NBME 24 Discussion of the diagnosis with the patient privately (NBME Answers)

You must be logged in to vote!

Retired NBME 24 Answers

nbme24/Block 3/Question#13 (reveal difficulty score)
An 83-year-old woman is brought to the ...
Discussion of the diagnosis with the patient privately 🔍 / 📺 / 🌳 / 📖
tags: syphilis ethics repeat

+2 upvote downvote
submitted by ∗peqmd(75)

The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here

unscramble the site ⋅ become a member ⋅ ~~$279~~$49

uoetinsq is ngskia 'tahsw the esbt nxet estp not ecysainserl twha is het setb tancogidsi pts,e ciwhh is whsmateo of Sept 2 otointra lhfes sqntoeiu fro( eolepp woh esakt Spet 1 earft o)oi.ttansr T,DLR steb NETX epst si ltka ot reh fsitr at uiminmm uoy eend to deirenemt if hse hsa yatcipac.

Wheli het aeitpnt sah tteyrp bad :MSME

.B sI eth btes exnt setp. Yuo need ot ucssdis iwht ehr i.ftrs gt;&= emdtinree erh iedconis kinmag acactpiy g&t;= ethn ceepdor heehrtw to ciusdss tihw hre rudhgeat .)(A

Lurmba rtenucup si the tebs oidatcsgin setp. ,Hvoeewr ni tsih uqntiose y'erhet nkasig uyo atwh ouy ndee ot do ot veen eeocrpd to stih pet.s ..eI egt rhe ytcaciap etnh you can ceepodr ot um.larb Tish is aebuecs bruaml tunprcue is oemr iievnasv nda yul'ol ende ot essass ccayapit sa lelw sa egt iereth reh if( hse ash a)pyticca or d.haetrgu

unscramble the site ⋅ become a member ⋅ ~~$279~~$49

You must be logged in to vote!

+1 upvote downvote
submitted by centeno(3)

The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here

unscramble the site ⋅ become a member ⋅ ~~$279~~$49

I tohhgtu hatt het itgeivonc pirneiatmm lduco be het inenamtsatifo fo l.irpisyeonhsu nI andd,tiio hte rctood shuldo aktl tdicrely to the etpiatn to ckech rof saulex bs.aue

unscramble the site ⋅ become a member ⋅ ~~$279~~$49

j44n Teh mmxumia MSME rscoe is 03 niotsp. A ocrse of 02 ot 42 sstesggu lmdi ed,eimant 13 ot 02 tessgusg taomrdee eadine,mt dna slse hatn 21 itdceanis eesrev tiad.mnee nO eegar,va hte MSEM ersoc fo a esrpno iwht se'lemAihzr elsndice abtou two to rufo psonti caeh a. yserhe loyn sha mlid ename.tid I ahd to ookl hsit pu ehs ldocu ltlsi itaern hre ctaciayp +1

All patients, including those with dementia, should be assumed to possess the decisional capacity to make medical decisions unless the physician determines the patient does not possess decisional capacity.

+/- namesthegame22(14)

You must be logged in to vote!

+1 upvote downvote
submitted by ∗lispectedwumbologist(122)

The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here

unscramble the site ⋅ become a member ⋅ ~~$279~~$49

Cna dboyyna eaipnlx hsit e?no I utp derpatee ettss eauebsc I dumsaes na -yolde8ra3- awmno si na sulanuu icdgorehpma for .piylhssi

unscramble the site ⋅ become a member ⋅ ~~$279~~$49

m-ice 83 tgimh emes na muonnocm aeg, btu ew ot'dn wkon ofr rseu erh exslua styoir.h heS lony enryelct (8 mohsnt oag) etdarst inhowsg esmo nsigs of dilm icignovte rnm.iepaitm Seh ash all sthee lrsuest ipgnyilm tath seh hsa iislysp,h so teh otsm llyiek easwrn si that hse sha shlsiyi,p os we dslohu epkas to reh livrteyap oabut rhe auexls .irsyhot heT tsest ndt'o icylnasesre eamns esh otg iphlsysi ryve ltrenc,ey 'ist obesipsl esh's had hsilisyp orf a ehwil dna eevnr got drtaee.t +5

mousie I unnstdreda hatt hse uodlc ssloiybp ahev ysiihlsp ubt I alos upt aterep setst sbceaeu I nkow rehet are a efw isthng thta cna cause ealsf esvitoip sRLVD ubt fi seh oals sha a + RRP osde shti akem a FP ssle klyil?e And soal if seh sha idlm togvenici mipnimetra uoy ltisl cdussis htiw her tno erh erhudgat cceorrt ...? +4

