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NBME d1 Answers

Block/Question (5.9 difficulty score)
A previously healthy 82-year-old woman comes ...
Folic acidπŸ”


Block/Question (2.3 difficulty score)
A 37-year-old woman, gravida 3, para 3, comes ...
Measurement of serum cholesterol concentrationπŸ”

Block/Question (3.7 difficulty score)
An 11-year-old boy is brought to the ...
Provide symptomatic care onlyπŸ”

Block/Question (3.3 difficulty score)
A 62-year-old woman comes to the physician ...
MetforminπŸ”

Block/Question (1.9 difficulty score)
A 47-year-old woman comes to the physician ...
Aspiration of the knee jointπŸ”

Block/Question (1.8 difficulty score)
Measurement of which of the following is the ...
Serum ferritin concentrationπŸ”

Block/Question (1.9 difficulty score)
The patient’s serum ferritin concentration is ...
ColonoscopyπŸ”

Block/Question (2.1 difficulty score)
A 67-year-old man comes to the physician ...
Prescribe transdermal nicotine and recommend a behavior modification programπŸ”


Block/Question (1.7 difficulty score)
A 16-year-old boy comes for an examination ...
VaricoceleπŸ”

Block/Question (1.9 difficulty score)
A 22-year-old primigravid woman at 34 weeks' ...
Median nerve entrapmentπŸ”

Block/Question (1.7 difficulty score)
A 57-year-old man comes to the physician ...
Recommend participation in a smoking cessation programπŸ”

Block/Question (1.8 difficulty score)
A 45-year-old man with gout has the sudden ...
IndomethacinπŸ”

Block/Question (1.8 difficulty score)
A 77-year-old man with coronary artery ...
Renal artery stenosisπŸ”

Block/Question (1.7 difficulty score)
A 42-year-old woman with type 2 diabetes ...
Exposure to human papillomavirusπŸ”

Block/Question (3.1 difficulty score)
A 56-year-old woman comes to the physician ...
Oral valacyclovirπŸ”

Block/Question (1.8 difficulty score)
One hundred patients participate in a health ...
Change in knowledge and dietary habits of each participantπŸ”

Block/Question (3.3 difficulty score)
A 27-year-old man comes to the physician for ...
23-valent Pneumococcal: No
Haemophilus influenzae: No
Influenza virus: No
πŸ”


Block/Question (3.0 difficulty score)
A 52-year-old man comes for a follow-up ...
LisinoprilπŸ”

Block/Question (1.7 difficulty score)
A 77-year-old woman comes to the physician ...
Fecal impactionπŸ”

Block/Question (1.7 difficulty score)
A previously healthy 47-year-old man comes to ...
Cluster headacheπŸ”

Block/Question (1.7 difficulty score)
A 62-year-old man comes to the physician ...
Angiotensin-converting enzyme (ACE) inhibitorπŸ”

Block/Question (1.6 difficulty score)
A 42-year-old man comes to the physician ...
Oral amitriptyline therapyπŸ”

Block/Question (1.6 difficulty score)
A previously healthy 47-year-old woman comes ...
Oral ibuprofen therapyπŸ”

Block/Question (1.7 difficulty score)
A 62-year-old man returns to the physician ...
Keeping a log of ordered tests that require follow-up by the officeπŸ”

Block/Question (3.2 difficulty score)
A 62-year-old woman comes to the physician ...
Baroreceptor-mediated ADH (vasopressin) secretionπŸ”

Block/Question (1.6 difficulty score)
A 25-year-old woman who is a schoolteacher ...
Treatment of latent tuberculosis nowπŸ”

Block/Question (1.8 difficulty score)
A 15-year-old girl is brought to the ...
Daily use of alcohol-acetic acid ear dropsπŸ”

Block/Question (1.7 difficulty score)
A 16-year-old girl comes to the physician for ...
CalciumπŸ”

Block/Question (1.7 difficulty score)
An 82-year-old man comes to the physician ...
Measurement of postvoid residual volumeπŸ”

