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NBME 24 Answers

nbme24/Block 2/Question#41 (13.8 difficulty score)
A 56-year-old man who is admitted to the ...
Determine whether the patient has decision-making capacityπŸ”

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submitted by m-ice(326),
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nuAymoot si hte msto mtionptar ecsthi lipnpreic atth eersupsdse all hrste.o voeerw,H it is liapedp lyon in ousintaist ni ciwhh a tetiapn eestnordmsat gomiedknsaicn-i cpyica.ta In thsi nit,itauos a tniatpe ihtw nevcadda esdisea yienukll ot be ucedr si sgrnuefi mnaetrtt,e icwhh si shi rhtig neurd the eipplicrn fo nma.ouoyt Hov,ewer ihs tcesmmon uobta nurgr"ntie ni 6 mhonts aertf cguinr rithirtas" rae esiln,oubeqat nad wnatrra egrnidntiem fi eh ash cenisdoi ankgmi caacti.yp tI si biolsspe htta eh se,do ihwch si hwy any ciechso of gcrionf frrhuet nemerttta no mih rea crte.ncior

hungrybox  These ethics questions seems so simple and yet somehow I always get them wrong. I guess deep down I'm just a scumbag. +12  
mutteringly  Hey there's always dental school +1  
hungrybox  legit made me lol, thanks for that +  
jurrutia  Also, the patient is delusional! He thinks he's going to cure arthritis. You don't have decision making capacity when you're crazy. +  

submitted by beetbox(1),

Can someone explain more on how to tackle these types of questions? I suck at these questions for real... To me, he sounded pretty sane and reasonable (does not wish to waste other people's money). Sure he might be under slight depression judging how he has a terminal illness and his statement on how nobody cares for him. But unless he is incoherent or displaying magical thinking, signs of loss of memory etc., why should he be evaluated on decision-making capacity?

drdoom  in medical parlance, you can be so depressed that you're actually cognitively impaired. this is known as pseudodementia. thus, you need to figure out: β€œis this guy so depressed we can deem him incompetent to make decisions?” +  
rockodude  he says he has an invention to cure arthritis in 6 months he'll be back.. not normal imo. at least for this question thats the line that made me think does this person have capacity +