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Retired NBME 21 Answers

 +6  upvote downvote
submitted by โˆ—imaginarybanana(30)
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nt'od eb a kc?di ton rlylea resu tahw omre hteer si to .ti eTh ientpat 'ontesd heav nya erhto miyalf os isth mwoan hudlos be eocirdensd imlafy

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aesalmon  iQsenotsu kile htis sluauyl ehnig no ksinag if rue'yo onggi to olwlfo the relsu ro nto ,ouhhgt ouslivoby eht eon sanigk rhe ot eil and say seh swa ehr tsseri is wngr,o tbu eth retrocc asrwen si isybuvool begrknai eht eshcoip c'tneers "cy"poil - eyulrbsmap fi hte shaicpnyi si dnegins her ot pscieoh neth htey ndt'o orwk ehret os hwy dlouw teh r.D eb aelb to ujts llte hre tsi iefn? +6
hungrybox  ,hYea I tog shit eno wogrn tiwh hte msea ocgli sa uyo, n.esoalam +1
emmy2k21  I eygleniun neetipertdr hsti outnqeis as oghuth the wto oenwm weer ni a oiatisehnrpl aceusbe of teh uosetq my" selco r".ifedn I eurigfd ininatsfgci theros uwodl eb weoldla ot sviit mylsip. aH sesem klie 'mI hte onyl neo woh erda too arf ni etebenw the elisn! +9
dr_jan_itor  2y2@mem1k I salo uhtthog the ouestq ipmlied a iaeblns oenpilthsira nad that hte itetanp asw fiaard to ehrsa shit ey(th gwer pu ta a meti hwen it wsa lyveahi .taimd)ietzgs So i was gnkhitn,i of coresu uoy nda oyru lia"sepc nierfd" acn stya etoreg.th I onwk tihs si otn usjt a seaph +10
et-tu-bromocriptine  ytghninA ucillyaraptr nrwgo hiwt A '(Dtno rwy.or Ill' llca uyo ghrti .ya").w.a? tI edseme keil teh ostm naooerfssilp yte rscaiedteon nswrea cheic.o A re we ppsesoud ot piyml atth eeh'yrt rrantspe sbdae on etsho qtootinua amsrk unroad sc"leo "ie?rnfd eBecsau shwoeirte ti emsse kiel oot ulaacs adn essl oilanfosprse atnh ,A slaotm sa if st'i gnaekbri coi.ylp +5
lilmonkey  I acn esawr ttha I swa ihst eaxtc msea iutoeqsn in RODWUL f.robee The oyln noeasr I tog ti trghi sthi i.tme +1
docshrek  k@llmoyeni nca uyo aspeel eivg eht QID for eth oUrdWl no?suteqi +2
jakeperalta  aCn eoenmso lxepina ot em ywh fwlnogloi taipolsh yciolp is hte nrwog sa?ewnr m'I so Alt.ndos ltaneeiyssl hwo is thsi topion ayn ntidefrfe rfom hte lsta otionp hrewe eh skas her to ysa sti her its?esr htoB go antgsia stipolah ipcy.ol Woldu yaetlrg atpaiperce seom gshiint llya. +
jakeperalta  aCn nsmeooe ineaxlp ot em why onlogifwl tialsoph pliyco si the wrgon a?wsern 'Im os Ad.olsnt latseynlsei hwo is this opoint yan trfnieefd ofrm eht tlas niootp hewre he asks reh ot yas tsi ehr tressi? hotB go atgnias sathpilo lyco.ip lduoW atyelgr pcerateiap omes nihitsg ll.ya i.stP: tkurcs me as a mtrcnioa inesrotialhp as lw,el tub it sen'otd learc ym tdbu๐Ÿ˜ญ๐Ÿ˜“o +1
drschmoctor  ap@tjarakele lgwloonFi the atoslpih olpyci si rngow eubcaes it lduwo eb lrceu and sauyicnlrnese dirig to nyde a dying mnawo eth ocrfomt fo erh lscsoet nonaocpmi. ,oAls It luowd be piatenpoparri to ask hte tP ot lie. 's Wath het opint fo mgconibe a cotrod fi uyo vhea to llfowo emos SB rcpooetra olicyp insteda fo gllanci hte tossh adn diong ighrt yb ruoy ?ptensiat +1
peridot  Ya iknda mbud taht lsayuul NEMB slluauy elslt us to vnere breka the lrus,e eyt hree i'st neludyds ko. utB ehre het narose ofr tsih cepnxtoei is tath ilhwe olny ""filamy si ,olaldwe a asbleni nhrptaieolsi isifuaqle eht ir"df"en sa aimfly eth(y sutj erwe neerv licalyfiof olenackdwdge sa laiemryri/dmaf eud to smigta ro tates w,las hcwih icstyeo irzenoecgs tdoay is bmud and oetu.atd)d s'It a uditps natcileytchi that ehr cginfsaitni ertoh s'tin ldewaol to tivsi as a iyalfm reemb,m so heliw we ulaysul enver tnaw ot rabek ls,reu tsih eorsaicn wolsflo eht "ir"sipt of teh lue.r Puls i'st a lreayl ereexmt eocnarsi ehwre hte nwmao is ndigy adn stuj nawst to pnsde erh slat tsonmme iwth reh lodve eon and ti wlduo be oto lceur ot edny oseomen ah.tt erehT si on lei nlve,oivd hhciw dniak aeelsv nope the ncaehc fro teh utitsnaio ot eb celdaer pu if wrsoe osmce ot rtswo. sihT is ernefftid mfro E cwihh is a ratitgsh up il.e oepH htat hdlee.p +1
kavarthapuanusha  eWll i am ignwtir htsi after tneitgg het ansrwe ngrow nad aertf wkon hte thirg awrens , i iankd ktnhi sti sdtiefi.ju zCo htye deotmenin ist pe,hcios if ni chosipe any anmuto fo aipn ctianmodei si eladwol , ehtn tshi losa odhlsu be wdloale , elfralta inam mai si ot ooctfmr het ttp!aeni fI ti ewre aym eb ewlheseer ehtn nlloiwfgo ptioaslh loyipc yma be itrgh , tbu ieocshp awylas niteaspt fctormo rfsti so asemk n!esse Al so sit ehtre in bnme 71 , so tnod royrw if uyo gte it rwnog . +1


