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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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uosiqnte si siknag 'wtash eth sbte ntex etsp ton rseyesincla hwat si the tbes gidoisantc t,pes ihchw is sthwmaeo fo eptS 2 otiantor heslf niqtoues (for polepe ohw etksa peSt 1 eatfr antsrio)ot. TDL,R tbse XTEN setp is talk ot her rtfis at umiimnm oyu dene to dmntereie if ehs has .ypacicta

Wehil teh nietpat ash teptry dab ES:MM

B. Is hte etbs xten .pets ouY edne ot ssucdis whit hre .itrsf t;g=& rdieetmen reh ndioesci kniagm ctpcayia ;gt=& tenh repdoec threewh ot isucdss htiw rhe rgduheta )(.A

mbLuar pncuerut si the bset aoictsdgin epst. oHrwe,ev ni siht uosnqtie reht'ye nisgka uyo thwa ouy need ot do to enve orceped ot tihs epts. ..eI get her yacitpac ehtn yuo nca eedpocr ot ulbram. shiT is baucees ualrmb trcpeuun si erom evvinias dan lol'yu edne to eassss ayaicpct as ewll as egt riehte erh (if ehs ahs ip)tacyca or hudegar.t

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 +1  upvote downvote
submitted by centeno(3)
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I uhghtto ahtt the ntciivoeg rnitmimpea dluco be hte atiamintosfen fo r.sihenoslypui nI odn,tiadi het orctdo suoldh lkta rcidtyle ot hte tetipan to chkec rfo xlaesu ub.ase

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j44n  ehT imumamx SEMM ceors is 03 o.stnip A ocesr fo 02 to 42 sgessugt dilm ,taemnide 31 ot 20 sutegssg etaedmro tmn,deiea adn essl naht 12 enidtasic evesre deament.i nO egra,aev the MSME csero of a onsrpe ithw Azlehmri'es ecldnsei bauto owt to furo itspon aehc r. hysaee ynlo ash mild miede.ant I adh ot oklo hsti up she uldoc tilsl nraite rhe aicypcta +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)

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 +1  upvote downvote
submitted by ∗lispectedwumbologist(122)
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aCn nydbayo ielxpan isth eon? I tpu rptaedee ttsse beceusa I emassdu an -3olr8e-ady awnom is an naluusu aghpoceimrd rof isisl.hpy

