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nbme 5 - tyra
#1
can someone pls post the links for nbme 5 ?.........cant afford to buy it online...........have already spent on 3,4 and 6........pls help ........exam in two weeks..........
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#2
hello all, I havemy exam in a week from now. please if anyine had the answer for NBME 1 sent it to me.
al99107373

thank you
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#3
Will it help:

Form 1 -1

1B
2C
3B
4E
5C
6A
7I
8E
9A
10E
11D
12E
13B
14B
15B
16D
17A
18B
19C
20B
21C
22C
23E
24C
25A
26E
27F
28A
29D
30D
31D
32D
33A
34H
35A
36E
37A
38D
39B
40B
41E
42D
43B
44D
45A
46D
47C
48C
49D
50A


Form 1-2

1E
2A
3A
4C
5C
6B
7F
8D
9D
10A
11A
12D
13A
14C
15D
16H
17A
18C
19G
20B
21B
22C
23D
24C
25C
26D
27D
28C
29C
30B
31A
32F
33B
34C
35D
36B
37E
38C
39C
40A
41D
42E
43A
44A
45C
46A
47D
48C
49D
50C


Form 1-3

1B
2C
3D
4C
5A
6B
7E
8D
9B
10A
11C
12E
13A
14E
15E
16C
17E
18E
19D
20B
21B
22B
23G
24D
25E
26D
27E
28A
29E
30B
31B
32B
33A
34A
35D
36D
37B
38B
39D
40A
41A
42D
43C
44C
45D
46A
47D
48B
49C
50A


Form 1-4

1A
2B
3A
4F
5C
6H
7C
8A
9E
10D
11E
12B
13B
14A
15B
16E
17C
18D
19C
20A
21)I
22B
23E
24D
25B
26C
27C
28A
29D
30G
31B
32E
33E
34E
35D
36A
37A
38C
39E
40D
41D
42A
43E
44C
45B
46A
47H
48C
49C
50E


Form 2-1

1B
2G
3B
4A
5D
6A
7C
8A
9C
10E
11A
12H
13D
14B
15C
16E
17C
18B
19B
20C
21D
22A
23A
24B
25A
26A
27C
28D
29B
30E
31D
32A
33B
34C
35C
36C
37E
38D
39D
40E
41C
42C
43B
44B
45B
46G
47E
48A
49E
50C


Form 2-2

1C
2A
3D
4C
5C
6C
7D
8A
9B
10E
11C
12E
13B
14A
15A
16D
17B
18B
19D
20A
21E
22A
23E
24A
25G
26A
27E
28B
29C
30A
31A
32B
33E
34D
35C
36D
37D
38F
39E
40B
41C
42D
43D
44E
45D
46D
47E
48C
49C
50C


Form 2-3

1C
2B
3B
4C
5F
6A
7B
8E
9E
10A
11C
12D
13A
14D
15E
16B
17D
18A
19B
20D
21D
22B
23D
24E
25B
26C
27D
28C
29A
30B
31A
32F
33B
34A
35B
36F
37D
38E
39B
40C
41C
42A
43B
44E
45D
46E
47D
48D
49C
50B


Form 2-4

1D
2D
3D
4E
5B
6A
7D
8E
9C
10D
11C
12A
13B
14C
15A
16C
17C
18B
19A
20E
21D
22E
23C
24C
25B
26I
27C
28D
29A
30D
31E
32F
33A
34B
35D
36D
37C
38B
39A
40B
41A
42B
43D
44C
45A
46E
47D
48C
49B
50C


Form 3-1

1B
2D
3E
4A
5E
6H
7C
8A
9F
10A
11B
12A
13C Polio - Single Stranded Rna
14E
15D
16C (1 / 100) / (1 / 10,000) = 100
17E
18B
19 Infectious mononucleosis
20B
21C
22A
23A
24A
25E
26C
27C
28D
29A
30C
31B
32E
33D Asthma
34E 100 (R^4)=100 x 2^4 = 100 x 1 = 1600 P = QR
35C
36A
37C
38D
39C
40E
41B
42A
43J
44D
45D
46B
47C
48B
49D Blurry vision pituitary affected “ Drinks a lot pees a lot - DI
50C Vit B12- Macrocytosis


