HIGH-YIELD NBME PICTURES - WordPress.com
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HIGH-YIELD NBME
PICTURES By ROCKS2018
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TABLE OF CONTENTS
NBME 1 ............................................................................................................................................. 4
NBME 2 ............................................................................................................................................. 8
NBME 3 ........................................................................................................................................... 12
NBME 4 ........................................................................................................................................... 18
NBME 5 ........................................................................................................................................... 24
NBME 6 ........................................................................................................................................... 30
NBME 7 ........................................................................................................................................... 35
NBME 11.......................................................................................................................................... 40
NBME 12.......................................................................................................................................... 44
NBME 13.......................................................................................................................................... 49
NBME 15.......................................................................................................................................... 53
NBME 16.......................................................................................................................................... 56
NBME 17.......................................................................................................................................... 58
NBME 18.......................................................................................................................................... 61
NBME 19.......................................................................................................................................... 64
NBME 20.......................................................................................................................................... 67
NBME 21.......................................................................................................................................... 70
NBME 22.......................................................................................................................................... 73
NBME 23.......................................................................................................................................... 77
NBME 24.......................................................................................................................................... 81
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NBME 1
Toxoplasma gondii
Cleft lip and palate
(Multifactorial inheritance)
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Candida (Vignette mentions
vaginal discharge)
Esophageal varices
Abnormality X will cause ataxic
limb movements. Something to
do with cerebellar vessels,
probably related to
telangiectasias or the Osler-
Weber-Rendu syndrome
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Infantile hemangioma
Actinic keratosis. Prevent by
sunscreen
Neurofibromatosis (NF-1)
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Angiofibroma. Case of
Tuberous Sclerosis
Gap Junction
Aplastic Anemia
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NBME 2
Asbestosis
Pulmonary infarct
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HPV Wart (Thickened stratum
corneum and epidermis and
vacuolated squamous cells)
CMV
Renal Infarct
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Dementia -> Alzheimer’s dz
Horseshoe kidney. Associated
with NORMAL renal function
(Asymptomatic)
PSGN
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Opening into parotid
duct gland
Pneumocystis Jirovecii
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NBME 3
Q was testing pernicious
anemia
Infectious mononucleosis
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Nerve injured in X ->
Dorsiflexion of the foot
impaired
Girl with chronic renal
insufficiency -> what is
the cause of that
insufficiency from the
picture ->
Vesicoureteral reflux.
(Tbh I hate this pic !!!)
Psoriasis = hyperplasia
of epidermis
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Enterobius Vermicularis
pinworm. This is from
cellophane tape test from
perirectal region. You
treat by mebendazole
Cystic fibrosis ->> bronchiectasis
Cryptococcus neoformans
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Lenticulostriate artery
hemorrhage
Medial meniscus
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Multiple Myeloma
Neisseria gonorrhoeae
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3rd degree AV
Block
Intraluminal mass in
transverse colon -> most
likely adenocarcinoma.
Vignette helps, because it
can also look like adenoma
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NBME 4
Macular degeneration
Trichophyton rubrum ->>
tinea pedis ->> treat by
miconazole
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Solid cystic mass in right
kidney ->> RCC
CMV
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Disease that will
affect the primary
function of this tissue
in the pic ->> lobar
pneumonia
Renal insufficiency
and this structure on
urinalysis ->> PSGN
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Right ureteral obstruction
Bloodborne metastasis
to liver
Burkitt’s Lymphoma
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Subdural Hematoma
Staghorn calculus
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Thymus in 3-yr-old. Can
be seen in Wilms tumor
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NBME 5
Osteomyelitis in right
thumb (arrow) -> Affect
Flexor Pollicis Longus
tendon
Axillary nerve injured in this picture
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Pinealoma
HHV-8 in HIV (lesion
biopsy from forehead
lesion)
Cutaneous Sarcoidosis
manifestation. Vignette
gives you hilar
lymphadenopathy
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Granulomatous
inflammation
Gap junctions
Lab that will show
earliest response
after treatment
for this ->
reticulocyte count
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The legendary photo
of Coxsackie virus
infection (HFMD).
Pottery Syndrome
Crohn’s dz
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Atrial flutter
Pseudomonas aeruginosa
(Culture at autopsy of this
bronchiectasis)
Pulmonary infarct
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Emphysema
Monochorionic
monoamniotic
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NBME 6
Mass resected from
head of pancreas ->>
the patient has
gastrinoma
And here is the
legendary NBME
picture, which everyone
loves
Ureteral obstruction
(autopsy of 69-yr-old)
Nodular glomerulosclerosis
(Diabetic)
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From esophagus ->>
adenocarcinoma
Crohn’s dz
Caused by
systemic HTN
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Coagulative necrosis
Malaria
Problem with collagen
synthesis (man with
bleeding gums, loose
teeth, bruises on legs).
Vit C deficiency
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Invasion of submucosa
and muscular layer by
malignant neoplasm in
colon
Epidural hematoma.
This pic sucks, but
vignette helps
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Molluscum Bodies
Papilledema
Radial nerve at greatest risk
of injury here
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NBME 7
Primordial germ cell
migration defect. This is the
legendary pic of
sacrococcygeal teratoma
Parvovirus B19. This is from
BM smear.
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Left Pneumothorax
Neonatal respiratory
distress syndrome
Membranous nephropathy
(Spike and dome)
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Ossification of MCL
Molluscum Contagiosum
This mass will be
causing hearing loss.
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Patient at risk of
choriocarcinoma.
