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(Free 120)  NBME 30NEW! NBME 29NEW! NBME 28NEW! NBME 27NEW! NBME 26NEW! NBME 25NEW!
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search for anything ⋅ score predictor (โ€œpredict me!โ€)
NBME 24 Answers

clinical_trials medicine
Question#1 (reveal difficulty score)
A researcher hypothesizes that exposure to ...
Case-control study ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

pharm beta_blockers
oncology metastasis lymph
Question#3 (reveal difficulty score)
A 52-year-old woman comes to the physician ...
Intercostal ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

micro cryptococcus
Question#4 (reveal difficulty score)
A 28-year-old man with AIDS has fever, ...
Lungs ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

genetics process_of_elimination
Question#5 (reveal difficulty score)
The 35-year-old woman indicated by the arrow ...
X-linked recessive ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

respiratory transfusion transfusion_reactions
Question#6 (reveal difficulty score)
A 57-year-old woman requires intubation in ...
Acute lung injury ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#7 (reveal difficulty score)
A 65-year-old woman comes to the physician ...
Cigarette smoking ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#8 (reveal difficulty score)
A 24-year-old woman at 28 weeks' gestation is ...
Tremor ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ


Question#10 (reveal difficulty score)
A 75-year-old man is brought unconscious to ...
Atherosclerosis ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ



renal nephropathy Renal

Question#15 (reveal difficulty score)
Results of a 5-year screening program for HIV ...
5% ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ


Question#17 (reveal difficulty score)
A 3-year-old boy is brought to the emergency ...
Annular pancreas ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ


Question#19 (reveal difficulty score)
A 35-year-old man comes to the physician ...
Cluster headache ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

free
Question#21 (reveal difficulty score)
A 35-year-old woman comes to the physician ...
Foramen cecum ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ



Question#24 (reveal difficulty score)
A 6-year-old girl is brought to the office by ...
Pediculus humanus capitis ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ




immuno
Question#28 (reveal difficulty score)
A 32-year-old woman comes to the physician ...
Eosinophils ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ




Question#32 (reveal difficulty score)
A 24-year-old man receives an injection of ...
Increased lymph flow ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ


Question#34 (reveal difficulty score)
A 62-year-old man comes to the physician for ...
Sotalol ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

newborn
Question#36 (reveal difficulty score)
A 4-year-old girl is brought to the physician ...
Villous atrophy ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ


Question#38 (reveal difficulty score)
A 37-year-old woman comes to the physician ...
Borderline ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#39 (reveal difficulty score)
A 40-year-old man with AIDS develops severe ...
Somatostatin ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ


Question#41 (reveal difficulty score)
A 32-year-old woman who is 20 weeks' pregnant ...
Misoprostol ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ


Question#43 (reveal difficulty score)
After completing 6 courses of chemotherapy ...
Doxorubicin ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ



Question#46 (reveal difficulty score)
A 10-year-old girl is scheduled to undergo ...
Succinylcholine ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ



Question#49 (reveal difficulty score)
A 58-year-old man is brought to the emergency ...
Ruptured spleen ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ



Question#2 (reveal difficulty score)
A 45-year-old man comes to the physician ...
Oxygen saturation ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ



Question#5 (reveal difficulty score)
A 55-year-old man is diagnosed with coronary ...
Decreased adherence ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ


renal
Question#8 (reveal difficulty score)
A 17-year-old girl is brought to the hospital ...
Beneficence ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

cell_bio
Question#9 (reveal difficulty score)
In which of the following stages of the cell ...
G2 ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#10 (reveal difficulty score)
A 29-year-old man is brought to the emergency ...
Lateral pterygoid ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#11 (reveal difficulty score)
A public health consultant is contacted by a ...
Regular exercise ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#12 (reveal difficulty score)
An 80-year-old man is admitted to the ...
20 ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ


Question#14 (reveal difficulty score)
A 25-year-old man comes to the emergency ...
Heroin ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ


Question#16 (reveal difficulty score)
A 28-year-old man with chronic hepatitis C ...
HIV ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#17 (reveal difficulty score)
A 68-year-old man comes to the physician ...
Normal aging ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

FA20p504

Question#20 (reveal difficulty score)
A 52-year-old man is admitted to the hospital ...
Granulation tissue ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#21 (reveal difficulty score)
A 50-year-old woman with HIV infection comes ...
Zidovudine ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#22 (reveal difficulty score)
A 3-month-old boy is brought to the physician ...
Peroxisomes ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#23 (reveal difficulty score)
A 9-year-old boy who was adopted from an ...
E ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#24 (reveal difficulty score)
A 59-year-old man has repeated episodes of ...
Probenecid ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#25 (reveal difficulty score)
A 35-year-old African American man comes to ...
Palms ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

alcohol electrolytes
Question#27 (reveal difficulty score)
A 47-year-old man comes to the physician ...
Monosodium urate ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ


Question#29 (reveal difficulty score)
A 65-year-old woman with well-controlled type ...
Atherosclerosis ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#30 (reveal difficulty score)
A 35-year-old man with small cell carcinoma ...
ACTH ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ


Question#32 (reveal difficulty score)
A 35-year-old woman undergoes a left ...
Ureter ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#33 (reveal difficulty score)
A 58-year-old man comes to the physician ...
Escherichia coli ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#34 (reveal difficulty score)
A 40-year-old man who goes horseback riding 3 ...
Myositis ossificans ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

neuro
Question#35 (reveal difficulty score)
A 55-year-old woman comes to the physician ...
Lower motoneurons ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ



Question#38 (reveal difficulty score)
A 65-year-old man comes to the physician ...
Paroxetine ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ


Question#40 (reveal difficulty score)
A 4-year-old boy has a 1-cm round midline ...
Tongue ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ






Question#46 (reveal difficulty score)
In a study of drug action on neoplastic cells ...
Vincristine ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#47 (reveal difficulty score)
A 73-year-old man has an incurable malignant ...
Both legal and ethical ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

GI
Question#48 (reveal difficulty score)
The breakdown of dipeptides and tripeptides ...
Intestinal mucosa ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ



Question#1 (reveal difficulty score)
A 3-year-old girl has a history of recurrent ...
NADPH oxidase ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

biochem metabolism acid_base blood_physiology
Question#2 (reveal difficulty score)
A 28-year-old man has a blood pressure cuff ...
Adenosine ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

pharm HIV antivirals

Question#5 (reveal difficulty score)
A 37-year-old man is admitted to the hospital ...
Autoimmune adrenalitis ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#6 (reveal difficulty score)
A 43-year-old woman comes to the physician ...
Alkaline phosphatase ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

clinical_trials
Question#7 (reveal difficulty score)
A 21-year-old woman with asthma comes to the ...
Phase 3 ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#8 (reveal difficulty score)
A 37-year-old man who is a farmworker comes ...
Synaptobrevin ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#9 (reveal difficulty score)
A 43-year-old woman comes to the physician ...
Metastatic carcinoma ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#10 (reveal difficulty score)
Serum cholesterol concentrations are measured ...
16% ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ


Question#12 (reveal difficulty score)
A 35-year-old woman with asthma comes to the ...
Thiabendazole ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

syphilis ethics
Question#14 (reveal difficulty score)
A cohort study is done to evaluate the ...
0.05 < p < 1.0 ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

biochem heme heme_synthesis
Question#15 (reveal difficulty score)
A 17-year-old girl has significant blood loss ...
ฮด-Aminolevulinate ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ



Question#18 (reveal difficulty score)
A 55-year-old man with alcoholism is brought ...
Competitive inhibitor ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ


mutation paroxysmal_nocturnal_hemoglobinuria


Question#23 (reveal difficulty score)
A 32-year-old woman comes to the physician ...
Buccinator ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#24 (reveal difficulty score)
A 3-month-old boy is brought to the emergency ...
Gluconeogenesis ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#25 (reveal difficulty score)
An investigator is studying a new virus ...
Coronavirus ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ


Question#27 (reveal difficulty score)
A 27-year-old man who works from home as a ...
Avoidant ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ







Question#34 (reveal difficulty score)
An otherwise healthy 35-year-old man sustains ...
Decreased blood volume ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#35 (reveal difficulty score)
A 4-year-old girl has a history of multiple ...
Scar formation ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#36 (reveal difficulty score)
A 1-month-old male newborn is brought to the ...
Tyrosine ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ



MSK
Question#39 (reveal difficulty score)
A 34-year-old woman is brought to the ...
Lunate ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

micro
Question#41 (reveal difficulty score)
A 30-year-old man develops tingling around ...
Sodium ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

biochem cell_bio extracellular_matrix
Question#42 (reveal difficulty score)
Which of the following terms best describes ...
Lamins ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ


Question#44 (reveal difficulty score)
A 62-year-old man comes to the physician for ...
Serum gastrin ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#45 (reveal difficulty score)
A 59-year-old woman has a 10-year history of ...
Neural crest cells ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

cell_bio cell_transport cell_trafficking protein_folding
Question#46 (reveal difficulty score)
A 15-year-old girl with cystic fibrosis has a ...
Endoplasmic reticulum ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#47 (reveal difficulty score)
A 22-year-old woman comes to the physician ...
Intrauterine device ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#48 (reveal difficulty score)
A 62-year-old man comes to the physician ...
Phantom limb pain ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ


Question#50 (reveal difficulty score)
A group of physicians submits a report to a ...
Case series ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ





Question#5 (reveal difficulty score)
A 45-year-old man comes to the physician ...
Muscle biopsy ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ


Question#7 (reveal difficulty score)
A 3-year-old girl is brought to the physician ...
Spontaneous regression ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

artist90
Question#9 (reveal difficulty score)
A 10-year-old boy who was adopted from the ...
Black fly ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#10 (reveal difficulty score)
A 60-year-old woman is receiving cisplatin ...
Hyporeflexia ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ




Question#14 (reveal difficulty score)
A new screening test for colon cancer is done ...
118/124 = 95% ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#15 (reveal difficulty score)
A 15-month-old boy is brought to the ...
Migration ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ




Question#19 (reveal difficulty score)
A 38-year-old woman, gravida 4, para 4, comes ...
Internal anal sphincter ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#20 (reveal difficulty score)
Forty of 100 attendees at a company Christmas ...
Vibrio parahaemolyticus ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#21 (reveal difficulty score)
An otherwise healthy 45-year-old man comes to ...
Aphthous ulcers ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ




Question#25 (reveal difficulty score)
A 26-year-old man is brought to the emergency ...
Pericardial tamponade ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ


Question#27 (reveal difficulty score)
A 19-year-old man has had weakness of the ...
Polyneuropathy ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#28 (reveal difficulty score)
A clinical study is designed to evaluate the ...
10% ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#29 (reveal difficulty score)
A 56-year-old man has a 3-year history of ...
Presenilin ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ


penile
Question#31 (reveal difficulty score)
In a study of antibiotic resistance, a strain ...
Conjugation ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ


Question#33 (reveal difficulty score)
A 12-year-old boy is brought to the physician ...
Inhalant abuse ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

Question#34 (reveal difficulty score)
A 55-year-old woman comes to the physician ...
Neuroendocrine cell ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ


Question#36 (reveal difficulty score)
A 68-year-old woman comes to the emergency ...
Alendronate ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ


Question#38 (reveal difficulty score)
A 33-year-old woman at 34 weeks' gestation ...
Stroke volume ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

cookies
jhkjh

Question#42 (reveal difficulty score)
A 40-year-old man who recently immigrated to ...
Adenine ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

vascular
oncology
Question#44 (reveal difficulty score)
A 71-year-old woman with non-Hodgkin lymphoma ...
Leucovorin ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

renal
anatomy neuroanatomy
Question#46 (reveal difficulty score)
A 22-year-old woman comes to the physician ...
Pineal gland ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

oncogenes oncology
Question#47 (reveal difficulty score)
A 40-year-old man comes to the physician ...
HNPCC syndrome ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

neurology
neurology erections
FA18p360 FA19p359
Recent comments ...

... โˆ—seagull made a comment (nbme24)
 +380  submitted by seagull(1929)

The semantics of this question made me vomit blood.

One day a patient will look me in the eyes and ask, "Where are tripetides broken down?" I will smile at them and say, "the intestinal mucosa and not the duodenum." They'll smile back and I'll walk away and think of this moment as I jump from the window.

sympathetikey  Too real. +5
mcl  how do i upvote multiple times +21
trichotillomaniac  I made an account solely so I could upvote this. +40
dragon3  ty for the chuckle +8
cinnapie  @trichotillomaniac Same +5
thedeadly96  XD made my day! +2
hardly43  RIP legend @seagull +2
seagull  A legend never die +4
... โˆ—tissue creep made a comment (nbme24)
 +105  submitted by tissue creep(133)

The poodle is hypoallergenic, and a 10/10 good boy.

medguru2295  For some reason, I can't upvote. But UPVOTEEEEE. Dogs are life! +1
unknown001  no man, smoking is life :-P +
... โˆ—drdoom made a comment (nbme24)
 +95  submitted by drdoom(1194)

After the cuff is tied, the cells and tissue distal to the cuff will continue consuming ATP (ATP->ADP), but no fresh blood will be delivered to โ€œclearโ€ what will be an accumulating amount of ADP and other metabolites. ADP (=Adenosine) is itself a proxy of consumption and drives vasodilation of arteries! (Evolution is smart!) Increasing ADP/Adenosine in a โ€œlocal environmentโ€ is a signal to the body that a lot of consumption is occurring there; thus, arteries and arterioles naturally dilate to increase blood flow rates and โ€œsweep awayโ€ metabolic byproducts.

lispectedwumbologist  You're a good man. Thank you. +1
drdoom  So glad it helped! +1
seagull  very well put, thank you +2
aisel1787  gold. thank you! +
pediculushumanus  beautiful explanation! +2
rockodude  this explanation was on par with Dr. Sattar IMO +3
flvent2120  Just to add on to this: FA2020 pg. 297. CHALK (Calcium, H+, Adenosine, Lactate, K+) is known to vasodilate muscles during exercise as well as regulate sympathetic tone of arteries at rest +3
omarjenny  Dr Sattar and pathoma failed alot people don't recommend them. +
... โˆ—seagull made a comment (nbme24)
 +80  submitted by seagull(1929)

at BMI 15 not only has she never had a period but she never had a meal.

sympathetikey  You're on fire man lol +2
monkey  How the fuck is it not related to anorexia nervosa is beyond me. +4
avarkey  the blind vaginal pouch points away from it being anorexia related +5
j44n  Its actually a man, there's no DHT to to dev the external genitals. +1
am4140  @monkey - with real anorexia, she wouldnโ€™t necessarily have boobs either. If sheโ€™s got boobs she has the nutrition to develop boobs. That was my thought. +
freckles  the patient is actually what ever gender they want to identify as. If this was a 5 alpha reductase deficiency the patient would have experienced masculinization of external genitalia during puberty when testosterone levels increase significantly. The pt most likely has Androgen Insensitivity Syndrome. +6
weirdmed51  BLIND VAGINAL POUCH = never ever ever in anorexia nervosa! It is an anatomical defect, hence not psych prob. +


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