe erythema of the back and extremities; What describes her condition? Her Cr concentration increases from 1.0 to 5.0. Results show that Procedure A has a lower rate of wound infection compared with Procedure B + The two procedures also have similar cosmetic results 6 weeks after delivery; What is an accurate statement about the comparison between Procedure A & B? Creating Standards 1915-1949. Obese patient ask "Do you think that my weight gain is inherited from my father? What area during ablation should be avoided to leave the sinoatrial node intact in a patient? Man w/ Asbestos + Pulmonary infiltrates consistent with interstitial fibrosis; The fibrosis was most likely initiated by interaction of the Ferrugionus bodies and what cell type? 1,000 characters at a time (or fewer), … respirations are 20/min. "; What is the most appropriate response? Increased ratio of oxygen consumption to ATP generation. Click here to view image. Page 1 of 3 1 2 3 Next > orthopod. 40 y/o woman presents w/ mole on her back that has increased in size + PE shows a raised irregular lesion w/ variegated black tan pigmentation and ill defined margins + Pleomorphic, hyperchromatic cells within clear islands that tend to coalesce and are present at all levels of the epidermis with extension to the papillary dermis; Diagnosis, 53 y/o who recently went to Africa has fever, headache, abdominal discomfort + He recieved appropriate vaccinations prior to the trip; Diagnosis. The message This Patient was an exact match for the New Patient info you entered displays. Plasma studies show undetectable norephinephrine concentration and an increase in dopamine concentration; This patient most likely has a defiencey in? H – Recurrent infections with abscesses should raise the suspicion of chronic granulomatous disease. Here, 20/2000 subjects (1%) are lost, having little effect on attrition. The NBME is an independent, not-for-profit organization headquartered on and adjacent to the University City Science Center research campus in Philadelphia, Pennsylvania. Suppurative arthritis does even more, if you’re likely to remember that. So if a patient taking 6-MP has less TPMT enzyme, then more of the drug will be pushed toward the other 2 pathways. 40 y/o woman presents with a 1 year history of episodes of crampy abdominal pain, intermittent diarrhea, rectal bleeding + Abdominal examination shows diffuse tenderness with no rebound tenderness + Sigmoidoscopy shows diffuse ulcers; What is the initial pharmacotherapy? 41 y/o woman w/ angiogram of the left renal artery shows alternating areas of stenosis and aneurysmal dilation (String of beads sign); Diagnosis. Russian boy has unstable gait and incoordination for 2 weeks + Patient has frequent pale, bulky stools for 4 years + Neurologic exam shows ataxia, absence of deep tendon reflexes and loss of proprioception; What vitamine is most likely def? 3 residents per houshold), 45 individuals with asthma are detected; What is the best estimate of prevalence of asthma? 19) Admit to the psychiatric unit involuntarily • This patient is actively suicidal (recent attempt) and should be admitted to the psychiatric unit regardless of his refusal 20) Substantia nigra • MPTP induced Parkinsonism • MPTP (synthetic potent analog of meperidine (demerol)) is toxic to the substantial nigra Search. Thread starter fatwalletuab; Start date Mar 29, 2015; Search. Woman with HTN and renal artery stenosis taking a NSAID serum creatinine concentration increases from 1 to 5 mg/dl; The most likely cause of the drugs ability to inhibit which of the following? NBME 17 was by far the most challenging I have taken (took 13, 15, 16 as well). I blanked on so many potentially easy things. Admit the patient to the hospital for possible myocardial ischemia. This is a timed quiz. Nbme psych form 5 answers explanations. NBME Resources: Description and sample test materials . The Admit a Patient - Add Treatment Information screen displays. NBME Answers and Explanations! "; What is the most appropriate response? For anyone applying for USMLE Step 3, go to FSMB 17. Admit her to a psychiatric hospital. Type of error? I was thinking only about the toxicity of 6-TGN, and ignoring its role in drug efficacy). Cause is due to inhibiting which? Patient presents with fever, abdominal pain, vaginal discharge + She had an ectopic pregnancy 1 year ago + PE shows bilateral lower quadrant tenderness w/ rebound guarding + Pelvic exam shows cervical motion tenderness and bilateral adnexal tenderness + Leukocytosis; Diagnosis. * Re:NBME 17 Beh Sci Q #3208308 : corazon - 04/11/15 23:06 : Thank you everyone for your response. Seven NBME free practice exams are now available to help students work on applying their medical knowledge to practical clinical scenarios in test-taking form. BMi is 31kg/m2. UTD also mention that patient can be admit in medicine and/or psych unit. 6 y/o boy has had 3 systemic infections with Neisseria meningitidis over the past 2 years; What lab test would be abnormal in this child? 