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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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submitted by peqmd(75)
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oiquntes si agsink sw'aht eth best xnte stpe nto aelnsyeircs what is het tesb ignidsotac s,pte hcwhi is wsthomea of tpeS 2 oaottirn lhfes qotuiens fro( poelpe owh ketas epSt 1 rtafe .snoarti)ot L,DRT sebt ETNX setp si klat to hre sftir ta muniimm you nede ot eimteerdn fi hse has ptiaycac.

hiWel het eitptan has ttrpye dba E:MSM

B. sI het etsb tenx se.tp uYo eden ot sscuids tiwh ehr .sritf ;g&=t deemterni ehr eisicndo kgamin iaycptac ;&=tg nteh edeocrp twhhere ot scusisd hwit her htradgeu (.)A

mLarbu ruuncpte is eth sebt sicidogtna spet. ver,Heow ni shti uitsoneq erhye't skanig uoy hawt ouy eend to od to vene pcedroe to ihst .pest I..e tge her acytcapi etnh uyo nca cpdoeer to m.urlba iThs si baseecu bamulr rctnuuep si rome svivnaei nad y'oull deen ot asssse ptaaccyi sa ellw sa tge ihreet erh fi( she has )taaypicc or u.htrgeda

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submitted by centeno(3)
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I huhtotg htat eth goivietnc ermpniaitm cuodl eb het anitefostanmi fo lpyssonih.rieu In nt,aoiidd het orotcd lhuods klta elciytdr ot teh ittnpea to ekchc rof xeusal usbea.

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j44n  eTh ummimax MEMS rosec is 03 otsi.pn A roecs of 02 ot 24 stgugses imld ndm,eiaet 13 ot 02 uggssste reaoetmd ,aidmeent dna elss ahnt 21 idseitanc erevse d.timneea nO geevaa,r teh EMMS recso of a ornpes twih eh'szrieAlm ecslndie oatub two ot ruof niospt ahec rye.aesh yonl ash dilm edieat.nm I ahd ot okol hsit pu seh ludoc sitll nitera erh aciapytc +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.


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submitted by lispectedwumbologist(122)
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aCn dyoyabn lanipex tish neo? I upt edrpeeta sestt ebuseca I emssadu an e3oald8yr-- wnoam si na luuanus megdprhcoia for siislh.yp

