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Retired NBME 23 Answers

nbme23/Block 1/Question#48 (reveal difficulty score)
A 20-year-old man is brought to the emergency ...
3,4-Methylenedioxymethamphetamine (MDMA) ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: psych toxicity

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 +13  upvote downvote
submitted by โˆ—azibird(279)
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oWh lsee got htis tjus abeuces ti aisd lgia-"nhtl ncaed ?yp"rat eAippdl my geednwlko fo vsrae dna iongthn l.see

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chaosawaits  atth stoalm dunier em ueebacs I eedmrmeebr all tsoeh fun opovaled seirtpa ym oysb dna I esdu to eh.av /s +6
imgdoc  kId woh asetk teekinma at an all thing dcnea ,apryt emyba nsssoegates?ohitil +1



 +3  upvote downvote
submitted by โˆ—mousie(272)
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Why on ?esngtiwa I mnae I get yEascst si boayrpbl het rugd fo cicoeh fobree na lla htgin acnde tprya ol)l( btu odnt' rutsdendna yhw erhte loudw eb dlco tsemxeiietr adn no tseinagw wnhe is FA ti assy rymehphtiear and rho?da???b

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sympathetikey  AF asys, rieo"hpu,a diinithio,ibsn chey,vtiryptai dserdtito osnyres dna ietm eincope,prt bsrx.uim hiinfL tte ganree tfcefse eludicn yins,oepthenr ha,aiydccrat aerhmri,teyph hyperi,oatmna inoosntre ern oos"dy S.m I ithkn ehyt adwnte you ot ese snuSi yTcah dan jmup ofr MD.MA dIk hwy nimaeteK c'ldntou oasl tneyltopial eb ercotrc guhth.o +13
amorah  I ecidkp kenmiaet uceabes ti dasi on hopsersiadi. But fi uoy ndee ot dfni a rnseo,a I gssue eth fhla ielf fo emniketa hitgm leur ti t.ou emmerbRe rmof k,esyhct meintkae is ueds orf sesanhatiae icodu,intn os abployrb 'onwt kpee eht RH dan BP hghi rof 8 sh.r In tcf,a tis cainot si -~5011 hsmiin-s .iv +13
yotsubato  suaeBce het NBEM is full of c.skrufe eTh ygu is borylpba heddtardey so he ntca tsewa ey?oamrn +22
fulminant_life  ouy outwldn see tyaichcrada twhi mn.akteie It aseucs ldvaorsiarcauc dprseeison btu ohlntesy i swa " l-tiganhl edcna trypa" ikecpd eth mdam arnsew dan veomd no oll +10
monkd  nKaiemte csta sa a ysmhiopaetmctim btu ho lle.w NBME hans't ctguha no ot mekeatni as a rdug of oarntriece ): +6
usmleuser007  hyW otn LDS? +1
d_holles  7slue0@0umser DLS st'nedo uasec TNH dna โ†‘ .RH +2
sbryant6  @ninlfaltmufi_e .LFSEA EMTKNIEA CESASU SAAAORCDVCLRUI TI.LMNUSTOIA +12
dashou19  aTek a olko at yhw eth ntetaip sha aple dna cldo "etMtris thn.sxiecaeceimi iniallcc tisdseu einditac ttah het ADduMncdiMe- etleaivons ni oydb meeprtrteua ni hamsnu apyrltial nepdde on the nDdceMMd-iAu asereel of nhenenioieprrp adn evnovil ehecdnna ocbtemlai eaht tengeioarn dna auntcsoeu socoaitrionnt,vsc etglsuinr ni eiapirmd thae oin "istia.psd.v/nwi0ncMa/Phso./g:e/ptw.it/h.ms0Cc6cr178p5ln/bmwilt +5
drzed  yar@btsn6 ry'uoe hobt yiagns eth meas gti.nh mKieaten has a idcrte evaigten niroocipt etffce no eht htear, tbu ti is aosl a ecamomty.mtsihip uoY ear bhto ccrre.to +1
paperbackwriter  dzerd@ naC ouy plasee stei ?taht As afr sa I sndeadnrtu aetemink sah a miacsimepmythto ecffte no the CV eysstm g-;t-& rasincdee hnyroocptor dna PB. I lsao dnto' see hwo ee'hryt nyigsa eht seam gh.itn eOn osnrpe idsa uil"itsaont"m dna hte other sadi "eospnsr"ide +1
nutmeg_liver  Poeelp dtne ot dkinr a olt of aerwt on M.DAM I tjsu egessdu eth nunofscio was a utsrle of aphaymneotri t(oo ucmh refe )rtwea ubt on aeid fi e'hrest any tada gnsyai atth eoplpe ndte ot beomce ripnmheytaoc ued to rtawe coevtuni-srmopno on DAMM lo.l +2
cassdawg  t"sepeDi ionesssspg a cditre aitengev caidrca optocrnii ceff,te mneieatk eascsu osde dentepedn citedr ilmtoasnuti of the NSC that ladse to crisednae ctphysmitae evnosru semtys ufl.woto yqnoutln,seeC iaentmek edcuorps ocraucrlivasad esctffe ttha beremsle ieytascmhpt rvouens ystesm samonu.tltii eaetnKim si dtscieaoas ithw eneasrisc ni stmyscei adn mlyoupnar odolb spreres,us rahet a,etr cciaadr puu,tto craicad wr,ok dna acylmodira xnyego sqeen(ue"rmr.itmsesatptto//iafnecwteenhoekaeiot_sr:/fgwpcsn./swe_mtsh_f.eyi) +1
brise  DLS edos aeusc THN adn hcraiayactd agcdrnoic to rlwd!uo h_@esodll +2



