A dedicated 4-hour time block to sit and give your USMLE preparations 110 of.Step 3 NBME Form 4 Answer key Hey, here is the answer key. Lemme know if I accidentally typed some wrong Block 1 1 C 2 C 3 D 4 A 5 A 6 B 7 A 8 B 9 A 10 A 11 D 12 B 13 A 14 C 15 A 16 D 17 A 18 E 19 E 20 E 21 E 22 E 23 C 24 E 25 A 26 B 27 A 28 E 29 B 30 A 31 B 32 B 33 D. Block 2 1 C 2 B 3 B 4 D 5 B 6 A 7 B 8 E 9 B 10 B 11 A 12 E 13 E 14 B 15 E.The NBME offers three web-based self-assessments to medical students and graduates evaluating their readiness to take USMLE:Step 2 CK NBME Form 4 Edited Answers.
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D (hostility towards authority without gross moral violations) 6. A (post-streptococcal acute glomerulonephritis) 5. E (normal pressure hydrocephalus > impairment of the higher mental control of the bladder which basically inhibits the voiding reflex) 4. D (recurrent candidal infections > impaired cell mediated immunity) 2.
E (hint: irregular mobile mass in the right upper quadrant) 14. A (facial edema + linked with history of food intake) 13. D (Slipped capital femoral epiphysis) 11. D (Crohn's disease predisposes to fibrotic strictures) 10. Haloperidol can be used in pregnancy if the benefit to the mother clearly outweighs the potential fetal risk 9. C (the patient is psychotic so her demand for an abortion cannot be allowed.
Nbme Step 3 Form 4 Plus Growth Retardation
B (increased intracranial pressure plus growth retardation plus visual difficulty > craniopharyngioma fits)17. Pancreatic enzyme replacement therapy to relieve steatorrhea.) 16. Amylase and lipase may or may not be elevated. Blood cultures should always be collected before antibiotic treatment begins.) 15.
E (restrictive pattern on PFTs) 21. A (pulmonary embolism, Spiral CT scan preferred over pulmonary angiography) 20. Apparently the correct answer on online NBME, informed by a commenter, is C - NSAIDs) 19. Books also mention NSAIDs as part of treatment. C (Osgood – Schlatter Disease: Osteochondrosis of the tibial tubercle Tx: Kaplan notes say immobilization of the knee in an extension (or ) Cylinder cast for 4 – 6 weeks.
A (only 40% of original participants remain) 27. B (Febrile neutropenia) 25. D (oral-esophageal candidiasis in HIV > Fluconazole) 23.
A (L to R shunt > increased pulmonary blood flow) 35. D (Metronidazole for pseudomembranous colitis) 33. B (Systolic murmur radiating to carotids is classic for aortic stenosis.) 32. G (hint: masses vary in size with her menstrual cycle) 29.
D (N0 M0 indicates that the tumor removal was most likely complete, therefore metastatic diseases is unlikely. A (specific trigger, doesn't fulfill criteria of Major Depression)40. A (von Willibrand disease) 39. Note the marked anhedonia > no longer enjoys the taste of food) 38. D (patient fulfills criteria of Major Depression. F (vitamin D supplementation is recommended for all breastfed infants) 37.
C (Naproxen > nephrotoxicity) 6. G (Tension pneumothorax) 4. C (ST elevation on ECG) 3. E (positive ANA and dsDNA) 2. E (ankle edema > well known side effect of Nifedipine)1. B (Postal worker > high risk for bioterrorism.
O2 sat: 90% > Blue Bloater) 15. A (2 year h/o productive cough > Chronic Bronchitis. D (GI obstruction, first step NG decompression) 12. B (hyperkalemia with ECG changes > Ca Gluconate) 11. B (obesity, papilledema, bifrontal headaches) 10.
A (oral & genital ulcers plus erythema nodosum) 22. We don't use 5% Dextrose water or 0.45% saline for resuscitation, we use 0.9% Saline, which isn't given among options) 21. E (elderly patient, hematocrit too low, transfuse RBC. B (hyperglycemia can cause hyponatremia) 20. C (Isoniazid neurotoxicity preventable by administration of B6) 19. C (Foreign body ingestion > bronchoscopy) 17.
