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HEAL100 Health Care — exam and revision material · Other

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Health Care exam material, 40 pages. Originally published on StudyMerit.

Pages
40
Academic year
2025/2026
Language
English

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NBME CBSE REAL EXAM 200 QUESTIONS & ANSWERS LATEST ( usmle step 1)MEDICAL EXAMINATION 1. 70yo M dies in a motor vehicle collision. Was undergoing evaluation for occult blood in the stool. Photo of transverse colon shown. Dx? - - Tubular adenoma - 2. 38yo M with 1 - week hx of wate ry, itchy eyes and a runny nose. Physical shows inflamed nasal mucosa. No congestion in lower lung. Pharmacotherapy? - - Loratadine - 3. 16yo girl with 3 - day hx of fever, nonproductive cough, and fatigue. T 38.3, P 88/min, BP 102 - 70. PE shows pale conj unctivae. CXR shows bilateral interstitial infiltrates. Blood spontaenously agglutinates while awaiting transport to the laboratory. Antibody isotypes causing agglutination? - - IgM - 4. 24yo M with small tender blisters on his penis 3 days after unpro tected sex. Photograph shown. Causal agent? - - Herpes simplex virus type 2 - 5. 42yo F with 3 - year hx of an intermittent facial rash, including the forehead, eyelids, nose, and cheeks. Rash seems to be getting worse since she moved from New York to Fl orida last year. Spicy foods precipitate a flushing reaction that seems to exacerbate the rash. PE shows erythema over the nose and cheeks, with scattered telangiectasias and a few papules. Dx? - - Rosacea -

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6. 53yo M returned from Africa, has fever, headache, and abdominal discomfort. Received appropriate vaccinations prior to the trip. T 39.4C. A wright - stained peripheral smear shown. Dx? - - Malaria - 7. 68yo F with T2DM and hypertension that has eben p oorly controlled despite hydrochlorothiazide treatment. BP 150/96, Labs show serum glucose concentration of 130 and proteinuria. In addition to current Rx, which is most appropriate pharmacotherapy? - - Lisinopril - 8. 66yo M with stage IV colon cancer with 3 - day hx of severe diarrhea after receiving chemotherapy with flourouracil, leucovorin, and irinotecan. perscribed opioid antidiarrheal agent with no CNS effects. Which med? - - Loperamide - 9. 35yo M in ED with 2 - hour hx of sever fatigue and diz ziness. Had profuse, watery diarrhea for 8 hours despite a lack of oral intake. Recently returned from a medical relief trip to a remove village in Honduras. T 36.7 C, P 122/min, BP 90/50. PE shows dry skin and decreased capillary refill. Stool for occult blood is negative; stool is gray and turbid. Gram stain shows gram - negative, comma - shaped bacteria; no erythrocytes of leukocytes. MOA of toxin? - - Activation of adenylyl cyclase - 10. 59yo F with gradual onset of lack of muscle control in her left ar m and leg. Sx 1 mo ago after dx with metastatic breast cancer. PE shows ataxia of left upper and lower extremities. Muscle strength, DTR, sensation, proprioception normal. Metastatic tumor in which location? - - Cerebellum -

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11. Newborn delivered at 38 weeks' gestation weighs 1800 g. PE shows petechial rash, microcephaly, and hepatosplenomegaly. Serologic test for CMV: IgG + in mother, + in newborn; IGM - in mother, + in newborn. Explanation? - - Congenital cytomegalovirus infection - 12. Female new born is delivered at 38 weeks' gestation. Apgar 8 and 8 at 1/5 min. PE shows a bulging, fluod0filled mass approximately 5 cm in diameter in the midline over the lumbosacral region. No spontaneous movements of the lower extremities. Abnormality most likely occurred because of abnormal development during which periods of postconception (in days)? - - 15 to 40 - 13. 64yo M in ED 3 hours after SOB with exertion and extreme fatigue. Has ischemic heart disease. P 125/min, BP 105/60. ECG shows atrial fibrillation. Intravenous ibutilide is administered. Ten minutes later, ECG shows normal sinus rhythm. Risk for which d rug effect in the next 6 hours? - - Torsades de pointes - 14. 65yo F with 20 - year hx of osteoarthritis of the hands now has pain radiating down the distal anterior thigh, knee, medial leg, and food. Bony outgrowth of vertebrae compressing one of the sp inal nerves is suspected. Nerve root in which intervertebral foramina is effected? - - L - 3 to 4 - 15. 38yo M with 3 - year hx of T2DM. Taking an oral antihyperglycemic agent, he has tried diet and exercise. BMI 32. PE normal. Hb A1c is 10%. Physician rec ommends initiation of insulin injections. Responds, "I know that insulin would help control my blood sugar. But a lot of people in my family have diabetes, and insulin made them really sick at times. Patient is at which stage of change? - - Contemplation -

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