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Retired NBME 24 Answers

nbme24/Block 4/Question#24 (reveal difficulty score)
A 13-year-old girl who has a 6-year history ...
Discuss further the impact of the patient's illness on the family 🔍 / 📺 / 🌳 / 📖
tags: ethics

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 +12  upvote downvote
submitted by ∗nwinkelmann(366)
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I sujt guohtth of a awy to oue(pf)hlly diaov tgntieg ethes pseyt of snerwas g.wnro rt,sFi wehn I reda hmte I saalwy kolo orf teh laset lss"ehoa" a.eswrn Tneh, fi eury'o lsitl k,suct ytr ot utp the ntaestemt tion a oeqtu ahtt you wldou say to a ipteatn as a nhisy,cpai bnmgrreieme htta ddenen-epo, tumdeang-onnlj eontuqiss ear iale.d

ehT nwsera fro siht lcudo be rsdehap sa a tat/nqoneiesesutmt by het cdo,tor ot teh mfialy, sa "ellT em orme otbua how hits tigcmnapi oury mailfy dan diayl .elfi" adH it neeb dsphrae keil htt,a I IDTENEILYF olu'nwdt vaeh ntoetg ti rnow.g I dlouw have nvere nvee had hte pptuirontyo ot kema an tsunpmiaos obuat eth aiflsy'm nggtfhii egbni edu to eitd ccoersnn nad htsu engeind a oniituinstrt refelra hhci(w si htaw I shoec).

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usmile1  I ntihk eth searno ditnaciei saw oeccirrnt si bucasee hse hsa dha bdtaisee for 6 arsey and her dabitees saw ellw dloreonctl htat eertin me.ti Tehn orf the ptas wot nstmoh hre olgsecu oocntlr ahs ebne o.opr shTi is ipginotn wrdtsoa the ssuei TNO ibneg that they otd'n nowk ohw to eangma eht tiebaeds so niegrrrfe to a einidiact uow'tnld eb .sueluf +6
tiredofstudying  09./09199 mesti eht awsern wlli ernev idenlcu rlefr.rae ehT lyon sareno I do otn asy 10/0010 si cbeesau rhtee yam be an wesnra eon yad atth is to refr,e ubt grutohh lla fo ,WU Rx, nad NBEM it ahs evner bene ot eferr, so od with that ofni thwa ouy lliw +5
gutierreznar  Ththguo ouabt arenpts gihignft ta almse deu ot monye sseisu fo rhe pelcasi itde so yeth lhdous sicusds it wtih hte ieatidnt ot ytr to wtshci to a hreepca it.de eigrnOnkvhit a tbi lol +


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 +5  upvote downvote
submitted by targetmle(10)
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nduhS'lot we sifrt seadrds teh sesui by ergrocitnc reh louescg selvle by easijutdnrg insiuln dan ehnt ees twha aer eth r?ombelsp

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am4140  Tihs is waht I ipkecd dan ahwt I’d ilslt ickp in alre fel.i Teh cfat tath ehr beatsdie wsa cltrdlnooe oferbe seod’nt gneach teh ftac thta t’is otn oelntrdlco wn.o.. ayebm ew cduol heacng het ilsniun ckba to twha ti swa taref htey egt teirh ifymla seusis dei,fx but eht iatpns’et eeatmiidm obold gsuar vleesl eedn attrnteem OI.M mI’ juts oigng to ssim hseet nuqsieots ov,efrer I tknih. +1


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 +3  upvote downvote
submitted by sabistonsurgery(5)
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To gte chus ugvea usoistenq irhtg:

  1. orndesiC gnasiy all the saetetmnst ni hte rnessitak eton poibssel dnrue yuor aehrtb sartte(aln ot mertho ungote if GMI ofr bnous tce.ef)f

o"pSt nkeiirgBc" - lwhie ,naigys do'nt uyo tge a hnti of l,iaeraspmnt eilk teh rodotc trangeit eth arstenp sa nereatseg e.mhvetsesl hTey ear fylul rgwop-un svehsem;let eyth onwk yhet dslonuht' k!cbrei

  1. o'tnD cooesh the ferer inopot on petS 1 %99( fo eth temi cre.)tcr..o. neluss on hrteo ptnooi at all fsti uoyr caes frtsilWUro d has uitenosqs onigg ot coutr sa hte tirgh nrseaw !enve tBu ni lal of tm,he it saw dniteev ttha on theor ootpni odclu meco soelc ot beign aitie/cltglpecyl/ie/laenhlo oecc.rtr

  2. pistonO taht ysa - /essud/enssaecoreadnrok/igusc - ear wyalas .rererfdpe Cuniocaminmot = yKeotuis senQ

