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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 just gothuth of a wya to heu)fllo(py odiva tgigetn htees ytsep fo esnasrw w.orgn tisrF, nwhe I dear etmh I alwyas oolk rof teh tslea "oles"ash s.rwean heT,n if 'eroyu ltisl ,kustc rty ot tup het aestnemtt nito a qetuo taht oyu dwlou sya ot a ntiteap as a ypcsinai,h mmigernbeer htat enee,d-dnop nntmogeujdna-l einsqotus rea laed.i

The ewansr ofr hsti codul be dhpaers sa a ttntaqiensmsoue/et yb het drooct, ot teh ai,mfly as ellT" me moer atobu woh ihts gcinipmta oruy myfial dan ydali l"e.if Hda ti nbee dehrpas lkei ht,ta I EFNDYILEIT tulo'dwn hvea ntoget ti n.orwg I lwudo ahve nerve even dha het tyoppoinrtu ot eamk na isntsmapuo bauto hte m'silyaf nggifhit ibeng deu to iedt eornccns adn uhst ngednie a ouinitnttsri ferlaer (ichhw is hwta I sc.o)eh

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usmile1  I tikhn eth soanre adnietici was otcrernci si ecaubse ehs has dha esdeiatb ofr 6 yeasr dan erh taisdebe swa elwl lrlntoecod thta irente .meit enTh rof hte stap two htsmno rhe closegu orolnct has nebe opro. sThi is poninitg wsatodr teh uesis NTO biegn thta tyeh tndo' nokw owh ot gnmaea hte abeetids so eirrnefgr to a eintcaidi 'lundtow eb .ufluse +6
tiredofstudying  /9901909. smite het rwsena lliw vrene cedilnu rfearl.re The noly nosaer I od ton asy 00/1001 is uabcese rthee yma eb na nrsaew eno day tath is to re,erf utb rghthuo all of WU, x,R adn ENMB ti ahs veenr ebne to ,reerf so do thiw that fion tahw yuo lliw +5
gutierreznar  htghuTo tuoba tespnar gftiingh at amlse ude ot ynoem eisuss fo erh sleiacp dtie os tyhe slohud scsuids it tiwh eht tdetaiin ot ytr ot swthci ot a hepreca .ietd tnniveighOkr a bti lol +



 +5  upvote downvote
submitted by targetmle(10)
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onS'tuldh we tfsir srdesad eht suise by orntcrgcie ehr cleuogs lveesl yb usargedtnji luninsi adn ehtn see hatw rea het bsrolp?me

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am4140  ihsT is hwat I ipkced nda tahw ’dI llist kpci ni elar lef.i heT ftca htta erh iesatbed wsa dreonocltl rfbeeo ’snetdo aghnce eth fact htta ’its not loroenldct o.nw.. yabme we culod anhceg het nliisun back ot hwta it wsa fetar ehty get rheti afymli sssiue fi,xde tub hte pieans’tt maiidemet bolod sagur levsel eden etmnattre MI.O ’Im sujt iggno to ssim teseh iteoqussn ,rferove I h.kint +1



 +3  upvote downvote
submitted by sabistonsurgery(5)
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To get chus uvega eusnqsoit :tigrh

  1. rsedinoC ynsgia all the nessatttme ni teh nsaekstri onte olesibsp dneur oury heartb an(terstla ot rtmoeh ungeot fi IGM fro bnous f.c)eeft

tS"op Begnickir" - liweh a,ysgni d'otn you egt a ihtn fo ,retailnsamp eikl teh oorctd titgrnea het antpers sa egenstrea e.svhsleemt ehyT rae lyflu nugpwro- tl;smhevese eyht kwon hyet 'nodlhtsu !crkbie

  1. otD'n oosehc the errfe nooitp no pSte 1 9(%9 fo het tiem .oce.c.rt).r suelns on ohrte oopitn at lla ftis yoru asec istrflrW odU ahs qoitsseun iggon to ocrut as eht hrgit resawn nv!ee uBt ni lal of mh,et ti was edvinet thta no ethro pnioot ucold cemo cselo ot ibgne lgi/hl/eecloyleiti/ncaaptle ccr.oetr

  2. iOsntop htta ysa - eds/aed/ceusekrsogo/iraunsscn - era yaaslw efrrerp.ed acitCnmmuonoi = KyetisunesQo

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regularstudent  I voel hits oam.l I dasi tops kigenicrb beusaec I tohuhgt it wdoul be dekucf up to ska the prsneat otuab how ehitr dk'is bedaties ahs tadciemp etirh M faeyl.im :S"o woh sah sith k'sdi disease aedtcmip oyur ya?fmil" ta"Pn!sO erh 'ewre abotu to cvriedo sucbaee of hist fckguni d.ik hsS'e a tatnscon trses,s and htt'sa yhw we nytalcston gt,ifh evne rigdnu nenidr dan ta the rostocd' !"iofcef +4
unknown001  .oll ihst mncemot daem ym yda +



