Age > 50 years 0.77 0. Which of the following is the most likely cause of his recurrent infections? Breath sounds in the upper The NBME® Psychiatry Shelf exam assesses a student’s ability to diagnose and treat psychiatric illnesses. • Marked anxiety about a specific object or situation for >6 months, 12) Sertraline ago antihistamine therapy was prescribed. for many years as a sandblaster. NBME PSYCH Form 3 - Answers & Explanations Psychiatry forms 3, 4 and 5: available March 8, 2021; New Self-Assessment Forms Coming Soon. bronchiolitis and asthma. Examination of the head, ears, eyes, nose, and throat is normal. The other is a report from if anything you avoid early psych intervention because being labeled as a "psych" thing makes most patients resistant. She is 163 cm (5ft 4 in) tall and weighs 68 kg (150 lb);BMI is 26 kg/m^2. D. Transplacental Failure of 1 month of anti-inflammatory medication 0.31 0. Warning: Popup annotation has a missing or invalid parent annotation. Warning: Popup annotation has a missing or invalid parent annotation. temperature to 40 C (104 F) and difficulty breathing of 3 days’ duration. B. I was happy with this as well, and according to a random score converted, it equated to a 241 apparently. E. Diuretic plus beta-blocking medication acts synergistically to decrease bood pressure, Based on these data, you advertise the patient that reducing blood pressure through drug therapy is likely to decrease Cigarette smoking A. Need a little help preparing for your shelf exam? now, he says, “I was going to stab my dog as a sacrifice to carry out my orders. • ↓ appetite and weight loss, 31) Decreased serum albumin concentration, • Anorexia → malnutrition → ↓ albumin → ↓ oncotic pressure → edema, • Low albumin denotes low synthetic capacity of the liver secondary to malnourishment, • “Sometimes she appears withdrawn/lethargic and other times appears energetic” is consistent with substance abuse, • Dilated pupils (without nystagmus), impulsivity, delusion = cocaine abuse (she’s a financial analyst...), 33) Increased sensitivity of the dopamine receptors (In January 2021, NBME will Father Warning: Popup annotation has a missing or invalid parent annotation. Results of laboratory studies show a hematocrit of A. Beta-blocking medication decreases diastolic blood pressure Ocular examination discloses flat optic NBME Psych Form 1. pain that started 4 months ago. C. On repeated trials, the probability that the odds ratio is less than 1.2 is 5% Transient ischemic attack 0.75 0.54 to 1. The mother, who is a nurse, states that the child had severe conjunctivitis at about 1 its something that can totally be diagnosed and managed by a primary care physician and only needs psych intervention if primary methods dont work. C. “Your baby is addicted to cocaine and will need to be treated.” I was happy with the improvement, but I still wanted to hit a 240. injuries did the patient most likely sustain? He denies localizing pain. wheezing and rhonchi. most likely diagnosis? Physical examination discloses regular tachycardia and continued tenderness to palpation examination should be directed at which of the following? Now, vital signs are strength is normal. Chronic allergies Death (%) 6.9% 8.0% 0. The child lives with his aunt and three cousins in a trailer on a reservation. a cleft palate. Start a … He was born at term. bottle feeding during the first feeding after a home delivery. Warning: Popup annotation has a missing or invalid parent annotation. D. Paternal aunt The patient’s parents are divorced, and the whereabouts of the father are that they had seen him taking a knife from the kitchen and were able to grab the knife from his hand before he used it. D. A second, new infection • Identifiable stressor causing marked distress and significant functional impairment with onset within 3 months of stressor, 14) Performance anxiety The infant is 50cm (20 in; 10th A. Axillae She says, “I was carrying a heavy bag in my right hand, so I only had my left hand to catch myself. Bilirubin, total 0.8 mg/dL Neutrophils, segmented 80% I'm curious how it will compare to #4. C. 4-month duration of pain D. The police Duplexultrasonography of the legs shows a right0sided deep venous thrombosis (DVT). The patella is ballotable and passive flexion is limited. E. Weight loss. You suspect the infant has a cellulitis A 28-year-old woman brings her 7-year-old, nonidentical, twin daughters to the office for well-child evaluations. The most appropriate next step is to the order which of the following? Many students have expressed interest in having explanations for correct and incorrect answers on NBME® Self-Assessments.In 2020, answer explanations were added to Medicine forms 3, 4, 5 and 6; Surgery forms 3, 4, 5 and 6; and Obstetrics/Gynecology forms 3, 4, 5 and 6 of the Clinical Mastery Series. data, the cutoff number of hemoglobin that would result in the least amount of misdiagnoses is which of the following? Treatment with 1% hydrocortisone cream controlled the rash. Vital signs are temperture 36.1 C Medical history is significant for He currently takes no medication. no medications. temperature 37.) most appropriate response to this situation? gave it up without a struggle. The remainder of the physical examination shows no abnormalities. • Tx: AChE inhibitor (eg, donepezil, rivastigmine, galantamine) → ↑ ACh, 17) EEG E. No notification is necessary, Copyright © 2021 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, رياضيات 2 - فيرست - sOLUTION FOR Calculus_Early_Transcendentals_James_Stewart_7th, Understanding-Financial-Statements 1-11th-Edition-Fraser-Test-Bank, رياضيات 2 - سكند - Calculus_Early_Transcendentals_James_Stewart_7th SOULTION, رياضيات 2 - فاينل - Calculus_Early_Transcendentals_James_Stewart_7th NOTES. Warning: Popup annotation has a missing or invalid parent annotation. D. Radiation therapy is preferable because it is associated with a lower risk of complications years. aspirin and metoprolol, daily. bilaterally and a soft systolic ejection murmur. unmarried and plans to keep the baby. The infant has a moderate amount of drooling. healthy, although she says she had similar symptoms for 3 weeks after her daughter was born 5 years ago. concentration is within the reference range. C. Insufficiently treated prior infection year-old healthy child from a previous marriage. NBME Answers & Explanations ... 21 NBME 20 NBME 19 NBME 18 NBME 17 NBME 16 NBME 15 NBME 13 ⋅ Step 2 CK Free 120 Step 2 CK Form 6 Step 2 CK Form 7 Step 2 CK ... assessment though. Sign, fax and printable from PC, iPad, tablet or mobile with pdfFiller Instantly. A 15-year-old boy is brought to the office by his mother 1 hour after having an episode of weakness and numbness of all Her husband has a 6- concentration of 11 g/dL. • Tx: β-blockers or benzodiazepines Although answer explanations will be available across all 2021 NBME Self-Assessment forms, there will be additional updates to the Comprehensive Basic Science Self-Assessments (CBSSA). He is the third child in the family and both of his siblings have asthma; one sibling also has atopic dermatitis. Age of the right upper quadrant. E. Taking folic acid should decrease her risk to less than 0.3/, A. Disseminated intravascular coagulation B. (97.0 F), pulse 70/min respirations 18/min, and blood pressure 117/75mm Hg. Physical She says, “My husband • Recurrent vomiting → parodic gland enlargement/inflammation → ↑ Amylase, 6) Schizoaffective disorder Ask the husband to leave so you can discuss the matter with the patient, alone Physical examination is normal except for a blood pressure of 170/80 mm Hg. Search. “Do you think that the children would understand if I explained the test to them?” Current medications include prednisone, celecoxib, and iron A. • Fatigue and energy loss Coronary artery bypass grafting 0.63 0.40 to 1. D. Lower extremities B. • Neuropsychiatric testing would be a better choice (MMSE is now proprietary), 8) Discontinue haloperidol and begin risperidone On repeated trials, the probability that the odds ratio is greater than 3.3 is 5% lb; just below 5th percentile). See more of The HY Medicine on Facebook Old free 120 (2 weeks out): 76%. says his wife has been healthy, though she has seemed depressed since being laid off from work 4 weeks ago. Warning: Popup annotation has a missing or invalid parent annotation. Which of the following is the most likely mode of transmission or E. X-rays of the lumbar spine. Auscultation of the chest discloses clear lungs including neurologic examination, discloses no abnormalities. • Alzheimer disease → ↓ ACh • Always rule out substance or medical related disorder before diagnosing a psychiatric condition, 41) Trisomy of an autosomal chromosome B. Vital signs are temperature 36. The effects of treatment on blood pressure are shown in the table below. A congenital defect Results of laboratory studies are pending. Fatal stroke 0.71 0.31 to 1. She has poor vision due to shows left lower lobe consolidation. animals, and sometimes I receive my orders in messages sent through the television.” Physical examination today, B. Rupture of gastrocnemius D. No intervention p = 0.002, *p<0.01 (compared with placebo) posterior tibial pulses are 3+ bilaterally. B. Droplet inhalation There are three children in one of her classes who have • MPTP (synthetic potent analog of meperidine (demerol)) is toxic to the substantial nigra, 21) Schizophrenia Neutrophils, segmented 57% second hospital day. Block 1, A. Congenital heart defect 10.5 g/dL C. 11.0 g/dL D. 11.5 g/dL E. 12.0 g/dL A 65-year-old woman whom you referred for evaluation of hoarseness returns to the office with a diagnosis of carcinoma of the larynx. The mother states that her son takes a bottle readily but up examination. A. The remainderof the physical examination discloses no abnormalities. Physical examination discloses a large varicocele located in the left scrotum Myocardial infarction 0.67 0.47 to 0. Pregnancy and delivery were normal, but during the neonatal period a slightly red and scaly rash was noted on his scalp D. Scabies preparation of the skin However, she requests your otherwise unremarkable and the patient’s only medication is an oral contraceptive. Medical history is significant for chronic hypertension and two cesarean There is no pericolic fluid. diagnosis? He is having a great deal of difficulty tolerating dialysis and complying with the diet, and he has been missing C. “I have some pamphlets on cystic fibrosis that you can read.” Warning: Popup annotation has a missing or invalid parent annotation. Bilateral carotid and femoral artery bruits are noted. Peter 3 years Exam Section : Item 1 of 50 An 82-year-old man is brought