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Retired NBME 24 Answers

nbme24/Block 3/Question#13 (reveal difficulty score)
An 83-year-old woman is brought to the ...
Discussion of the diagnosis with the patient privately 🔍 / 📺 / 🌳 / 📖
tags: syphilis ethics repeat

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 +2  upvote downvote
submitted by ∗peqmd(75)
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oieqnust is ginask 'htwas hte setb etxn pets ont iacelsrynes hawt si hte tesb gtidiaoncs st,ep hwihc si hmtasoew fo Stpe 2 ttnaoior shfel oistuneq rfo( eolepp ohw tskea pteS 1 eratf o.ttnrsiao) TL,DR tbes TXEN tpse si tkal ot reh itsfr ta inmmimu oyu nede to iternmede fi she hsa .ipycaact

lWihe hte tapenit ash retypt abd ME:MS

B. sI eht sbte txne .stpe uYo ende ot sssdicu whti reh r.tsfi gt&;= rdtinemee ehr iindcsoe inmkag ycatiacp t=&;g ehnt ecorped erwehht to isusscd twih her ehdtruga )(A.

umbarL ecurpntu si teh stbe ndocastigi tpse. weeo,Hrv in isth uiqeonts ehetr'y sagnik oyu ahwt oyu need ot od to veen prcoeed ot isht .spet I.e. gte reh pciaytac nteh oyu acn cedrpeo ot ru.bmal sihT si eusaecb mbaulr ctnrpeuu si omer vnaiisev dna ylulo' nede to essssa cayctaip as elwl as teg heetir reh (fi hse sha ccati)ypa or tadgeur.h

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 +1  upvote downvote
submitted by centeno(3)
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I gtouhth atth the viocgteni ritmipmaen culdo be het oitmnteaafins fo hpseiousliy.nr In i,dodaint eht rocdto hulsod tlka tlrcdiye to eth enttapi ot chkec for elaxus es.abu

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j44n  hTe xmumima SMME ecsro si 03 t.oipns A croes of 02 ot 42 usgetgss imdl eitna,med 13 ot 02 gsetusgs dotremae t,edmeani dna sels tanh 12 nitsadcie erseev denmei.ta On g,vaeera eht ESMM rcose of a esporn tihw Ahseeriz'ml isedclen abtou owt ot ufro tinosp each h. eysrae yoln ahs dmil aeidm.tne I ahd ot oklo hist pu ehs oulcd tllsi tanrei ehr apctcaiy +1

All patients, including those with dementia, should be assumed to possess the decisional capacity to make medical decisions unless the physician determines the patient does not possess decisional capacity.

+/- namesthegame22(14)


 +1  upvote downvote
submitted by ∗lispectedwumbologist(122)
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Cna ynbydao apxeiln sthi eno? I tup depeaert sstte baueces I uemsads an -ay3rl8d-oe wmnoa si an saunluu ecraihopgmd rof ysps.hili

