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NBME 20 Answers

nbme20/Block 3/Question#21 (28.3 difficulty score)
A newborn is born with a lethal chromosome ...
Feed by whatever means necessary to maintain comfortπŸ”

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submitted by medulla(26),
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theall oacmohomlrs etfdce - tg;& eh is igogn ot ide &-;tg minanati cmrootf

submitted by yotsubato(968),
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o"D on rham"

gairtnSv eht bbay or ighholntiwd food si dongi hram. tA ihts ipton uyo dpvroie eaitvllaip arec tunil teh edtah fo het ab.yb fI eht patnesr iedcde to pull" hte gup"l ehtn heyt anc do ,it ubt sa eth rdctoo satht nto uryo occieh.

cry2mucheveryday  Why not 'give foods according to normal caloric requirement'? +7  
hpsbwz  @cry2mucheveryday because feeding to the caloric may be too much or too little for this baby. considering the baby's crying only resolves with food, if you've already reached the limit, are you just not going to feed the baby? that's how i thought of it. "maintain comfort" is the key phrase. +4  

submitted by gasngo711(3),
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sI shit slilcbaya just a atnm"niai litaquy fo eilf" nidk fo utos?eqin

medstudent65  Its a stupid as shit question. Some of the ethics questions on these new NBMEs are horrible. +15  

submitted by andremosq(1),

During end-life care, priority is given to improving the patient's comfort. FA20-pg272

andremosq  Notice that the question says the newborn has a LETHAL chromosome defect. Baby will not survive. +