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m-ice  38 hgimt smee na oucnnomm ,gae tbu ew dotn' kown rfo eurs her lexusa .sioryth ehS lony elcnrtye (8 mhstno g)oa edsartt gshwoni omse sngis of mlid cenvigoit mrpt.iemian eSh has lal eesth utlssre yipmignl atht she sha lyii,sshp so het somt klyiel erawns si thta esh sha sslyph,ii so we dohlus asepk ot ehr rvaeyptil oautb erh xalues htsi.roy heT sttse n'dot clesrsneaiy saemn esh tog shisilpy ervy ntyr,elce ts'i slobpeis she's had ihlssiyp orf a lewih adn evenr otg rteadte. +5
mousie  I desaunnrtd ttah she cdolu slsyobpi veah lysiisph btu I aosl put reatep tetss cuseaeb I onwk eehtr aer a few hgtisn thta cna acesu aslfe oisviept RVDLs utb if ehs aslo sah a + RRP edso sith keam a PF ssel y?kilel dnA also if hse ash diml cetivogni npemaiimtr oyu lilts iuscdss whit erh ton rhe ahdrgute otcrrec .?.. +4
m-ice  sihT dyneetlfii doulc eb a sefal vepisoti, tbu eorebf we twna to dcnoersi ti to be a saelf ,epstvoii ew olsuhd ktla ot eht entpait oautb it yaltvi.rep Aiumnsgs tath ist' a fsael tisoiepv rfeoeb skiagn eht tnepait otuba it oludc ydeal tnmraette of rhe si.lihpsy er'hTes a hcncea seh di'dtn tawn ot eidscols hre saulex rihosty ni tornf of reh ethraugd ro eymab ehs saw adrmerssbea ro dn'tid ithkn it asw toatmpnir to dn.t nnimA e o ey'rou lyoabustel ,grhit she nyol ash idml tvngeioci naemr,ipmti so we smot tildifynee dhsuol atlk to the teitnpa onale hitouwt reh tuedrhag si.rft +4
seagull  ehS has i.eandmte eSh estdon' evah eth ccaipayt ot eerdentim rhe onw erac 22/(30 )MEM. I lfee the uthegard dhoslu evha eth wdro no het cear ncsei aGdrnam kyilel nes'tdo vaeh the yiatcpac ot eadtrsunnd hre ns.catoi +5
sajaqua1  omFr hatw I mrr,beeme nametdei is callptiyy a baimcntnioo fo piaridme yoremm d*a*n iemirpad hoghtut eeo.sscpsr rThee is gthonin to cdteiain htat teh tatipne hsa pmaideir ghthout e,essropcs nda teh merymo pmtnrimaie is onyl mdil. hTe eattpin anc ltisl lbyresnoaa adsi to be tet,mcenpo dna so ehr treavip onimrnitfoa lhodus eb sisdseucd twih hre ael.no +12
yotsubato  deElr erac hmoes or lldreey iciemmtsnou ltacyula ahev a ghhi taer fo DsS.T urnTs ,out enwh ouy tup a cuhbn of ii/rdwcwveoddedo sdutal orgttehe in a mcuiotynm yeth vaeh se.x +12
yotsubato  Atnioaiy,ddll uyo duolsh eesrpct eht pviycar of a eenpmctot tauld hitw "Mild momr"ey piiamrt.emn I onkw I ocldu have imld yrmmoe tpamimrnei esocinndrig het rapc I oftreg dysigntu rof tpes 1 +14
drdoom  sgleu@la ianmeetd ≠ naeebsc of ctemenopce -- eth owt rae taasrepe csenpoct adn ahev to eb daluavtee dnlndeypn.eeti ees u/hgidn4b/rncioi7/mev:m/l.?.h0htt0o3erup=.D0ss adn Dvint./rh//i=uoodem?s.u7s3gt.cb6:04eihlpmnh1/r +3
wowo  osla atirpnotm to eno,t d) etpdreae ssett si aols iencctorr as teh nlrhoaamuieiggmtoictn sayas si a taoynrrcifmo trmelponae etst (olnag teh mase nseil sa AT)-SFAB -/lyl.a8rhhh9uotfat/.g/h/s5emihwthwrowerplat:w3b +5
sunshinesweetheart  a.ol.s.. I ntkih we anc musaes ahtt eteaepr"d stse"t enmas ratepe LRD,V tno "ldnodataii tsest ot uler otu alesf viiess"otp +2
imtiredofstudying  the eniter ontip fo iths oteuiqns si ttah nhew uoy see na STD ni na ncduepexte iergadmhcop cedh(lrin, eldrl,)ye NTHKI USELXA USBEA +

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)

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 +1  upvote downvote
submitted by ahd_ve(7)
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teh imna glao rof htsi etsonqiu si ivdoa dscgsiusin isssue iwth vserleati httuwoi teh tsatn’pie esp.onirmsi tub omes elopep weer pdleye dchesko to ees hatt a etmargronhd hsa sy.spilhi twB I elave a ilnk of a heerarcs abtuo ainicCll Uyititl fo the i-intnMMlea utsSta natEixamoin hneW esnsAigss osienn-DikcMgia .paca tyCib9e3mrj78/2s71b/.s1o9/a774pdo.u.sa12lp//81/t0co90suhg:7nt08ia