Block/Question (4.2 difficulty score)
An 82-year-old woman with dementia, Alzheimer ...
The patient should not have access to car keys until her driving skills are formally assessedπŸ”

Block/Question (3.5 difficulty score)
A 37-year-old man comes to the physician ...
Serum Helicobacter pylori antibody assayπŸ”

Block/Question (3.4 difficulty score)
An asymptomatic 27-year-old woman comes for a ...
HyperthyroidismπŸ”

Block/Question (1.5 difficulty score)
A healthy 37-year-old woman comes for a ...
Mitral valve stenosisπŸ”

Block/Question (1.6 difficulty score)
A 57-year-old man comes to the physician ...
Upper endoscopyπŸ”

Block/Question (1.7 difficulty score)
A 25-year-old woman comes to the physician ...
Subacute thyroiditisπŸ”

Block/Question (1.6 difficulty score)
A 45-year-old man with type 2 diabetes ...
Smoking cessationπŸ”

Block/Question (1.5 difficulty score)
A previously healthy 14-year-old boy is ...
Topical selenium sulfideπŸ”

Block/Question (1.5 difficulty score)
A 14-year-old boy with reactive airway ...
Inhaled corticosteroid therapyπŸ”

Block/Question (1.7 difficulty score)
A 72-year-old man comes to the physician as a ...
Continue his current regimenπŸ”

Block/Question (1.6 difficulty score)
A 12-year-old boy is brought to the physician ...
Enuresis alarmπŸ”

Block/Question (1.5 difficulty score)
An 82-year-old woman comes to the physician ...
ReassuranceπŸ”

Block/Question (1.6 difficulty score)
An asymptomatic 42-year-old man with a ...
Weight loss of 9 kg (20 lb)πŸ”

Block/Question (1.6 difficulty score)
During a routine health maintenance ...
Scheduling a follow-up examination with the patientπŸ”

Block/Question (1.5 difficulty score)
A 67-year-old woman comes to the physician ...
Compression fractureπŸ”

Block/Question (1.7 difficulty score)
A 47-year-old woman comes to the physician ...
Cast immobilizationπŸ”

Block/Question (1.7 difficulty score)
A 42-year-old man comes to the physician for ...
Abstinence from alcoholπŸ”

Block/Question (1.6 difficulty score)
A 6-year-old boy is brought to the physician ...
Oral griseofulvin for the patient onlyπŸ”

Block/Question (1.6 difficulty score)
A 47-year-old man comes to the physician ...
Warm saline gargleπŸ”

Recent comments ...

... sajaqua1 made a comment on familymed1/block0/q#4 (An 11-year-old boy is brought to the physician...)
 +2 
submitted by sajaqua1(533)
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Pt si na 11 yo M, 2 sdya fo aslna otcsgonine nad eros r.oahtt oignhgCu nad ezinngse tvdrcueopi fo enegr uus.cm Treeh si apotnassl aegarind fo ciuposo e-wloyreglen uu,smc and aldneger snotls.i

hTsi tatniep ahs a daeh dloc, twih tlnopsaas pird atth si iansugc sih hgo.cu iatlAnvri ephtray E)( si ton eedrcdit tiasang hte uishniR.ovr hTe antepit osed ont ohws isngs of eatcralib ctnnifioe whcih olwud ireueqr icntiiotab eprthya (,F) aynmel ntcmaypi mamenrbe gibnlgu nad rae ani.p erThe is on freev to dcaeniti seerv ifonectni or uinss dseseetnrn ot eciaidtn an -arXy of het usenssi si anrwtrdae ,D)( or ttah certluu fo iarsdechg udwlo eghcna uectnrr ertmtnaet )(.C cueaBse hsti neifocnit is ft-ledlsemii nda het dlchi can wbol eithr on,se ssniu aagvle ni the ilccni si nto eansycsre. )B(.

