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NBME 13 Answers

Question#1 (reveal difficulty score)
A 77-year-old woman dies in the hospital ...
Interleukin-1 (IL-1) πŸ” / πŸ“Ί / 🌳



Question#20 (reveal difficulty score)
A 3-year-old girl is found to have a grade ...
Ventricular septal defect πŸ” / πŸ“Ί / 🌳

Question#25 (reveal difficulty score)
A 32-year-old woman comes to the physician ...
Myasthenia gravis πŸ” / πŸ“Ί / 🌳




Question#30 (reveal difficulty score)
A 43-year-old man comes to the physician for ...
Low-calorie πŸ” / πŸ“Ί / 🌳

Question#41 (reveal difficulty score)
A 20-year-old man has cramping periumbilical ...
Interleukin-1 (IL-1) πŸ” / πŸ“Ί / 🌳

Question#43 (reveal difficulty score)
An 18-year-old man has had temperatures to ...
T lymphocytes πŸ” / πŸ“Ί / 🌳

Question#48 (reveal difficulty score)
A male newborn at 34 weeks' gestation is ...
Endothelium πŸ” / πŸ“Ί / 🌳


Question#6 (reveal difficulty score)
A female newborn is delivered at 34 weeks' ...
Nitric oxide πŸ” / πŸ“Ί / 🌳

Question#8 (reveal difficulty score)
A 5-month-old boy is brought to the physician ...
Thyroglossal duct πŸ” / πŸ“Ί / 🌳

Question#9 (reveal difficulty score)
In order to determine risk factors for death ...
Observational cohort study πŸ” / πŸ“Ί / 🌳



Question#38 (reveal difficulty score)
A 5-year-old boy is brought to the physician ...
Ischium πŸ” / πŸ“Ί / 🌳

Question#41 (reveal difficulty score)
A 23-year-old woman comes to the physician ...
Dextromethorphan πŸ” / πŸ“Ί / 🌳


Question#5 (reveal difficulty score)
A previously healthy 42-year-old Asian woman ...
Induction of cytochrome P450 πŸ” / πŸ“Ί / 🌳

Question#6 (reveal difficulty score)
Homologous pairing of chromosomes in prophase ...
Crossing over πŸ” / πŸ“Ί / 🌳

Question#7 (reveal difficulty score)
A 32-year-old woman comes to the physician ...
Clomiphene πŸ” / πŸ“Ί / 🌳




Question#19 (reveal difficulty score)
A study is conducted to evaluate the onset ...
Population-based πŸ” / πŸ“Ί / 🌳

Question#21 (reveal difficulty score)
An autopsy is done on a 46-year-old woman who ...
Paraganglioma πŸ” / πŸ“Ί / 🌳



Question#35 (reveal difficulty score)
A 25-year-old woman undergoes a radical ...
Compression sleeve πŸ” / πŸ“Ί / 🌳

Question#39 (reveal difficulty score)
A young adult couple has been unable to ...
Seminal vesicles πŸ” / πŸ“Ί / 🌳


Question#2 (reveal difficulty score)
An 18-year-old woman with mild mental ...
Apo B πŸ” / πŸ“Ί / 🌳

Question#7 (reveal difficulty score)
A mouse melanoma, B-16, is highly metastatic. ...
Homing πŸ” / πŸ“Ί / 🌳


Question#20 (reveal difficulty score)
A previously healthy 32-year-old man is ...
Alcohol dehydrogenase πŸ” / πŸ“Ί / 🌳


Question#34 (reveal difficulty score)
A 33-year-old woman comes to the physician ...
Cortical hyperplasia πŸ” / πŸ“Ί / 🌳

Question#35 (reveal difficulty score)
A 55-year-old man with hepatic encephalopathy ...
Lactulose πŸ” / πŸ“Ί / 🌳



Question#46 (reveal difficulty score)
A 62-year-old man is brought to the emergency ...
Pulmonary edema πŸ” / πŸ“Ί / 🌳



Question#40 (reveal difficulty score)
A 46-year-old man receives the diagnosis of ...
Aorta πŸ” / πŸ“Ί / 🌳

Question#10 (reveal difficulty score)
A 40-year-old woman comes to the physician ...
Heteroplasmy πŸ” / πŸ“Ί / 🌳

Question#22 (reveal difficulty score)
A 9-year-old girl is brought to the emergency ...
Periosteum πŸ” / πŸ“Ί / 🌳


Question#41 (reveal difficulty score)
A 60-year-old man comes to the physician ...
Difficulty swallowing πŸ” / πŸ“Ί / 🌳

Question#15 (reveal difficulty score)
A previously healthy 35-year-old man comes to ...
Bromocriptine πŸ” / πŸ“Ί / 🌳