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 +1  upvote downvote
submitted by komodo(4)
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I hknit oen fo hte onscsnouif hree is atth the otlirnmaiaemcihgonugt yassa 'tosned einslaersyc tiaiednc teunrcr ifinctnoe twih pi,slihys uabeces apneetlmro tsest cna tsay oivtpies neev orf areys ertfa trttmaeen (//ce9Co5Pli/b:wh2wi.lvamphg/mp0ncrt.cMw0snn/t0is..2/tTha t) in moobc iwht eth reyv wlo RRP retti odclu dtciinae taerdte ilyphiss. So lelray het ebst hngti ot od dlouw eb ot ksa hte aetptin dtreycli btoua ti foerbe uyo aswet emit ongdi sbypoisl neasryusenc gnisett (nda I lwodu dnyilftiee ksa ehr ydrlteic cnise omst lpeoep dnot' klta batuo tehri SIsT htwi teihr rndc)lehi

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 +0  upvote downvote
submitted by ∗deathbystep1(21)
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oinopt )B ht(e oercrtc poinot sa per b)men et:h pattein sha a inim emnalt satet of 3,302/ os htat uhdosl amne ttha hse nit's baapelc of gnamki rhe nwo ssciine!do so shawt hte nitpo ni glnkati ot hre ptvreyial uwhitto erh dgea?truh

inptoo A) is wogrn uescabe oyu ctan jsut hedi teh gaissiodn romf het patinte nda harse ti tiwh het fmyail

ontiop C ;am&p )Douy toncna sardregdi the ttse ro pearte hte estt as both eht tste era e,oiptsvi RRP si a nicregsen sett htiw esls cstpiiicefy tub ocmltaohnnegimutiirag si a lyhghi fpsiccei estt os seh eiytefldn ahs ssyliphl!i

ptoion E) osndet eamk esnse usbaece yhw wdolu uyo od rbulam cnuurpte ofr ?hiypssill!

i ihtnk yeth gtrofo ot vgei an tponio F) jtus kareifn ttare ehr rof lh!s!sliyp!i

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saturdaynightpalsy  enPit"tas ihwt tpssedecu hpriuosiselyn housld ueogrnd rbumal urptcneu dan sutubeqens LVR,D BSAA-TF aonrd/ CRP fo rabrnesocepil "iuldf pre my nstoe and hte rLu ieatbmnrtne enuurptc si uesd ot denasiog lohusiiersnp,y os tats'h whta I up.t +2
saturdaynightpalsy  oT dda ot t,tah I nidtd sehcoo hte ohret saerwns ouy tdlesi fro eth saem eaossrn uoy li.setd +1
ac3  hihcw fo hte gwlolofin is teh ETNX ETSB PETS eangimn yuo tlwdnuo awtn to upjm htsrtgia ot a alrmub uutrencp yliescplae ehwn rethe aer anwres scehico thta esutgsg issdcignus eht dsgiinsao wthi hte pntteai s.frti If oyu etwn ot the crtood and thye esigodan oyu ehty iwll sdcusis htis ithw uyo rebofe drrngoei aianidodlt tnstgi.e +1
yerpderp  /2033 is also stju mdli oiencigtv inmiaeprmt os I tujs ghothut hse tisll had inscdioe kinmga tyailbacip as 23/40 is lslit mnlora +3
cbreland  erA ew excedpte to eernpirtt CIM sserco +
madamestep  iMld moemry mnimpaerit esod NTO eamn edsaceerd ndeaoiiksc-ignm c.ypaicta An 38 raey odl twhi an ltmaos rnalmo tlmnea ssutta eaxm how mebay has a enw fioynrbde ta reh srgnniu home lbaybpro u'nwtdol anwt erh dguaerht ot owkn atht seh ash an T.IS And if stih si lerde bsau,e oydu' olsa wnta ot aktl ot reh avyptriel ot ees if ssh'e aef.s No ttrema t,hwa edlro daustl hwti dmli ianmdete are iltsl nmrlao pploee adn oyu dnee to seasss eirht nkdenmigic-oisa pcyaiact csienodi ot ns.dceioi hTsi nomwa somt ellkyi has hte itpcayac to eciedd fi she wstna to urdogen yiplsshi enm.trteat +


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