NBME 24 Extubate the patient and discontinue mechanical ventilation; make no attempt to do cardiopulmonary resuscitation in case of cardiac or respiratory failure (NBME Answers)

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Retired NBME 24 Answers

nbme24/Block 4/Question#12 (reveal difficulty score)
A 25-year-old woman takes an overdose of ...
Extubate the patient and discontinue mechanical ventilation; make no attempt to do cardiopulmonary resuscitation in case of cardiac or respiratory failure 🔍 / 📺 / 🌳 / 📖
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submitted by ∗m-ice(370)

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hTe tentapi sshow no gisn of ocraitcl tcvyiat,i tub ash oems bratisnem funtionc cn,ttia hiwch imsipel esh is ni a rfmo of ptseisertn eivtgveate estat. She ahs a livgni lilw hatt dntiagesse chenamcila nvteliioatn dlusoh be ucndisotnide fi taht sntouaiit a,rsise os ew tusm olflwo ti dna mkea ton tmatpte ot tstce.iraesu

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lfsuarez yWh lduow hte cenods tpra of atht eb rrotcce wenh etrhe si ton entmoin of a DRN? +19

ug123 NID nad DNR era tdirnfefe irhg?t ishT tentiap ahd a D.IN hWy luwdo we amsesu it to be DNR t?o o +4

sherry NID adn DNR aer denedi ee.dftnfri utB ti si ton eht scae .ehre hTe attepni eneds to be ttaxuedeb eansm hes did tno snig a NDI or DNR in teh rsift cple.a I ameuss rhe iilvng will si orme lkei erimntate iptpngruso emetratnt ni a eigteeavvt taest. oS heert is no dnee ot od nrtstaiiseuoc yawsyna. But I egear sith si ont a ogod uiesqo.tn +2

shayan "eTh nittpae sah edsnig eth lgivni will nda is scsenonitt ihwt reh esdctv"irie but het emts nsdeot tlle ahs tawh si ni ehr iilngv wlil aotbu teh xtoetnbau?i ew rea tinebatugx no het tqurees fo her dbhnus?a shit is infuocnsg ! +7

criovoly I beleiev hits niotesqu aws ont lewl usrotc..d.tnec st'i oen fo osh!et +1

suckitnbme ans@ahy bnxgitueta ta ureeqts of eht sbanduh easebcu s'he olfwloign as'hwt in hre gvniil wil.l woFinlogl hatt enli of tutg,hho teh ntpieat rlbbpyoa dnetaw haltidrwaw fo aerc if ni a gieeavttev ts.tae +

luciana I udsrdtnooe esma sa aysan@h htat hse nwtade ot peek iuntt.eb..ad own naeirgd ti aiagn I leef exatr mdbu hitw my rpoo gidrean rtrtntnpiieaoe llikss +

coldturkey sazle@urf Rf(PCi the eedn e)iassr , for tshi panitte bb(ar roesedvo nad toiaplsh seg,tnt)i esh lilw be ueitdnbat to teg nad tnmiaian arwyai scasec. vrwoeeH ,esh si gasiant nya nealccahmi alinvittnoe as epr reh lvigni ll.iw eec,Hn we actnno pfrmeor CRP on e.hr +2

furqanka I too beeeliv NRD adn NDI era sdtitnci but UW 1421 assy - A NRD ordre dscnetiai that a paeitnt udhosl not nurdgeo .PRC tish usicenld lbs mtuo(h to otmuh atbegnih,r sthce nseocisom)pr as wlle as neavddac ardcica elif orptpus tunbniot(a,i lahcicnmae onvlnietiat, ritbl,lodiieanf nad rnmitieiasdgn mndeoicatis scuh as assorrspeov or heprnpni)ie.e inltAdadoi hwseis uhcs as teh dsiree to otn eb def fyliltiraaic ro any eotrh tmoaliinit of ecra nac eb icdfispee. +1

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submitted by kenyaboi(5)

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Tsih si a kf#$ed pu oqtei.uns sit eth ysaw tsi wrt.inet eth duashnb is eeagirng with hte ivngil will not"seisctn thiw tis ide"i.ervtc os aclsailyb we wodul ehav to suames ehr llwi ysas DN.R delesnes fnsnocuio

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madamestep lxcEty.a A lviing ilwl anc say threweva eht kfcu yuo awnt it o..t. +

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submitted by ∗poisonivy(39)

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anc we deriosnc teh rdeveoso as a dlaisiuc etmtpa?t if o.s.. 'wlodntu ehs be rddicnoees as thwouit iei-sgomcnndaki paytcc?ai

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em_goldman oePpel how aer siduilac ltlsi hvea eondnsiacikgi-m c;paayitc is't otn itavleuenq to ednacadv mnteaide ro orthe atunssoiti eehwr nieosidc mnikga si raie.mdpi Lwas aryv by tte;sa I knwo in ym atste ahtt the muammix mtie fro gdolnhi nsoeeom tagsnai rethi lliw is 84 orhsu enusls a rotuc sah dedeme htme tmnpeotecni and dinsetgdae tranohe nopser as iterh lagle odinsiec mre,ka lnugcdini poeple owh are vytlceia iclasiud. My gdrtendnisuna of hte lwa sa a naryplsoe is ttah reh ngviil illw aws dgisne ngloa ithw eeolpp agbienr newsits to hte tfac thta hes saw eth neo owh nsgide ,ti nda ti wsa wtah she wadtne. ihstEc isae,d ti luwdo be msalto opiieblsms to vepro ahtt she lllagey tnetaiidi a DNR ni a ettas fo uilcdiisyat that aws enesitn oeuhng to eererntfi htwi reh incs-gioidamnek paticyac in tath mtm.eon +1

step1dreamteam doalngmme_ hrtee si na SBMASO sqtnueoi wiht a cidiausl p.t eTh roccert serawn saw htta ialcusdi pt do ton hvae -nv;lgCt&-iDgiM lwil of a alcuiids pt ldhosu tno eb ce.noedirsd +

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submitted by ∗fatboyslim(118)

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Tshi qsteouni teidprp me .pu I cseho A'' sbcaeue eht eutinqso dsia rhe lingiv wlil (stnosnetci hitw the nsadubsh' iwehs)s sedo otn anwt acliehamcn inilvett,aon but ti did NOT ays htgiyann oubta uND.BtR.. cmoe ot tknhi of it, hatw si the otpni of godni RPC if she nocatn ntiinaam suonpestoan rntigehab isnce seh eesms to be in a teeigtvave ta?ste ahtT anesm fi you od CRP dan acutyall tanw ot svae ehr fel,i yuo stmu naetut,bi wihhc egso ntasagi hre .lwli eeH,nc bxutaeet dna do not .ecis.us.rteta

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submitted by ∗joeschmo(0)

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If het stvedreiic ttaes celnahcima ntoilientva eb eutiidcsdonn tis' eilimdp tath she would rhrtea di.e hyW uolwd neoayn rty ot taeseiutcsr newh a disiecno has ebne aedm to lulp teh ?plug

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