E (essential tremor > propranolol) 33. A (peripheral arterial disease makes atherosclerotic process most likely) 32. B (NSAID induced (pseudo)allergic reaction. C (typical position of venous ulcers) 29. Clues > infertility, dysparunea) 26. Choroid plexus papilloma most commonly occurs in Children, and even Choroid plexus papilloma itself can cause obstruction to CSF flow depending on its location) 24.
A (diffuse enlarged uterus > adenomyosis) 45. A (avoid permanent/prolonged catheterization wherever possible) 39. C (long-standing lymphedema > lymphangiosarcoma) 38. B (CA of head of pancreas) 35.
C (small cell carcinoma > SIADH) 4. E (Neuroleptic Malignant Syndrome) 3. Compression stockings and enoxaparin therapy are valid options but would not help with the pain.)1.B (Fragile X syndrome) 2. A (warm compresses would provide most quick symptomatic benefit.
D (It cannot be excessive Vitamin D because serum phosphorus is below normal) 18. A (look for air under the diaphragm) 17. C (selenium sulfide shampoo can be used for treatment of tinea versicolor) 13. D (Dextrose water is not used for resuscitation use normal saline or ringer lactate) 12. B (The most common cause of lymphangitis in humans is Streptococcus pyogenes) 9.
Can be transmitted by direct contact or through sharing of combs, hats and clothing.) 27. C (blood at urethral meatus > look for urethral injury) 26. E (referred pain to left shoulder) 25. J (macular rash involving palms and soles > think Syphilis) 24.
C (Juvenile rheumatoid arthritis) 42. MMSE score of 27 is normal.) 39. She doesn't have dementia. A (passive smoking increases the incidence of ear and throat infections in children) 35. E (Hirschsprung disease) 33. D (contrast nephropathy can be decreased with proper hydration) 32.
B (Patient fulfills criteria of Major Depression. C (Start HAART with CD4 below 350 and Pneumocystis prophylaxis with CD4 below 200) 6. D (Late decelerations > fetal hypoxia, placental insufficiency) 4. E (Mitral Stensis > Increased pulmonary venous pressure) 3.
C (Granulosa cell tumor > excess estrogen) 18. Widespread atherosclerosis makes it likely.) 15. B (Epididymo-orchitis in a sexually active young male) 12. E (clues > pharmacist, advised to lose weight) 11. C (suspicion of Mastoiditis) 10.
G (buzzword: bag of worms) 45. A (vegetarian diet predisposes her to B12 deficiency) 42. F (obstructive sleep apnea) 40. C (Pelvic Inflammatory Disease) 36. E (her rising PCO2 indicates impending respiratory failure) 33.
E (severe osteoarthritis affecting patient's quality of life > total knee replacement) 31. C (hypermobility > recurrent patellar dislocation > Tx: Quadriceps strengthening exercises]30. B (hints: continues to work productively, sleeps 8-10 hours, no suicidal ideation, duration > Infectious Mononucleosis) 29. A (Platelet count normal, Bleeding time prolonged) 2. B172 comments: Labels: Answer Key, Form 4, NBME, Step 2 Step 2 CK NBME Form 3 (Offline) Answer Key Step 2 CK NBME Form 31.
E (Polymyositis > proximal muscle weakness. E (Pseudomembranous colitis) 33. Pneumococcal indicated.) 32.
A (the girl immediately coughs and breathes spontaneously without resuscitation > good prognosis) 38. Other options: Nicardipine, Fenoldopam, Hydralazine, Labetalol) 37. I (Hypertensive emergency > Sodium nitroprusside. While in polymyositis there are absent pharyngeal contractions and decreased upper esophageal sphincter pressures ) 36.
A commenter gave his feedback: I think the right answer might be E. Dentures increased the risk of aspiration pneumonia. I thought: absent gag reflex is no more considered a reliable indicators of aspiration risk. A/B/E (This question is up for debate it appears. D (calcitonin represents the classical clinical marker for medullary thyroid carcinoma) 42. B (prevalence affects positive predictive value) 41.
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