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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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tunoieqs si gniska whas't eht tbes extn tpse ton lsrceiyasne htwa is the btes tsaigncoid t,sep hwchi is whseaomt fo teSp 2 taronoit slefh sqeuoitn rf(o eelpop hwo eastk pteS 1 efrat rtsn)oa.oit LRDT, setb NXTE espt is talk to reh ifrst at uinmmmi oyu dnee to mietrdeen if she hsa tcipac.ya

eiWhl eht tpienta sha trpety dba MESM:

B. sI eht ebts texn t.eps You edne ot sdcissu ihtw ehr tfi.sr gt&=; nediterme reh odsiinec agiknm ctcpyaai gt;=& hetn edeproc rhweteh ot dissscu hiwt erh uerathgd (A.)

mubrLa uucrtnep si eth ebst tagndiicos pset. roeHe,wv in siht qitunsoe e'yther aksngi oyu htaw you ened to do to neve eerdpoc to sith pte.s I.e. gte erh aictcypa nhte oyu can dperoec ot bau.rml ihsT is seuabce amlrub rtecpnuu si emro sivanvie and lu'ylo dene ot sassse aypcitca sa elwl sa etg rtheie her (fi esh sha pa)ccyait ro deg.hautr

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 +1  upvote downvote
submitted by centeno(3)
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I hhotgtu hatt eth iocevigtn mtareiminp ulocd be the anitnftoismea fo rlipss.nyeuoih nI i,nddotia the codrto uoldhs lkta lctiredy ot eht pnteait to hckec ofr esluax uea.bs

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j44n  ehT xummiam MMES crsoe si 30 s.otinp A oercs of 20 ot 24 gusstesg mlid net,aidme 31 to 02 eusssgtg tmedoare inametde, nad sels hant 21 sandceiti eveers .dmitaene On ergae,av hte MSME rsceo of a orneps with mhsrlzeie'A neelicsd ubtao owt to four nptosi haec res yah.e olyn has lmdi e.diament I ahd ot ookl isth up she luocd itlls etianr rhe icptycaa +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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nCa bydoayn xnlaipe tsih o?en I put epaedert setts uaecsbe I esasmud an 8yr-do3ela- omwan is na uaulnsu docarpieghm rfo spylisih.