to the physician by his daughter because he has been forgetful during the past 6 weeks. In this study, 4736men and women with elevated D. Relief with bedrest Week 5: a. Auscultation of the lungs discloses • The anti-emetic agent prochlorperazine has additional antipsychotic effects (by blocking D2 receptors) and may cause EPS, 23) Mood disorder due to a general medical condition, • This patient has OSA (obstructive sleep apnea), 24) Adjustment disorder with depressed mood Warning: Popup annotation has a missing or invalid parent annotation. Warning: Popup annotation has a missing or invalid parent annotation. Vital after learning how to self0inject her medication. She has a hemoglobin C. Exposure to lung machinery neural tube defects by 72%, The risk for neural tube defects increases after age 28 years. Child protective services His gait is B. Antifreeze intoxication There is minimal C. Measurement of serum alkaline phosphatase concentration C. Response to amoxicillin unstable angina and underwent a percutaneous angioplasty of the proximal left anterior descending coronary artery 3 Albumin 3.6 g/dL Platelet 365, 000 mm 3 Nasal turbinates are pale and boggy without purulent exudate. C. Heightened airway reactivity to inhaled irritants and antigens Chest x-ray NBME PSYCH Form 4 - Answers & Explanations . D. Diuretic decreases systolic blood pressure Vital signs are temperature 37.0 C (98.6 F), pulse 90/min, respirations CMS psychiatry form 5. Pelvic ultrasonography C. Isoimmune thrombocytopenia acquisition of the organism causing this child’s illness? D. Porphobilinogen concentration crackles and dullness over the left chest posteriorly and scattered, high-pitched wheezes in all lung fields. Dilantin for a subsequent seizure disorder, had no prenatal care. Physical examination should specifically focus on locating similar lesions over which article from the medical literature, which shows: The risk for neural tube defects in the general population is 1/, The risk for neural tube defects in the first pregnancy is 0.7/, After three miscarriages of unknown cause, the risk for neural tube defects increases to 3/, Folic acid (4 mg) taken daily prior to conception and during the first trimester decreases the rate of If you purchased Page 7/19. Item 2 of 2 discloses normal ovaries bilaterally. Heart transplantation When asked what he was doing, he said, “Nothing.” For the past few days, his mother He is concerned that he might have cancer because his uncle died of bone cancer. ago and it seems to be getting worse. Im in a full panic attack rn and i really am scared that i may fail this exam. today are temperature 37.0 C (98.6F), pulse 105/min, respirations 24/min, and blood pressure 100/70 mm Hg. systolic blood pressure were randomly assigned to a placebo, diuretic, or cardioselective beta-blocking medication. His nephrologist recommends switching to home peritoneal dialysis and evaluating the patient for a E. Testicular torsion. B. seek medical attention at the time. metoprolol, and 81-mg aspirin. On questioning now in the office, he says that since the accident he has had Warning: Popup annotation has a missing or invalid parent annotation. Learn vocabulary, terms, and more with flashcards, games, and other study tools. lung fields are decreased. D. Toenails • Tardive dyskinesia develops in the meeting of prolonged exposure to dopamine-blocking agents, which is thought to result in the up regulation and super- sensitivity of dopamine receptors, 34) Fetal alcohol syndrome The The medical history that is most suggestive of cancer as a cause of this patient’s back pain is which of the following? Risk reduction for antihypertensive therapy compared with placebo that was not present 6 months ago. The knee joint is loose and unstable anteriorly and posteriorly. She takes no medications and says she does not drink alcoholic beverages. and I just keep arguing about little things.” Her husband is present during this interview. He was hospitalized for and multiple areas of pulmonary interstital infiltrates. If you purchased a self-assessment on or after February 1, 2017, please look for an email from MyNBME with the subject Welcome to MyNBME.The email, using your address on file, contains instructions for activating your account on the new website. • This teenage boy is developing normally, both physically and socially, 29) Bipolar disorder • Dry oral mucosa, injected conjunctive, tachycardia, HTN Additionally, the following new self-assessment forms with answer explanations will be released during spring and summer 2021. Lymphocytes 8% Item2 of 2: dyspnea on exertion. She has smoked one-half E. Lead poisoning, A. D. D. His risk for a nonfatal stroke A 15-year-old Asian American boy begun hemodialysis, three times weekly, 2 months ago because of progressive renal C. Fractional dilatation and curettage Step 2 CK Form 8 Answers. D. Domestic abuse 3. (It doesn’t really matter which one you take, but that’s just what I did). On arrival, the newborn deliveries, the last of which was followed by a tubal ligation. A. Chlamydia trachomatis A. Cruciate ligament disruption C. Carbon monoxide poisoning 1: ... Key idea: In order to differentiate between pathology and physiology on NBME psych exam, ... We are not affiliated with the NBME, USMLE or AAMC.
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