NBME Form 15 Practice Test

These questions are part of the practice quiz. Start practicing

• How should respiratory function be monitored in a patient with Myasthenia Gravis in the hospital?
• In a foundry worker presenting with lung disease and hypoxia, what is the most likely diagnosis?
• A patient with candida infections is most likely experiencing problems due to a defect in which type of immunity?
• What is the recommended treatment for decreased DLCO in a patient?
• Which of the following is a common treatment for allergic rhinitis?
• What immediate pharmacological treatment is indicated for hypertensive emergency?
• What is a common cause of a rash in a baby in the nursery?
• For a sexually active 16-year-old girl with lower abdominal cramps, what should be the next step?
• What pulmonary infection is commonly associated with cystic fibrosis?
• What is the primary diagnostic tool for diagnosing angina?
• In which condition would you most likely see symptoms of dysphagia due to esophageal sphincter dysfunction?
• What underlying condition can lead to tingling, numbness, and muscle weakness in peripheral neuropathy?
• Meningitis is suspected in a patient. Which organism is the most common cause in adults?
• What is the primary method used to diagnose acute lymphoblastic leukemia (ALL) in children?
• For a patient experiencing chest pain when walking, what is the next step in management?
• What therapeutic approach is recommended for a worker who has a fear of heights affecting their job performance?
• In the acute treatment of a panic attack, which medication is most appropriate?
• What abbreviation is used for an enhanced transfusion technique used in sickle cell crisis?
• In a patient with left chest pain radiating to the jaw, lightheadedness, and a history of smoking, what should be the next step in management?
• What is the next best step when evaluating a breast mass during pregnancy?
• What type of error would it be if diazepam was administered instead of lorazepam without effects or harm to the patient?
• A child that sunburns easily has an increased risk of which condition?
• Which symptom is most characteristic of a tracheoesophageal fistula?
• What condition is characterized by fever, rash, and diarrhea following a transplant?
• What is the potential complication if osteosarcoma is not treated in a 12-year-old with the diagnosis?
• Which condition is commonly associated with a history of being a sandblaster and low oxygen saturation levels?
• What is the first step in the management of neuroleptic malignant syndrome?
• What is a common risk factor for developing empyema?
• Which method is used to measure respiratory status in a patient with myasthenia gravis?
• When considering visual deterioration associated with obesity in a young adult female, what pathology is most concerning?
• What therapy should be considered for a 54-year-old woman experiencing irregular periods?
• What condition may be diagnosed in infants who choke during feedings and are at risk of pneumonia?
• Which of the following is a common consequence of long-term hypercholesterolemia?
• What is the standard treatment for Alport syndrome?
• When should PPD tests in healthcare workers be treated?
• Which of the following biomarkers is expected to increase sympathetic tone in heart disease?
• In the case of recurrent pancreatitis, what test should be conducted?
• What condition is characterized by chest pain that worsens with chest movement or breathing?
• What condition is characterized by weight gain, fatigue, constipation, and delayed relaxation on reflex?
• A patient who stopped using drugs is experiencing hallucinations, but toxicology tests are negative. What is the likely diagnosis?
• What medication should be discontinued in a patient experiencing orthostatic light-headedness?
• What is recommended for menopause management?
• What is a common clinical finding in a patient with atrial septal defect?
• When suspecting aspiration as a cause of hypoxia, what diagnostic procedure should be performed?
• Which of the following is not a typical finding in hypertrophy of the left ventricle?
• What medication should be stopped in a patient experiencing episodic lightheadedness?
• In cases of cell-mediated immune deficiency, which infection is most likely to occur?
• What side effect is commonly associated with fludrocortisone therapy for orthostatic hypotension?
• What is a potential complication if osteosarcoma is not treated?
• In a patient with lower left quadrant pain and fever, which diagnosis is the most likely?
• Which type of medication is commonly prescribed for ADHD?
• What is a complication commonly associated with hypothyroidism?
• If a child is diagnosed with posterior urethral valves and chronic kidney disease, what hormone level is likely to be increased?
• Which of the following is NOT a common symptom of pancreatitis?
• What symptom is most characteristic of preeclampsia in a pregnant woman?
• What is the first-line treatment for cord compression that is causing back pain?
• In an alcoholic patient with gastrointestinal blood loss and fatigue, what would you expect in the iron studies?
• What is the likely diagnosis for a patient presenting with a tympanic membrane issue, based on typical clinical presentations?
• In a hospital patient with myasthenia gravis, how is respiratory status best measured?