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m-ice  38 mhtgi eems na nmcnoumo ega, ubt we t'ond nokw orf ruse erh eaxslu hriso.yt She ynlo yrteencl (8 tonshm oag) adetstr wghonsi mseo gniss of mdli tieviocng aimnitrep.m hSe sha all etseh rtussel ingyimlp thta esh ahs hl,spsiyi so het ostm ilkley wenrsa is ahtt seh sah pyhis,isl so ew olhusd apkes to her vtlyepiar tobau ehr uesxal hiot.syr Teh ttsse n'dto esleracisny smean esh gto hsslpyii rvye t,rlneyec 'ist spelbsio ss'eh dha liysshpi orf a lewhi adn evrne tog .adettre +5
mousie  I nansurdtde ttah esh uldoc oylpssib heav yhspliis btu I salo ptu teraep ttses bsueeac I wonk ehter aer a fwe stnghi hatt acn escua sfael vtoispei DRLsV tub if ehs salo sha a + RPR soed isht ekam a FP esls lk?iyle nAd lsao fi hes hsa lmid noviegcti miripntema you ltsil ucidsss htwi erh ton ehr ragteduh ctorrce ..?. +4
m-ice  isTh fieneytidl coudl eb a slefa vpieiots, tbu feebro ew nwta ot orsciden it to be a eslfa ts,iveoip ew dohusl ktla ot hte etatnip utboa it y.lveptiar mussgAin ttah st'i a slfae isptvoei borfee nkisga hte teitanp uobta ti uodlc laeyd ematrttne of erh ihlp.sysi esrhT'e a ecnhac she tn'did tnwa ot lssdceio hre lausxe hytriso ni nfrto of rhe rhgedaut or beaym hse asw emabessrard ro 'dntdi tiknh ti aws oratiptnm ot nn do meAi.t n eyo'ru lsbyetoaul ,tgirh seh yonl ash midl icointgev rimmeitpan, os ew ostm itenielfdy hsdlou lkta to het tpneita noeal huttoiw reh hudegtar tsrif. +4
seagull  Seh sha nte.emdai ehS oedsnt' ahev the yacapict to dneeiermt erh own ecar (322/0 ME.)M I efle het ureatdhg osduhl ahev eth orwd on teh reac csnei amrdnaG llkyie ds'oent vhae hte itaayccp to sdnrutndea erh .tsnoaic +5
sajaqua1  omFr tahw I breme,erm iadtneme is cylayltpi a cainotnbimo fo eairimpd emyorm an**d peairdim gththou .soercpsse heTre si nnotigh to icidaetn htat eth tpntiae sha armieidp touhhgt csser,epso dan teh ormemy emitamrpni si yonl dlmi. ehT ptaenti cna stlil saoyrnaebl disa to eb e,pntcmeot and os reh veatrip iaornimtonf dhouls be iddssucse hiwt reh eolna. +12
yotsubato  derlE erca emsho ro lerdeyl oemscimnitu laauylct vhea a hihg reat of .sDTS Truns o,ut enwh oyu upt a bchun fo wdwd/deveioiocrd tulads geoterth ni a nmmuctyio yhet ehva .xse +12
yotsubato  diao,Aylnildt uoy lhusod setepcr het crpyiav fo a enmtpocte udalt htwi dl"Mi rmmo"ye miptan.ierm I wokn I uodlc aevh dmil eymmor nriamepmti iincersngod the prac I oegrft gtynudis fro pset 1 +14
drdoom  @uegslla eemitand ≠ seenacb of mcenocptee -- eht tow rea eeaaprst otpcsnce nda ehav ot eb vaealtdeu nnidnle.yeeptd ese hvm=h37/splgr0mhi:is//0?4rd./n.u0cotubne.tiDeo nda 4t/uDmgh.r6n=/eo?u./n/.hmip:h0il7eo31svdcrtisb +3
wowo  oals nirpomtta ot ,ento )d tedreeap ettss si alos rcnrecoit sa hte uoicittrmieaognnghlma ssyaa si a nifotmcorayr ntromeelap ttse nalo(g hte aesm selin as F-ATB)SA -twelhih/emw5aa3.rh//fl8ut:lo/rthwwy.hgbrpo9shat +5
sunshinesweetheart  l..so.a. I inkth ew nca asusme that erptde"ea ett"ss amnse eprtae RVLD, not "tdnodialia ttsse to elur tuo elfas set"ipvois +2
imtiredofstudying  het etreni ntpoi of stih siqutone si atht wneh uoy ees na STD in na xutndeceep ipehrcgodma dr,l(cnhie l,yed)rle ITHKN UXSLEA ASUEB +

23 of 30 is mild dementia by DSM V , still has capacity to answer basic questions , and STD in childs and elderly ALWAYS think ABUSE FIRST

+2/- usmlecrasherss(27)


 +1  upvote downvote
submitted by ahd_ve(7)
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teh nmia agol fro htis iqstenuo is dvoai gdsincssiu iusses hitw ealveitsr tihwtuo teh et’atnsip is.nepsormi utb eoms lpeepo ewre yepedl sodchek ot ese thta a nmgetrrohad ahs sphisli.y tBw I elvae a inlk fo a searhrce ubtoa lciCinal ittUyil fo eht -iinMtMalne sStuta ntioExnmaai hWne gseissnsA -ekicMnainisgDo Ct.ap aicy1nrotp98i/b7t.18a27ah3m0ado1ces1/g872j/9/4.sulop7:09b7/s.0/us

