Last NBME Flashcards

1
Q

Bisphosphonates MOA AE?

A

MOA: inhibiting osteoclast activity.
AE: Corrosive esophagitis

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2
Q

Renal artery with String of beads sign?

A

Fibromuscular dysplasia

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3
Q

If Chest X-ray shows no abnormality, then what does this mean?

A

Resolution was allowed by maintenance of the basement membrane integrity

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4
Q

For ascites, most appropriate treatment in addition to HCTZ?

A

Spironolactone

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5
Q

Kid vomiting milk?

A

Immature LES

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6
Q

History of ectopic pregnancy with “Cervical motion tenderness (Chandelier sign)”

A

PID

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7
Q

Top two bugs of PID? MC?

A

Chlamydia trachomatis (subacute, often undiagnosed), Neisseria gonorrhoeae (acute).

C. trachomatis—most common

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8
Q

Africa what bug?

A

Malaria

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9
Q

Babesia where does it occur?

A

Northeastern US

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10
Q

Chancroid vs Genital Herpes?

A

Genital Herpes has open sores

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11
Q

Which lung finding is the only one with increased fremitus?

A

Consolidation (lobar pneumonia)

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12
Q

Pneumothorax lung percussion?

A

Hyperresonant

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13
Q

Pleural effusion will have?

A

Decreased breathe sounds, Dull percussion and decreased tactile fremitus

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14
Q

Best test for hyperthyroid after TSH?

A

Free T4

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15
Q

Osteogenesis imperfecta vs Achondroplasia?

A

Osteogenesis imperfecta=>macrocephaly

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16
Q

dark purple-red hemorrhagic appearance of small intestine?

A

Mesenteric Venous Thrombosis

17
Q

Runner with hemoglobin and creatinine conc. that is increased?

A

Myoglobin From rhabdomyolysis

18
Q

Rectal Bleeding and Ulcers?

A

UC

19
Q

What other organ besides the liver can gluconeogenesis?

A

Kidney

20
Q

What shape does Type 2 pneumocytes have?

A

circular fried egg (cubodial/clustered) with llamelar

21
Q

Female, Forty, Fat, Fertile?

A

Cholesterol Stones

22
Q

Irregular Flailing movements?

A

Hemiballismus

Contralateral subthalamic nucleus

23
Q

First objective sign of puberty?

A

breast buds

24
Q

Blue tinged mass?

A

Veins

25
Q

external hemorrhoids, anal fissures, squamous cell carcinoma?

A

Below pectinate line

26
Q

Below pectinate line artery supply?

A

Arterial supply from inferior rectal artery

(branch of internal pudendal artery)

27
Q

Below pectinate line Venous supply?

A

Venous drainage: inferior rectal vein=>􏰀internal pudendal vein=>􏰀internal iliac vein=>􏰀common iliac vein=>􏰀IVC.

28
Q

Below pectinate line Lymph supply?

A

superficial inguinal nodes.

29
Q

Anal Fissure P’s?

A

Pectinate line. Pain while Pooping; blood on “toilet” Paper. Located Posteriorly since this area is Poorly Perfused.

30
Q

internal hemorrhoids, adenocarcinoma are?

A

Above pectinate line

31
Q

Above pectinate line artery supply?

A

Arterial supply from superior rectal artery (branch of IMA).

32
Q

Above pectinate line Venous supply?

A

Venous drainage: superior rectal vein=>􏰀inferior mesenteric vein=>􏰀portal system.