NBME Form 5 Practice Test

These questions are part of the practice quiz. Start practicing

• A patient over 50 presents with a suspicious breast lump described as non-tender, mobile, and discrete. Which combination of tests is most appropriate for evaluation?
• Which statement about MS diagnosis is true?
• In a patient presenting with chest pain but with a normal diagnostic workup, which is the most likely explanation?
• For average-risk individuals, when does mammography screening typically begin?
• Which of the following is NOT an antibiotic option for Pneumocystis jirovecii pneumonia in HIV patients with CD4 <200?
• Which sign is commonly seen in men with advanced liver disease?
• What is the recommended treatment for mild persistent asthma?
• A 4-year-old boy with several weeks of fever, joint swelling, hepatosplenomegaly, and generalized lymphadenopathy most likely has which diagnosis?
• What power does a legally designated medical guardian have?
• Which statement best describes livedo reticularis?
• What factor most influences prognosis after prosthetic joint infection?
• Which back pain history is most concerning for bone cancer?
• A ganglion cyst is not treated. What happens?
• Delirium tremens onset after a last alcoholic drink most commonly occurs within which time frame?
• In cirrhosis, which laboratory change indicates impaired synthetic function?
• On average, how many severe hypoglycemic episodes do individuals with type 1 diabetes experience per year?
• What imaging modality is used to diagnose suspected renal cell carcinoma?
• Which test is commonly used to assess motor neuron involvement in ALS?
• What monitoring parameter helps assess oxygenation status in a newborn with suspected congenital heart disease?
• If a fetal hydrocele persists beyond 1 to 2 years of age, what is the recommended management?
• What chest X-ray finding is commonly seen with Pneumocystis pneumonia in an AIDS patient?
• For confirming infectious mononucleosis, which test characteristic is most useful?
• Which laboratory findings are typical in systemic juvenile idiopathic arthritis?
• Which feature is commonly associated with systemic juvenile idiopathic arthritis?
• In Kawasaki disease, what does the BURN component denote?
• Which studies are used to diagnose amyotrophic lateral sclerosis (ALS)?
• On CT imaging, where does blood accumulate in pulmonary contusion compared with hemothorax?
• Cerumen impaction leads to what type of hearing loss?
• Which hematologic abnormality is commonly seen in cirrhosis due to portal hypertension?
• An elevated fasting serum gastrin concentration is noted in a patient taking a proton pump inhibitor. What is the next step in evaluation?
• Under which circumstance may physicians request guardians temporarily to suspend a DNR order?
• Which of the following is an extra-articular manifestation of systemic juvenile idiopathic arthritis?
• Which finding during neonatal evaluation is most consistent with esophageal atresia with tracheoesophageal fistula?
• Which class of medication is first-line for delirium tremens management?
• Which statement is true regarding the evaluation of a breast mass in an older woman?
• In women with multiple sclerosis, when do symptoms tend to remit?
• What is the best predictor of suitability for major lung resection?
• If a COPD patient stops smoking, what happens to the rate of decline in lung function?
• To maintain a patent ductus arteriosus in duct-dependent lesions, which drug is used?
• What does urodynamic testing assess in evaluating stress urinary incontinence?
• Dapsone is used for dermatitis herpetiformis and leprosy.
• In an patient over 50 with a suspicious breast lump, what is a recommended initial imaging modality?
• What is the recommended neonatal preventive therapy to prevent bleeding from vitamin K deficiency?
• Which finding during postpartum bleeding would prompt further evaluation?
• In which scenario would surgical resection not be recommended for lung cancer?
• In a hemodynamically stable child with supraventricular tachycardia, what is the initial management?
• Renal cell carcinoma histology classically shows which pattern?
• What is the typical prognosis of Tourette syndrome?
• Which medication is commonly used to close a patent ductus arteriosus in preterm infants?
• Verapamil can cause bradycardia by depressing AV nodal conduction. In which arrhythmias is this effect most clinically relevant?
