STEP 1 NBME FINAL PUSH COMBINED 2024-2025 COMPLETE ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS ) ALREADY GRADED A+. 55-year-old man with severe substernal chest pain, sweating, and dyspnea. ECG shows ST-segment elevation in leads I, aVL, and V1-V4. Cardiac catheterization would most likely show? Ruptured atherosclerotic plaque with fully obstructive thrombus 35-year-old woman with progressive dyspnea on exertion, nonproductive cough, and fatigue. CT-guided lung biopsy findings showing non-caseating granulomas. What is the most likely condition? Sarcoidosis What heart disease does this describe: Lipid-filled arterial intimal plaques Atherosclerosis Most likely diagnosis in patient with low sodium, low serum osmolality, and urine osmolality >100 mOsm/kg H2O? SIADH (Small cell lung cancer) Most likely diagnosis : FEV1/FVC, TLC, DLCO (70%) Emphysema (Alpha-1 antitrypsin deficiency leads to early-onset emphysema characterized by airflow obstruction, airspace enlargement, and reduced diffusing capacity.) Best treatment option for a woman with malodorous vaginal discharge, thin gray discharge, clue cells on wet mount, and positive whiff test?.Clindamycin (or metro for bacterial vaginosis due to gardnerella) Diagnosis? normal development until 6-18 months, followed by a loss of motor and language skills, development of stereotypic hand movements (hand wringing), and deceleration of head growth Rhett syndrome What commonly presents with