m-ice ishT fiedlenyit cdolu be a easlf i,vtpsioe btu eeobrf we tawn to esondric it ot eb a aeslf tioepisv, ew ushldo ltak ot het ietpnta botau it tva.eplryi usmnsAgi ttha 'tis a sflae toiispve berefo aisngk eht enpaitt atbou it doclu dayle erttaentm fo rhe ys.ihlspi s'eeThr a anhcec hes ddnti' awnt to sdioeslc ehr uxaels isyhtro ni trnfo fo hre daehrutg or ayemb she was mradeasrbes ro 'dnidt tihnk it swa otatmnpri to ntA.nim endo ru'eyo eayublltso ,ihtrg hes yoln sha idml tieogcvin r,eimmtapin os ew mtso tifeleinyd oshdlu lkat to eth ntatpie anleo uhwoitt erh htudrage .fstir +4

seagull Seh has im.eentad She ensto'd have the taypccia to nemdereti ehr wno aerc 2(20/3 )M.EM I eelf the edartugh uhodsl vaeh het rdow on teh erac inecs rnmGaad kelliy o'endts ahev teh pcaiytac to ntuarsnedd reh tis.ocan +5

sajaqua1 From whta I rmbmeere, dteiamen si yyallipct a tinbcoaoinm of aiepmidr omymer a*nd* rmdapeii tugthoh eepscosrs. erehT is ihongtn to enadtcii ttah eht tpaniet sha eaiimpdr httough sec,prsoes and teh ormyme mairmipnte is olny imd.l heT aetpint nca tsill snrobyalea dasi to eb n,tptemceo adn so erh tevirpa ooiftmnnari lhodus be scudssdie tiwh her enlao. +12

yotsubato reEdl race sohem or eleydlr mceomnsuiti laucaylt vaeh a hhig aetr of Ts.DS usnTr ,uto wehn you ptu a nuchb fo dcdieedodiwwo/vr dasutl rtgheeto in a mytinoumc etyh vaeh sxe. +12

yotsubato ltyo,ldiAanid ouy dlsuoh cpeetsr hte icparvy fo a etempctno tauld whit "Mild om"yerm eiat.pimnmr I wkno I luodc hvea diml emroym mmeapiritn nisinodrgec teh rapc I oretgf sditgyun rof estp 1 +14

drdoom gll@aesu nedimate ≠ nasbcee of potccmenee -- the wto era saeperat peconsct dna eavh to eb eualeatdv yedtelnnpi.end see bonsp/0mi3t=?u.hn/hv4ero:c.mh0//uD0igeid.7rlts nda rp0ehud=ro6tih4ouhenim:/s.1nbcsD3li7?tvg//m../ +3

wowo aosl pttranomi to tneo, d) perdeate etsst is lsoa icorcnter as eht eociimgaurgtantimnolh ayass si a nicoyarormft lptaoenerm estt l(oang teh esma lines sa ASABFT-) fs/95hwr8whwpta:gw3-hibr/lh..rot//temueytllhaaho +5

sunshinesweetheart ..so.la. I itknh ew acn asmesu htat eetd"rape sstet" amnes eepatr RLV,D ton intlioadd"a tsste ot reul uto sflae spsoiite"v +2

imtiredofstudying the neirte ionpt fo iths usniqeot si htta hnwe yuo ees na DTS in na eteeduxpcn mocgiarephd eihcn,(ldr ,)ryedell IKNTH UEXSLA SEABU +

23 of 30 is mild dementia by DSM V , still has capacity to answer basic questions , and STD in childs and elderly ALWAYS think ABUSE FIRST

+2/- usmlecrasherss(27)

You must be logged in to vote!

+1 upvote downvote
submitted by ahd_ve(7)

The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here

unscramble the site ⋅ become a member ⋅ ~~$279~~$49

teh imna gloa fro siht onqseitu is ovida giiunssscd isuses hiwt eiealsrtv wittuoh eht np’sietta rsoipenms.i utb soem ppeelo rewe plydee deshkco ot ese htat a tegnrmhrdoa hsa liiph.ssy wBt I velea a klin fo a ahceersr abuto naCiclil tiyliUt of het liieaMtnn-M stuSat aEixanntiom nWeh ssAnsigse MksaogDn-eciiin pi taycCa.asp7og:94n08ss8rp.i.mh7b9.12t7o/j//1e1uo9bcau723l/sa0810d7t//

unscramble the site ⋅ become a member ⋅ ~~$279~~$49

You must be logged in to vote!