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m-ice  83 hitgm seem an nnmmcoou ,aeg btu ew dnto' wonk fro eusr hre uaxsle rytio.sh ehS ynlo elnytcer 8( hmtsno )oag retdtsa ngwsiho mseo snsig of dlmi ncveiitog m.eriiatmpn Seh has lal seteh eslsurt nlimgipy ttha hse hsa hiyl,piss os eth stmo yikell nerwas si hatt she ash slyiihp,s os we dlhsuo skape ot rhe lvrpyeita obatu her lexaus tyrso.ih hTe tests otdn' rceysleians msane ehs got slypiish very c,ytlener 'tsi sspeiobl s'hse dha slsihyip rfo a hwiel nda erevn got edtetra. +5
mousie  I dnundreast atht ehs dcolu ylsibpos evah pysilsih ubt I sola tup teerap ttess ebcseua I know ehrte ear a ewf tsihng that acn ausce asfel pvieisot DVLsR tub fi hes aols ash a + RRP osed isth eamk a FP elss ?lkeily And osla if esh sha dmil ivnegitoc mrniemaitp you ilstl sicssud twhi hre not hre rgdhutea trccreo ...? +4
m-ice  Thsi nileetyifd ocdul eb a fsale tivs,ipoe tbu erefbo ew atwn to sdeciron ti ot eb a salfe tispeoi,v we hsolud ktla ot eth teatipn aubot ti .itlvraype uAsgimsn atth tsi' a lefas iseotivp bfoere skniag the npietat utoab it uocdl yalde aeetnrttm of hre .pliyhssi Trhse'e a ecchan hse ddti'n twan to selodcsi hre euaslx shroyti ni rfont of rhe dtgeaurh ro myeba hes wsa esresrambad or tdni'd ihktn it asw aonprtmti to ntmnA oei n. d yrue'o luoylteabs igr,ht esh yonl hsa ldmi tcevoiing mitme,prnia so we tosm nedlityfei lohsud ktla ot the ttneipa aelon hwttuoi her dagrhetu ifts.r +4
seagull  Seh sah di.maente hSe eo'nstd ahve the acctiyap to neeirdtme reh wno caer 2(20/3 EMM.) I feel the datreuhg lsuodh evah eht rdow on eht acer senci radGamn klieyl nods'te aevh eth ptiycaca ot uadntrsedn hre tcn.ioas +5
sajaqua1  mroF hwta I mmeeerbr, iadtneme si ylctlapiy a oiaboincmnt fo pamrdiie mryome nd**a dearimpi otghhtu psse.rosce eeThr si thnoign to icandtei atth eth piaetnt sha maeriipd ohgutth ,scsrpeose adn het yoemrm rmpminatei si olyn .imdl eTh tpeatni can sltil yolbarsean asdi ot eb eonc,mptte dna os hre vetraip ooitianrmnf usdohl be dssciedsu tihw ehr n.aleo +12
yotsubato  rldEe rcea smheo or lldryee meinosctimu autclyla vahe a hhig taer fo .SDsT sTrnu uot, ehnw uoy upt a nbhcu of oicwereodd/vwidd tsalud ehtotgre ni a mouticymn yhet evha sx.e +12
yotsubato  d,liainlytAdo yuo hldous teerpcs het ircavpy of a nottmcpee altud thwi id"lM yem"mro n.mmatriepi I nokw I luodc avhe mdli remomy reitimpamn rsicnengido teh racp I retfgo ngsydtui orf etsp 1 +14
drdoom  gsu@lael dametnie ≠ bseaenc fo tcemnecpeo -- het tow aer arspetae ptecscno dan ehva to eb vaudaetle .ytdeelpendnin see li.0rsm0ni=h.o/sugut?7eDecrm./i4h0dn/tv3:hpo/b dna e.:eob1/c.i?4m0nnDtmlrht//iduu/i.h7=gp6rsohvs3 +3
wowo  olsa trtmaopni to etno, )d edreepta estts si lsoa itnerrcoc as hte thoiigmcengoamtlruani syasa si a trcnrayfomoi rltomeeapn ttes ga(oln the smae sline as SA)TBF-A h5ie9wtaltyw//fl-bo/tghhaprwhts:/3aerhmh..o8rwlu +5
sunshinesweetheart  .s...ola I hnkit ew cna ssuaem thta "rdepteea te"sts nemas reepat LRDV, nto i"odalnatdi ttses ot eurl otu esafl eiv"osistp +2
imtiredofstudying  het eeitrn nopit of sith esontuiq si ahtt hwen ouy ees na STD ni na cdetneuxep aprhegidmoc ilehc(nrd, ylrled,)e INTKH SAXELU UEBSA +

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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eht mian algo fro iths iotunseq is dviao igscsnusdi ssisue ihwt ilvrtesea thuiotw eth nse’tiatp i.snsperoim ubt smeo eopelp were lepedy edkhcos to see taht a oadgernhmtr hsa ypisli.sh twB I levae a ilkn of a rrschaee otbua ialliCcn tUlitiy fo the -MMilntenai Stauts taominianxE eWhn gsssAnsie iasoniien-DcgMk catCypi.a /8eo/t092987ra0bcl8/1.s/ps1s7dinsp4o03o1:/a92.17batm/7uh7ugj.

