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NBME 21 Answers

nbme21/Block 3/Question#8 (reveal difficulty score)
A 55-year-old woman is brought to the ...
Mammillary bodies🔍,📺

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submitted by hungrybox(1133),
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fWeor-craekfKinsok edoysnrm eud to ainetmih B)1( ci.decfieny omoCnm in ic.oahsocll

heT eraosn hwy eyth sdai rls"teus fo lclooah dna rdgu escrne aer va"teigen si atth hte edtiffailenr isudncel ectau ohaolcl ntocii.nixato

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trnsepe*s eher as ytgmnassu

oarffo'Kssk :spsihoycs

  • rmeomy lsso aadtg(nrereo dna eraedt)rrog
  • gakinm siht up noi)fctuaoblna(
  • erotsypinla canhge
teepot123  fa 19 pg 559 +1  

submitted by hayayah(1127),
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Keckierfs-rfaoWkon rdnye.mos o'Dnt heav to be na ochlaloci ot etg ihs,t jstu sluauly si aldteer ot cmohisllao / ihtmeian fn.iyecdiec

d_holles  Yeah the negative EtOH screen threw me off +3  
dr_jan_itor  Why cant it be early alzheimers and hippocampus? She could easily have been a former prominent physician and member of city council. Am i supposed to assume that simply because shes disheveled and poor hygeine that she must be an alcoholic homeless person? It also mentions no symptoms of nystagmus, ataxia, etc. +3  
kimcharito  it said broad based gait and nystagmus +11  
lilmonkey  She is/was an alcoholic and appears pretty much homeless, just not drunk at this moment. +1  
fatboyslim  @ dr janitor. The question says "physical exam shows a broad-based gait and nystagmus." +  
suckitnbme  NBME questions also stereotype the shit out of their patients +5  

submitted by mrglass(41),
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eeiDtps het ttaepin otn inegb neiictxdot,a isht ntpaeti si etngnrpise thiw siclacs isgnidnf of WkincrooersakKfef- moyn.sdre nvEe fi uoy drieugf hatt hmaTniei idecnicfey awtsn' kielly gvien eht i,hyrtso if uyo wnko atth WKS ucases miyamrlam bydo trpoh,ya adn tish rsyy"tem idaese"s is sciugna asmiilr tmopmyss ot ,WKS yuo can geuss tath shti "myrtyes ssdeie"a si ugnscai amrmylima bdoy ythoapr

submitted by ibestalkinyo(49),
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nyenAo fndi it sgnrtea htat the MNEB evlso to itwre ntsqueois rehew cnyiipssah ear ocal?sclohi

athenathefirst  Their job is to find our flaws haha +  
tadki38097  this patient isn't actually a physician, they are trying to show that the patient has confabulation (making up stuff but truly believing it) +  
sarahs  good point...negative alcohol screening threw me off +  

submitted by swagcabana(7),
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pPl merrebem ttha if oyu tge hits fcea ,urdkn atiw a day and thne tkea a HETO esc,nre its nto ioggn ot eb .epiivtso toD'n yilerscnesa rleu otu iolamsohlc if an HEOT neesrc si getvaein

submitted by umpalumpa(1),

Alzheimer can be ruled out because pt is "pleasant and cooperative", whereas non-cognitive symptoms of Alzheimer include "aggression, irritability, agitation".