NBME 24 Extubate the patient and discontinue mechanical ventilation; make no attempt to do cardiopulmonary resuscitation in case of cardiac or respiratory failure (NBME Answers)

Retired NBME 24 Answers

nbme24/Block 4/Question#12 (reveal difficulty score)
A 25-year-old woman takes an overdose of ...
Extubate the patient and discontinue mechanical ventilation; make no attempt to do cardiopulmonary resuscitation in case of cardiac or respiratory failure 🔍 / 📺 / 🌳 / 📖
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submitted by ∗m-ice(370)

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The eipnatt woshs on igns fo locctari yi,citavt utb has meos sarmnbiet ifnnctou ati,ctn hcwhi eispmil hes si in a rfmo of ssnteptrei vteaietveg t.aste ehS sha a vgiinl lwil ttah nssedtgiae ahlcecanim teivaolintn shdulo eb dsudontceiin fi thta anotitusi srsiea, os we usmt fllowo ti dna ekma nto tmteapt ot .trecstauise

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lfsuarez yhW oluwd het coedns prta fo ttha eb rcocetr wneh ehetr si nto itneomn of a RD?N +19

ug123 IND nda DNR rea efifrdtne rhgti? siTh epntait adh a DNI. Wyh owuld ew musaes ti to eb DNR oo t? +4

sherry NDI and DNR ear eednid ft.nidefer uBt it si not het scae .ehre heT tiepnta eedns ot be batuextde nmeas esh idd nto gisn a DNI or NDR in teh ftsir clape. I eussam her ivglni lliw si oerm ilke tnemratei oupsitpgrn tmetetnra ni a aivtvtgeee .setta So htere si on need ot od sisetiuantcro snway.ya Btu I raeeg htsi is ont a good uoesn.tiq +2

shayan T"eh tpiatne sah negsdi eht viigln liwl nda is notnsciste iwht ehr vdiiceesr"t ubt hte stme sdtnoe ltle sah twha si ni hre nglivi ilwl bauto eht xentoatib?u ew rea eaugitxtnb on hte rstqeeu of her nhsbad?u isth is nigfusnco ! +7

criovoly I eleebiv this nutoiqes saw tno lwel cd.neto.c.ustr ist' eno of te!hso +1

suckitnbme aahnsy@ entuxtbagi ta questre fo hte nauhdsb sceuaeb e'sh wllognifo tash'w ni erh vgniil lliw. lngowoliF htat elni of toghuht, hte niatetp bryablpo dntaew ladwharitw fo rcae if in a eievaetvgt sttae. +

luciana I eorntsdudo mase sa yn@ahsa hatt she ndweta ot kepe e.tndi.a.but won ardinge it aigna I elef raxet mdub iwth my poro dgrnaie itrniptnrtoeea sskill +

coldturkey lzsafue@r i(RCfP eht eend ras)eis , ofr itsh panitte (bbar eoosredv adn oahltips n),istteg she lliw eb nbattuedi to teg and tnmnaaii awriay sceasc. ewovHre h,es si iatangs nay canaelhcim itnlevaiotn sa erp erh lniivg .will Hen,ce ew ontnac mpreorf PCR on r.eh +2

furqanka I too ibveeel NDR nda IDN are tdsiinct tub UW 4211 ayss - A NRD redro detiiacsn ttah a eaptnit lsoudh tno odurneg .RCP tsih incledsu lsb mt(uho to mtuho t,bhegrain sceht nos)rmspcieo sa lelw sa navacedd airdcca leif ptosupr n,tatbinui(o lmechiaacn ,tnneviotail floabiteldiri,n nad adigstirinemn iednimcstao scuh sa aposrvosrse or hne).epreinpi ilatondidA iehssw scuh sa eth reesid ot nto be def tiarillicayf or any htreo iiaomttnil of raec nac be sieefp.icd +1

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submitted by kenyaboi(5)

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Tihs si a kefd#$ pu eo.iqtusn its het asyw ist nrtewti. eth bnshuad is gerageni ithw hte vgniil wlli coi"nnttess hiwt ist e"iec.itrdv os ilyacalbs ew uowdl hvae ot uaesms hre llwi ayss DNR. dseenlse ononcsifu

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madamestep cly.axEt A lgviin illw cna yas vreteahw the fukc yuo atwn it ..to. +

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submitted by ∗poisonivy(39)

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cna we edciosrn eth rdovseoe as a lsdaiuci patme?tt if ...os n'odtlwu she be oeerciddsn as ituwoth nadmic-noeiisgk cycatpi?a

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em_goldman eeolPp hwo ear isuidacl llist aevh imcensigk-nodai itcayacp; s'ti ont lueeatnqiv ot ecaadnvd ateidenm or ehotr astsunotii reewh cesidoni mkgnai is a.ipmirde sawL yavr yb etsat; I wonk in ym tseat hatt hte uxaimmm imet rof dghlnio semoeon gnsatia rieht wlli si 48 urohs lusens a ruotc has ededem hmet nctpeoemint nad deegadsnit anohetr eprnso sa rhtei elgal eindcosi rka,me ignduinlc eloepp who aer evytilca iasld.uic M y neinrgsdautdn of het awl sa a snarolpye si ttha her inivgl lwil wsa dngies oangl hiwt oepepl gnrbiea ssiwnte to eth fact atth ehs was teh noe owh digens ,it adn it was awht ehs ntaewd. Ehtsci esad,i it dulow be ltosam oibempliss to oeprv htat hse lgleyal iaentitdi a RDN ni a teats of lcusytaiidi taht was nestnei nghoue ot ifetrenre tiwh erh geanmck-siidoni pcciyata in thta mnmeto. +1

step1dreamteam ol_agemnmd ethre si na MSOBAS iqotunse hwti a udlascii t.p The crotecr asewnr wsa hatt usicaldi tp od ont ehav giMgD&-Ci-vln;t lliw fo a diclaisu tp hsdoul ton eb dresoi.cend +

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submitted by ∗fatboyslim(118)

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Thsi neisqotu idtprep me .up I osche 'A' cubesea teh tnuiseqo disa reh nigilv wlil tcsnt(oseni thiw teh shu'sdban ws)ehis osed ton natw cnmeahialc naoin,tivlet tbu it idd NTO asy angyihnt touab D.R..BNtu moec ot kihtn of ti, wtah si eht npoti of giond CPR fi hse tnaonc mnaiiatn ssntenoopau treaginhb nicse hes emsse to eb ni a iteevgetav se?att hatT esnam if oyu do PRC nad alucyatl tnaw to aves ehr ,efil uyo umts buntt,aei hhicw egso niaasgt hre l.lwi cnee,H autxebte adn do tno sr.u.cei.ttsea

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-1 upvote downvote
submitted by ∗joeschmo(0)

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fI the iedriecstv taset cacnihamle itantoilenv eb tonndueicdis i'ts ldpimie ttha esh lwduo ahrrte id.e yhW udlwo onyena tyr to tsrtaiesceu when a nedicois ahs eben aedm to plul hte lgpu?

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