He has hypertension treated with a calcium-channel blocking agent, but he has not been taking his medication. On arrival, he is unarousable.
Examination shows proliferative retinopathy. Which of the following is the most appropriate intravenous pharmacotherapy. Diazoxide B. Furosemide C. Hydralazine wrong choice D. Lorazepam E. Sodium nitroprusside 2 A 3-year-old boy is brought to the emergency department because of a 1-day history of fever, abdominal pain, and diarrhea containing blood and mucous.
He has a history of recurrent ear infections treated with antibiotics. He completed a day course of amoxicillin-clavulanate 1 day ago. He appears moderately ill. His temperature is Abdominal examination shows moderate left lower quadrant tenderness with no rebound. The remainder of the examination shows no abnormalities. Test of the stool for occult blood is positive. Which of the following is the most likely causal organism?
Clostridium difficile B. Salmonella enteritidis C. Shigella sonnei wrong choice D. Staphylococcus aureus E. Yersinia enterocolitica 3 A 3-month-old boy is brought to the physician by his mother because of a 1-day history of fever, vomiting, and fussiness.
He was born at 39 weeks gestation following an uncomplicated pregnancy and delivery. He is alert and mildly irritable but easily consoled by his mother. Examination of the skin shows no abnormalities. The tympanic membranes are mildly erythematous with normal landmarks and motility.We hope you find this post useful! Link for CMS Answers. Please bear in mind that we do not own copyrights to these books. We highly encourage our visitors to purchase original books from the respected publishers. If someone with copyrights wants us to remove this content, please contact us immediately.
If you feel that we have violated your copyrights, then please contact us immediately click here. Can you please send me CMS all forms via e-mail. I tried to convert the above downloads to pdf, but it does not open. I tried to convert and open the above mentioned zip files, but it does not work. Please can you advise further. Save my name, email, and website in this browser for the next time I comment.
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Latest article. Quick facts about Anatomy Administrator - January 13, 0. Pediatric Surgery Arnold G. Coran PDF using direct links. January 10, August 12, December 26, July 23, Evolution is smart!NBME/UWorld Practice Test Score Correlations to USMLE Step 1 Exam
First Point : Lymph forms at the Capillary level of blood vessels as this is where fluid moves in and out of vessels along with metabolites and nutrients. The function of lymph is to return excess proteins and interstitial fluid back to the bloodstream Recall Lymph eventually drains into the large veins. Second Point : We may increase lymph either by increasing 1. Decreasing the rate of drainage i.
To increase lymph formation we have to increase the rate at which fluid filters out of the capillaries. This can be done by altering Starlings forces in the capillary. Going through the options Option A : Endothelin will cause vasoconstriction of Pulmonary artery. First Step : Power is probability or chance that a study will detect a true difference.
I chose Aspirin. FAp In case anyone was wondering, Meniere disease is excessive endolymph buildup in the in the inner ear. It causes vertigo and sensorineural hearing loss--so not this patient's issue. FA Step 1 Qmax : Level up your understanding.
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Try Qmax now. We now have a discord and whatsapp group. Join the discord and whatsapp groups Happy studying everyone! See the latest contributions Got feedback? Send an email gmail link.
Lol of the Week Which of the following reasons is why this question is bull? News you might use see more. I know it was previously well controlled but still a 10 year history help answer! My thought process was that megakaryocytosis would be mature megakaryocytes though, which would not happen in a megakaryoblastic leukemia since they are stuck in the blast stage.
That left only lymphoblasts, and I presume while one may be MORE likely age 5, a patient with Down Syndrome is still at higher risk for both.Close Search. This is a timed quiz. You will be given 60 seconds per question. Are you ready? A previously healthy year-old boy is brought to the emergency department by his parents immediately after the sudden onset of difficulty breathing that began when he was stung on the arm by a bee.
On arrival, he is in severe respiratory distress. Examination shows supraclavicular and intercostal retractions. There is diffuse urticaria over the trunk and upper and lower extremities.
Expiratory wheezes are heard bilaterally. Which of the following is the most appropriate initial pharmacotherapy? Oral diphenhydramine. Inhaled fluticasone. Subcutaneous epinephrine.
