share email twitter ⋅ join discord whatsapp(2ck)
Free 120  NBME 24  NBME 23  NBME 22  NBME 21  NBME 20  NBME 19  NBME 18  NBME 17  NBME 16  NBME 15  NBME 13 
introducing : the “predict me” score predictor NEW!

NBME 24 Answers

nbme24/Block 1/Question#10 (42.8 difficulty score)
A 75-year-old man is brought unconscious to ...

Login to comment/vote.

Tutor box

Members from the Leaderboard offering 1-on-1 help: Want to be listed here? Email us!

submitted by happysingh(45),
unscramble the site ⋅ remove ads ⋅ become a member ($39/month)


hpeo ihst hspel eyvon,eer neve eth oens htat just "kiel" genvyrhtei

submitted by andro(189),

Abdominal Vs Thoracic Aneurysm

Abdominal :typically infrarenal

Etiology -smoking ( most important risk factor )

Clinical features pulsatile abdominal mass bruit on auscultation * lower back pain

Recall: All men above 65 who have smoked or are still smokers always screened for AAA

Thoracic aneurysm : typically in ascending aorta

Etiology : - arterial hypertension - connective tissue disorders - syphillis

Clinical features : * thoracic back pain * feeling of pressure in the chest * may lead to compression of local structures like recurrent laryngeal nerve and esophagus

submitted by solgabrielamoreno(5),

NOT MARFAN: True abdominal aortic aneurysm (AAA) in patients with Marfan syndrome is relatively rare because most aortic aneurysms in this disease are dissecting aneurysms in the thoracic area.

submitted by therealslimshady(27),

Given the diagnosis of AAA, why did he have syncope? I was first thinking it was from rupture, but his blood pressure is not hypotensive, so how could he get syncope from that.

Or maybe the AAA was compressing the inferior vena cava, causing syncope?

obgynnycstep1 worth taking a look +  

submitted by an_improved_me(16),

What's all that anechoic stuff on the left side of the CT?

submitted by keycompany(310),
unscramble the site ⋅ remove ads ⋅ become a member ($39/month)

Imega swhos cernseCt ginS, a moomcn fngniid ni mdoailnAb tocAri seAunmrys due ot uralm sutromhb c.lcounosi

happysingh  crescent sign is a finding on radiographs that is associated with avascular necrosis, NOT aneurysms !!! what you're seeing is Calcification of wall of the aortic aneurysm +12  
sabistonsurgery  @happysingh - Thank you. You are correct indeed. +  
suckitnbme  Adding on, this patient is a >65 yo Male with a 120 pack year smoking history. Both are significant risk factors for AAA. +