NBME review exam 2023 with 100% correct answers

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pt with positive PPD test, asymptomatic and negative chest xray. next step? isoniazid and vit B6 pt with diarrhea for 3 days. Has jaundice, high indirect and total bilirubin, normal LFTs.? Gi... lbert syndrome deficiency of glucuronosyltransferase provoked by stress, illness, fasting, dehydration, exercise, menstruation, surgery Difference between SIADH and primary polydipsia labs? PP: hyponatremia, low urine osmolality (dilute urine) SIADH: hyponatremia, high urine osmolality (can't dilute urine) triad for cardiac tamponade JVD, hypotension, muffled/diminished heart sounds, pulsus paradoxus (drom in systolic pressure during inspiration d/t decreased intrathoracic pressure and increased venous return to RV) manifestations of acute liver transplant fever, RUQ pain, high LFTs pathogenesis of c diff toxin-induced inflammation of colonic mucosa diagnostic step for lambert eaton? repetitive nerve stimulation on electromyography lymphangitis red streaks radiating from skin lesion in direction of lymphatic vessels pathogenesis of organophosphate poisoning irreversibly inhibit acetylcholinesterase-> overstimulation of muscarinic and nicotinic receptors tx for baby with chorioamnionitis post delivery ampicillin and gentamicin 7 year old boy fell and nose won't stop bleeding; has happened before. Pt and bleeding time are normal. PTT prolonged and corrects with 1:1 mixture with plasm MOST LIKELY hemophilia A: factor VIII deficiency could also be hemophilia B: factor IX deficiency 4 month old has failure to thrive; turns blue with crying, and feeding tetralogy of fallot transposition of the great vessels distinguishing factors early cyanosis, egg on a string on chest xray truncus arteriosus distinguishing factors ECG with left axis deviation and left ventricular hypertrophy Has concurrent ASD and VSD asthma PFTs FEV1/FVC<70% that increases at least 12% w/ beta agonist decreased FEV1, normal FVC, increased Total lung capacity [Show More]

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