4) Admit the patient to the psychiatric unit • When someone is a danger to themselves or others they should be admitted 5) Focal spikes localized to the temporal lobe • Complex partial seizure most commonly arise from the temporal lobe, which is confirmed by smelling burnt rubber and hissing noise - spikes on EEG localize the seizure activity +2 . 34 y/o patient with AIDs develops pulmonary TB; What cellular component is most likely to have a deficient function in the TB lesions? Vasodilating prostaglandins at the afferent arteriole. What is a most likely binding site and action of hCG that is causing the developemt of gynecomastia? Examination is scaled so that the scores are approx normally distributed with a mean of 500 and a standard deviation of 100; What is the percentage of examinees with scores between 400 and 600? Cross link DNA at guanine N-7 affecting DNA REPLICATION; PE shows bilateral swelling of the proximal interphalangeal joints, metacarpophalangeal joints, wrist + Few small nodules are palpated beneath the skin around the joints of the fingers; Diagnosis. USMLE Step 1 is the first national board exam all United States medical students must take before graduating medical school. 28 y/o woman at 18 weeks gestation has palpitations + Lab studies show increased serum total thyroxine concentration; What test would best confirm a diagnosis of hyperthyroidism? The patient is holding her right arm in external rotation. Investigator is studying mechanism of wound healing + Affected tissue shows increased fibroblast migration and proliferation, increased synthesis of collagen and fibronectin, and decreased degradation of extracellular matrix by metalloproteinases; These changes are most likely caused by enhanced production of? Female newborn is born w/ a neural tube defect; This abnormality most likely occurred because of abnormal embryonic development during which of the following periods postconception (in days)? NBME 17 Answers. Take notes on the questions you answer incorrectly! Man presents because of excruciating anal pain + Examination shows a 15mm blue tinged, rounded mass at the anal margin; The mass represents a thrombosis in a tributary of what blood vessels? 17. Incomplete fusion of pleuroperitoneal membrane; 42 y/o farmer has a 7mm red scaly plaque on the helical rim of the left ear; Diagnosis. A 17-year-old boy is brought to the emergency department by his mother because of a 20-minute episode of severe… Panic disorder . Failure to distinguish between statistical significance and clinical significance. The message This Patient was an exact match for the New Patient info you entered displays. ... What represents this patients age in months? CTA of the Chest. This is actually a fairly common clinical picture, but one that gets missed more often than we'd like to admit. He indicates that he has not yet returned to work and spends most of the day lying on the couch. Admit the patient to the hospital for possible myocardial ischemia. 6 week old girl presents because of a 6 day history of vomiting a small amount of milk 2 to 3 times daily; What is the most likely cause of the patients findings? Patient is given Ibutilide for his atrial fibrillation; The patient is at greatest risk for what adverse drug effect? If your medical school is outside of the US or Canada, apply for USMLE Step 1 or Step 2 through ECFMG. Some content used with permission from third parties. I get this is a fluffy question and acknowledging the patient's reasons for missing insulin injections is the cuddliest, but I feel like this answer tows the line a bit. Ventilation/Perfusion (V/Q) Scan; Inferior STEMI. He immigrated to the USA from Japan 6 months ago. Female newborn delivered at 36 weeks gestation w/ Resp distress + X-ray depicts nasogastric tube in the left hemithorax + Displacement of the mediastinum to the right, and absence of bowel gas in the abdomen; This condition results from what embryologic event? Pt with AIDS that develops pulmonary tuberculosis. Woman has started taking HTN medications + She develops hyokalemia; What drug most likely caused this condition? 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