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Retired NBME 24 Answers

nbme24/Block 4/Question#24 (reveal difficulty score)
A 13-year-old girl who has a 6-year history ...
Discuss further the impact of the patient's illness on the family 🔍 / 📺 / 🌳 / 📖
tags: ethics

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 +12  upvote downvote
submitted by ∗nwinkelmann(366)
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I jtsu hgothtu of a awy ot o(l)hupyelf avoid ngtteig eetsh ptyes fo aswsrne ognwr. i,sFrt when I rdae tmeh I alaysw look fro teh eslat ssea"oh"l sranw.e h,neT fi yuore' lilst s,ktuc ryt to ptu teh anetstmte noti a uoetq htta oyu udlwo sya ot a tpainte sa a naich,iysp nrebmigerme ttha p-eddoen,en -nadenntlojmgu toesnqsui are .iedla

ehT ewnras rfo hsti dlcou be asdprhe sa a qutnneatisosetmte/ yb eht doc,rot ot hte aif,mly sa l"Tel me erom auotb how sith itipgnacm uoyr aimlyf adn adlyi ."lfie Hda it bnee dhpsare keli tah,t I DEINIEFLTY utwlndo' hvae togten it ngwr.o I dulwo vahe eernv vnee dah the ytopoiptnru ot akem na naiossumtp ouabt teh i'masfly igfghnit gneib ude ot tdie encsonrc dan hsut dgnenei a onrtuitntsii aelrref ihchw( si wath I ).oeshc

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usmile1  I tnkhi teh eranos tneiidica swa enrcrtico si asbucee hse ash adh sdbiaeet fro 6 aersy dan erh ateibeds aws llew troldoclne atth neerit .imte eThn fro the tsap owt mhntso her uelgocs olcortn ahs eben p.oor ihTs is toinnpig rsdatow het useis TNO enbgi ttah yhte o'dtn wnok hwo ot ageanm hte esbitaed so reeirnrfg ot a dcetiinia ldutwo'n be ulfseu. +6
tiredofstudying  0999/1.09 etims het nraews llwi vreen ucldnei err.lfrea ehT nylo aenros I do otn say 0/10100 si eubcsea ehret aym eb na sawern neo dya ahtt is to r,reef but hrgtohu lla of W,U Rx, nda NBME ti has nevre eneb ot rer,fe so do htwi htat ifno hatw oyu lilw +5
gutierreznar  ugtohhT uobta peatrsn gihgnfti at eslam deu to ynemo esssiu fo reh aplcsei etdi so thye udohsl isdcsus ti wiht eht tandtiie ot yrt to wtchsi ot a aecrphe edi.t vtihgkrOnine a ibt lol +



 +5  upvote downvote
submitted by targetmle(10)
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oudnSlt'h ew fsirt ssderad teh suise yb contcregri ehr egoscul lelesv by itagjunesdr insinlu dan ethn see wath era het emlob?rsp

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am4140  Tsih si wtah I dcipke nad atwh ’Id illst kicp in lrae if.le ehT tcfa hatt ehr etdeibsa wsa oletcrndol brfeeo ns’oetd aeghnc eht tfac that sti’ nto lntcodloer ..no.w aybem ew ucold ghcaen eht linnsiu back ot awht it was teafr eyht gte htire lafiym seusis fxed,i tbu het nsetat’pi eiiametmd dloob rugas lseelv dene emrenttta OM.I m’I tjus ngigo to smis htees tsieqsnou eof,rrve I ih.nkt +1



 +3  upvote downvote
submitted by sabistonsurgery(5)
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To etg uhsc gaevu ouitenqss tg:irh

  1. Cidnoesr aignsy lal the ntmasesett in teh rsetankis teon bpeiosls ernud ryou aetrhb atrsn(tela to toermh nuetgo if GIM rfo osbnu tefce.)f

p"tSo r"nekcigiB - hliwe giya,ns d'otn oyu etg a tnih of ,lismrtnapea iekl the docotr naettigr the srtapne sa genratees stlh.veseem yheT are flyul o-ngrwup emsstl;ehev hyet wokn yhte ld'otnsuh irb!cke

  1. tno'D oschoe teh efrre oointp no petS 1 99%( of teh mtei crtc..)e.r.o snlesu no hrteo tpoino ta lla sfti uyor ecas srtif dlrUWo ash iuosqtnes ggoin to octur sa eth grhit nwares !vnee uBt in lal fo t,meh ti wsa vtniede that no ertoh tponio cdulo emoc seclo ot neibg /tiolinaelgeae//ltccylhilpe ectorcr.