• Which labor types are at risk for silicosis?
• What is the genetic basis of cystic fibrosis?
• Which intervention provides the strongest mortality benefit in COPD?
• What is the next best step in the management of a prosthetic joint infection?
• Which radiographic finding is characteristic of asbestos-related lung disease on chest X-ray?
• Kawasaki disease is associated with coronary artery aneurysms due to inflammation of which tissue?
• Which of the following is a first-line treatment option for Pneumocystis jirovecii pneumonia in HIV patients with CD4 <200?
• In cervical trauma, arterial dissection can lead to thromboembolic events; what is the next step in management?
• Spur cells (acanthocytes) are most closely associated with which condition?
• Which statement best describes Zollinger-Ellison syndrome?
• Acute large varicocele in the scrotum with a non-tender swelling is most suspicious for which diagnosis?
• Which nonpharmacologic measure is included in the initial management of COPD?
• A common complication of chronic allergic rhinitis is accumulation of serous fluid behind the tympanic membrane leading to what?
• Which pulmonary function test best predicts postoperative pulmonary outcome after a pulmonary resection for lung cancer?
• How is transfusion reaction prevention achieved in red blood cell transfusions?
• Newborn vomiting after a few minutes after eating and weight loss; which test should be performed?
• A 62-year-old woman presents with a non-tender, mobile, discrete breast mass. What is the appropriate initial diagnostic approach?
• Which laboratory finding is associated with Zollinger-Ellison syndrome?
• Which signs are typical of vitamin K deficiency?
• Which animals are major reservoirs for rabies?
• Delirium tremens is best described as:
• Which finding is commonly associated with renal cell carcinoma?
• At what age should a female start DEXA bone density screening?
• In a 4-week-old with vomiting and a mobile epigastric mass, what is the first study to obtain?
• A potential side effect of systemic antifungals used for tinea capitis is?
• Vitamin B12 deficiency anemia findings include which of the following?
• Postpartum bleeding evaluation should include assessment for which conditions?
• Which finding is listed as a criterion for incompetence?
• Which is one of the four ethical principles in medicine?
• Which of the following is an example of a treatment that generally does not require parental consent in minors?
• What medication is used for panic attacks (excess worry, tachycardia, shortness of breath)?
• Which symptom is commonly associated with hyperparathyroidism?
• Which of the following is a common clinical finding in cirrhosis?
• An elderly patient with a non-hemorrhagic stroke develops confusion and agitation 12 hours later. What is the most likely cause?
• A man with chronic allergies reports hearing loss. From his history, which factor is most consistent with his presentation?
• In chronic obstructive pulmonary disease (COPD), does long-term supplemental oxygen therapy reduce mortality?
• Which paraneoplastic syndrome is commonly associated with renal cell carcinoma?
• What is the complication of pleural exposure to asbestos?
• Which items are included in the CRASH acronym for Kawasaki disease?
• Which signs suggest acute hypercapnia with impending loss of respiratory drive?
• What is the management for leiomyomata uteri fibroids if they are stable and asymptomatic?
• A 2-month-old with tachypnea and a history of conjunctivitis at birth treated with ophthalmic erythromycin; chest X-ray shows hyperinflation and interstitial infiltrates. What is the most likely diagnosis?
• Which of the following is a risk factor for breast cancer?
• Kawasaki disease is associated with inflammation of blood vessels and can lead to coronary artery aneurysms. Which tongue finding is classically seen?
• Which supplement can lead to a false negative FOBT?
• Which complication can occur with untreated cat scratch disease?
• What is the best treatment for a patient with low clinical stage lung cancer without evidence of metastasis?
• What is the effect of proton pump inhibitors on serum gastrin, and what should be done diagnostically?
• Which drug is used to keep the ductus arteriosus open in duct-dependent congenital lesions?
• What should be reviewed at every hospitalization regardless of prior documentation?
• Which combination of findings is most consistent with a cyanotic congenital heart lesion in a newborn?
• Which of the following is NOT part of the criteria for decisional capacity?
