nbmen 7 keys

7/27/2019 nbmen 7 keys

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BLOCK 1

1. angina = exercise stress test

2. fat emboli

3. repeat bp in 4 wk

4. Diabetes insipidus ( serum osm inc. urine osm dec.)

5. central retinal vein occlusion

6. small bowel obstruction

7. bilateral varicocele

8. alcoholic cirrhosis = Decrease Calcium

9. pilosebaceous follicles = Acne

10. Upper resp. infection ( same ques. frm nbme 6)

11. Haloperidol for acute psychosis

12. CT scan (meningitis picture ruleout intracranial patho hemorr/mass)

13. child abuse ( shaken baby syndrome)

14. thymoma

15. Impetigo - topical mupirocin

16. urinary stasis

17. PCP (b/l nystagmus hypertonia HTN)

18. zenker diverticulum - barium swallow

19. Myasthenia gravis = dec ach receptors

20. GBS = demyelination of axons ( assending weakness + absent DTRs)

21 E

22. Thoracic aorta (blunt trauma + wide mediastinum + c5 facet fracture)

23. reassurance

24. c family therapy

25. sarcoidosis = Increase Calcium

26. E



27. Bone Marrow aspiration

28. G

29. encourage fluid intake

30. pericardial window

31. indomethacin

32. amniotomy + vaginal delivery

33. statin induced = Muscle

34. E

35. bipolar disorder

36. osteoperosis

37. splencetomy

38. Increase IV fluids

39. Intravascular volume depletion

40. D

41. Ankylosing spondylitis

42. compression fracture ( prednisone)

43. TGs ( gallstone pancreatitis)

44. T - lymphocytes (cellmediated immunity TB)

45. Latent TB ( PPD +ve CXR _ve) Rx 9m INH

Block 2

BLOCK 2

1. MDD

2. viridians step. (dental cleaning + prostatic valve)

3. amoxicillin (lyme)

4. Nursemaid elbow - suppination of forearm with elbow slight flexed

5. determine if pt. wants to discuss his decision with anyone else

6. wound dehiscence(rupture along suture,obesity, serosanguinous discharge)



7. Heat stroke

8. TTP

9. OCP ( protective for ovarian ,endometrial and colorectal cancer)

10. Osteoarthritis (20degree flexion hip contracture)

11. ERCP (cholangitis RUQpain, jaundice, fever)

12. Atropine ( organophosphate poisoning)

13. methamphetamine (tactile hallucination with cocaine n amphetamine)

14. intramuscular betamethasone

15. uterine atony

16. atrophic gastritis

17. B lymphocytes

18. neutrophils (CGD)

19. d

20. EColi - gram neg. bacilli

21. genital herpes

22. cricothyrotomy

23. HOCM

24. ALS emg:fibrillation potentials in multiple muscles of multiple extremities

25. education abt puberty for child and parents (normal puberty)

26. alveolar hypoventilation

27. trial of omeprazole (GERD)

28. Rh incompatibility

29. anaphylactic transfusion reaction

30. pneumococal vaccine

31. analgesic therapy

32. hypoglycemia

33. d



34. renal ultrasound

35. naloxone

36. botulism

37. urethral diverticulum

38. b

39. enterotoxicgenic EColi - watery diarrhea

40. clomiphene

41. no treatment

42. HYPOkalemia

43. hypercalcemia

44. carotid endarterectomy

45. abstinence from alcohol

BLOCK 3

1. digestive enzyme deficiency

2. epidural hematoma

3. brisk rotatory nystagmus on left lateral gaze

4. Hypothyroid

5. thiamine

6. C1 esterase inhibitor

7. measurement of serum amylase activity

8. measure platelet count

9. femoropopliteal arteries

10. achalasia = dec persistalsis Inc. LES

11. lorazepam (MRI claustrophobia)

12. CXR

13. psychogenic polydipsia

14. HIV antibody testing (molluscum contigiosum pt.)



15. repeated microfracture at tendon insertion (osgood-schlatter)

16. duplex scan

17. reassurance

18. bartholin duct cyst

19. costochondritis

20. cardiogenic shock

21. calcium disodium edetate (lead poisoning)

22. exploratory laparotomy (ovarian cancer)

23.

24.

25. SLE ( dec c3 ANA positive protein positive)

26. paget diease of breast

27. ductal ectasia

28. aspirin

29. c-section

30. allergic bronchopulmonary aspergillosis

31. brief psychotic disorder

32. IV penicillin G (prophylaxis)

33. bromocriptine (microadenoma)

34. EBV

35. acute stress disorder

36. multiple myeloma – strep pneumo

37. colonoscopy

38. IV labetalol ( aortic dissection)

39. d… ATN

40. sensitivity INC. specificity Dec.

41. cutaneous larva migrans



42. acute cholecystitis

43. a..to look for other tumors

44. x-ray of left hip

45. a(GBS -aspiration)

BLOCK 4

1. zinc

2. destruction and dilatation distal airways (emphysema)

3. colposcopy

4. stasis dermatitis with ulcer

5. schizophrenia

6. hypovolemia

7. INC. LDH

8. ?

9. Dopamine

10. oral PTU (graves)

11. e

12. external carotid artery

13. abruptio placenta

14. compression fracture

15. spinal dysraphism (clubfoot n loss of motor/sensory)

16. wiskott-aldrich syndrome

17. IV 0.9 saline

18. acute MI ( st elevation in v2 v3 v4)

19. V-TACH

20. vancomycin

21. Mg sulfate (tocolysis)

22. organophosphate



23. j

24. a

25. fibrosis of sternocledomastoid muscle (torticollis)

26. brochogenic ca

27. olanzapine therapy

28. PID

29. Interferon Alfa (hep c - cryroglubinemia)

30. give all recommended immunization for age

31. no intervention necessary

32. dec. renal blood flow

33. add lisinopril

34. pill-induced esophagitis (ibuprofen)

35. inappropriate ADH secretion (dec serum, osm Inc. urine osm)

36. Mitral valve incompetence (Rheumatic fever)

37. surreptitious administration of thyroxine

38. viral infection (tender thyroid)

39. right lower lobe pneumonia

40. e

41. optic neuritis (affrent puppillary defect + central scotoma)

42. no Rx indicated at this time

43. appendicitis

44. finasteride (enlarge prostate oldy with obstructive sx-doxazosin wrong)

45. a

46. CT scan of the chest

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nbmen 7 keys