• What is a commonly recommended treatment for social anxiety, particularly performance anxiety?
• What type of cancer is a 50-year-old female with nulliparity and obesity at an increased risk of developing?
• A patient presents with dysphagia and weight loss. What is the most likely diagnosis?
• If cardiac output decreases but systemic vascular resistance increases, what could this indicate?
• If the cutoff point in a diagnostic test is moved from point B to C, what is a likely outcome?
• What is the confirmatory test following initial imaging for pancreatic cancer?
• Which test is used to determine the appropriateness of growth hormone therapy in a child?
• Which condition is treated with oral terbinafine?
• What is the appropriate treatment for a patient diagnosed with blastomycosis?
• What is the likely underlying cause of a pulmonary thromboembolism in a patient with a recent ankle fracture?
• What is the most appropriate test to run for a patient presenting with vomiting blood?
• If a surgical patient was given cefazolin but surgery is delayed by 2 hours, what should be done next?
• What is the first-line treatment for diverticulitis?
• In the case of rectal pain with slight blood, what is the likely diagnosis?
• Sudden eye pain and light intolerance may be a sign of which diagnosis?
• Which supplement is considered a first-line preventive measure for osteoporosis?
• What is a likely diagnosis for a patient with severe right-side chest pain, shortness of breath, and a history of recent ankle fracture?
• What condition is indicated by pleural effusion with low glucose levels?
• What combination of treatments can help decrease cancer risk in menopausal women?
• A child who sunburns easily and has red eyes is at risk of developing what condition in the next 10 years?
• What is the most effective way to diagnose mesenteric ischemia?
• What deficiency is indicated by loss of hair and a diminished sense of taste?
• In a patient with a history of alcoholism and cirrhosis, what are the expected laboratory findings for PTT, PT, and platelet count?
• What finding is indicative of vulvovaginitis?
• In a patient with cirrhosis, what is expected regarding PT/PTT and platelet count?
• A patient presents with hoarseness; what is the next best step in management?
• What should be checked before prescribing hydroxychloroquine?
• What is the imaging study used to diagnose tracheoesophageal fistula in a patient with feeding difficulties?
• What aspect of respiratory monitoring is critical for a Myasthenia Gravis patient?
• What test should be performed before prescribing a stimulant to a child for ADHD?
• A patient with worsening swallowing difficulties, especially with solid foods, and a history of smoking; what is the next step in management?
• What is the recommended care approach for a 12-week infant at birth?
• What is the first step to take before administering erythropoietin treatment?
• For a patient experiencing a gastrointestinal bleed and vomiting blood, what is the next step in management?
• What is the most likely next test for a patient presenting with hypercalcemia and no neck mass?
• A patient experiences a stroke upon discharge; what is the next step in management?
• For optimal long-term outcomes in patients with rheumatoid arthritis, what surgical intervention is often necessary for bad knee erosions?
• What is the first-line medication used in the management of a thoracic aortic dissection?
• When evaluating a thyroid mass, what is the initial diagnostic step?
• What is the first test to perform in a patient presenting with hematuria?
• What treatment approach is most effective for managing active infections caused by blastomycosis?
• What is a common cause of interstitial nephritis often linked with drug reactions?
• Which of the following is considered the first line for osteoporosis prevention?
• What is the recommended treatment for allergic rhinitis?
• A patient presents with difficulty swallowing solids and liquids. What condition is suggested by this symptom?
• Which diagnostic procedure is essential in confirming a diagnosis of adrenal insufficiency in a patient on long-term steroid therapy?
• What condition is often associated with congenital urinary tract infections (UTIs)?
• In a patient with anemia, hypercalcemia, and renal dysfunction, which condition should be considered?
• Which of the following findings would indicate an increase in renal blood flow?
• Which diagnostic test is typically used to evaluate esophageal carcinoma?
• What imaging method is first used to diagnose pancreatic cancer?
• If a patient is vomiting blood, what diagnostic procedure should be performed?
• A 57-year-old nulliparous woman with high BMI is at increased risk for which type of cancer?
• What is a significant risk factor for pregnant women who have diabetes?
• What condition might cause a patient to experience significant weight loss and dysphagia?
• What condition is indicated by an itchy white vaginal discharge?
• In a patient with fever, chills, sputum production, cough, and white exudates in the oral mucosa, which diagnosis is most likely?
• What diagnosis should be considered for a patient who is acting out dreams?
• If a patient presents with stiffness in the shoulder and hip, what is the likely diagnosis?
• What should be the immediate intervention for a patient with a gunshot wound and unstable vital signs?
