NBME 15 BLOCK 1-4 (No Answers Version)

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NBME 15 BLOCK 1

A) B) C) ) E)

Enterococcus faecalis streptococci Group A beta hemolytic Staphylococcus aureus Streptococcus mitis Streptococcus pneumoniae

A) B) C) )

Atrio!entricular bloc k Biliary colic Chronic cou"h ecrease# myocar#ial contractility

E) %) G) ') &) *)

ro$siness &ncrease# bloo# "lucose concentration &ntermittent clau#ication (iosis Seiures +innitus

A) B) C) ) E)

%emoral &nferior mesenteric &nternal iliac ,umbar Super-cial in"uinal

Consult a collea"ue for a#!ice about treatin" a minor $ithout parental consent iscuss $ith her the nee# for testin" her for other se.ually transmitte# #iseases &nter!ie$ se.ualofpartners /otify herher parents the -n#in"s +reat her infection an# refer her to social ser!ices

A) Constriction of the terminal bronchioles B) estruction of the al!eolar $alls C) -brosissecretion in the interstitium ) &ncrease# &ncrease# mucus in the bronchioles E) ,oss of elastic support to the $alls of the bronchioles

A) A#sorption an# penetration B) Early protein synthesis C) ) E) %) G) ') &)

Genome inte"ration ,ate protein synthesis /ucleic aci# synthesis 0acka"in" an# assembly 0rotein processin" elease ncoatin"

A) Anaphylactic B) Car#io"enic C) ) 'ypo!olemic /euro"enic E) Septic

A) Glossopharyn"eal ner!e B) 'ypo"lossal ner!e C) -bers from-bers the !a"us ) (otor 0arasympathetic from ner!e the !a"us ner!e E) Sympathetic -bers from the superior cer!ical "an"lion

A) B) C) ) E)

Aplastic anemia %olic aci# #e-ciency Sickle cell #isease Beta+halassemia minor itamin B12 5cobalamin) #e-ciency

A) o$n syn#rome B) 'eart #efect C) ) 'ypothyroi#ism /eural tube #efect E) 0rematurity

A) Arthus reaction B) C) ) E) %)

Chronic "ranulomatous #isease elaye# 5type &) hypersensiti!ity reaction &nsect bites ,ocalie# anaphyla.is Sunburn

A) ecrease# !ascular resistance B) 'yper!olemia C) bloo# 6o$ ) &ncrease# &ncrease# cutaneous metabolic rate E) 7ei"ht "ain

A) B) C) ) E) %)

Cytoskeleton En#oplasmic reticulum Gol"i apparatus (itochon#ria /ucleolus /ucleus

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NBME 15 BLOCK 2

A) Anaphyla.is as a result of antibiotic hypersensiti!ity B) ecrease# risk for en#ocar#itis C) risk of forahemolytic uremic syn#rome ) ecrease# Establishment chronic carrier state in the spleen E) 0rolon"e# fecal e.cretion of the or"anism

Anemia ru" in#uce# al!eolar hyper!entilation esi#ence at a hi"h altitu#e Se!ere re"ional mismatchin" of al!eolar !entilation an# pulmonary capillary perfusion oluntary hyper!entilation

he cytotrophoblast is present8 but the syncytiotrophoblast has not yet forme# astrulation is complete8 but there are only t$o "erm layers he neural plate is present8 but the neural tube is not yet complete lacental #e!elopment is complete8 but the embryo is resistant tonot terato"ens he sclerotome cells ha!e be"un mi"ratin"8 but the somites ha!e yet forme#

A) Amyl nitrite B) Erythropoietin C) Ethanol ) o.y"en E) 'yperbaric 0hysosti"mine

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1< 29 24 42 24

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NBME 15 BLOCK 3

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NBME 15 BLOCK 4

&ncrease# no chan"e &ncrease# /o chan"e ecrease# ecrease#

increase# #ecrease# increase# no chan"e #ecrease#

#ecrease# #ecrease# #ecrease# increase#

A) B) C) ) E) %)

En#ometrial tissues become hyperplastic in the abse nce of estro"en +he patient has been noncom pliant in takin" the estro "en receptor anta"onist +he patient?s breast cancer has metastasie# to the patien t?s uterus +he patient?s breast cancer is associate# $ith an estro"en secretin" o!arian cancer +he patient?s me#ication has an a"onist e@ec t on en#ometrial estro"en receptors +he patient?s serum estro"en concentrations are increase# #ue to ectopic pro#uction of human chorionic "ona#otropin

Glucosamine hasn?t been stu#ie# $ell enou"h for me to recommen# it Glucosamine?s si#e e@ects aren?t liste# &t may be more #an"erous than $e realie &buprofen has been pro!en e@ecti!e for your con#ition 7hat ha!e you hear# about usin" "lucosamine to treat 7hy #i# you come to me if you #on?t $ant to take $hat arthritis & recommen# Dou shoul# really see a naturopathic #octor

A) ccipital lobe B) ptic Chiasm C) ptic ner!e ) lobe E) 0arietal +emporal lobe

A) B) C) )

Calcium Calcium Calcium Calcium

absorption from the "ut concentration in feces concentration in muscle concentration in plasma

E) Calcium loss from bone

A) A#!ance# paternal a"e B) Consan"uinity C) e no!o mutation ) E) Genomic Germline imprintin" mosaicism

A) Calcium carbonate B) C) ) E)

Cimeti#ine (etocloprami#e mepraole Sucralfate