NBME Block 1-17 Questions & Answers Explanations PDF Free Download [Direct Link]
Intravenous methylprednisolone. Intravenous ranitidine. A g 7-lb newborn is delivered at term to a year-old woman, gravida 1, para 1. Pregnancy, labor, and delivery were uncomplicated. Examination shows ambiguous genitalia. A previously healthy year-old girl comes to the physician because of increasing left ear pain during the past 3 days.
NBME Pediatrics Test
Vital signs are within normal limits. Examination of the left ear shows edema and erythema of the auditory canal with a greenish discharge. Manipulation of the left pinna elicits pain. The tympanic membrane can only partially be visualized, and examination of what can be seen appears normal with normal mobility.
Examination of the right ear shows no abnormalities. Which of the following is the most likely diagnosis? Acute otitis media. Otitis externa. Tympanic membrane perforation. A 5-year-old girl is brought to the physician by her parents for evaluation of recurrent injuries.
Her parents say that she started walking at the age of 14 months and since then has always seemed clumsier and had more injuries than other children. She has had increasingly frequent pain with exertion since starting a soccer program 3 months ago. She usually has pain or swelling of her knees or ankles after practice. She has been taken to the emergency department three times during the past 3 weeks because of concern about possible fractures; x-rays showed no abnormalities.
Today, the patient walks with a limp. Examination shows numerous paper-like scars over the torso and upper and lower extremities.In order to ensure that user-safety is not compromised and you enjoy faster downloads, we have used trusted 3rd-party repository links that are not hosted on our website.
The NBME Clinical Mastery Series is basically a web-based application that helps to support the US and overseas medical students an opportunity to prepare a self-assessment of clinical knowledge learned during medical institutions or clinical clerkship programs in the United States. We hope that you people find our blog beneficial!
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We hope that you people find our blog beneficial! The National Board of Medical Examiners, founded inis a United States operation which sets state recognised examinations for medical students. This is a genuine PDF ebook copy of this book hosted to 3rd-party online repositories so that you can enjoy a blazing-fast and safe downloading experience. Please bear in mind that we do not own copyrights to these books.
We highly encourage our visitors to purchase original books from respected publishers. If you feel that we have violated your copyrights, then please contact us immediately click here. You may send an email to admin [ ] usmlebooksdownload [. Save my name, email, and website in this browser for the next time I comment. Saturday, April 18, NBME 1. NBME 2. NBME 3. NBME 4. NBME 5. NBME Please enter your comment! Please enter your name here. You have entered an incorrect email address! If you feel that your copyrights have been violated, then please contact us immediately: Contact us: admin usmlebooksdownload.Versions also exist for Shelf exams, which can also be used to predict your all-import Shelf scores.
To help students prepare, the NBME also release practice exams. And ideally multiple. Note, however, that the blocks for each NBME are longer. Here is data from the National Board of Medical Examiners:. What do you notice? This means the largest group of students saw a point improvement from their most recent NBME.
What does all this mean? This is doubly important for those who are at risk of failing. However, when they explain their decision to take the test, they often say they were:. Step 1 NBMEs are very accurate. Dig deeper, however, and the story gets even murkier.
Here is the histogram provided from the NBME:. Take a moment to compare it to the Step 1 histogram above. Specifically, Step 2 CK scores seem to skew even more positive from the predicted scores. And probably by a lot. Those statistics are pretty remarkable, particularly for Step 2 CK. By comparison, many fewer Step 1 students will accomplish this feat. This squares with my experience. Why is there such a difference in the predictive power of the Step 1 vs.
This may hurt their predictive power. I suspect, however, that the difference in predictive power is due to the exams themselves. Much of Step 1 involves mastery of content. Doing well on Step 2 CK, however, involves much more question interpretation. Knowing what each sentence means in context — in a timed setting — is a huge challenge.
This likely causes both the NBMEs and the final scores to be much more volatile. There is no official explanation given for why, although we can speculate. This has been my experience. Why such large swings? As we discussed above, QI ability fluctuates day-to-day much more than content knowledge. Thus, you would expect performance on Shelf exams to be much more volatile. The bigger issue, however, is likely due to sample size.