• What condition is indicated by a mid-systolic ejection murmur best heard at the left sternal border?
• What is the first-line treatment for coccidioidomycosis after exposure in Southwestern USA?
• What is the likely diagnosis for a sickle cell patient presenting with shortness of breath and chest pain?
• What is a common symptom of silicosis in occupational settings?
• What should be monitored in a patient receiving treatment for bronchiectasis?
• What is the appropriate management for a patient diagnosed with biliary atresia?
• What is the appropriate approach for treating a second-degree AV block type 1?
• What is the primary hormone that increases in response to renal artery stenosis in a young female?
• Which would be an essential laboratory assessment before initiating treatment in patients with renal impairment?
• What complication is a pregnant woman with preexisting hypertension at increased risk for?
• What does normal pressure hydrocephalus look like on imaging?
• In the management of chronic pain, which class of medication is frequently prescribed?
• Which medication is considered first-line treatment for brief psychotic disorder?
• For a patient with new ECG findings and abnormal heart wall movements, what is the recommended next step in management?
• What follows the initial ultrasound in the evaluation of a thyroid mass?
• Diminished carotid upstrokes in an elderly patient may indicate what condition?
• A child with fever and a limp, presenting with a flexed, abducted, and externally rotated hip, is likely suffering from what condition?
• In an HIV patient with vision problems, which pathogen should be considered?
• What is the recommended management for severe combined immunodeficiency (SCID)?
• A patient presents with diarrhea, recent travel, and RUQ pain with a cystic abdominal mass found on CT. What is the likely diagnosis?
• What is the first-line treatment for mild to moderate cancer pain?
• A fixed split S2 heart sound is indicative of which condition?
• What is the recommended treatment for acute otitis media in children under 4 years of age?
• What is the best initial test for evaluating chest pain in a patient suspected of having ischemic heart disease?
• In the case of blunt trauma with low blood pressure, what is the next best step?
• How is Alport syndrome characterized?
• If parents refuse chemotherapy for their child, what is the appropriate next step for the healthcare provider?
• What is the recommended treatment for septic pelvic thrombophlebitis?
• What are the common pathogens responsible for pulmonary infections in patients with cystic fibrosis?
• After a history of Neisseria infection, what should be tested for next?
• A patient with α1-antitrypsin deficiency is at increased risk for developing which condition?
• What long-term condition is associated with cryptorchidism later in life?
• What laboratory values should be checked prior to the use of erythropoietin?
• What is the recommended treatment for Entamoeba histolytica infection?
• For a 23-year-old female with headaches, blurred vision, a BMI of 50, and normal lumbar puncture results, what could have potentially prevented her eye symptoms?
• When managing a patient with a gunshot wound and low blood pressure, what is the next step in treatment?
• A man with stage 4 lung cancer presents with midshaft lytic lesions. What is a recommended treatment option besides morphine?
• If a patient presents with a seizure and shoulder pain, what is the next step in management?
• What is the major risk associated with a pregnancy involving diamniotic-dichorionic twins?
• Which treatment is indicated for a scalp lesion characterized by itchiness?
• What lifestyle factor can significantly worsen a patient's condition with COPD?
• What is the diagnosis for a pleural effusion with a pH of less than 7?
• What imaging technique is most useful in confirming normal pressure hydrocephalus?
• Which medication class is commonly considered for performance anxiety in social situations?
• Which medication is known to cause gastrointestinal upset and diarrhea, particularly in patients with a history of bipolar disorder?
• What factor is commonly responsible for Staphylococcus aureus infections in neonatal nurseries?
• What therapeutic approach is effective for treating a specific phobia, such as fear of heights?
• When Neisseria test results are positive, what is required?
• What is the most likely diagnosis for a young female child who exhibits regression, does not speak, has decreased head size, and gait problems?
• During a timeout procedure, which three elements are crucial to confirm?
• When a patient has delirium after surgery, which medication is typically used for treatment?
• What is the appropriate treatment for a Multiple Myeloma patient presenting with severe hypercalcemia?
• What condition might a patient present with after four weeks post-operation, characterized by a rash on legs and increased creatinine levels?
• What is a common complication that can occur after bypass surgery?
• Which condition is indicated by eosinophilia and patchy infiltrates on a chest X-ray?
• A pregnant patient with hypertension is at an increased risk for which condition during pregnancy?
• What should be monitored to decrease the risk of idiopathic intracranial hypertension eye problems?
• What laboratory finding is expected after administering oral fludrocortisone?
• What is the initial test to evaluate gastric cancer?