• Which laboratory finding is characteristic of vitamin B12 deficiency anemia?
• What is a common treatment modality for palliation of symptomatic cancer?
• Which statement accurately describes the effects of alcohol on blood pressure and sexual function?
• External beam radiation therapy for bone metastases can be delivered in which regimens?
• In the context of middle ear effusions, what anatomical mechanism commonly leads to fluid accumulation?
• Which of the following are risk factors for infective endocarditis?
• What is the surgical option for severe gastrinoma in ZE?
• A 5-year-old girl with recurrent sore throat and positive rapid strep test; is this typical?
• Which symptoms are seen when an alcoholic ingests an ethanol substitute?
• Pulse oximetry reading less than what value is concerning for cyanotic heart disease in newborns?
• MS lesions commonly involve which of the following regions?
• Which vaccines are recommended for COPD patients to reduce respiratory infections?
• Which tongue finding is classically seen in Kawasaki disease?
• Which antibiotic is commonly used to treat cat scratch disease with systemic involvement?
• Which medication reduces relapse frequency in multiple sclerosis?
• What is the strongest risk factor for cerebral palsy?
• Which systemic antifungal is used for tinea capitis?
• Hypertrophy of which structure leads to pyloric stenosis causing gastric outlet obstruction?
• What is the recommended initial management step for an animal bite wound to reduce infection risk?
• Cystic fibrosis inheritance pattern?
• Which electrolyte and vitamins are commonly supplemented during alcohol withdrawal management?
• In men with suspected benign prostatic hyperplasia (BPH), which initial test is recommended to evaluate for other causes of lower urinary tract symptoms?
• Which of the following features are commonly seen in DiGeorge syndrome (22q11 deletion)?
• In a patient with Roux-en-Y gastric bypass presenting with chronic diarrhea and B12 deficiency, the Shilling test shows poor absorption not corrected by intrinsic factor. What is the most likely cause?
• What is the effect of smoking cessation on the rate of pulmonary function decline?
• For an acute COPD exacerbation without infection, what is the most appropriate pharmacotherapy for a non-hospitalized patient?
• Which description best fits an infection with herpes simplex virus?
• For average-risk women, at what age should mammography begin and how often should it be performed?
• Which imaging modality is diagnostic for pyloric stenosis?
• Untreated Kawasaki disease increases the risk of which complication?
• Which cancers are associated with pulmonary asbestos exposure?
• In a teenage patient with uncontrolled type 1 diabetes, which complication is at greatest risk?
• Cat scratch disease with mild lymphadenitis and no organ involvement is typically:
• Perihepatitis (Fitz-Hugh-Curtis syndrome) is associated with infection by which organisms?
• DiGeorge syndrome results from failure of development of which embryologic structures?
• Herpangina is caused by which virus?
• Which vaccinations are recommended as part of COPD management to prevent respiratory infections?
• Which dietary intake can interfere with fecal occult blood testing?
• Which comorbidity commonly co-occurs with absence seizures?
• Which medication should be used for benign prostatic hyperplasia?
• Which finding is typical in an acute asthma exacerbation?
• When a patient mentions interpersonal conflict with a family member present in the exam room, what is the recommended next step for the physician?
• A common cause of nocturnal enuresis in children is which condition?
• What is included in the treatment strategy for ZE?
• Esophageal atresia with TEF is commonly screened for in association with which congenital anomaly grouping?
• Which of the following is a feature of congenital CMV infection?
• Which of the following is a bleeding sign of vitamin K deficiency?
• Herpangina oral presentation includes which of the following findings?
• In liver cirrhosis, which factor indicates a poor prognosis?
• Which test is useful to diagnose pernicious anemia?
• Which statement about rabies in small rodents is correct?
• Is hydronephrosis common in pregnancy?
• In a patient presenting with tension pneumothorax, which historical factor most strongly increases the risk of spontaneous pneumothorax?
• Among environmental factors, which poses the greatest risk for developing lung cancer?