Form 3-2

1A If you methylate DNA you inactivate it..So the Ecoli is inactive and therefore it cannot be cut
2A
3D
4C
5C Psoriasis = hyperplasia
6E
7E
8C
9D Any liver disease will cause secondary hyper aldosteronism - This is because venous pooling and there is decrease in afferent renal blood flow causing the release of rennin aka secondary hyper aldosteronism
10B
11G Synergistic relationship- Usually with all amino glycosides (in this case penicillin's and amino glycosides)
12A Enterobius vermicularis pinworm “ tape test - mebendazole
13G High virulence bloody diarrhea shigella flexerni
14D
15C
16B
17C
18B
19D
20E
21C
22C
23C
24B Café au le spots
25C
26D
27B
28C Gap junctions
29C
30A
31C
32F
33A
34C
35C
36A
37B
38A Chronic Pancreatitis
39C
40E
41D
42D
43D
44E
45B Endometreosis
46F
47B
48A
49A
50C


Form 3-3

1C Nucleotide= DNA “ analysis Southern blot = nucleotide sequencing = deoxyribonucleotide
2C
3A
4C
5E
6B
7C
8J
9C
10C
11C
12A
13D
14B
15C
16E
17C Carbon dioxide right shifts the curve
18E
19E Dorsal is for sensory and Neurons with small diameter axons and cell bodies are likely to convey information about pain and temperature, whereas neurons with larger diameter axons and cell bodies are more likely to convey mechanoreceptive information.
20D
21E
22B
23D
24A
25F
26E
27C
28F
29E
30D
31D
32C
33C
34A
35A
36D
37C
38E
39B
40E
41E
42A
43D
44E
45D
46G
47D
48E
49B
50B


Form 3-4

1C
2B
3C
4C
5E
6C
7A
8A
9C
10B
11C
12C
13A
14F
15E
16D
17C
18E
19A
20D
21B
22B
23E
24A
25C
26D
27A
28D
29B
30E
31B
32E
33B
34A
35D
36E
37A
38A
39C
40E
41F
42C
43D
44A
45E
46C
47A
48B
49C
50B


Form 4-1

1-A Zinc finger motif is a DNA binding domain for steroid receptor
2-D
3-B
4-E
5-D
6-B
7-E
8-B
9-D
10-D
11-C
12-E
13-G
14-B Broad base point to blastomycosis
15-E
16-E This is acute rejection as occur after weeks of transplantations...so T lymphocyte play there role
17-D
18-C
19-I TNF is produced in response to Endotoxin and then TNF causes release of NO which is the main mediator of shock and hypotension
20-D Dimer is specific for DIC ,
21-H Lateral corticospinal tract....
22-B
23-A
24-A
25-B
26-C Anti psychotic drug SE
27-D Athletes foot- antifungal
28-B Iliopsoas
29-E Muscular dystrophy=Replacement of fat and connective tissue
30-B Acute gouty arthritis “ first treatment colchicine and NSAIDS
31-C Case of asthma which is an obstructive lung diseas FEV1. FVC is typically decreased and residual volume is increased
32-B Superior Vena Cava Syndrome
33-A Patent ductus arterosis
34-A
35-E Beta 1 increase renin secretion but alpha 1 decrease renin secretion.
36-D Cinchonism-Quinidine
37 J
38-C Cystic fibrosis patient have short stature
39-B
40-A 3 ((45-12) “ (23-0)) its 30
41-E Clear cell carcinoma
42-F
43-C Oxytocin- Milk secretions aka let down, the prolactin stimulates and maintains synthesis of breast milk
44-C PCOS clue is decreased FSH
45-B Ductus venosus runs through the liver
46-C
47-G
48-E Octreotide a long acting somatostatin
49-B M blocker block secretion and so cause dry mouth ipratropium
50-E The oral drugs pioglitazone and rosiglitazone can cause or exacerbate heart failure and pulmonary edema and should be avoided in patients with left ventricular dysfunction (impaired pumping ability of the heart) or chronic renal insufficiency.