 +3  upvote downvote
submitted by macrohphage95(10)
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DMAM si het noly lngoiehnulac ttah has cshtitypema ciiytatv as ti is deirdve mofr mhtehhaimtenapems ( loko ta sti me)an ... atth pnlixaes irv.getneyh

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tyrionwill  sY,e doog topni to emebr.rem n I het eycortag fo FA ssiut,alnmt 2 gsneat ash mithpysteac v:yiiattc 1;MAM)D )PP2C +
jackie_chan  Bsylcilaa owh I eolsdv it, lal the retho grsud aer owsnedr +
jackie_chan  vnEe hto mtaieekn ash tmsmcteeoypiahm esceft,f yhte wuodl be lwyid iig,ntrpp etyh ndto lcla ti lgfainl iont a -leKoh fro itno.ngh +



 +2  upvote downvote
submitted by โˆ—bmilt34(1)
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kO I hnikt isth si a bda onmioncibat of )1 a poyolr wierntt ,tosiunqe 2) a tenotaipl idtnsraseuimndsng- yb teh retrwi a3nd) , a piecnxateot fro hte rallce of ercoesti nomaitnfroi ailecdtopmc yb hte 8 uhsro whchi hvae laesdpe cesni eth eogsnntii

e'eHsr atwh I i:knth )1 eyht oden egoofd yb gisnay hetre is no iiahp.dreoss eW hvea lla esne waht DMAM sode ot lp'epeso rieecnc galdsn - orremevo oepple kdnir a... tol (thsu uncgasi teh asisclc low aN ihwch scusae )ies2z)user tI's eridw hatt he wdolu veah hcadytiacar utb onen fo hte oethr xs of AMDM anoxoncititi 3 ) I suesg ew rea pposeus ot nkow nda/ or saeron atth enve othguh DAMM uaescs mtryhehiapr,e ti laos hsa ehityastcmp fectfse rni(acdese seidbelrhe/inaite rtpuee of ,naniardele rreienpnie,hpon nnoetros,i dan ioamdnpe) icwhh udocl ecuas eht dolc ritxmeeites

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 +2  upvote downvote
submitted by medstudent22(12)
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wStngiae is detemaid yb hte ctyseahtpim rseunov mtesys, tbu is hghrout hlitAclnycoee e(Rembrem - niinciAtca-Mrsu niiognpos = ryD as a bnoe beucsea on sneat.g)wi It lla ipsotn to NE vdeoeors ed(iimckm by na tmenmpah)iae ;-t-g& dTrhcaaaciy EN( @ e,t-ba1) esiHtrvepeyn EN( @ ,aah-pl)1 eaPl + lCdo = vnttacorooicsnis (EN @ )1aalhp-

eyK ponit - segniwta liwl nto be ulimtaetds by DM.NA

Nto axclyte reus ywh ekneatim si TNO hte wsnrea abyem( ti net'dos dael ot erirpalhep tacosvroesnivitc i)porteprse? Btu MNAD dose itf eth p!irecut

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 +0  upvote downvote
submitted by โˆ—brise(86)
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Hwo od uyo lrue otu LS?D It alos sscuea !rhyacaactid

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