• Which vaccination is necessary for patients with partial or full-thickness burns?
• Which is a recognized risk factor for tension pneumothorax?
• Buerger disease is also known as thromboangitis obliterans and is most strongly associated with which exposure?
• Which of the following is part of the initial management for a COPD exacerbation?
• A 1-day-old neonate presents with umbilical stump oozing and petechiae; the mother has been taking an antiseizure medication. What is the most likely diagnosis?
• What is the complication of silicosis?
• What is an alternative to lorazepam (Ativan) for withdrawal agitation?
• Which medication can be used as a disease-modifying therapy in multiple sclerosis to reduce relapse rate?
• What is the appropriate management of a breast mass that is non-tender, mobile, and discrete in a woman under 40?
• Tinea capitis is a fungal infection of the scalp most common in children; which treatment is effective?
• Which symptom is associated with Fitz-Hugh-Curtis syndrome?
• Which of the following is a common congenital cause of supraventricular tachycardia in children?
• Which MRI finding is typical of multiple sclerosis?
• What is the initial treatment for an acute multiple sclerosis exacerbation?
• Which medication provides rapid symptom relief for BPH as an alpha-1 blocker?
• In an older patient with unexplained iron deficiency anemia, what is the next step to evaluate for colorectal cancer?
• Which sign is characteristic of lower motor neuron involvement in ALS?
• Regarding fetal hydrocele, which statement is correct?
• Neonatal conjunctivitis within the first week of life followed by pneumonia with hyperinflation on chest X-ray is most commonly caused by which organism transmitted from the mother at birth?
• What is the recommended treatment for neonatal chlamydial pneumonia?
• Which statement about ganglion cysts is true?
• Which therapy is commonly used to palliate symptoms in cancer?
• An 82-year-old female with DNR and acute cholecystitis; a guardian agrees to cholecystectomy. What is the next step?
• What is the management for bone pain due to metastases?
• Ganglion cysts are derived from which anatomical structure?
• Which is a major risk factor for tension pneumothorax?
• Between yogurt and sweetened condensed milk, which provides an appropriate calcium source?
• Which combination of findings is most consistent with a cyanotic congenital heart lesion in a newborn?
• Which combination of diagnostic procedures is indicated for evaluating a suspicious breast mass?
• Initial therapy for systemic juvenile idiopathic arthritis includes which of the following?
• Urge incontinence is due to overactive detrusor muscle. What testing assesses bladder function and what is the first-line treatment?
• Which of the following best describes the symptoms of ALS?
• Indications for endotracheal intubation in an acute asthma exacerbation include which of the following?
• In a hemodynamically stable patient with pyelonephritis, what is the appropriate treatment?
• What is another name for Crohn's disease?
• Endometrial biopsy after a normal ultrasound is indicated for which patient group?
• For closing a patent ductus arteriosus pharmacologically, which agent is used?
• Tourette syndrome prognosis? Which statement is most accurate?
• Next step in management in a patient with recurrent perianal abscess is:
• A patient with AIDS presents with pneumocystis pneumonia; which medication is most appropriate for treatment?
• Which statement correctly defines the false positive rate in diagnostic testing?
• How is pulmonary hypertension diagnosed?
• What is the initial management for urinary obstruction due to enlarged prostate?
• What is the mechanism of action of oxybutynin, used for urge incontinence?
• Which occupations are at risk for asbestosis?
• What is the most likely cause of a gangrenous toe in a patient who has bruit and pulsatile masses located in the carotid and femoral arteries?
• Which of the following scenarios is a reason to perform an endometrial biopsy after a normal ultrasound?
• What is the initial treatment for an ischemic stroke within 4 hours with no hemorrhage on CT and carotid artery stenosis?
• Which skin manifestation is commonly seen in portal hypertension due to cirrhosis?
• Which of the following are extracardiac manifestations of infective endocarditis?
• Which statement best describes normal postpartum bleeding?
• Regarding legally designated medical guardians, which statement is accurate?