NBME CBSSA Form 2

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Pox in a box

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Keep all comments on this assessment (Form 2) within this thread. Giving questions and answers out in other threads is not helpful for people taking the CBSSA later.

Here's a FAQ because I'm sure there's going to be a dozen questions about what this exam is: http://www.nbme.org/PDF/sas.pdf

Here's the menu: http://www.nbme.org/programs/sas.asp

In summary, there are two assessment exams (both are 200 questions each and each one costs $45). It assesses your strengths and weaknesses (very loosely I might add) and gives you a "predicted" score.
 
1) What was the question stem describing in the patient with lesions on their scalp, face, groin and trunk - pemphigas vularis or bullous pemphigoid?

I picked the answer: "intraepidermal blister with suprabasal acantholysis"

The fact that it was suprabasal suggests desmoglein Ab involvement, e.g. the rete-like pattern on immunoflourescence in PEMPHIGUS VULGARIS. Remember the Nikolsky sign, a mechanical sign of the disease that is elicited when the clinician applies pressure to the bullous lesion and the epidermal layer essentially slides off. Antibodies to the basement membrane hemidesmosomal glycoproteins would suggest bullous pemphigus.
 
wow this thread's pretty old
mods can we do this for the other NBME's ?
i just took 6th NBME and definitely got a nice share of oddball questions not covered in review books i've read, and couldnt find after a quick googling
 
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