need help with your account or subscription? click here to email us (or see the contact page)
join telegramNEW! discord
jump to exam page:
search for anything ⋅ score predictor (โ€œpredict me!โ€)

Retired NBME 16 Answers

nbme16/Block 3/Question#39 (reveal difficulty score)
A 27-year-old woman comes to the physician ...
Reassurance ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags:

 Login (or register) to see more


 +5  upvote downvote
submitted by โˆ—bingcentipede(359)
get full access to all contentpick a username

The answer is reassurance because this is all normal behavior. She's only snored TWICE in the past year w/ no daytime sleepiness or other problems.

It wouldn't be a sleep journal because it could imply that something is wrong, but there isn't. She's 27 and if anything she should upgrade from her husband complaining about nothing important.

get full access to all contentpick a username



 +2  upvote downvote
submitted by โˆ—feochromocytoma(36)
get full access to all contentpick a username

A rule of thumb.

When seeing an option with "refer", it is almost always the WRONG answer in all NBMEs and Uworld questions.

get full access to all contentpick a username



 +1  upvote downvote
submitted by โˆ—whoopthereitis(5)
get full access to all contentpick a username

The big take-away while reading this question for me was that, first-if you can tell that there is probably nothing really going wrong here with this patient then second-you should read the question carefully when it asks what the most appropriate "initial" action, and whenever you think a question is gearing towards a "behavioral" type question, pay close attention to comments the patient might make. The patient comes in because she is "concerned". Not because of symptoms. Bingo.

get full access to all contentpick a username



 -2  upvote downvote
submitted by โˆ—bingcentipede(359)
get full access to all contentpick a username

The answer is reassurance because this is all normal behavior. She's only snored TWICE in the past year w/ no daytime sleepiness or other problems.

It wouldn't be a sleep journal because it could imply that something is wrong, but there isn't. She's 27 and if anything she should upgrade from her husband complaining about nothing important.

get full access to all contentpick a username



Must-See Comments from nbme16

bingcentipede on Cerebral edema
zincy7 on Gastrin
cassdawg on Kidney
medninja on Lysosomes
cassdawg on Sildenafil
cassdawg on Feces-contaminated soil
cassdawg on Presence of an internal ribosome entry site
cassdawg on Peutz-Jeghers
hungrybox on Induction of cytochrome P450 enzymes that ...
andro on Antagonizes VLDL-cholesterol secretion
bingcentipede on Decreased function of Na+โ€“K+ ATPase
bingcentipede on Glyceraldehyde-3-phosphate dehydrogenase
cassdawg on 46,XXY
bingcentipede on Grade 4/6, holosystolic murmur heard best ...

search for anything NEW!