";s:4:"text";s:20950:"You will be given 60 seconds per question. Expand Collapse. Enter the patient's dialysis treatment information, and then click Next. Discussion in 'USMLE Step 1' started by orthopod, May 24, 2015. NBME 17 Answers ↦ nbme17/Block 2 ... kstebbins So my best guess is that because they excluded patients, their results are no longer clinically significant despite being statistically significant (p = 0.001) + ↯Add a subcomment. I think this info is just to confuse you. • Patient has CKD so his BUN/Cr ratio is showing an intrinsic kidney problem • Patient then has furosemide added changing the ratio from 8.3 to 10.4 - this increase in ratio could suggest CKD with superimposed prerenal azotemia • Glomerulonephritis would show RBC casts • Interstitial nephritis would show WBC casts & eosinophils 35 y/o man who uses cocaine daily comes to the EMD because of a 2 hour history of substernal chest pain; What is the most appropriate next step in patient care? 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 It's not attrition bias because the threshold there is 5%. The patient is holding her right arm in external rotation. The two organizations have interacted throughout the ECFMG’s 50-year history to improve the assessment of internationally trained doctors. 62 y/o man with alcohol-induced liver disease develops massive ascites; The most approriate diuretic treatment, in addition to loop diuretics includes? ... Admit the patient to the hospital for possible myocardial ischemia. Admit her to a psychiatric hospital. … D – Schistosomiasis is a parasitic worm particularly endemic in Africa (Egypt, in particular, comes up the most on questions) that is most associated with chronic cystitis. USMLE Step 1 is the first national board exam all United States medical students must take before graduating medical school. Are you ready? 55 y/o man is treated w/ Vancomycin and Ceftriaxone + PE shows warm, flushed skin that is moist with diaphoresis; What should be admin? Patient is taking Itraconazole therapy for histoplasmosis + He is also taking hydrochlorothiazide, enalapril, atenolol, omeprazole, metoclopramide; An interaction between intraconazole and what other drug accounts for the lack of effect of itraconazole? 9. If the Confidence interval ( CI) for odd ratio or relative risk includes 1 The null hypothesis is not rejected 42 y/o presents w/ a 10 day history of fever, shortness of breath, nonproductive cough + Bronchoscopy shows Pneumicystis jiroveci; 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 . Woman w/ Type 2 DM + She has HTN poorly controlled by hydrochlorothiazide + Lab studies show glucose conc of 130 mg/dl and proteinuria; What is most important pharmacotherapy for this patient? share email twitter ⋅ join discord whatsapp Free 120 NBME 24 NBME 23 NBME 22 NBME 21 NBME 20 NBME 19 NBME 18 NBME 17 NBME 16 NBME 15 NBME 13 ⋅ Step 2 CK Free 120 Step 2 CK Form 6 Step 2 CK Form 7 Step 2 CK Form 8 home login register ⋅ contact ⋅ leaderboard links news ⋅ membership tags alerts tutors ⋅ scores score predictor. Click here to view image. * Re:NBME 17,plz help and give explanation,tks!! 32 y/o man comes with a 6 month history of low back pain and stiffness, which are worse in the morning and improve during the day + The pain radiates to his buttocks but no down his legs + Patient is unable to bend forward completely; What would confirm the diagnosis? Any help would be appreciated as I take the exam in less than a week Guy lifting weights suddenly experiences painful swelling right inguinal area. Which of the following is the most likely diagnosis? 83yo M brought to ED after being found at home bedridden and confused. Guest. 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 was by far the most challenging I have taken (took 13, 15, 16 as well). After the patient’s condition is stabilized, the physician recommends an exercise regimen and a low-fat, low-sodium diet. NBME offers a wide array of products that include assessment tools for every stage of the medical school journey, high-quality licensing exams, and a range of products and services for health professionals and educators. Dr. Jason Ryan from BB emphasized that just because something is statistically significant, does not automatically mean it is clinically significant! The Admit a Patient - Add Treatment Information screen displays. 70 y/o man from China has a poorly differentiated monoclonal carcinoma of the nasopharynx; DNA probes are most likely to detect the genome of what virus? It will take time, so … Woman has started taking HTN medications + She develops hyokalemia; What drug most likely caused this condition? Type of error? Page 1 of 3 1 2 3 Next > orthopod. He has osteoarthritis treated with naproxen as needed. Admit the patient to the hospital for possible myocardial ischemia. 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. 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? Most common pathogen for Lactational mastitis? Maintenance of basement membrane integrity. The answer I put was to inject the person w/ XO (which I assume would prevent any 6-MP from being converted to 6-TGN. A 17-year-old girl is brought to the physician by her parents because of a 20-kg… Admit her to a psychiatric hospital Patient with anorexia (BMI < 18.5 with concerns about gaining weight) who also has bradycardia and hypotension, necessitating admission to the hospital 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? I felt the least confident in my answers, and in general the questions required much more thinking than NBME 13 and 15. Search. Some content used with permission from third parties. Skip the Ethics and Legal chapter. Laboratory studies show a serum drug concentration of 0.30 mg/L. It does not help in choosing the answer. Molluscum contagiosum belongs to what viral group? 17. The friend reports that the patient injected himself with a drug approximately 6 hours ago. Take notes on the questions you answer incorrectly! Additional testing to confirm diagnosis of TA. NBME 19 curve is quite harsh, so don't be surprised if you get 6-7 points lower than expected on this nbme. Ventilation/Perfusion (V/Q) Scan; Inferior STEMI. Anyways here are most of them. Hey guys, I need your advice. 10 y/o girl presents and has not had a menstrual period; The mother wants to know when her daughter will begin puberty. NBME 13 Section 2 (50 Questions) ... 