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The National Board of Medical Examiners (NBME), founded in 1915, is a United States operation that sets state-recognized examinations for medical students. The NBME is an independent, not-for-profit organization headquartered on and adjacent to the University City Science Center research campus in Philadelphia, Pennsylvania. NBME states that its mission is to “protect the health of the public through state of the art assessment of health professionals.”
The board emphasizes that “while NBME’s mission is centered on assessment of physicians, this mission encompasses the spectrum of health professionals along the continuum of education, training, and practice and includes research in the evaluation as well as the development of assessment instruments”.
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Table of Contents
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1.) A 50-year-old man with a 20-year history of type 2 diabetes mellitus has had sensory neuropathy for 2 weeks. Pulses are decreased at the ankle. There is no peripheral edema. His serum glucose levels have been between 150 mg/dL and 200 mg/dL over the past 6 months. Which of the following is the most effective measure to prevent serious foot infections?
A) Use of support hose
B) Use of well-fitted shoes
C) Prophylactic antibiotics
D) Daily aspirin and dipyridamole
E) Decrease in serum glucose level
2.) A 5-year-old girl is brought to the physician 30 minutes after being bitten on the forearm by her cat. Examination shows a small puncture wound covered with dried blood. She is at increased risk of infection for which of the following reasons?
A) Arm wounds are more susceptible to infection
B) Salivary enzymes in cats augment infection
C) It is difficult to cleanse pathogens from this wound
D) The Staphylococcus species involved is particularly virulent
E) Young children are less able to resist infection than adults
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