NBME 10 EXAM 2023-2024 LATEST ACTUAL EXAM 200 QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) |AGRADE

NBME 10 EXAM 2023-2024 LATEST ACTUAL EXAM 200

QUESTIONS AND CORRECT ANSWERS (VERIFIED

ANSWERS) |AGRADE

68 yr old man with watery diarrhea post hemicolectomy and chemotherapy +

platelets low + hgb low + leukocytes high + x-ray shows nondilated bowels

Dx and next step?

C. diff; stool testing

68 yr old man with watery diarrhea post hemicolectomy and chemotherapy +

platelets low + hgb low + leukocytes normal + x-ray shows nondilated bowels

Dx and next step?

chemotherapy induced diarrhea; supportive

Most common valvular cause of IE

Mitral regurgitation

Second most common valvular cause of IE

Aortic regurgitation

Patient with unusual behavior and said "he was a superhero with the ability to fly"

is most likely to be suffering from _____ toxicity

PCP

Patient with euphoric behavior and said "he feels like he is on top of the world" is

most likely to be suffering from _____ toxicity

methamphetamine

What do you give patient with stroke signs and an unknown last known normal?

aspirin

T/F: Heparin, dabigatran, and warfarin are given to acute stroke patients who are

past the 4.5 hr time requirement.

false

T/F: Heparin, dabigatran, and warfarin are given to stroke patients for long term

prevention of recurrent strokes

true

8 yr old girl with swelling of right side of neck + small lump that grew large + firm

mobile mass on right anterior cervical chain + biopsy shows multiple granuloma +

purplish hue over the mass

Dx?

Mycobacterium avium lymphadenitis

T/F: Blood cultures are the test to confirm osteomyelitis

false

T/F: MRI is the test to confirm osteomyelitis

true

55 yr old woman with diabetic ulcer + now has point tenderness over T12 spinous

process + febrile

cause of fever and back pain?

osteomyelitis d/t staph aureus

22 yr old woman with 6 week hx of mild pain and swelling in front of right ankle +

began after stepping off curb + mild ecchymosis over anterolateral aspect of right

ankle + sensation intact, strength intact + afebrile + no ankle joint pain on

ROM + warmth and swelling + x ray shows sunburst

Dx and next step?

Osteosarcoma; MRI of right tibia

22 yr old woman with 6 week hx of mild pain and swelling in front of right ankle +

began after stepping off curb + mild ecchymosis over anterolateral aspect of right

ankle + sensation intact, strength intact + febrile + erythma + ankle joint pain

elicited on ROM + warmth and swelling +

Dx and next step?

septic arthritis; joint aspiration

Most common type of primary bone cancer?

osteosarcoma?

Osteosarcoma frequently occurs where?

above and below the knee

Laxatives can typically cause what type of electrolyte abnormality that is

responsible for generalized weakness?

hypokalemia

You see this in alcoholic patients.

hypomagnesemia

HIV patient with PPD test that is 6 mm + x-ray is normal

Risk stage and Next step?

High risk; treatment of latent TB now with 9 months of isoniazid therapy

18 yr old woman with 3 day hx of fever, SOB, and productive cough + asthma

diagnosis + currently acute respiratory distress + pulse 120 + resp 30 + 90%

oxygen + breath sounds are decreased bilaterally + 18k leukocytes + x-ray

shows hyperinflation + temp 99.1

dx of current condition?

asthma exacerbation with severe respiratory distress driven by bronchospasm

18 yr old woman with 3 day hx of fever, SOB, and productive cough + asthma

diagnosis + currently acute respiratory distress + pulse 120 + resp 30 + 90%

oxygen + breath sounds are decreased bilaterally + 18k leukocytes + x-ray

shows consolidation + temp 104.2

dx of current condition?

pneumonia and asthma exacerbation