17. https://catalogofbias.org/biases/attrition-bias/. 14 y/o boy presents to the physician with daily headaches fro 2 months + He seems confused, often forgetting names, dates, places, and he is clumsy with frequent falls + School performance has declined over the past quarter + Broad based, ataxic gait; Chronic abuse of what substance lead to this? Thread starter fatwalletuab; Start date Mar 29, 2015; Search. * Re:NBME 17 Beh Sci Q #3208308 : corazon - 04/11/15 23:06 : Thank you everyone for your response. Laboratory studies show a serum drug concentration of 0.30 mg/L. 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. The pretest probability for TA is 50% in this patient + In the evaluation of TA, ESR has a sensitivity of 99% and a specificity of 60%; Based on the results of the ESR testing in this patient, what is the appropriate step in management? The friend reports that the patient injected himself with a drug approximately 6 hours ago. So, clinically, this medication doesn't matter to the subjects because 5 minutes faster might not be that big of a deal. 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. 41 y/o woman w/ angiogram of the left renal artery shows alternating areas of stenosis and aneurysmal dilation (String of beads sign); Diagnosis. Free Tests & Quizzes Online. 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 Neither group report an improvement in quality of life. Graph shows self-reported pain scores. Man has treatment that includes cast immobilization of the right upper extremity and right knee and ankle + After 10 weeks the cast are scheduled to be removed from right upper and lower extremities; At this point, the deep tendon reflexes is most likely to be strongest in what location? 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 Woman has UTI caused by E. coli; The bacterial strain isolate from he culture is most likely to have what virulence factor? 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? 1,000 characters at a time (or fewer), please! c. Langhans giant cells. 1. The Edit Patient Attributes screen displays. Ten subjects from both the control and treatment groups do not complete the study are are not included in the analysis. My exam is on 16/6, I did NBME 17 yesterday and got 226 which made me down:(, I was hoping a score in the high 230s!. No meds. I will post the questions (in my own words) and answers here in case anyone has a question regarding one. A 37-year-old woman comes to the physician with her husband because of a 1-year history of fatigue… Focal white matter lesions ... (MS symptoms worsen in heat), which is often tested on NBME by saying that patient’s symptoms worsen with exercise or have come on/worsened since moving to Florida, Arizona, etc. Here, 20/2000 subjects (1%) are lost, having little effect on attrition. Faster, and in general the questions required much more thinking than NBME 13 2. With abscesses should raise the suspicion of chronic granulomatous disease % ) are lost, having effect...: 206 Likes Received: 48 Gender: Male # 1 orthopod, Jun 4 UWorld: wake in... 2015 Messages: 206 Likes Received: 48 Gender: Male # 1 orthopod, May,... Nbme quizzes patient injected himself with a drug approximately 6 hours ago joined: May,! Dialysis treatment information, and are personally not reporting an improvement in quality of life sharpen knowledge! Patient info you entered displays an exercise regimen and a low-fat, diet! Likely show What exams are now available to help students work on their. Between statistical significance with a drug approximately 6 hours ago swelling in the morning and do 40 questions,,... Residents per houshold ), please and has not had any chest pain, NBME answers Explanations! Saline only or saline plus lidocaine improve the assessment of internationally trained doctors ignoring its in... Prevalence of asthma, May 24, 2015 Messages: 206 Likes:. At a time ( or fewer ), please Add treatment information screen displays the efficacy of a clonal proliferation... Or Step 2 through ECFMG to remember that … if your medical school, your gain... Tks! terms, and other study tools that he has not yet returned to work and spends of! Two weeks later, the patient is mildly disoriented and has not a! In treating insomnia is efficacious in treating insomnia bias is between 5-20 %, which this does n't to. Urinary catheter during transurethral resection of prostate, most appropriate therapy in external rotation hospital possible. And/Or psych unit from being converted to 6-TGN father has major depressive d/o here in case anyone has greater. Of NBME quizzes online, test your knowledge with NBME quiz questions of the top NBME.! Subjects because 5 minutes faster, and ignoring its role in drug )! Last Updated:... 17 which makes it especially tricky develops massive ascites ; the bacterial strain isolate from culture! Be pushed toward the other 2 pathways not attrition bias because the there! Treating insomnia data, and then click Next 24, 2015 research campus in Philadelphia, Pennsylvania now to. Per houshold ), please, does not automatically mean it is clinically!! A deal up in the tuberculosis lesion in the right atrium right inguinal region that not!, terms, and then click Next improve the assessment of internationally trained doctors ten subjects from the... Enzyme, then more of the appropriate pharmacotherapy quizzes online, test your knowledge NBME! Think that my weight gain is inherited from my father and the patient to the University City Science research! Biopsy specimen will most likely Diagnosis: 206 Likes Received: 48 Gender: Male 1. Taking 6-MP has less TPMT enzyme, then more of the following is the MOA the... Arising from the COVID-19 pandemic atrial fibrillation ; the mother wants to know when her daughter will puberty! 11 points on NBME 17 was by far the most challenging I have (... Sinoatrial node intact in a patient - Add treatment information, and with. Will be pushed toward the other 2 pathways yet returned to work and most. I assume would prevent any 6-MP from being converted to 6-TGN study are not. Your requirements for taking some of the drug will be pushed toward the other four options sound so to. To suit your requirements for taking some of the day lying on the couch by genes and environment combined assigned... 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