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m-ice  38 tmigh mees an noumncom g,ea tbu we tdno' owkn orf uesr erh slaeux tsyiho.r eSh ynlo ryetlcne 8( otsmnh a)go tdatesr ghnoswi msoe nssig of dlim cnietgivo .pateirmnmi heS hsa lal teesh uetrlss inlpmygi atht ehs ash yspilihs, os eth stmo eyllki sreanw si htat seh sah hps,ylsii so ew shodlu keaps ot rhe trlvpyiae otbau ehr aeuslx oytsih.r heT ttess nto'd lescniasyer names hse got ilsishyp yrev tencl,yer ti's lisoesbp h'ess hda yslphisi ofr a ewhil nda evern tog .aterdte +5
mousie  I nraentudds thta hse locdu syblpsoi aveh slhsiiyp btu I olas upt preate tests usebaec I wkon ereht aer a wef nitgsh htta acn ceasu aflse piiotsev RDLsV tub if she aols hsa a + PRR deso this aemk a FP less yk?leil Adn laso if seh ahs dlmi ieicvgtno iteimmnapr uoy lslit ucsissd hiwt ehr ton her htdugaer tecrrco ..?. +4
m-ice  This ileidynfte olduc be a seafl pivse,iot ubt bfeore ew tanw to deiocrsn it to eb a lesaf spi,otvei ew ulsohd aklt ot eht tnepait btoau it rilvytaep. gunmsAsi ttah s'it a aefsl eoipvtsi boefer ainskg hte ttiepna tuaob ti ucdlo edyal etaemttrn fo rhe hislsipy. seThe'r a cehacn hse dtnid' atnw to oessldic her elasxu yioshrt ni rnfot of rhe ratdhgeu ro ybeam hse swa earmesrdsba or d'tidn ikhtn ti saw iotrtapnm to dAo e innt.nm eyu'or sblueytloa tgrh,i hes onyl has ilmd itocinvge ripmainemt, so ew mtso fldtenyiei duolsh tlak ot het taptnei oealn twthuio reh gdhrauet .rftsi +4
seagull  Seh ash .etnaeidm ehS dtsne'o veha het ycatiacp to nemeredti rhe nwo cear 2(/230 ).EMM I efle teh hdrateug huosld heva het wrdo no the raec secni amnadGr ylleik edt'sno evah eth apicatcy to tnduaesndr her scnio.at +5
sajaqua1  rmoF ahtw I m,reremeb mdenaiet si cpytiayll a tnooianmcbi fo damrpeii ermomy *and* mdaerpii htogthu srsec.sepo reheT si ihngont to itadneic atth hte eatintp sah ipermiad thhgotu ,osesceprs dna eth ermymo ireimtnmpa is lony diml. ehT ttpaine anc isltl ylrsonebaa idsa ot eb epct,oment nda os hre pvieart tnfnaimrooi soluhd eb csusideds whti reh .nlaoe +12
yotsubato  ledrE reac hsemo or eyllerd uimistcmone utylcaal ahve a ighh eatr fo sSD.T rnTsu ,otu wenh uoy upt a chbnu fo ic/rdowedivdeodw ltduas tegohert in a micyntumo eyht ehva es.x +12
yotsubato  oAdaiintyl,dl yuo sloudh etercsp the ciyapvr of a mnoeetptc ualtd htiw "Mldi mre"omy m.aintrimpe I nowk I lcdou veah mdil ymermo renatmipmi neoniirgdcs eht pcra I tfegor gnsuydti fro setp 1 +14
drdoom  uls@lage daemeitn ≠ besaenc fo etnmccoepe -- teh tow rae reataesp teocncps dna vhea to be tauvaedel etdpdeinnynel. see e.0tmDer?ims//r04/bc:td0nn=gv3oi/upl..hshih7uo nad d.uslito?/e.prhhmihci7bgruo/n.m0s=e3/t/D:v4n61 +3
wowo  alos onapmrtti ot n,eto )d predeate estst si olsa ccterroni sa eht gigiioamlhntcnmeauort asyas si a roofriacmtyn rplnemtaeo stet gno(la eht mesa isenl sa ATAF-SB) .lm.atwsbw//rh8lt-hr:lyuhhorahoehwiwtt/359efag/p +5
sunshinesweetheart  ...s.aol I nhkit we anc saumes atht apreteed" tss"et manes rtapee ,RLDV not idno"ataldi estts to eurl out lseaf otepissiv" +2
imtiredofstudying  het rtneie nptio fo ihts qstieuon is that wneh ouy ees na SDT in na pduentecex hmdcrigopea reh,(cnild )lryel,ed IKNHT XALESU EUSBA +

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


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submitted by ahd_ve(7)
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hte anmi aolg for itsh unqoiset si aovdi gniscidssu suesis ihtw seaierlvt wtiuhot hte tapstnie’ srsipe.moni ubt soem plepeo wree delpye scedokh to ese that a htrdragmeon sah islyhpis. Bwt I avlee a knil fo a sheecrra touab iCllnica Uiytlit fo eth Mlnin-aMite uattSs itaxaminoEn hneW ssigAsens ackiinsioDgenM- ait.ycap Cptc.b8920pj/a7o9u9se.877s2011sanosa:1o/lb.d/0ri/t8m7//4g37h1u

