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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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meSt yclluaat sste,at n“O ,tuinoqeisng het eatnipt osed not kwno eht tdae [im]et, het maen of hte htipsloa ec[alp], or hte name of rhe rnesu who adh just dtiunecdor hsmifle re]o[nsp.” ,oS pt si tdenodrseii to mtie and eapcl oCic(he );A ahtt si tyflineedi nocncreing -- as olwud eb ededrepss oodm hie(Coc E) and eht ertho ichosce -- btu l“tiinayib ot uedannsdrt eitsyvre nda rpgooisns” si eht mtos cnieoncrng enics htta si het eyvr iioefintnd of pya.tacci ltaiyniIb ot daednrusnt = lcka fo yci.tcaap

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lovebug  uyo liaenpx vyer rlca.lye !HT!X! +
drdoom  thknas luvo!bge +



 +2  upvote downvote
submitted by fatboyslim(118)
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4 rtariice smtu be etm to nokw if a enttapi hsa piyacact eaknt( mofr yrtDi nMTdesieeuuYco'bi len)a:nhc AI"L"C

:I ttaipen is lflyu DFMNEIRO oatbu eth niideocs ta ahdn g(.e. trdooc sellt tpneait uyo had a lnug oenitncfi chhiw drosenwe dan rpeasd ot uyro dbolo and oyu embeoc epicst tnhe uyo vdeedploe ricaadc tserar dna we dah to rerfmpo PRC no uoy dan igve yuo epineihepnr ot ngrbi yo sas )kbac

:C panetti ESMIMTCUNCOA etrhi dsoenici ..eg( ilcixptlye ayss I" watn to be drchsa)edi"g

A: atpinet EACPISAPTRE eth aurnte adn rieysvet of eht ssielnl (..eg ocotrd sllet apntiet you tgihm die if uoy aveel saignat ruo cdilaem icvdea dan then het tcrood sask teh tntipea ot preeta ti kbac to mkea srue eh heendepcordm that tcaf)

:L aptient acn apxelin reiht siocneid ni a LIAOGCL nad laerni onashif .(e.g atpitne ayss ihs dda wsa ni na UCI befero ithw yman ebtus dna oolbd smaselp ebing drwan and saw on a veroitatln nda eht nttpaie 'oedstn wtna ot den up elik his ad)d

ET:NO eth ens'ptait lglac"oi" etpoannliax fo ehitr sdcieoni deos TNO have ot tyulacla eb a doog dlmciea die.snioc sA a otodcr, uyo acn rgdesiea hwti etirh ropo daemilc i,ohcec tbu sa gnol sa the tptaine amce ot atth iodesnci hitw ciyatcpa ti,atnc nthe uoy hosuld srcetep iehtr icosenid ontyu()mo.a

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 +1  upvote downvote
submitted by vlodkadrinker(7)
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I olsoybuvi ugtthoh that the nima hgitn orf apacyitc si to nustrddena hte veyersit dna rpigsoosn fo reh lcmdaei dtniicono BUT I ohhtgtu sith swa a kcitr isenqtuo cubeeas hyte dasek f"i het namelt xtiaeniaonm finidgn e.s.hd.wo" and the smte iefadl to oinemnt htnnyagi tuabo ehr ioeatrtnino to aplec ro im.et mdbu

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drdoom  mSet ltuylaac ats,ste n“O uintsogin,qe hte peiattn seod ont kown the tdae e,[tmi] teh anem fo eth ihosaptl ea[l,cp] ro het name fo rhe nusre how adh just tidncuerdo emilsfh ][rpn.o”se ,So tp is** lalatcuy ieertsoiddn to miet dna aelpc oheic(C A). aTth is ifnedlieyt oecnnnrcgi -- sa uwdol be peedsresd modo ceih(oC )E dna the toerh hcceiso -- but ini“aybtil to dstueanrnd yetvrsei dan og”rispons is t*e*h stom *niceonc*grn isenc taht si eth yvre tiinnofdie fo .tacciapy altiIbyin ot auentnsdrd = aklc fo ycaipatc. +1
sahusema  So by hte cgloi fo eth et,uqison if seomnoe endussantrd eth tievesyr of their amceldi nociintdo AND apephns ot oasl eb tantodiresedi to elcap nda emt.i oG deaah dan od sx no ,hemt ist' neif. +4



 +0  upvote downvote
submitted by step1soon(51)
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eiT,m cla,pe nmea → sseassse nortaioenti → ot ese fi tp si ofr eplmaxe atcxeoitdin or nto

Dnciisoe gnkami ctaiycap si beasd off of hewhetr eth iptanet dnnautrsde reh osdaiisgn adn si amnigk na fmienord cesnotn → esh wknos dna aruddnensts

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