robin082006
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BLOCK 1
1. E
2.D
3.B
4.E
5.D
6.B
7.E
8.E
9.D
10.D
11.C
12.E
13.G
14.B
15.E
16.E
17.D
18.C
19.I
20.B
21.H
22.B
23.A
24.B
25.B
26.C
27.D
28.B
29.E
30.B
31.C
32.B
33.A
34.D
35.E
36.D
37.J
38.C
39.B
40.A
41.E
41.F
43.C
44.C
45.B
46.C
47.G
48.E
49.B
50.E
Edited by robin082006 on 07/30/06 - 08:41 AM
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| robin082006
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BLOCK 2
1.B
2.C
3.B
4.D
5.C
6.D
7.A
8.D
9.A
10.D
11.E
12.B
13.A
14.A
15.B
16.D
17.C
18.B
19.C
20.A
21.F
22.C
23.D
24.B
25.D
26.C
27.A
28.E
29.G
30.A
31.D
32.E
33.C
34.B
35.C
36.A
37.C
38.E
39.F
40.C
41.E
41.F
43.B
44.A
45.D
46.E
47.B
48.D
49.C
50.C
Edited by robin082006 on 07/30/06 - 08:42 AM
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| robin082006
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BLOCK 3
1.B
2.A
3.C
4.F
5.E
6.B
7.B
8.A
9.C
10.G
11.E
12.A
13.A
14.D
15.C
16.E
17.E
18.A
19.A
20.C
21.B
22.F
23.A
24.E
25.D
26.C
27.A
28.F
29.B
30.A
31.E
32.B
33.A
34.A
35.B
36.D
37.C
38.F
39.A
40.D
41.B
41.F
43.A
44.B
45.E
46.D
47.B
48.D
49.E
50.D
Edited by robin082006 on 07/30/06 - 08:43 AM
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The Key to Succeed is Patience.
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| Cedrick
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Posts: 1,928
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Heaven
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| Cedrick
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| robin082006
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Topics: 471
Posts: 5,119
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BLOCK 4
1.A
2.D
3.C
4.D
5.A
6.B
7.D
8.B
9.A
10.F
11.A
12.E
13.D
14.B
15.E
16.E
17.B
18.D
19.E
20.A
21.A
22.E
23.E
24.B
25.E
26.B
27.B
28.D
29.A
30.H
31.E
32.G
33.E
34.D
35.A
36.A
37.A
38.G
39.B
40.C
41.C
41.C
43.B
44.B
45.E
46.E
47.C
48.C
49.C
50.B
tHEY ARE MY ANSWERS ONLY, NOT SURE TO BE CORRECT.
i'm pleased to discuss with you.
Edited by robin082006 on 07/30/06 - 08:43 AM
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| curie_g
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Than Q Robin
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| megp
Forum Newbie
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thanks so much!!!!!. highly appreciated.
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| frontal
Forum Guru
Topics: 53
Posts: 421
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Thanks a LOT robin. People, please answer my question: how frequently are the NBME exam questions changed? If I take the exam in say, Dec I hope these won't be repeated.
I believe the answers are your own...or are they available somewhere, on their website perhaps?
Thanks.
Thanks a LOT to robin, again.
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| frontal
Forum Guru
Topics: 53
Posts: 421
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I couldn't download this. It says 30 downloads have already been done, but I could download a couple of the previous ones. Thanks.
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| mano
Forum Senior
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Posts: 92
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what was your score robin?
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| robin082006
Forum Hero
Topics: 471
Posts: 5,119
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Can someone send me NBME 1 and NBME 2 (Complete)?
Thanks
robin082006@yahoo.com
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| DrVirgo
Forum Hero
Topics: 1008
Posts: 3,191
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Thank you Robin. That was very nice of you... I'll compare answers with you after I complete them. 
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| surfdog97
Forum Junior
Topics: 1
Posts: 18
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Hey Robin and everyone else, do you know where you can find the answers for NBME #3? Also did you guys end up discussing these?
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| izn
Forum Senior
Topics: 17
Posts: 133
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i cant download the file..please refresh it
thanks
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| qazplm
Forum Newbie
Topics: 3
Posts: 11
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did anyone go thru these yet...i'll try to run through them soon. Robin did you get NBME 1 and 2 yet....if so can you pm me.
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| KOBITA
Forum Junior
Topics: 9
Posts: 44
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Need help.... NMBE form 4 is already downloaded for 30 times, so I could not be able to download that. So, my utmost request is please someone send me NMBE form 4 posted by robin. I appreciate every help .my email address is jahid-only at yahoo.com...
Thank you all.....
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| KOBITA
Forum Junior
Topics: 9
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jahid underscore only at yahoo.com
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| C5a
Forum Senior
Topics: 8
Posts: 139
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These are my own assessments of the correct answers, feel free to discuss. And before I say anything, thanks to robin for giving all this info, plus the answers. Hopefully we can all discuss these, and come to the right conclusions. This is not an exhaustive list, I need to go through these Q's again.
Block 1
18) C one minus beta equals power of the study. Look also at the p=.06, very high, you need more test subjects. There are very few subjects to come to any real conclusive data. Also, I believe the study population is appropriate (old ladies, with osteoporosis, sure).
22) B the spinothalamic tract (and all other tracts, minus the uncus) have secondary neurons that pass through the thalamus. C,D,E are all pointing to the internal capsule.
29) E? this is obviously duchenes MD. Immediately when I saw the word “replacement” I went for this answer, however, I always thought of it as replacement with adipose tissue. That’s why you get the pseudohypertrophy of the calf muscles. It could be connective tissue stroma. But there is definitely a replacement of muscle tissue, and hence the huge CK levels.
