This Key is made with the answers from the persons who took it online.

I tried to make it as
correct as possible. The options with "??" i wrong/ answer unknown. So if someone does the form
ONLINE and finds it, kindly edit this file in google docs and update it with the right answers. Mention
when you update
bvv
_____________ Can someone direct to the answers for the other CMS forms?
#Updated: 7th March 2016

*note* Psychiatry answers are according to the file uploaded by Anum Aqs in CMS groups Album.
Rest are according to the tions.google drives ques
DONT remove these instructions.kmk

KK
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IM 3: NEURO 3: OBGY PEDS SURG 3: PSYCH 3:
1. E 1.E N 3: 3:pediatrics 1.B 1.D Commented [1]: These questions correspond to
2. B 2.E 1.C NBME 4. 2.A 2.E Paeds 3 in the zip but ARE ACTUALLY PEDIATRICS
FORM 4 ON THE NBME
3. H 3.F 2.C 1.C 3.D 3.B
4. C 4.C 3.D 2.A 4.E 4.D
5. E 5.A 4.B 3.D 5.B 5.B
6. C 6.E 5.A 4.B 8uuyhjn 6.F
7. D 7.E 6.D 5.A 6.A 7.A
8. D 8.E 7.D 6.A 7.C 8.E
9. C 9.D 8.D 7.A 8.F 9.A
10. B 10.L 9.H 8. 9.B 10.D
11. D 11.A 10.B 9.A 10.E 11.A
12. D 12.C 11.K 10.F 11.C 12.B
13. ? 13.K 12.D 11.B 12.C 13.C
14. E 14.B 13.D 12.A 13.A 14.B
15. C 15.B 14.A 13.E 14.B 15.B
16. C 16.F 15.A 14.E 15.E 16.A
17. B (wrong) 17.A 16.D 15.E 16.D 17.C
18. C 18.C 17.C 16.B 17.D 18.A
19. E 19.A 18.B 17.D 18.D 19.B
20. E 20.C 19.E 18.D 19.D 20.F
21. A 21.G 20.H 19.C 20.A 21.C
22. H 22.C 21.D 20.A 21.D 22.B
23. C 23.E 22.E 21.C 22.D 23.A
24. E 24.E 23.C 22.C 23.B 24.D
25. E 25.A 24.E 23.D 24.A 25.B
26. C 26.B 25.C 24.B 25.H 26.F
27. D 27.C 26.C 25.E 26.D 27.D
28. B 28.B 27.E 26.A 27.A 28.B
29. D 29.B 28.E 27.E 28.B 29.B
30. A 30.C 29.C 28.B 29.F 30.E
31. E 31.E 30.B 29.A 30.A 31.D
32. D 32.A 31.B 30.D 31.D 32.A
33. E 33.E 32.D 31.A 32.E 33.C
34. B 34.E 33.A 32.B 33.E 34.C
35. B 35.D 34.C 33.C 34.E 35.C
36. E 36.E 35.D 34.C 35.E 36.F
37. A 37.E 36.B 35.C 36.B 37.D
38. A 38.B 37.D 36.E 37.A 38.C
39. A 39.E 38.A 37.C 38.D 39.H
40. C 40.C 39.B 38.D 39.E 40.F
41. A 41.D 40.D 39.C 40.D 41.E
42. E 42.C 41.C 40.D 41.B 42.A
43. E 43.D 42.C 41.D 42.E 43.C
44. E 44.G 43.A 42.B 43.E 44.I
45. H 45.K 44.E 43.C 44.E 45.C
46. B 46.D 45.E 44.H 45.B 46.A
47. A 47.C 46.C 45.E 46.G 47.D
48. A 48.A 47.C 46.A 47.A 48.D
49. J 49.E 48.C 47.E 48.D 49.E
50. F 50.E 49.B 48.A 49.C 50.C
50.A 49.B 50.C
50.C
 CMS - IM #3

May 14, 2017

Q.20- incorrect, i put that choice in and got it wrong

October 12, 2017

***November 15th 2017***

Only 50% synovial fluid from DGI is positive on gram stain. UpToDate (E is correct
Q17. Can someone confirm the correct answer to this? All sources I have seen so far suggest that B.
Acute urethral obstruction is the correct answer.

*Q10 GYN: I think this case of irregular menses in an adolescent is probably due to immature
hypothalamic-pituitary-ovarian axis leading to anovulatory cycles. 1st line of treatment here should be
Conjugated estrogen (refer to Uworld Q ID 2390) . any ideas?
- Secondary dysmenorrhea makes me think OCPs/cyclic progestins are best (B) because its
likely due to anovulation---
Q18 GYN: This case describes typical scenario of urge incontinence, The answer that goes well i think
is E, UTI causes irritative symptoms (urgency) Being menopausal is a risk factor for UTI. Its definitely
not atonic bladder which will cause overflow incontinence and high residual volume
Answer is B. E is eliminated because Urine Cx was negative

Q20 GYN: I dont know the answer to this one, it describes a case of urethral hypermobility. Its
definitely not H (4th degree laceration; which means a laceration extending from vaginal mucosa till Commented [2]: you mean definitely not D.
rectal one !!!! ) D's answer choice is fourth degree laceration
H is confirmed to be right answer, which is Urethrocele

Q46 GYN C is Incorrect Mayo clinic says If the patient has Abdominal pain or SOB treatment is needed.
This patient had SOB. Mayo says treatment of polyhdramnios is drainage of excess fluid aka
amnioreduction. Multiple times if needed. Indomethecin can also be used but only after week 31. The
correct answer is E
Uptodate gives a weak recommendation to treat only if there is significant maternal discomfort.
She has mild difficulty breathing. Antenatal (karyotype) testing should always be offered for severe
polyhydramnios. Answer is C.

Q2 Surg: A. bacterial overgrowth- after tetracycline. Didnt start right after surgery.

Q7 Surg: This patient has increased PCWP, which only occurs in cardiogenic shock (Myocardial
infarction) how could it be A??
TS: True .. http://www.usmleforum.com/files/forum/2007/2/191685.php
TS: So I am thinking that it might be E sepsis fever >38 C, hypotension, cold and clammy
skin, etc. Let me know what you guys think...
-- I dont think sepsis, you would see warm extremities, and it would present later than 24 hours

Q10 Surg: Failed CST and IVIG in ITP with low platelets, isnt it an indication for splenectomy ???
TS:--> i believe the answer is E as well.

Q11 surg) why is it not ectopic pregnancy ? ..

Q27 surg) I make a case for hiatal hernia because achalasia should have a high LES pressure.

Q37 surg: why is it not A(malignant hyperthermia) because of the generalized muscle rigidity .. fever,
confusion etc..

Ped Q13, isnt bilateral tanner 3 more concerning for underlying hormonal abnormality?

Q19 Peds - Was D (Cystic Fibrosis), but correct answer is C (CHD with R-L shunt)