Question#12 (reveal difficulty score)
A 5-year old girl is brought to the physician ...
Cleavage and polyadenylation πŸ” / πŸ“Ί / 🌳

Question#48 (reveal difficulty score)
A 27-year-old woman comes to the physician ...
Multiple sclerosis πŸ” / πŸ“Ί / 🌳

Question#7 (reveal difficulty score)
A 15-year-old boy is brought to the physician ...
Amphetamine πŸ” / πŸ“Ί / 🌳



Question#41 (reveal difficulty score)
A 42-year-old woman comes to the physician ...
B on diagram πŸ” / πŸ“Ί / 🌳

Question#28 (reveal difficulty score)
A 35-year-old man has a 6-year history of ...
Dermatitis herpetiformis πŸ” / πŸ“Ί / 🌳



Question#45 (reveal difficulty score)
A 25-year-old woman comes to the physician ...
Proximal tubule πŸ” / πŸ“Ί / 🌳

Question#25 (reveal difficulty score)
A 23-year-old man comes to the physician ...
Gilbert syndrome πŸ” / πŸ“Ί / 🌳


Recent comments ...

... drjungly made a comment on nbme13/block3/q#7 (32 yo woman, 5 years inability to conceive)
 +10 
submitted by drjungly(15)
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aorNml o,olommhanenrr mlae erpms dsuyt adn lorman nessem: stlil tn’ac cnoviece neht geiv TRY ithw eeplcnoih,m atth si niattnosAg ta GnHR reeortpc ta spH,mahtaloya Bolkc sregEotn dmiteeda hibniniito of RnHG hceen Ireanecs lraeese of &tigttggg;nc;;g.gHG&;;&t&&n;&tRt HL serug noBtooecliiua trvirnopm - ldwuo be epluflh fi teh pt sah ntiileiftyr eud to ESERCINA S.O TNEIPACDRL - is psedtpo in US edu to lcear ecll aaronmcic in ougny fmeela robn ot eElhotnmryt i.h soidalter - bndi oegrents ttigt;gcr;t&;th;g;&te&tepbingi&o&g RGnH &&tg;o;t&ng;g&tt;g LH gr:seu no unc(ei.s kisR of itmealodner eeo)Mraymcorrctnnip goasexrde - si stoirnegpr di-β€”bn rntesoroegpe enr.opcecitrso.o..m(tpen fo ionmrgn fetra pill)

... jsmoov made a comment on nbme13/block4/q#2 (18 yo woman, mild mental retardation, 3 days decreased ability to see in reduced light)
 +10 
submitted by jsmoov(22)
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Tihs aybb hsa boptealii.enoaipermat wu("ttoih eBat p.rnioeaslp"tpooi) hTus heyt liwl cakl 4-B8 adn B0-01 adn heva atnsbe slleve fo m,rsnloiycoch LV,LD adn .DLL stfnanI rnptees with revees tfa oilaptrsbmnao nda fecisideienc fo lal fat lsubloe vimntsai KADE)(. Lcka fo iaitnmv A edrsenr thme vrellanbeu ot seiRttini eionatmsgp adn lkca of EtiV deasl ot srceeepoblrnali dentriao.eeng

... skip_lesions made a comment on nbme13/block2/q#38 (5 yo boy, 6 months progressive clumsiness and fatigue)
 +4 
submitted by skip_lesions(17)
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l:scMue crdAuotd mausng

rniig:O ubisP, tsyiboerut fo mschiiu

inIns:otre eFmru

ocniAt: dudcAst eth ihthg at eth pih

... jsmoov made a comment on nbme13/block3/q#21 (Autopsy of 46 yo woman, adenocarcinoma of colon)
 +4 
submitted by jsmoov(22)
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oieivPts gnaitnsi rof nponypasthysi and mrrghanioonc rea eetadimmi ozdszbuwr orf iondocnnrureee rsmuto. mPosiagaarnlga ear hte loyn etpy dteils h.ere

eOthrs wudol eb alslm llec cnamaiocr of gunl, cronciaid uo,rtm atm/uctimlora,gisssnosanni/e seo,ph ymllrueda inoaccram fo rht.ydio

