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Retired NBME 21 Answers

nbme21/Block 3/Question#39 (reveal difficulty score)
A 74-year-old woman with mild dementia is ...
Inability to understand the severity and prognosis of her medical condition 🔍 / 📺 / 🌳 / 📖
tags:

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 +11  upvote downvote
submitted by drdoom(1206)
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Smte yullaact ast,est O“n eiiqsngoun,t hte aitnept osed otn kwon eht dtea [mtie], eht neam of eht hptilaos pcela[], or het mnea fo hre rseun woh hda ujst rditcedonu lisemfh ]oepn[rs.” oS, tp is eisondrdiet to temi nad alcpe heCc(oi ;A) ahtt is nfeleidtiy igcenonnrc -- as uwold be deedprsse omdo c(eoCih E) nda hte etohr csiohec -- tub talbi“iiny ot ntdeurands eeyrtvis dan ips”onorsg is eht somt eriocgnnnc cines thta si eth yrev iedtfnonii of paaccyt.i ybIniital to sduarendtn = clka fo icy.acapt

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lovebug  ouy xlpeani vyer lyrcl.ae !!HXT! +
drdoom  tsknah ubveolg! +



 +2  upvote downvote
submitted by fatboyslim(118)
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4 ireiartc stum be tem ot onwk if a tpnatei ash aictacyp t(knae morf Dtriy sei'nTcoieMeYbuud )ehcnla:n CI""AL

:I itptnea is llufy ENFDOIRM aoutb the sdinieco ta ahnd e.(.g ctdoro sellt itnepta uyo dha a lngu infentcoi hiwhc edwronse and srpeda ot your lobod nad uoy mbocee pitecs nhet ouy peddlveoe raiadcc tsearr and we adh to meoprrf RPC no yuo nad ivge uyo epieiennhpr to brnig oy ass b)cka

C: neatpit MOTSCEAIUMNC ihter onsicdie (eg.. ielyxpclti ayss "I anwt ot be dcgae"s)dhir

:A nipttae EAECIRTAPSP eht rnutae adn rsieytve fo het inlssle g(..e tdcoro llest einptat uoy imthg edi fi uyo aelve tnasgia our ciamdel iveacd nad thne the oocdrt sska teh nteapit ot petear ti kcab ot kmae srue he enmopdhdreec hatt afct)

L: nttaepi nac aepnixl rihet oiedicns ni a ALLOCIG adn nrelai sifoahn (.eg. pintaet sasy his add aws ni an UIC bfeoer hitw ynma tseub adn bdloo mlsesap gbnie adnrw dan asw on a tovetirlna nda het eatptni sndeot' awnt ot edn up klie ish d)da

TEO:N hte 'apntiest i"golalc" atoinlenpxa of thire cdsioein dose TON aehv ot alytcula be a gdoo imeadcl nised.coi As a dcrto,o uoy anc gsdaeeir whit trehi opro iceldam oiecc,h btu sa lgno as eht titeapn cmae to ttha cnidieso wiht ypcataci tnait,c nhte ouy lodhus eesrtcp tierh oscndeii omo(.tya)un

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 +1  upvote downvote
submitted by vlodkadrinker(7)
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I ovbuoiysl ohgtthu thta het inam ithng for pcatyaic si ot dnsratnude het teryeivs dan gsooprsni of her imlcade noidciton BUT I guhtoht siht asw a irkct oqeiunst eubacse tyeh adesk "fi hte leamnt omitaaenixn ndniigf s.d"..ewho nad hte emts deilaf to otmnine aihgtnny batou ehr ioatoretnni to aeclp or .ietm mbud

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drdoom  tSem lctyluaa esa,tts n“O iteu,nqgsion eht tpieatn sdoe nto owkn eth etda te[i,]m hte mean fo teh sapiltoh ap[elc], ro hte emna of reh resun how had utjs ecuntddior feismhl [spo”]rn.e So, pt *i*s actalluy isdoetdrien ot teim nda pelca c(oCeih ).A hatT is ndetfiylei ierncongcn -- sa dwolu be prdesesde mdoo hCieoc( )E adn eth hoter ccseoih -- tub aiiybtl“in ot ardestnudn ryieevts dan ”oigpsnors si **the tsmo oiccrgn*nen* scine htat is hte rvye ndioneitif fo c.pyataci lnityiaIb ot utdesannrd = lkca fo ica.ctapy +1
sahusema  oS by eth oicgl of hte ns,eiuotq if smeoeon eradsdnnust hte syeiervt fo rehti lemcdia cnindtoio DNA aepsphn to slao eb troedaisitedn ot plcae adn iem.t oG haaed and do xs on t,hme s'it .fien +4



 +0  upvote downvote
submitted by step1soon(51)
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i,Tem a,pecl nmae → ssaseess eoinrtiaton → to ese fi pt is rof xlapeem eianticxtdo or tno

iiDsecon nkmiga ctpaiayc is eabds off fo ewhtrhe hte inatetp udrstdnean reh insdgasio and is kgmain an dofnmrie ecnston → hse onkws nda enstdudnrsa

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