Discuss NBME F3 B1 - grazie

[ArchivalUser]

1. d
2.e
3.d
4.a wrong
5.a
6.e
7.a got it right on NBME
8.b
9.c
10.b
11.d
12.d
13.a
14.a
15.b
16, a
17. e
18,e

[ArchivalUser]

How about the patient with the breast issue? What did you answer
a) bilateral breast US
b. Potassium hydroixde scraping ( wrong)
c. punch biopsy
d. repeat mammo

[ArchivalUser]

63 year old white woman comes to the office because of a worsening cough during the past 2 months that has become productive of white sputum during the past week. She says " it started off as an irritating dry cough that would occur randomly and un expectedly throughout the day. Last week I started coughing up whitish phlegm and now during the past few days it has contained flecks of blood. she denies chills fever and sweats and SOB. blah blah lol and PHOTO

which of the following is the best indication for antibiotic therapy in this pt.

a. CXR findings
b. Enlarged lymph node
c. history of sweats
d. white sputum with blood
e. no antibiotic therapy indicated.

[ArchivalUser]

29)
31 year old bodybuilder comes to the office because of frequent headaches for the past 8 weeks . He tells you that the heads aches extend from his temples to the back of his head. The patient is 183 cm 6 ft and weights 88kg 195lb . BMI27. VS now are temp 98.4 pulse 88 respirations 14 BP 190.105. PE normal. In addition to obtaining a social history and information about alcohol use it is most important to obtain information regarding which of the following?

a. intake of creatine
b. his intake of vitamin supplements
c. smoke history WRONG
d. training routine
e. anabolic steriods

[ArchivalUser]

@katmd14...could you give a number to each qs. it is difficult to participate.

if these are your own qss, please put them in a new thread.

[ArchivalUser]

@grazie...IF possible, after these 18 qss are discussed,could you put a group of 6 or 9 qss.that will make it easy for every one else to discuss. thanks

[ArchivalUser]

On q3)
B, D and E are wrong by nbme feedback

[ArchivalUser]

Please don't post any more questions in ths thread that don't belong to BLOCK 1 nbme form 3
Thank u!

[ArchivalUser]

4 no clue
5a...it will give a clue to DX.
6e...as parkinsin is clinical DX

[ArchivalUser]

I will discuss them in order, sorry, I don want to miss any.


q5.
A 42-year-old Ecuadorian man who recently immigrated to the USA comes to the office for an initial visit. He tells you that for the past several months he has been having episodes of uncontrollable crying, difficulty sleeping, and loss of sex drive and appetite. He is not taking any medications. His family is in Ecuador. He has no other medical problems. Physical examination discloses no abnormalities. Which of the following is the most appropriate step prior to initiating therapeutic intervention?

A) Ask the patient about his beliefs regarding the cause of his illness
B) Ask the patient if he has any history of medication allergy
C) Inform the patient about the benefits of medication in his condition
D) Inform the patient about the nature of depression
E) Inform the patient about the relationship between the patient's mind and body

Thanks ALEXA!!!

q5) A) Ask the patient about his beliefs regarding the cause of his illness
nbme cert!