... trazobone made a comment on nbme13/block3/q#21 (Autopsy of 46 yo woman, adenocarcinoma of colon)
 +4 
submitted by trazobone(86)
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If naoney sele is on teh mduumd baot dna ditd’n wnko whta a pamgangnoralia :saw a dcrnieononuere uotmr ttha gnesib ni never ,eslcl clloyse traeeld to a omrmhycoheoatcop

cheesetouch  Mayo clinic says 2 out of 1 million people have a paraganglioma. Talk about a zebra! +2
... jsmoov made a comment on nbme13/block3/q#31 (23 yo woman, type 1 diabetes mellitus, follow-up examination)
 +3 
submitted by jsmoov(22)
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diHsela are eth etenslme ni het n2d eht alst omncul fo eht ciredpio labet F,( C,l Br, ,I t)e.c evDceeift OPM snreepvt snovnorcie of 2OH2 ntio CHlO (a lhyiyh)e-xradod hhciw si aka aelhbc dan eth tsom wluropef tinbciiomalra rou pgthyeoacs can eyishenzts

... skip_lesions made a comment on nbme13/block3/q#45 (25 yo man, cystic fibrosis, 3 days fever, cough, progressive shortness of breath)
 +3 
submitted by skip_lesions(17)
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.P eargoasiun ahs been hwons ot morf imol-leibfki mieocoorslnci in teh lngsu fo FC ieasttnp nikagm ti ltciifdfu ot atrte with sntoiictaib.

... trazobone made a comment on nbme13/block4/q#21 (40 yo woman, brought to ER, 30 minutes after severe chest injuries in motor vehicle collision)
 +3 
submitted by trazobone(86)
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I resadewn htis via recsosp of tnaliii.omen

)A sioGtobmlaa melrufomit - on cb/ hatt would nede ot sowh a tBur mo) VSH henilcaetspi - dwluo eend ot be ni eth tmolpare rengio and lsao sdetno’ qteiu tfi hwit the 25 raey ezrieus oredidsr hy)rsotiC iaelMs meralpto roslcesis - i eavh on iaed tahw tshi is lr,elay tub djuging rfmo rssβ€œcslioe” i smeusa rehte sdnee to eb omes nssig of oslirssce ciwhh si ont tpneres ni the ooh) Dtp aalNteon mcihices oksret - on hse dEo l) sarulVca fmomtaniralo - ucdlo otn inhkt fo a lcuarasv roirddes tath wsa cotaeadiss itwh usiesze,r ubt it asmke neses cb/ het tuiercp hwsso a bncuh of ladeidt cepsas iwchh I usmsaed ear eht selsves gnbei rmlfoamde

trazobone  I answered this via process of elimination. A) Gliobastoma multiforme - no b/c that would need to show a tumor B) HSV encephalitis - would need to be in the temporal region and also doesn’t quite fit with the 25 year seizure disorder history C) Mesial temporal sclerosis - i have no idea what this is really, but judging from β€œsclerosis” i assume there needs to be some signs of sclerosis which is not present in the photo D) Neonatal ischemic stroke - no she old E) Vascular malformation - could not think of a vascular disorder that was associated with seizures, but it makes sense b/c the picture shows a bunch of dilated spaces which I assumed are the vessels being malformed +2
... iceberglettuce made a comment on nbme13/block4/q#36 (25 yo man, admitted to hospital for viral pneumonia)
 +3 
submitted by iceberglettuce(15)
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Duefisf eaovlalr dgaaem = RASD t&;-g voaerlal yneahli meaemsnrb

... thegooddoctor2 made a comment on nbme13/block1/q#1 (77 yo woman, dies in hospital after long illness)
 +2 
submitted by thegooddoctor2(1)
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mermeR,be HOT T neBo ketaS. I-L1 easucs resvee imoinlfnatma and is ciderytl ioldnvve in hte rceinota fo het yiclt .nsleio

... l0ud_minority made a comment on nbme13/block3/q#14 (40 yo man, brought to ER, 1 hour after sudden onset of severe pain in left leg)
 +2 
submitted by l0ud_minority(5)
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I gto siht ogwrn I gtothhu ereecdDsa siMoyn ihLgt naiCh ePsosaahpth tacvitiy luowd payl a ratfoc rmof het nolg gel tcas liaboioiinmtzm rof 6 .nstohm toN ebnig lbea to sue teh egl luwod suaec a.yrhtop uBt I was .orgwn

scoresloth  same here +1
bugdrivergirl  I thought that was only for smooth muscle though +
... iceberglettuce made a comment on nbme13/block3/q#15 (33 yo woman, right-handed, 3 days progressive weakness, numbness of arms and legs)
 +2 
submitted by iceberglettuce(15)
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shiT eon saw a ody.zo I nitkh by siygan nv"eer usdetsi swoh swlo cniocnodtu yeclvtio," tyhe ear nfinreregce tloyratsa inoudnctco e.ipmmtinra eTrhfoeer yhet ear nksiga us cihwh hnsncale rea enyrcsesa rof aarlotyst ocnctndiou - hwcih lowud eb geategvt-ldao +aN cne.anlhs



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