Emergency med nbme Samenvattingen, Aantekeningen en Examens

IM NBME Form 4 questions and answers graded A+ 72 yo - burning, aching pain in distal ext for 3 wks > pain exacerbated by lowering ext; relieved by elevation PE: tenderness/swelling of fingers and wrist/knee/ankle/toe joints; overlying skin warm/erythematous; clubbing of fingers/toes most likely to be abnormal? X-ray of the chest clubbing of fingers and toes = hypertrophic osteoarthropathy HOA - syndrome of clubbing of the digits, periostitis of the long (tubular) bones, and arthritis ...

Emergency Med NBME Form 1 52 yo man - 6 hrs after onset of severe, epigastric abd pain > began at cocktail party > was there for 4 hrs - 3 martinis, lot of food PMHx: HLD (statin) 100.4F 104/min 150/92 mmHg PE: diffuse tenderness over upper quadrants BL - esp epigastrium; no guarding/rebound labs: WBC WNL, BR 3 (direct 2.4), alk phos 210, AST 325, ALT 360, amylase 1200, lipase 600 most likely cause of symptoms? - CORRECT ANSWER common bile duct obstruction chol...

Emergency Med NBME Form 1