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 +1  upvote downvote
submitted by komodo(4)
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I nkhit eno fo the cifnoounss reeh is atth teh iahcgitmaleonuogmirnt assay nosd'te syecareinsl eatdciin nrtrcue otcefiinn with h,lyisips uecaseb atoenlmepr setts can asty eostivpi neev fro rsaey taefr emtatrnte (r/C0hm/teisppMgv:b/wP/c/tnh5lm9c0.c0in/.wnsioa.2.lw2tT ha)t ni oocmb twih the veyr olw RRP tetri oculd itidecna ttderea spiisl.hy So llyera the tebs hgtni ot od wodul be ot ksa eht tpaneit yrtdicel taoub ti refoeb oyu astwe item oigdn sboiypsl scenrsaneyu tgtinse (and I would netielidyf ska her cdyiretl cines tmso oeeppl ton'd tlka aubto rihet ITsS iwht trieh )dcnerlih

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 +0  upvote downvote
submitted by ∗deathbystep1(21)
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ntopio B) e(th ccortre toponi sa epr eb)nm h:et aetntip sah a niim taemnl tseta of 332/0, so atht suhldo amne ttah hes 'tnis bpeclaa fo mnagki her won !csdeisnio os ashwt teh itpno in tnlagki to rhe vltayierp wottihu ehr gu?tahder

nitpoo )A is ngrwo euacbes you natc tsju edhi the sasdingio mfro the atneipt adn aehsr ti ihwt eth amilyf

npooti C ;ma&p u)oDy oncnat sierdgrad eth tste or rtepae eht stet as tobh the tste are itesiovp, PRR si a gcerenins sett wthi ssle itsfccpiiey tbu omgorumgnaalcnteihtii is a yhghil picfsiec tset os hes deefityln sah si!ylliphs

tnoopi )E esdtno aekm sense beueacs ywh oluwd ouy od rbamul upuetrcn for ip!lshlsi?y

i ktinh hety ogfrot to iegv na tnopoi F) stuj afenkri ttare her for islp!s!ylh!i

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saturdaynightpalsy  ieatsn"tP iwth scusetpde erunsiyshploi oudlsh duerogn laubrm euucnrpt dna neustsqbeu ,DLVR BASA-FT a/nrod CPR fo pcnbilserorae luifd" pre ym nsote nad the enLttinrbrue am retpnucu is udse ot gosanedi uliiheosp,srny os a'stht hawt I .ptu +2
saturdaynightpalsy  To dda ot hat,t I idtdn hoceso teh etroh eansrws yuo ildets fro het mesa nasoesr uyo dste.il +1
ac3  which of het filgnwloo is teh TXEN BEST SPET agmnine uyo twodunl twna ot ujpm ristgtah to a blarmu cnrpuuet selceyliap ewnh eterh ear nsawer ceocihs ahtt gtssegu isgssiuncd eht iadissnog whti teh peatitn .rstif fI ouy newt ot the otdrco dan htey aosnideg uyo hyte iwll usdscsi this thiw you ofreeb nrdrioeg iinoaltdda igst.ten +1
yerpderp  3/032 is alos sujt dlim tocnvigei imnepmtari os I utsj tohhutg esh listl dah oisencdi gianmk atbpyciial sa /2430 is lsilt mnroal +3
cbreland  reA we peedetxc to iettrerpn MIC eosscr +
madamestep  Mdli yrmome atinrpeimm seod ONT anem ecesadrde mkcgeiid-ansnio ac.aitcpy nA 38 reay lod hwti na tlomas lnrmao mantel ttasus axme woh ebmya sha a enw bdoirnfey ta reh ugsinnr ehmo barbploy uot'wlnd wtna her reaghtdu to nwko ttha esh hsa an .ITS nAd fi stih is rdele beas,u y'uod sloa ntwa ot alkt ot rhe aypitvrle ot ese if sh'es s.efa oN taermt wath, derlo dsuatl ihtw mdli dniteema era lltsi nmalor polepe dna oyu edne to esasss hreti se-imkoicdninga tpaccyai ieicndso ot icsnoei.d This owamn most iklyel hsa teh iacapcty to edicde fi hse wnats ot rgndoue ilyhsisp .tantetemr +



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