  2. oinstpO atth ysa - uas/kceaoeeusindnrrsesd/csg/o - are ylawsa .ferrpeedr motmiouCinnac = Keyt ouQeniss

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regularstudent  I levo itsh almo. I asid spto nbicriekg eecbusa I htotugh it dlowu be cfkedu pu ot ask the sntpera aoutb woh ethir 'ikds seaiedtb sha depimact hrtie .ei fMalmy ":So hwo sah sith dk'si dsseiae adpietmc oryu il?"fmay !n eOhr"taPs w'ree utoab ot docrive uabcees of isht nfkuicg .kdi e'Ssh a nacostnt ,stssre dan astht' wyh ew osatltnnyc thgfi, neve gridnu nendri dna ta hte oroc'std !ffeoi"c +4
unknown001  o.ll thsi tcemonm amed ym day +



 +3  upvote downvote
submitted by subclaviansteele(11)
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h..Ug. ogt tprpdie up ihwt r"eefR ohtb tnepita dan erh erapnts ot a "iicedtani

rOev I..hngiin.tk huthotg het suerco of thier grutenmsa weer ta meal tsmie lse..ap.yoeiscl yebma eyht cna find a good sonoutli thwi a incdat.iie

sOMCAC RAOZR ITHS I.HTS ekpe ti ilpmse upsid.t eTh snrwea fist het tesb rtafe re dreigan ti.

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nwinkelmann  MAES.... !hgu +
johnson  Alos - r'yeuo msolat VERNE rfprnarsngis/geei no a ettpnai hwit eht MSUEL. +9
bmd12  eTyh rea ta emal teis,m chiwh is wyh s'hes gvhain idculfiyft nlfglwoio eth sbrdepeicr eitd bc hre sreanpt ear ranuggi gduirn ttha itme so ist uliftfdic ofr erh ot cryerlotc utcexee it wnhe rhyeet ayltnnctso ienbc,irgk nad cb sh'es oynl 31 os esh atnc eecfiyvetlf anmgae rhe tide wtouhit the eplh fo reh nrs.epat dnA cnesi eth tide hsa bnee gniwokr thiw het nepatit poirr ot all eth ,inrbigkce uoy can smaues eht edit si ton teh orto e.suca +1
jamaicabliz  eht laeunvirs nocastsn:t etD,ah s,Taxe nda reevn uiltscgnno eht shteci mcietetom +
meryen13  thta is ieatyllrl tahw I u!thothg athw if tyeh 'otnd xfi tirhe seius nda tihs opor kid ilwl have lciygcme ctnoorl !sussei fgiinx amiylf si nto a one dya kowr! ifx csgeolu fsrti dan rkow no iaylfm sueis rveo e!!se!wk satth( awht 'llI od in rlae flei) (((((: +



 +0  upvote downvote
submitted by ∗therealslimshady(42)
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uYo cna tlmieiena C esaecbu erh adebsiet wsa ellw rlocotlden in eth sp.ta eTh fcat hatt eterh is rssset in ehr flmiay nda seh has orop solcueg otolrcn esllt uyo ahtt the her orpo clusoge contorl is nyecosdar ot the sesstr ni her ya.mfli So you ntaw to ifx teh eral prolebm, dna ot od i,hst you eedn roem orntomiinfa tuboa t,i so kpic B, sa ne-odnpdee uonssitqe llwi lwasya vige teh snhpiicya emor gihsint ot wt'sha ingog on dna etbtre eb bael ot dedice hwo ot ctlkea hte molebpr

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 +0  upvote downvote
submitted by ∗hhsuperhigh(49)
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The dtei si sicedpr,ebr os no ende to frree ot eitiindca eny.mroa It is a esac of the tnpteai mccanoonnilpe- of td.ei tBu yhw antc' avsdei eht etprnsa to psto ngkcbieri?

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therealslimshady  I rerememb osdraB adn onBdey idas taht yuo eevnr wtan ot kipc any tsmnattese taht unods ""igd,nlcos splu ti cntuol'd eb umhc elhp to sjut sya "psot grn"aig,u tsi' tberte ot dnfi otu inootfamrin no ht'was cigsuna eht giunrga os taht yuo nac opst ti etrni,ley hhiwc hoiecc B lilw ollaw oyu ot od. +
tyrionwill  estsrs si hte nhtig ot rweso teh dninocito of MD, dna ilwl eb rtetbe freat eignb ,nese drmotcof,e adn dep.caetc +



 +0  upvote downvote
submitted by ∗thisshouldbefree(51)
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I deatslrnta ecohic B to eht" aepsnrt rea gigunar tbaou ierth lcidh dan fhreroete yb gynsai thsi i am agdind eful to teh ri"ef I oehsc A aesebcu i iugfder tgnih are enitgtg ehated dan theeerorf odc udsolh rty to cmla ngthsi wdon feebor dipcgeoren

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 +0  upvote downvote
submitted by ∗unknown001(9)
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eomeasw alagoyn . 3 espts ot itsehc

  1. tsale olhesas rewnsa
  2. ottlisep
  3. on orhts ctsu ( ikel kaet eth grnleo redahr tsom pkniltngyasia lficiofa rtoue to nay prss)o.ec

s.p astl itnpo, yuo illw ees tsi seu ni roeth snq,oiestu ton tshi one

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