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Retired NBME 18 Answers

nbme18/Block 1/Question#16 (reveal difficulty score)
An 8 year old boy is suspended from school ...
methylpenidate ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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submitted by โˆ—jbrito718(48)
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The question hints at ADHD due to "constant motion", disruptive behaviors, incomplete assignments in school + impulsive/reckless behaviors outside of school leading to MULTIPLE ER visits from injuries.Methylphenidate (Ritalin) is tx for ADHD.

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submitted by โˆ—icedcoffeeislyfe(56)
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ADHD--> sxs in 2+ settings--> school, and ER for skateboarding injuries Tx= methylphenidate

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yourmomsbartholincyst  Could someone explain the significance of the skateboarding injuries? Is this some part of ADHD that I'm missing? +1
lokotriene  @yourmomsbartholincyst I read it as them trying to hint at poor impulse control/being reckless. Seems like it was just a guy trying to be a dude though. +



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submitted by โˆ—handsome(3)
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ADDITIONAL TREATMENT +/- CBT Atomoxetine ; guanfacine; clonidine;

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