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 +1  upvote downvote
submitted by komodo(4)
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I tnhik oen of the ssnfuicnoo here is ttah het mlignmachateigrnuotio ysaas oetdns' nlcyesisrae aencditi rnuerct tniocnfei whti isihyslp, sbuecae nlrtoeemap tests can sayt iveptiso even orf raeys tfera nattmrtee (0sb22://icnm/5cnpt0/.cwmltga.hh.rpMewt9oi.Cvl0iPs/wn/ )Tath in cboom twhi the eryv owl RRP ttire udcol naitidce ettedar hsl.isipy oS ayller the tsbe nhtgi ot do wludo eb to ksa eht ipttnea ctreldyi obuat it breofe you awtse imet gniod obplsysi nsyneueracs gtsenti dn(a I uodlw yileftined ksa hre elydirtc iecsn msto lpepoe 'dnot kalt taobu trihe SITs wiht hreti )drelcihn

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 +0  upvote downvote
submitted by ∗deathbystep1(21)
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nptooi B) e(th reocctr oitopn as pre be)mn e:ht aittepn sha a imni lnmeat tetas of 2303/, so atth ohudls name htat she 'inst cbpeala fo aikgmn reh wno sc!ieonisd os ahtws the nitop ni nkalitg ot erh ytelvpira ituhotw erh ?ureagtdh

pntooi A) is rgnwo bseuace uoy ctna sjtu idhe eth giissadon mofr the netipta nda erhsa ti itwh teh alfmiy

noptio C ;m&pa Do)yu aonctn ddersiagr hte ttes or epaert eht ttse sa thob the sett rea ive,sotpi RRP is a ncesngrei tset whit ssel eiccpyitsfi utb linuocohertginamatgim is a hgyilh scipceif stte so seh tienfdley has hli!issply

nopito )E tosend mkae nsese uasebec why luwdo uoy do amlrbu tcunepru rof ypslsi!ihl?

i iktnh tyhe fogtor ot eigv an oipnto )F sjut rnekfai retta her rof hi!lypiss!l!

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saturdaynightpalsy  Pisa"nett whti tsseudcep usepionrslyhi sudhol eroungd luarbm epcturnu nda tusqsnbuee ,LDRV -ABSFTA /nodra RPC fo isepercblnroa dlif"u epr my otesn and het atinbr nmutereL cruutpne si edus ot oisdeang eh,lsosuryinip os th'sat what I tu.p +2
saturdaynightpalsy  To dad to a,htt I ddint oosehc teh ohrte nswresa you lsdite for eth mesa oessran oyu ditel.s +1
ac3  ihwhc of het gofwollin is eht ETXN TBSE TEPS nnagime yuo wntdulo nwta ot ujmp htirgsta ot a murbal pctuernu epscieylla hwne ehert era narwes sochice ttah tggseus ndgcsiisus eht sngdsiioa twih eth ieatpnt t.irfs fI yuo netw ot het otcdor nad yhte saogdnei ouy hyte wlil sscsuid tihs thiw ouy before digronre datiadnoil esitt.ng +1
yerpderp  2033/ si also stuj mdli citeinogv periimnmat os I utjs thotuhg esh lislt had cndiosie gikman iaacyilpbt sa 23/40 si ilstl mronla +3
cbreland  rAe ew xcdpteee to eitrrpent CMI sesocr +
madamestep  dliM rmmoey miraimtpen seod TNO mane eeescardd sikmoadiig-ncne ayaicp.tc An 38 yera ldo htwi an mtaols mlonra lematn attssu amxe owh abyme ash a ewn endiyofbr at reh nsgiunr ohme obblaypr ndowt'ul watn hre tdghurea ot onkw that esh ash na TSI. ndA fi thsi si eedlr seabu, yduo' lsoa twan to aktl to ehr pyievltar to ese fi hes's .easf No tmaert h,taw oledr taldus htiw idml eaidntme rea ltisl laomrn eleppo nad oyu ende to sesssa rhiet gmiscadio-iknne ypatcica inseodic ot sciide.no Tsih awonm ostm eklyli hsa eth acitcpay ot deedci if ehs ntaws to oeudnrg ihsyipls metnae.trt +


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