 +3  upvote downvote
submitted by subclaviansteele(11)
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.Uh.g. otg eptrpid pu hwti "freRe both ettapin dna ehr nsarpte to a daeitnic"i

Over h.ini.kgt.In thhugot hte cesruo of hteir mentgasur rewe ta amle smeti aps.o.seecl.iyl ebmya etyh acn ndif a odog soulinot ithw a t.deaiiinc

CsACOM RAZRO STHI TIHS. kepe it eisplm pti.usd Teh wrsnea tfis the etbs etraf er engaidr ti.

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nwinkelmann  E.S.A..M guh! +
johnson  Aslo - yroeu' msotal EVREN /pennseggrifrsiar no a taepnti itwh the SLM.UE +9
bmd12  ehyT aer ta emal ,mties cihhw si why esh's ghvani iludfiftyc wogoilnlf eth drecibesrp tied cb ehr esrtanp are ugrigna ngudri ahtt time so its lfifuctid for reh to rcryolcet eteecux it henw yethre csnotalnty enrikc,igb dan bc hess' olyn 13 os esh tnca vetcieeyffl ngeama reh teid totwuhi eth hple fo ehr .psentar dAn isnec teh itde ash eben inrowgk thiw the tpteian ropri ot all hte nicrib,keg oyu acn aemsus eth tedi is otn teh roto uea.cs +1
jamaicabliz  the alerunivs onst:nsact tahD,e ,aTexs nda vreen snucgitonl eht etcshi tcmetoime +
meryen13  that si iltallyer whta I gh!ohttu waht fi yeth t'odn ifx itrhe siesu adn itsh opro dik liwl evah ecgliymc otorlcn iuss!es nfxgii ilafym si not a neo ady o!rkw ixf oselcgu irfst dan rwko on yalfim essui eovr seew!!k! t(tsha thwa l'Il od in earl elif) ((((:( +



 +0  upvote downvote
submitted by ∗therealslimshady(42)
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uoY nca mnitileae C buaeces her atebsied was llwe nrcdtolelo in het stpa. The tafc tath erthe si srstes ni hre mlyfai nda hes ash ropo sgcluoe olorntc llets oyu ahtt eth rhe opor lseocug crltnoo is scrnaodey ot eth rstess ni erh .flyami oS you tawn to fxi teh lear el,pbomr adn ot do ts,ih ouy dene oerm itfnirooman touab ti, os kpic ,B sa dnneop-ede tqsnseiou ilwl ylsawa vegi het nyhpisica emro tshgiin to wtha's ogngi no and eretbt be labe to iceded woh to kltace teh eopmblr

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 +0  upvote downvote
submitted by ∗hhsuperhigh(49)
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heT tide is ,irbrceepds so on need to ererf ot aciidneti yrmo.nae It si a case of eht ntetiap nceamp-ioonlcn fo di.et uBt wyh c'nta daevsi het nastpre ot pots ri?nkbceig

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therealslimshady  I rbmreeme doarBs nda ydonBe adis thta uoy eevrn atwn ot kpic nay tesatmetns ahtt nudos lois""n,cgd ulsp ti cn'otuld be umch ephl ot tusj asy sp"to gaig,"rnu t'si tebret ot ndfi tou oonnifaimtr no ths'aw aigncsu eth rgngiua so htat uoy anc ostp ti ry,teleni ihhwc ciehoc B llwi lwlao oyu ot d.o +
tyrionwill  tsessr is het inthg to seorw the iooictnnd of ,MD and illw be retebt aretf geibn e,sen ,mfrocodte dan .pdactcee +



 +0  upvote downvote
submitted by ∗thisshouldbefree(51)
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I eldsrtnata occehi B ot "eth tnasper ear nuiragg utaob itehr ihdlc adn eroreehft yb yigasn tshi i ma dindag leuf ot the eir"f I csohe A aeeusbc i uegidfr hingt aer tgentgi aethed nad rehtoeefr odc ldhsuo ryt to lamc tnghis dwon eebfor pcneoedrgi

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 +0  upvote downvote
submitted by ∗unknown001(9)
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aeomsew olagnay . 3 tpses to ehcsti

  1. aslte sehlaso erwnas
  2. litestpo
  3. on ohtrs tsuc ( klie keat eht roegln aedhrr somt alntiyisnakpg aliifcfo urtoe to nay r.ose)scp

.sp alst ,intop you lwli ese its ues ni oerth sno,qsueit ont siht eon

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