32) E there is a very similar q-bank question. It produces all these symptoms, the thoracic duct enters at the jugular subclavius angle, and the lymphatic blockage anatomically would produce all these sx.
46) C for sure it’s hypomagnesemia. You can read about it here. http://www.emedicine.com/emerg/topic274.htm
Block 2
1) B I thought this made sense.
26) C Though the time frame suggests this has been going on for 6+ months, I think schizophrenia is a distractor. Given his age, and his description of what’s going on, sounds like he’s taking some LSD.
28) E? But I’m not sure.
44) E Ill defined borders, pretty sure this is right.
Block 3
20) A It’s Burkitts lymphoma. Look at the starry-sky appearance. Don’t be tricked, those are not Reed-Sternberg cells that you’d see in Hodgkins lymphoma. Those are large, binucleate cells (owl’s eye appearance). Also remember the c-myc oncogene, the translocation t(8;14), and the association with Ebstein-Barr Virus (mono).
29) C I didn’t see RA in this one, but I might be wrong. Looks more like polymyositis.
Block 4
44) B The reason why: The 5-alpha reductase is responsible for making DHT, which works on external structures. The external genitalia would appear as a clitoris and vagina, however, this person would still have the internal structures (the mesonephric and Wolffian differenciated structures). Testosterone is responsible for these (along with Mullerian inhibitory factor in utero).
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| robin082006
Forum Hero
Topics: 471
Posts: 5,119
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18) C IS RIGHT one minus beta equals power of the study. Look also at the p=.06, very high, you need more test subjects. There are very few subjects to come to any real conclusive data. Also, I believe the study population is appropriate (old ladies, with osteoporosis, sure).
22) B IS RIGHT the spinothalamic tract (and all other tracts, minus the uncus) have secondary neurons that pass through the thalamus. C,D,E are all pointing to the internal capsule.
A IS PUTAMEN, B IS THALAMUS, C IS ANTERIOR LIMB OF INTERNAL CAPSULE, D IS GENU, E IS POSTERIOR LIMB.
29) E? this is obviously duchenes MD. Immediately when I saw the word “replacement” I went for this answer, however, I always thought of it as replacement with adipose tissue. That’s why you get the pseudohypertrophy of the calf muscles. It could be connective tissue stroma. But there is definitely a replacement of muscle tissue, and hence the huge CK levels.
NOT SURE BUT E MAY BE CORRECT
32) E there is a very similar q-bank question. It produces all these symptoms, the thoracic duct enters at the jugular subclavius angle, and the lymphatic blockage anatomically would produce all these sx.
YES E IS SEEMS RIGHT BUT I CHOOSE B BECAUSE ENGORGED JUGULAR VEIN, I PREFERED B THAT LEADS TO COMPRESSION OF THORACIC DUCT AND SVC.
46) C for sure it’s hypomagnesemia. You can read about it here. http://www.emedicine.com/emerg/topic274.htm
YEAH IT IS C
Block 2
1) B I thought this made sense. YES
26) C Though the time frame suggests this has been going on for 6+ months, I think schizophrenia is a distractor. Given his age, and his description of what’s going on, sounds like he’s taking some LSD.
C SEEMS TO BE THE BEST
28) E? But I’m not sure.
D FOR SURE
44) E Ill defined borders, pretty sure this is right.
A IS THE BEST
METASTATIC BREAST CANCER IS RARE AND OCCURED AFTER METASTASES AT OTHER SITES.
Block 3
20) A It’s Burkitts lymphoma. Look at the starry-sky appearance. Don’t be tricked, those are not Reed-Sternberg cells that you’d see in Hodgkins lymphoma. Those are large, binucleate cells (owl’s eye appearance). Also remember the c-myc oncogene, the translocation t(8;14), and the association with Ebstein-Barr Virus (mono).
I GO WITH C
THIS IS CLASSIC REED-STERNBERG CELLS, SEE GOLJAN RAPID REVIEW FOR THE CELL AND FA FOR THE STARRY-SKY APPEARANCE.
29) C I didn’t see RA in this one, but I might be wrong. Looks more like polymyositis.
B FOR SURE, FA PG 319
THANKS FOR RESPONSE
Block 4
44) B IS RIGHT The reason why: The 5-alpha reductase is responsible for making DHT, which works on external structures. The external genitalia would appear as a clitoris and vagina, however, this person would still have the internal structures (the mesonephric and Wolffian differenciated structures). Testosterone is responsible for these (along with Mullerian inhibitory factor in utero).
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| C5a
Forum Senior
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all good points... i'm still saying that Block 3, #20 is still burkitts lymphoma. i've reviewed the slides carefully, and those are not reed-sternburg cells. the ones in this question are multinucleated, not binucleated. i think they want to throw you off by giving you the high power and low power microscopy (the low power shows the starry-sky), because the high power kinda looks like hodgkins, but there is a difference. reed-sternberg cells have a very characteristic appearance.
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| C5a
Forum Senior
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http://www.pathologyatlas.ro/Reed%20Sternberg%20C...
here's a good pic
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| black
Forum Senior
Topics: 10
Posts: 29
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Is this link still working? I am unable to download nbme F4.
Robin082006, are these your answers to Form 4?
Thanks
black
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| fumoffu
Forum Newbie
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Posts: 1
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can someone rehost this?
thanks
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| gozreh
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Would someone please email me their downloaded NBME questions? I could not get my computer to correctly download them? THANK YOU SO MUCH!!! My email address is: keh2p4@yahoo.com
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