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Question 1
A 65-year-old man comes to the physician for a follow-up examination after the results of a bronchoscopy showed squamous cell carcinoma. When the physician tells the patient the diagnosis, the patient becomes tearful and responds, “No, you’re wrong! This must be a mistake. This can’t happen to me. Let’s do more tests.” This patient is most likely at which of the following stages of grief?
Correct Answer:
Denial
Question 2
A 32-year-old woman comes to the emergency department after taking 40 1-mg tablets of alprazolam. She says that her boyfriend threatened to leave her, and she feels “empty.” She drinks several six-packs of beer weekly and uses cocaine daily. She has outbursts of rage whether or not she is intoxicated. Which of the following is the most likely personality disorder?
Correct Answer:
Borderline
Question 3
An increased concentration of fructose 2,6-bisphosphate in hepatocytes will have a positive regulatory effect on which of the following?
Correct Answer:
Glycolysis and phosphofructokinase 1
Question 4
A 42-year-old woman comes to the physician for a routine health maintenance examination. She says that she feels fine. She is 170 cm (5 ft 7 in) tall and weighs 86 kg (190 lb); BMI is 30 kg/m2 . Her blood pressure is 131/82 mm Hg. Physical examination shows no other abnormalities. Fasting serum studies show: Glucose 105 mg/dL Cholesterol, total 210 mg/dL Triglycerides 185 mg/dL C-reactive protein 0.35 mg/L (N=20–100) This patient is at increased risk for developing which of the following conditions?
Correct Answer:
Atherosclerosis
Question 1
Exam overview

About this Exam

Prepare with the NBME Clinical Science Subject Examination (Shelf Exam) practice quiz. This question bank includes 4 questions covering patient, year-old, comes, physician, and examination. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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NBME Clinical Science Subject Examination (Shelf Exam)

This practice set contains 4 questions from the matching question bank and focuses on patient, year-old, comes, physician, and examination. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

This is an independent study resource intended for practice and review; it is not an official examination or an endorsement by any organization named in the title.

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