... canyon_run made a comment on familymed1/block0/q#1 (A previously healthy 82-year-old woman comes to the...)
 +1 
submitted by canyon_run(4)
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My iatfvroe tafdeul mttnaeert ntoip.o hsi(T mncomte ndsee to eb revo 50 stcrceraha dan .hwta)tno

... resolutestorm made a comment on familymed1/block0/q#5 (A 62-year-old woman comes to the physician because...)
 +1 
submitted by resolutestorm(2)
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I leeebvi tath emftonmri si itoadetrancncid ued ot aPtensti hwti elran iessaed iahgvn a girehh chncae of accilt .sasicodi Thsi aitepnt sha snedeacir BNU nda Cr gdtaininci ranle issdaee

... resolutestorm made a comment on familymed1/block0/q#17 (A 56-year-old woman comes to the physician because...)
 +1 
submitted by resolutestorm(2)
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hasr esmse ot eb hatt fo leighsns. Aeg eargn sloa csahmte .pu inrvAliat si hte tesb ntoipo

... priapism made a comment on familymed1/block0/q#19 (A 27-year-old man comes to the physician for a...)
 +0 
submitted by priapism(6)
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o2u-ePccco3amln is 5g0&t; oy/ susenl tereh era teohr cninait.dois

H. fzluninae lsdohu eb roeevcd as a dik

eflnIunaz si oyln rdiugn ful ssoa.ne Arpil is oto aetl

... priapism made a comment on familymed1/block0/q#20 (A 52-year-old man comes for a follow-up examination...)
 +0 
submitted by priapism(6)
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Out fo eth soti,opn CIA-E is teh ynlo neo taht loponsrg f,iel eht erts tujs meriovp taiqyul fo lfie

... resolutestorm made a comment on familymed1/block0/q#27 (A 62-year-old woman comes to the physician because...)
 +0 
submitted by resolutestorm(2)
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The npesro si rnpnsgitee wthi ospsymtm of FHC espay(nd no treiexon, ittginp dam)ee sa lwle sa /bl albrias eakcclsr lal fo hicwh iaeditnc a idluf loardeevdo t.tesa In d,datnioi terhe is idacrca ncsfytodiun wtih rpemorpi pmiugnp fo eht od.bol euD to ddercseae rcacida tputu,o hte ydbo evcipeesr stih sa a vhp"oceoyli"m eastt adn uassec hte leeaesr of esnhomor leki AHD nda inRne ni na ftreof to sebaborr waetr ot rgbin teh lovmeu .pu liWhe the taneitp si iaghvn areeutlclalrx fldiu ocaaunlcmtiu e(eadm) eth etailrar odobl leovmu si wlo chwih si waht cesusa teh m"loyech"oivp .tates

... masonkingcobra made a comment on familymed1/block0/q#32 (An 82-year-old woman with dementia, Alzheimer type,...)
 +0 
submitted by masonkingcobra(338)
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de/i/vriie.eo/cenke-:es-/rnamatrccildsmldhrisgptgeatceimspvsdin--v/nr

... masonkingcobra made a comment on familymed1/block0/q#33 (A 37-year-old man comes to the physician because of...)
 +0 
submitted by masonkingcobra(338)
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No eon erve oesd tsih saysa ti sese:m

pUeoD:atT Heewro,v segoiocrl tesst qeeuirr tlioadvani at the locla elvle, hhwci si ipaamltircc in netuori eircpc.ta In ddntii,oa recnnocs orve its uaarccyc vhae eitmidl ist es.u

eTh auer etrhab tets is ftrsi elni

... funnybunny made a comment on familymed1/block0/q#34 (An asymptomatic 27-year-old woman comes for a...)
 +0 
submitted by funnybunny(0)
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Thoguht ti aws mssiohota'H daei,ses sauecbe tehy acn tge tnasitnre osmtiihdry.epyrh o,vwHeer ni o'imssahotH teh dohyirt is keaatdct adn slereeas sti rdsoet 4T t(i i'nts inamgk )eo.mr eoTeh,ferr eht oriyhtd si ocld no IRUA nda otn fyefusidl .adlreneg