Matthew So

NBME 16 Questions
02/09/16

a.
b.
c.
d.
e.

Chronic Dosing of Morphine Decreases its Bioavailability

Morphine Bioavailability increases with Chronic Dosing
Morphine Downregulates u Opiod Receptors with Chronic Dosing
Morphine inhibits its own metabolism
Morphine is metabolize to active metabolites that accumulate

a.
b.
c.
d.
e.

Microtubules for axonal transport

Myelin sheaths for salutatory conduction of action potentials
Neurofilaments for structural support of axons
Sodium channels for membrane depolarization
Synaptic vesicles for synaptic transmission

a.
b.
c.
d.
e.

Amphetamines
Barbiturates
Benzodiazepines
Marijuana
Opiates

a. Amyloid angiopathy
b. Disruption of astrocyte-endothelial association
c. Increased interstitial fibrosis
d. Loss of Schwann cell myelin
e. Neuronal degeneration

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A.
B.
C.
D.
E.

Borrelia burgdorferi
Cryptococcus neoformans
Haemophilus influenza
Mycobacterium tuberculosis
Streptococcus pneumoniae

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A. ?
B. ?
C. ?
D. ?
E. ?
F. ?
G. ?
H. ?

A.

Cerebral Edema

B. Metabolic Alkalosis
C. Subarachnoid hemorrhage
D. Venous sinus thrombosis
E.

Viral encephalitis

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A.

Abnormal myelin sheaths

B. Absence of Schwann cells

C. Degeneration of astrocytes
D. Degeneration of oligodendrocytes
E.

Lymphocytic infiltration

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A.

Binding of acetylcholine by an antibody

B. Binding of antibody to acetylcholine receptor

C. Decreased acetylcholine production
D. Decreased release of acetylcholine from receptor
E.

Decreased reuptake of acetylcholine

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A.

Cortical thymocytes

B. Enterocytes in duodenal crypts

C. Erythoblasts in the bone marrow
D. Keratinocytes in the epidermal stratum basale
E.

Ventricular cardiac muscle fibers

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A. Precontemplation
B. Contemplation
C. Preparation
D. Action
E. Maintenance

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A.

Anterior cerebral

B. Internal carotid
C. Middle cerebral
D. Posterior communicating
E.

Vertebral

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A.

Determine which drugs have been prescribed for the patient in the past

B. Obtain serum toxicology screening on the patient

C. Order an MRI of the spine
D. Prescribe only a 2 week course of a narcotic medication for the patient
E.

Refer the patient to a drug addiction program

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A. Bipolar disorder
B. Brief psychotic disorder
C. Delusional disorder
D. Schizoaffective disorder
E. Schizophrenia

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A.

Ehlers-Danlos syndrome

B. Fabry disease
C. Neurofibromatosis
D. Pseudoxanthoma elasticum
E.

Tuberous sclerosis

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