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submitted by komodo(4)
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I hitkn oen fo eth isucsfnnoo eehr is ahtt het imliuoagongtamiertnhc asays osn'dte rsilnceyase tneidcai trrucen ectonnifi with yp,iilssh eeuasbc merlaonept tstes acn ysta speiovti even fro seyra eatfr anettmret (:Mlrim.co/ch/av2.PpwC//gwbp/tnh.wn2l00/tni.9cemss5it0th)aT ni cboom whti het veyr owl RPR etrti ucdol tdiaicen tatered .pslhiiys So lylera eth tesb ihtng to do uldow eb ot sak eht natietp cyertdli otuab it reebof yuo tsawe time gniod slbyisop eacuessrnny ingstte n(da I dlowu dlfeentiyi ska her cdlryeti censi tmso eoppel to'dn atlk oabtu etirh SITs htwi riteh ch)ierldn

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submitted by deathbystep1(21)
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inootp )B e(th rceroct oontip sa epr bnm)e hte: iptneat sha a miin emlant etsta of 203,3/ so htta sdholu aemn htat seh 'istn apalbec of nkmiag reh wno !isoisdnce os whast eth otpni ni nligkat to rhe lptrveayi huwtito her huedt?gra

opoint A) is ronwg beecasu uoy tacn tusj ihde teh assoginid ofrm eth nteatip dan searh it tihw eht faymil

tioopn C &;apm oDu)y ntnaco rdrdisgea the tets or eratpe the etst as bhto eht ttse are o,tevipis RPR is a rsceingne tste twhi elss fcytcpieiis tub truiaahetmcnoimlonggi si a yhlhgi iiepcfcs tets so esh dtileefny sah spl!shlyii

niotop )E nsdeto emak ensse acsebue wyh duowl yuo do rabulm euncptru for h!sp?liysil

i kihtn hyte gootfr to iegv an onitpo )F stuj rfikaen traet hre rof hlpslyii!!s!

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saturdaynightpalsy  "aitPtnes htwi dtepsuesc upisynloserhi lhudos nroedgu rmluab nepuurct and bqentseusu RDLV, TF-AABS anord/ CPR of eisarcobrpnle lfd"iu pre ym etosn and eht tr Lerbnauenimt nretpucu is esud to aeoginsd p,ishuleysroni os asth't ahwt I tp.u +2
saturdaynightpalsy  oT dad ot t,ath I nidtd csheoo the hrtoe ssewarn yuo itlsed rof eth amse asnrose yuo l.esdit +1
ac3  hhcwi of het ngfoilolw is hte XNET BETS PEST gnnmeai ouy nltoudw want to mujp rtshgait to a mlarub eunucprt peeailsycl ewnh tereh ear enraws sioechc taht gugstes uscssngidi hte adgsoinsi htwi hte etiptan .stirf fI uoy ewtn ot the cotdor dan hyet sgdaoeni ouy teyh illw iuscsds tsih hwti uoy ofeerb nodegrri daiodtilan ntsg.eti +1
yerpderp  23/30 is also tusj ldmi nioeitcgv npmtirmiae os I ujst ghutoht she iltsl ahd idoenics ainmkg iiaplabcyt as 304/2 is illts mnalor +3
cbreland  eAr ew epcdeext ot ertrnepti CIM esrcos +
madamestep  dilM mmorey ammrniepit soed NTO neam seacedred kiegacn-idnmsoi tcaiacpy. nA 83 yaer lod tiwh an tsmloa nalrmo emlatn tsuats eamx owh bemya sha a wne ydfebionr ta ehr gnuinrs ohem poabbryl nlu'wtdo ntwa her gadehrtu ot owkn ttah esh ahs an ITS. And if hits is lered baeu,s doy'u lsoa nwat to tkal ot erh etpilrvya ot see fi es'hs fase. oN tramet at,wh rlode tlsaud ihwt mdli netiadem era ltlis mraoln ppolee nad you eden ot esssas thier oeiincmsnia-gkd ctyaicpa osnidcei to ieis.dcon Tish aomnw most ilkyle hsa het tapcyaci ot ecdied if she nwsta ot rgenuod yslhispi t.eramnett +


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