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Welcome to 123ojm’s page.
Contributor score: 7


Comments ...

 +1  (nbme23#50)

Which structure is letter F pointing to in the diagram?

andro  Cerebral Peduncles +2

 +0  (nbme24#25)

Specifically didn't choose coronavirus due to the evidence that COVID-19 is spread fecal-orally. How does it get through the GI tract if it's inactivated by pH < 6? Can someone explain why my thinking is wrong?

hello  ...COVID-19 is transmitted via respiratory droplets. +2
123ojm  Right but some research has come out saying it's also spread fecal-orally. So I'm wondering what I'm missing in this question. +
tyrionwill  Don't trust US CDC in this pandemic. They always downplayed the truth. Cronavirus does spread mainly by droplets, when they drop, they contaminate the surface, then fecal-oral could be a second pathway. Wearing mask, social distancing are both to prevent a droplet. +
boostcap23  I thought covid used to be low yield when this test was made and they didn't mention helical so I didn't pick it smh I'm an idiot. +1




Subcomments ...

This question is incorrect. The reflexes are normal in the BLE. Subacute combines degeneration compromises the dorsal horns; which is why it got the name "combined" Can always count on Shit NBME questions.

123ojm  yes I'm sure you know so much more than the actual physicians who write the questions. anyway, SCD affects the dorsal columns, not the dorsal horns. +  


submitted by sympathetikey(1227),
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sat'hT a new oe.n...

hpnlsr.edciip:ersi/oe_ne/stsai.wwic/ogekp/tAyk

sympathetikey  Makes total sense looking back. Just didn't know that was a thing :) +27  
sugaplum  Fun fact: Meredith from Grey's anatomy got her idea for Mini livers from a patient who presented with an accessory spleen.... and who said watching TV doesn't count as studying +22  
123ojm  have gotten at least 10+ NBME or Uworld questions correct because of grey's anatomy +2  
rongloz  LOL got this right because of Grey's anatomy too +  
chediakhigashi  ...today years old +  


submitted by usmle11a(73),
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ok the yaw i ledoko at iths s:wa

oeury ton 100% urse hes swa teaatkcd rno od you tawn ot be hte sronpe lelgnti hte anusdhb seh na aaktcetr so yuo oev:rem B C

lngiolaw hmi ni ihwt eht piettan, dog skwno athw hatt ugy sha nehddi wiht mih losa ouy lwil maek a eguh sneec : A

the yoln ihgnt ot do si be maoipilcdt as ploeep nokw htye rnate wldoale ni teh natemtret aare nad by taht uyo sesrua rhe .yfaset

drdoom  The prevailing rule of American medicine (and law) is individual autonomy. No other person, professional or otherwise, is granted “default access” or privilege to another person’s body—that includes the physician! The physician must receive consent from a (conscious) “person” before they become “a patient”. In the same way, the person (now, the patient) must give consent before anyone else is permitted to be involved in her care—spouses included! +1  
llamastep1  Alright we got it! lol +1  
123ojm  B and C are actually wrong because they put the patient in danger for when she is discharged and has to return home. she probably has things she needs in their home (eg passport, money, etc) and if the husband knows she has told you about the abuse she is at risk of being killed. +  


Obviously you wouldn't allow the husband inside, but after staring at this question for way too long, I reasoned that you wouldn't tell him to leave for 2 reasons:

  1. It might clue him in to the fact that she told you about the abuse, and he will leash out on her if he gets the chance.

  2. If she wants to call the police and press charges it will be better that you know where he is.

123ojm  it's your first point. unless the patient has a foolproof escape plan for when she is discharged, you don't want the husband to know that she told you about the abuse. that will put her in more danger. +  


submitted by samsam3711(20),

I actually think he might have iron-deficiency anemia that can be described as pallor or "yellowing of the skin." He does not have jaundice (anicteric sclera) Patients who are strict vegans can develop iron deficiency. The best way to correct this is to encourage a dietary change

