NBME 20 Feed by whatever means necessary to maintain comfort (NBME Answers)

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Retired NBME 20 Answers

nbme20/Block 3/Question#21 (reveal difficulty score)
A newborn is born with a lethal chromosome ...
Feed by whatever means necessary to maintain comfort 🔍 / 📺 / 🌳 / 📖
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+11 upvote downvote
submitted by ∗medulla(35)

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lethal chromosomal defect - > he is going to die -> maintain comfort

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+6 upvote downvote
submitted by ∗yotsubato(1208)

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"Do no harm"

Starving the baby or withholding food is doing harm. At this point you provide palliative care until the death of the baby. If the parents decide to "pull the plug" then they can do it, but as the doctor thats not your choice.

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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. +8

+3 upvote downvote
submitted by gasngo711(3)

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Is this basically just a "maintain quality of life" kind of question?

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medstudent65 Its a stupid as shit question. Some of the ethics questions on these new NBMEs are horrible. +19

+2 upvote downvote
submitted by andremosq(9)

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

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andremosq Notice that the question says the newborn has a LETHAL chromosome defect. Baby will not survive. +1

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