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€)

NBME 19 Answers

nbme19/Block 2/Question#6 (reveal difficulty score)
24 yo man, generalized tonic-clonic seizure; ...
Psychogenic polydipsia ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags:

 Login (or register) to see more


 +1  upvote downvote
submitted by โˆ—an_improved_me(91)
get full access to all contentpick a username

I guess a couple of key things are:

He is hyponatremic and shows signs of hyponatremia (tonic-clonic seizures, somnolence.

He shows signs of over-hydration (low specific gravity of urine, and low urine osmols).

He then is placed on fluid restriction, but breaks the test by not following doc orders.

The question isn't tricky so much by what it's asking, but more based on what it isn't telling. It does not tell you his fluid status, his urine ouput, his fluid input, what meds he is given, etc.

get full access to all contentpick a username



Must-See Comments from nbme19

aliyah on Retinal cells
ajguard26 on Confined placental mosaicism
blueberriesyum on Frontal lobe disinhibition
ajguard26 on Omeprazole
cassdawg on Basophilic stippling
cassdawg on Anemia
aliyah on CD8+ T lymphocyteโ€“mediated killing
peteandplop on Coronary vasospasm due to alpha1-adrenergic ...
cassdawg on Histamine
shadowbox on 1 in 600
drdoom on Libido: decreased; Noctural erections: normal
cassdawg on Ewing sarcoma
corndog on Decreased lysosomal hydrolase activity
cassdawg on Decreased functional residual capacity

search for anything NEW!