Complete Hydatidiform
mole
Acute Pyelonephritis
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Strep Pneumonia
Diabetic Glomerulosclerosis
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NBME 11
Urothelial cancer
Oral Thrush -> Candida
Kernicterus from
unconjugated
hyperbilirubinemia
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External
Hemorrhoids.
Vignette tells
patient feels pain
Coccidioides immitis
Subdural hematoma
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Liver cirrhosis
Lyme disease and
leptospirosis
(Spirochete infections)
Spleen is damaged from
gun shot
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Which valve is
replaced here ->
Tricuspid
Chancre -> Syphilis
Defect in fibrillar
collagen synthesis
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NBME 12
Neisseria Meningitidis/gonorrhea
Uterine Leiomyoma
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Malrotation
RCC
Cutaneous larva migrans
-> Ancylostoma sp,
Necator americanus
(hookworms)
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Cryptococcus
SLE
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Lesion in vocal
cords ->
Squamous cell
carcinoma
Chronic Graft rejection
Perforated viscus -> causing
pneumoperitoneum
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1-week history of fever -
> So you guys already
know -> Kawasaki
disease or
mucocutaneous lymph
node syndrome
Chest tube inserted
through serratus
anterior
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NBME 13
Scleroderma/CREST
Vascular malformation
(AVMs)
Malformation of
paramesonephric ducts -
> Unicornuate uterus
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Listeria. Vignette about
pregnant woman
Multiple myeloma
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Subarachnoid hemorrhage
Paraganglioma -> In
bifurcation of carotid
arteries
Pneumocystis Jirovecii
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Dermatitis Herpetiformis
Sickle cell dz
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NBME 15
Contact Dermatitis
Multiple myeloma
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Action of pancreatic
enzymes on adipose
tissue
Ectopic pregnancy
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The legendary external
hemorrhoid picture (with
thrombosis)
Same exact picture as in
NBME 3, but different
vignette. Now this is
hydronephrosis. Can’t
they even afford to have
better pictures !!!
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NBME 16
Candida (budding)
Schistosoma mansoni
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Peutz-Jeghers Syndrome
Klinefelter’s
syndrome (testicular
atrophy) -> you can’t
visualize any
spermatogonia
Cryptococcus
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NBME 17
Epidural Hematoma
These ferruginous bodies react
with alveolar macrophages
Congenital diaphragmatic
hernia = incomplete formation
of pleuroperitoneal
membrane
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Actinic Keratosis
Here comes the legendary
picture again !!! But what
could it be this time
around??
Congenital Ureteral
obstruction. Phew !! Not
that different from the last
one (NBME 4)
HSV-2
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Inferior alveolar
nerve. Look at that
fracture !!!
Myxoma in left
atrium, NOT
MITRAL VALVE !!!
Strangulation
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NBME 18
This is gout. Believe it or
not !!! Because of that
crystal in the middle there
Oh no !! What now??
Now the answer is diffuse
cortical necrosis lol. Vignette
goes with tubular atrophy
because of posterior urethral
valves
Amyloid infiltration in
heart
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Ancylostoma/Necator.
Vignette helps by saying
patient is barefoot.
Expect to see microcytic
anemia
Kaposi Sarcoma
Parkinson’s Dz
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You get Axillary
nerve damage
Osler-Weber-
Rendu Syndrome
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NBME 19
Granuloma
Legendary H. pylori Peptic
ulcer disease
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Herpes
Gout
Familial Adenomatous
Polyposis
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Cholesterol Emboli
Osteogenesis Imperfecta
Those eyes sure look blue !!!
Problem with scar formation, NOT
GRANULATION TISSUE
DEPOSITION (REMEMBER IT’S A
COLLAGE 1 PROBLEM)
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NBME 20
Mass of meningeal
origin
Tumor in Rectus
Femoris muscle
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AGAIN ????
Ok what is it now??
Ok I guess now it is
urothelial cancer. Thank
you, biopsy, I love you
so much.
Schistosoma mansoni
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Infantile hemangioma
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NBME 21
Chondrosarcoma
Diverticulitis
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Squamous cell carcinoma of
the lung
Giardia Lamblia
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PCOS
Actinic Keratosis
Trichotillomania
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NBME 22
Avascular Necrosis
Cleft lip/palate -> Failure of fusion
of maxillary and medial nasal
prominences
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ADPKD
Jejunal intussusception
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EXCUSE ME???
CAN YOU STOP??
Anyway, answer this time around is interstitial
inflammation
Vesicouteric Reflux (VR) can lead to Reflux
Nephropathy, which is characterized by chronic
tubulointerstitial inflammation
Transmitted by Reduviid
bug. This is Trypanosoma
cruzi
Pott’s fracture, from
forced eversion
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Scabies
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NBME 23
Bed bugs serve
as carriers of
MRSA. WOW !!!
Metastasis to the liver
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Staghorn calculi
Renal angiogram showing
fibromuscular dysplasia
Capillary Hemangioma
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Painless transilluminating
mass -> Ganglion cyst ->
resolves on its own
Entrapment of inferior
rectus muscle
This is Malaria. Believe it or
not, it will put you at greatest
risk of hypoglycemia. Malaria
can impair hepatic
gluconeogenesis and can also
consume glucose for its own
metabolic demands. This is
one of the hardest NBME Qs in
history btw. Truly legendary
don’t you guys think??
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The cystic structure
is a yolk sac
Seminoma is the most
common testicular tumor. It's
a germ cell tumor. Commonly
see "fried egg cells".
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NBME 24
Monosodium urate
crystals
Granulation tissue
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Niacin deficiency
Aphthous ulcers
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Abdominal Aortic
Aneurysm (Crescent
sign)
Cryptococcus
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Lunate
dislocation
Strongyloides infection