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regularstudent  I leov siht a.oml I dsai tsop gkneribci aseebcu I hghtout it luowd eb kcdefu up ot kas hte aprsetn obuta owh irteh di'sk steiebad has pmeaidct irhet ymfMlaei. S:o" hwo has isht ks'di eaesisd acmepidt royu ml?i"fay O!htnerPa "s rwe'e tuaob ot deiovrc esbueac fo siht fngkuci kid. 'hesS a tnocsant ,tsrsse adn atts'h why we tyaclntons h,fitg even nirugd inernd nda at eth dt'oscor foc!"ife +4
unknown001  llo. siht otmcmen deam my dya +


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 +3  upvote downvote
submitted by subclaviansteele(11)
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.h.gU. tgo peptdir up htiw er"eRf obth petaitn nda reh rastnep to a a"tdieniic

reOv gI.i.h.nnikt hothtgu teh uerocs of hriet ustmrnage eerw ta meal eitms .elaoy..cessilp ymeba tyhe nac dnfi a odog itooslnu ihtw a aiiidc.etn

CAOCsM ARORZ TSHI H.TIS keep ti psmile pdt.uis ehT wnraes sfti the sbet tfare re rgeiand it.

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nwinkelmann  .M..ES.A u!gh +
johnson  Aosl - 'youer oltsma NREVE esrgieif/naspgrnr on a tieanpt wiht teh SLMUE. +9
bmd12  hyTe ear ta mael ,itesm chhiw si why shs'e ignahv iycfiultdf ofinlwogl the rdersepbic tide bc erh prtnsea rae rinugga ugdnir htta eimt os tsi iffdcuilt for rhe ot ccrrtoely extueec it hnew ryhete ytlnnaocst kbgeii,rcn nda cb 'sseh ylno 13 so hse actn fvfeitecely genama hre edti ituohwt teh hlep fo her sratepn. Adn neisc het etdi sah ebne knwgori hwit hte entpati rorip ot lla het bgekricn,i uyo can ausesm eth deti si ton teh rtoo u.cesa +1
jamaicabliz  teh ueisnlavr n:aststcon Da,eht xeas,T dna verne cnuigtlsno hte hestic tecimetmo +
meryen13  hatt is eayrlllit awht I uohthgt! hwat fi hety 'ntdo fxi rhtei seius nad thsi ropo kid liwl heav yclcemgi lnrtooc ssi!use fiingx faiylm is tno a neo day kowr! xif gscoeul itrfs adn krow no falmyi essui reov e!e!!wks hats(t wtah 'Ill do ni lear if)le ((((:( +


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 +0  upvote downvote
submitted by ∗therealslimshady(42)
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oYu nac elatineim C eaucesb erh desbteai saw lelw odrelotlnc ni eth pa.ts hTe tfca ttah heret si sesstr in her fmialy nad ehs sha poor eusglco ncltroo eltsl uoy tath hte reh orpo sloegcu rcootln is soacnyred to eht tssrse in ehr imal.fy So yuo nwat ot xfi het real mbeop,rl and ot od st,hi uoy eedn orem aifrotonnmi tuabo it, os ickp ,B as ee-onddpne qitosusen lilw yswlaa iegv eth yacnisphi mroe iignsht to h'astw gngoi no nda ertbet eb aelb to ddeeic hwo ot alekct eth lbreomp

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 +0  upvote downvote
submitted by ∗hhsuperhigh(49)
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Teh diet is pdeecsr,rbi so on eden ot rreef ot itaiidcne yanm.oer It is a ecsa fo eth enapitt cacoelop-innmn of e.itd utB hyw 'tanc veidas eht tasenpr ot post i?kcrnbeig

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therealslimshady  I mreeremb sordBa nda oyndBe idsa hatt ouy vnere twan to ikpc any amnettsste atth sduno d,s"i"gnolc lsup ti un'odtlc eb uhcm leph to juts yas tpo"s gigu,nra" t'si tbeetr to dfni uto fniraniomto no 'whtsa nsuciga the nggriua so hatt oyu nca opts ti rily,eetn hchwi cichoe B lwli awlol you ot do. +
tyrionwill  tssrse is het tgihn ot woesr eht oocnitdin of M,D dan liwl eb tteerb raetf genbi nes,e meodoc,frt and cedtacpe. +


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 +0  upvote downvote
submitted by ∗thisshouldbefree(51)
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I eattasrldn ccoehi B ot ht"e rtsnpea are giragnu tuoab irthe hicdl nda efrerheto by syagni htis i ma dadgni elfu to eht rie"f I csheo A ecaebsu i uefgidr nhigt rae tntggei ehtaed nda trhefoere cdo slhoud rty to lacm intshg dwon ofreeb eprncoeigd

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submitted by ∗unknown001(9)
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aemesow yanglao . 3 etpss to icesht

  1. esalt oeslahs ewrasn
  2. toespitl
  3. no orhts tsuc ( ikel taek hte nelogr harred smot igpklystianan lcofaifi rtoue to ayn ).rseposc

ps. astl pn,iot oyu iwll see ist sue in ehtor isqesonut, ton stih oen

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