123ojm  iron deficiency is rare in vegans and vegetarians unless they are also heavily menstruating +  


submitted by hopsalong(25),
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I get tihs si a yfuffl uetnoqsi and ongaenlikwgcd hte 'tnptesai sensrao for iginmss unsinil itcnonsjie si het scduldi,et utb I lefe ilke ihst neasrw otsw the inel a .tbi uoY td'no wnta to sya taht isgsinm sedos si ,ko tbu you asol dn'to nwat ot eb nmea to taenitp rite.he I hottghu itsh sweanr A() swa cdnignono her gssnimi eht jeitnniocs, os I pdicke .C)( In rtsoert,cpe I geuss eocanwkdgel asenm tlka toubuaos/cf hte cnosativenro .onuard

dentist  I would say: "I understand why you are missing injections, but you're going to have a BAD TIME IF YOU KEEP MISSING INJECTIONS" +3  
alexxxx30  @dentist, I was searching for that answer as well, but it wasn't there so I picked C ahahaha +  
123ojm  you would definitely do C as well. key word is "initial step" +  


submitted by divya(57),

i don't think you need to think all that much. look at all the options and think of what happens when they increase. A, B, C, D and F all can cause interstitial edema. But increasing precapillary resistance definitely doesn't.

drzed  Increased lymphatic flow would not cause interstitial edema. +1  
123ojm  but it doesn't say "increase in," it just says "regulatory adjustments in." +1  


submitted by m-ice(306),
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Teh tteanip satste thta hse edos ton tawn a onrmoahl rofm fo bthri nl.ctroo ,So eth eqsuitno is learyl kigsan ihchw of the hrmo-nlonoan sintoop is msot te.fcivefe The tcryki rapt ere,h I ,thikn si tath teh utqsoein smkae uyo antw ot otn pkci ,DUI ceuebsa yanm IsUD rea aynohrllmo edsb.a weoer,Hv a roaonhnlmon- DIU, ielk a rpecop U,DI is itlsl ermo tefifvece tanh eth hoter nioostp ltedsi.

bullshitusmle  copper intrauterine devices are hormon free FA2017 page 622 +1  
medguru2295  they needed to specifiy. I eliminated IUD bc patient states no hormones. +1  
abhishek021196  The question doesnt make sense. IUDs are typically contraindicated in nullipara because of increased risk of expulsion and intractable abdominal pain, among other things such as perforation. The pt is 22, likely to be a nullipara. Why cant we prescribe a diaphragm instead which is a non hormonal method too, and remove the vaguity of hormonal vs non hormonal IUD? :/ +3  
123ojm  in practice many nullparious women have IUDs. I think this question was seeing whether you knew that some forms of IUDs are non-hormonal and that the other methods are far less effective, +  
covid  IUDs are definitely not contraindicated in nulliparous women. +5  


I honestly don't understand why A is the correct answer. I picked "move back to the dorm" because there are three asthma triggers in her dorm: (1) the smoker, (2) the fact that her roommate doesn't like it when it's too warm (she doesn't want to be cold, and cold is a trigger for asthma), and (3) the stress of people who don't clean their dishes. Stress, cold, and smoke. Those are triggers for asthma that are present in her apartment. Is anyone else not seeing this?

123ojm  Because presumably she's already signed a lease and cannot afford to pay a second rent by moving back into the dorms. I think this goes back to making suggestions for our patients that are reasonable for them to achieve. +  
123ojm  Also her roommate is the one that makes it warm, so the apartment is not cold +  


I honestly don't understand why A is the correct answer. I picked "move back to the dorm" because there are three asthma triggers in her dorm: (1) the smoker, (2) the fact that her roommate doesn't like it when it's too warm (she doesn't want to be cold, and cold is a trigger for asthma), and (3) the stress of people who don't clean their dishes. Stress, cold, and smoke. Those are triggers for asthma that are present in her apartment. Is anyone else not seeing this?

123ojm  Because presumably she's already signed a lease and cannot afford to pay a second rent by moving back into the dorms. I think this goes back to making suggestions for our patients that are reasonable for them to achieve. +  
123ojm  Also her roommate is the one that makes it warm, so the apartment is not cold +  


submitted by 123ojm(7),

Specifically didn't choose coronavirus due to the evidence that COVID-19 is spread fecal-orally. How does it get through the GI tract if it's inactivated by pH < 6? Can someone explain why my thinking is wrong?

hello  ...COVID-19 is transmitted via respiratory droplets. +2  
123ojm  Right but some research has come out saying it's also spread fecal-orally. So I'm wondering what I'm missing in this question. +  
tyrionwill  Don't trust US CDC in this pandemic. They always downplayed the truth. Cronavirus does spread mainly by droplets, when they drop, they contaminate the surface, then fecal-oral could be a second pathway. Wearing mask, social distancing are both to prevent a droplet. +  
boostcap23  I thought covid used to be low yield when this test was made and they didn't mention helical so I didn't pick it smh I'm an idiot. +1