• Before starting a patient on hydroxychloroquine, which baseline assessment is essential?
• Prior to prescribing amoxicillin for a patient, which condition should be confirmed?
• What radiological finding is characteristic of normal pressure hydrocephalus?
• What is the recommended next step for a patient presenting with unexplained leg ulcers?
• What treatment is recommended for managing diabetes in a patient with adult-onset diabetes and pancreatic insufficiency?
• What is the main reason for performing an EGD in patients with swallowing difficulties and weight loss?
• What is the primary treatment for an asthma patient experiencing wheezing?
• After a spontaneous abortion, what is the appropriate next step in patient care?
• What is the major risk factor for developing angina in patients?
• What is the recommended treatment for a first-time mother with a spontaneous abortion who is Rh negative?
• What medication is commonly administered to an elderly woman experiencing agitation and delirium after an operation?
• What is a typical diagnosis for a patient with bleeding from catheter sites and no abnormal lab findings?
• What lab finding is most commonly associated with thrombocytopenia?
• What is a significant risk for monozygotic twins during delivery?
• Which test is used for diagnosing tracheoesophageal fistula (TEF)?
• Which of the following is a possible side effect of haloperidol?
• What laboratory abnormality is caused by Fludrocortisone?
• What complication is most associated with untreated hypothyroidism?
• Recent weight loss and pain after meals could indicate what condition?
• What is the diagnosis for a skin lesion that bleeds when washed and has been growing?
• What is the likely diagnosis for a patient presenting with epigastric pain worsened by eating, weight loss, and elevated lipase levels?
• What is the recommended treatment for polymyalgia rheumatica?
• What is a potential complication of untreated moderate to severe aortic stenosis?
• Which is a primary treatment for empyema?
• What increased risk does a patient with peripheral artery disease (PAD) face after surgery?
• A patient with a scoliosis angle of 15 degrees is being evaluated for potential outcomes. What is most likely?
• Which medication is classified as an ACE inhibitor?
• What would you expect to observe during an apnea test when diagnosing brain death?
• What is a classic sign of growth hormone deficiency in children?
• What infection is commonly associated with abortion?
• What is the recommended long-term treatment for a 66-year-old woman with rheumatoid arthritis and significant knee erosions?
• What is the diagnostic procedure used to evaluate esophageal cancer?
• Which finding is indicative of a need for urgent evaluation in a patient with hematuria?
• In the context of psychiatric evaluation, what is a characteristic feature of Schizophreniform disorder?
• What is the recommended action to avoid a rash after exposure to poison ivy?
• In patients with sickle cell disease, what is the typical level of Hemoglobin A?
• If an HIV patient has a CD4 count less than 200, how can they be protected against varicella?
• IV IG is primarily used in the treatment of which immunodeficiency disorder?
• A military member who lost a leg due to an explosion is at increased risk of which condition?
• What intervention is indicated for an elderly lady presenting with seizures and a positive Babinski sign?
• Which test is essential for diagnosing brain death?
• When a patient presents with heart failure, what is the next diagnostic step?
• In a patient with a history of prednisone use who is experiencing an adrenal crisis, what is the immediate treatment?
• What is the next step in management for a patient with painful, non-healing ulcers on the legs?
• Which of the following is a symptom of iritis?
• What complication can occur with a delayed administration of antibiotics in surgery?
• When a patient experiences orthostatic light-headedness, which medication should be discontinued?
• In the case of a smoker presenting with cough, stridor, and hoarseness, what is the next best step?
• What should a healthy 27-year-old male with recurrent pancreatitis since childhood check?
• If someone consumes drain cleaner, what is the immediate next step?
• What is the medication of choice for managing an aortic dissection?
• Which drug is typically used for managing acute exacerbations of seizures in elderly patients?
• What is the most likely diagnosis for a patient with a chronic cough and sputum production relieved by antibiotics, as seen on a CT scan?
• Which organism is a common cause of post-abortion infections?
• What is the most effective diagnostic method to evaluate aspiration pneumonia?
• In a 12-year-old patient with right thigh pain and specific x-ray findings, what is a potential diagnosis if untreated?
• What is the diagnosis for a military recruit showing odd behavior for one month?
• For a 6-week-old breast-fed baby with jaundice and increased direct bilirubin, what is the most appropriate next step in management?
• Which imaging study can be crucial in diagnosing cystic fibrosis-related lung damage?
• In a patient with eosinophils and decreased urine output, what is the likely diagnosis?
• What is the first-line treatment for a patient presenting with severely elevated blood pressure of 190/110 mmHg?