+1 upvote downvote
submitted by komodo(4)

The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here

unscramble the site ⋅ become a member ⋅ ~~$279~~$49

I tikhn oen of eth isuooncnsf heer is ttha teh eimngatcrongaiutmohil yassa 'dtonse licsaynsere dcnetiai etruncr ifctennoi hitw shiply,si becuaes entmoeralp tsste can tyas psotieiv vnee rof asrye aefrt tmttraene (/giawt2/whnh:nt/50Mbcl9oi.scpP.m0//mp.elr0i/n2.cCwtvshtT )a ni omobc wiht teh vyer lwo PRR etrti ldcou tanicedi eetrdta spyi.slih So llyear hte tbse htnig to od owdlu eb to ask hte ipnetta cleyridt oabut ti efober uoy sawet etim nogid sbsyloip nyneeaurcss gtsneit (nda I dlowu ldieyftnei ska reh idyeltcr icnes tsmo lpeope dn'ot ktal tauob ehrti ITsS thwi irthe n)hdeclri

unscramble the site ⋅ become a member ⋅ ~~$279~~$49

You must be logged in to vote!

+0 upvote downvote
submitted by ∗deathbystep1(21)

The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here

unscramble the site ⋅ become a member ⋅ ~~$279~~$49

pinoot B) e(ht rroctce oiotnp as epr enmb) :teh eitntap ahs a inmi tnlmea taste of 3/2,03 so atth lsduho emna ttah seh nts'i aebplac fo nakgim erh own iosseci!nd os thasw eht tonpi in nkiagtl to hre tveplayir uhitotw erh ?eudgraht

topion A) is wnrgo csebeua oyu natc utjs eihd eht nasoisgid mrof the anittep dna ehrsa ti wtih hte maiyfl

ootnip C mp;a& uDoy) nanoct dgaedirrs the etts or tpaere eth stte sa btoh the ttse ear etis,voip RPR si a neeignrsc ttes htiw essl ipyifsitecc utb cgoigromtiuatihnnmlae si a hhliyg cficipes sett os hse dtfeenliy sah psshil!yli

poiton E) tndsoe aemk ssnee saeuebc hyw loudw ouy do larbmu uenupctr fro hill!is?ysp

i thkni tyhe forgto to give an tonpoi )F utsj nerakif eartt rhe rof ishpyl!si!!l

unscramble the site ⋅ become a member ⋅ ~~$279~~$49

saturdaynightpalsy sPeiatt"n tiwh esdstpuce iynsrihulpeos sulodh ngerdou arlbmu ncurpetu adn qtbsnuuese V,RDL FTAA-BS a/ndro CRP fo iobrsenclerpa id"luf per my eonst nda teh itumLbrtne enar encrutpu si sude ot giondsae hysnierosul,pi so s'ttah wtah I .utp +2

saturdaynightpalsy oT dda to tt,ha I idtnd chesoo eht rteho snrsaew yuo teidls for hte msae eassorn oyu dtse.il +1

ac3 ihhwc fo het lfnoligow si eht NXET EBTS ETSP anegmni uyo tounwdl antw to jmup rhtgasit ot a mrubla curetupn sleecyipla enwh hrete aer sarwne ohicesc htta ugegtss snsidgcsui het agnssoiid with the antetip it.frs fI oyu twen to teh octodr nda yeth eosigadn you ethy illw disussc ihts hwti oyu ferebo gneodrri ondlitdiaa tgts.nei +1

yerpderp 30/32 is saol tsju ildm vtniiegoc nptmariiem os I stuj ttghuoh she listl adh eidoisnc ngakmi atybiiplca as 3/024 si sitll mnarol +3

cbreland erA ew edpxtece ot pnirrette CMI esrosc +

madamestep dMli yrmeom nirtmmipea deso NOT anem erdcdeesa siko-cidangimne tycap.iac An 83 arey old ithw an lmosta amroln maetln sstatu xema owh myabe sha a wne infedybor at reh grinuns hoem ybplroab olwdnu't tnwa erh grtadhue ot kown taht ehs hsa an SI.T Adn fi htis si leerd ubsae, yud'o oasl twna to talk to erh pliearvty ot ees if he'ss .esfa No tmtrea awh,t ldore ltasud twhi idlm neiematd rea lsilt maroln pelope nad uyo eedn ot essass rtieh egimnsn-icaikod catcyiap dosniice ot e.icnosdi hTis noawm mots eiklly ash the tyiccapa ot deidce fi esh sawnt ot rnguedo ipysilsh anetrtmte. +

You must be logged in to vote!

Must-See Comments from nbme24

seagull on Intestinal mucosa
tissue creep on Ask the roommate not to smoke in the apartment
drdoom on Adenosine
seagull on Increased serum testosterone concentration
atstillisafraud on Lamins
niboonsh on Only cookies are independently associated ...
atstillisafraud on Scar formation
lamhtu on Decreased adherence
drachenx on Damage to the rectovaginal septum
drdoom on Intestinal mucosa
azibird on Coronavirus
lsmarshall on Organic acid metabolism disorder
sympathetikey on Inhalant abuse
tea-cats-biscuits on Eosinophils