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Retired NBME 21 Answers

nbme21/Block 1/Question#8 (reveal difficulty score)
A 52-year-old woman is admitted to the ...
Speak with the two gynecologists to attempt to coordinate care ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +4  upvote downvote
submitted by โˆ—temmy(153)
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I rgeae whti athw sah enbe sadi tbu olas tneo atth het taiptne edclal hre iintrtesn ot hpel hre essdrda the olnfcitc ntebwee eth owt inpchsayis whchi sha tnoetg rhe werirdo. Taht si reh s.irede dAn mfor hawt i vahe e,etargdh herew seb,isopl the atspietn hswies sohdlu be etm.

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mambaforstep  e.u..rt i alttyol eimdss eht tpar "tp ALCLS HRE RAMPRIY CRAE ETRTISNIN TO HPEL RDSEDSA STHI TIFOCLCN TWB THE 2 HA"SIIYSNCP msh +2

Some quick rules I've found that apply to ethics questions: 1. ALWAYS acknowledge the pt's problem, distress, situation, etc. 2. NEVER ask the pt to lie 3. NEVER be a dick. The answer may sound robotic, but should never be mean. 4. NEVER refer the patient to another resource (in this case, the nurse, but could also be risk management, therapist, etc.) 5. COMMUNICATE. Talk to other clinicians/experts, etc. to resolve issues. Often, this is the best option because "speaking" isn't really taking any action so no room for error

+5/- anjum(36)


 +1  upvote downvote
submitted by โˆ—taway(35)
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oeDs ynbayod daruesnntd hyw ew era dwlolae ot eiererftn tiwh teh alclinic cdeinimgkiosan of two hoetr sectsspiial ?relcyidt lo'duWnt atht dudmy hte areswt vnee oerm yb iangdd rou ioiopn?n I d'tno see teh urylnniegd picrlenip atht nsiaxepl the lternaoia ni itsh e.wsnra

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jcrll  I htnik 'tsi taubo dnidga uor nioinop dan moer tabou geeisn hwat het iuiastotn si seubeca a eattnip atcntcedo you in ess.dtris Teh tesrho era bauot taognctinc aamtnmgnee ffo aerayhs; ahtt cdulo sloa u"dymd the ar"sew,t I Is thsi toqieusn oasl srdnasgdei raunetrqya renoev?npti +3
meningitis  I geaer htiw l.jclr M y esma tghthou cepssor but nhte I hgdecna it ot phasyccriti cnooustinlat in rreod ot frits eantdt eth iatn'tpse sedrstis adn txiyena snice it was rnenigdhi erh eisincdo mginak. e ,s d es Bi eth olhew leroad batuo ehr mretattsne dan sneifnecvtefsie wsa tleioaoylnm dan piyhlylsac utsegixanh .ehr +4
vi_capsule  aelRrref is EREVN a sr e anw +12
tsl19  gnoiG rttishag to het iarch of the esitch mmeeitcot howttiu ihnavg snokep ot the troeh yiapinssch oudwl eb eitaprpoarinp cuesaeb it dwolu eb mpjgnui a cubhn of etsps in ontuimnccioam irfst - eilk lljcr sdia, uyo nawt ot get eth rcieupt of ah'stw ggoni on fomr eht orhte iahypcsnsi fistr. bMeya the icgenlgcyoo snolgocoti is'tn yclataul as dppoeos to itiaepallv sraueesm sa the etpaitn spceevrie him ot be dna kntihs seh' dgnoi wtah eth ieptnta nsa,wt e.ct tI cudol jstu be nsiccotumanii,mom iwhhc you dculo hple acler pu wttuoih ttiengg teisch vldeinvo ... ebrett ot atrts .tereh +12
an_improved_me  olAs, ot add a ittlle it:b ntsrisnite no a heelcthaar taem rea the crae tsdn.oaoirorc roF nay nvgie emprbol a anittep ,has het einstntri is solpisenber fro ianaggmn all teh dfnrefite cpetass fo a etspntia remnat.tte nI itsh asec, the trenni sha to amaneg teh estidnngis iniponos fo hre nrfftdeie ocsisneoggty.l In hoert cssntan,ei an isttrnnie mya hvea ot manega eht esdtgeemanri tewbene a genSruo .sv RI sv. nOc. +2



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