Form 4-2

1- B
2- C
3- A Pt has PKU Phenylalanine Hydroxylase deficiency leading to PTU....
4- D Nondisjunction will produce either an egg with 24 chromosome or with 22 chromsomes..
5- C Acute pancreatitis so enzymatic fat necrosis
6- D X linked recessive disease more common in male and if female are symptomatic then its because of inactivation of more maternal chromsome than paternal... female are homozygouys for the abnormal chromosome.
7- A
8- D Unstable mood , impulsiveness.. female more than male
9- A Here is a point never assist the patient to die ....passively is ok but actively is not ok....
10-D Acute Resp alkalosis
11-E
12-B Transplant patient often get CMV infection so Gancyclovir
13-A
14-A CCR5 1% of US population give protection to HIV infection
15-B
16-D Pt will have preformed antibodies IgA against the transfused blood
17-D
18-D Lack of randomization
19-C
20-A
21-F Polycythemia rubra vera
22-C Abducent nerve “ It's the nerve on right cuz right side is affected
23-D Radial nevre
24-B Circle of willis
25-D
26-E
27-B Cohesion BW adjacent cells ......... and held them togethers
28-A
29-G
30-A
31-D
32-E Obstructive Sleep Apnea- HTN - RVH
33-C INH “ b6 pyridoxine
34-C You do not affect the perfusion when the heart pumps more you just have to increase flow
35-D
36-F
37-C
38-E
39-F
40-C
41-D RBC casts
42-F
43-B
44-A
45-A
46-E
47-B
48-D Female that looks like male 21 or 11 (21 is only one given)
49-C
50- C


Form 4-3

1- C
2- C
3- C Alanine is converted to pyruvate for Gluconeogenesis
4-F
5-E Reperfusion injury by free redical
6-B Autosomal recessive
7-B Gamma interferon secreted by Th1 cell causes Macrophages activation and activated macrophages become fused to form multinucleated giant cell
8-A
9-E
10-G
11-E
12-A
13-A
14-D
15-C
16-E Pneumococcus encapsulated bacteria
17-E
18-A
19-A
20-A
21-B
22-F
23-A
24-E
25-E
26-C
27-A Melanocyte are derivative of neural crest cell
28-F Posterior cruciate ligament Tibia move posterioly while for anterior cruciate ligament tibia move anteriorly
29-B Polumyalgia rheumatica is associated with Temporal arteritis
30-A
31-E
32-B Pneumothorax there will be Hyperresonant, deviation of tracha to opposite plus decreased breath sound and absent fremitus
33-A
34-A
35-B
36-D
37-C
38-F
39-A
40-D Absent of kidney lead to oligohydoamnious
41-B ADH causes increase water reabsorption so serum osmolarity would Dec , Urine osmolarity inc and urine sodium conc will be high
42-F
43-A Accessory nipple
44-B
45-E
46-D PID
47-B
48-D
49-D
50-D


Form 4-4

1-A
2-D
3-C
4-A Action potential travel to the interior of myocyte due to T tubule
5-A Its X linked recessive mean only disease gene on X chromosome and if that male parent would have defective gene on his X chromosome then he would have the disease and he dont have its mean that he is not carrier of this disease
6-B
7-A
8-B
9-A not congenital because he is 70 year old
10-F Partial agonist as at low dose its acting as agonist but at high dose its acting as antagonist.
11-A
12-E Penicillin is excreted by kidney so when renal function are compromised then serum drug level increse as this why patient
13-A
14-B
15-E
16-E
17-A
18-D
19-E
20-A
21-A
22-D Cerebellum and in cerebellum has ipsilateral signs
23-E
24-B Duodenal atresia and ths diagnosis seem to be hurshsprug disease
25-E
26-B
27-B
28-D Increase blood circulation
29-A
30-H
31-E
32-G DVT
33-E
34-D
35-A
36-A
37-A
38-G
39-B
40-C
41-C
42-E
43-D Because for outlet incontenence there is continouse voiding without a stress factor
44-B 5 alpha reductase convert testosterone into DHT which is necessary for the development of external ganitalia including prostate when DHT is not formed female external feature are formed but internal male system is developed because testosterone is required to form normal internal male struture .
45-E
46-E An inhibitory hormone so inhibit all the function
47-C Diabetic ketoacidosis mucor specific
48-C
49-C
50-B Spironolactone aldosterone antagonist...
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