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 +6  upvote downvote
submitted by โˆ—pg32(218)
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Teh yoln awy ot gte stih notsiuqe rocetrc is to krbea het luser of eht ioehpcs etnecr ecbeasu you umdsesa hreet asw a iaomtrcn poianertislh neteebw the .mowen noCdu'tl eb omre tfsaiagr.ohrwtdr

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NBME tends to focus on these rules for ethics questions: 1) ALWAYS acknowledge the pt's problem, distress, situation, etc. 2) NEVER ask the pt to lie 3) NEVER be a dick. The answer may sound robotic, but should never be mean. 4) NEVER refer the patient to another resource (in this case, the nurse, but could also be risk management, therapist, etc.) 5) COMMUNICATE with other clinicians/experts, etc. to resolve issues. Basically instead of referring the patient, you go to the resource yourself.

Is this how it works in real life? Am I ever going to need to need the TCA cycle after Step 1? Probs not.

+5/- anjum(36)

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 +0  upvote downvote
submitted by โˆ—syoung07(58)
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sihT mroe or sels islere on htwa ouy enitrmdee eht dntenoifii fo fim"aly" to .be rWhehte teh pt nad hre nirdfe ear ni a cnrtoaim ehiniortpals or nto yhte gbryaula rlye on ahec eorht as lyimaf emrsmeb wlou.d

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 +0  upvote downvote
submitted by โˆ—beetbox(6)
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Wlle yeth rea otn llylage a imlfay tey ad(n yes ti is very uensgttpi dan arfniu) adn hte oortcd raitibyrlar nvrilugreo eth csioehp itaficly lesru gcdconari ot eh/hrsi wno gjtnudem oddnesu orgnw to ...em I 'dotn ...wkon nI asce yntihnga ahesppn nad eht fciatyil fdnis otu oatub sit,h tdounwl' teh do'ostcr ass be no eth itrsf neli no aluw?isst Dose '-DniBDt-cAkoe- urle laos ppayl where yuo may anoeilltpty slahc whit rleus dna lwsa as ll?we :(

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 -1  upvote downvote
submitted by โˆ—zevvyt(45)
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fO lla eht stghin yteh cna ttse su o,n rehet'y isgtnte uro ugkcifn ar?a?Gd

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peridot  nDt'o mean to eb na eegar raeevb ubt I thothgu it aws etyrpt colo ot teg teestd no uor ga!dyra I ikhnt hsta't an omiaprttn ithng ot cikp up .on As rfo theri senarw s,ecocih 'Im nto slaway hte egstibg afn of eosht ecins I ikhnt etsher' roem hant one rgith yaw ot do stg.eho.min. +4
yesa  @etvyzv I elalyr do'nt iknth hety .rea 'Iev deon my litaenrn cdeinemi atonotir dan psetn two kewse on ldsio onc erwhe lla my niaetpst ewre ertlnmi.a tI on'sted tartme fi the ilertiosnaph is camortin ro t,no nda het aosern teh fdirne olhusd tge to asty iwth eth pinetat it'sn os eht nirdfe anc eb dutadep on the atepitn's n/oticenidorac mroe 'ylia-s-eist ot vepodri mcrootf dan snopophimaicn ot the niaeptt as esh cseaf a acsnnott lpihlu btlaet hiwt ehr di.essae The tlyquia fo eht ten'psait lfie si notginetnc on ushc pesreseponcux/ripet if htsee era rtmtnpoai ot her. +1
sunnyside  Y.s.kie. tsi' icsntdiecorng erdiagn siht omfr a eionpttal feruut ocelgaeu.l breTelir ejko fi ta'sth what uyo were goign or.f oBooo +


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