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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 tujs ohtuhgt of a awy ot fol(p)yehlu oadvi tgngtei hetes pesyt of sernswa gnwor. Fi,srt ehnw I read etmh I aylsaw look orf het stale he"salos" er.sanw nhe,T if 'uyroe litsl ,csktu rty to upt het anettstem ntoi a eqtou tath uoy duwlo yas to a tatpein sa a pyihsniac, irmmbeegner htat pdenoed,-ne ntgn-ndjemalou iueossqtn rae eadli.

heT wsaern orf isth locud be hsaderp sa a mnntsueeia/totqest yb eht t,ocrod to eth mi,alyf as lT"le em eomr otuab owh htis pimagnict your lyamif dan iaydl .e"lfi aHd it bnee hsprdae ilke hat,t I IEDTIFENLY nldotuw' avhe gettno it wognr. I lwoud hvea rveen enve adh the truntpyoiop to kmea an suintopasm uatob eth mlisyfa' hiintfgg ngbei ued ot tied cercsnno nda shtu endigne a sittinionrut ereafrl whchi( si hwta I shoce.)

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usmile1  I hinkt het aoners eitadiinc asw rnrocceit is easecub hse sha dha stbedeia fro 6 yeras nad ehr aebtdies was ewll nlrdcetloo taht netier im.te Tenh ofr het apst wto shotnm rhe lseuocg nolcotr has eenb rp.oo This si intgnpoi radtswo hte eiuss NOT ignbe thta hyet td'no knwo hwo ot gnmaae eht sebeidat os nferirerg to a ntciaidie 'twuoldn eb u.fuesl +6
tiredofstudying  9109.99/0 metsi eht seawrn wlil vrene elnudic rarlree.f The olyn aoerns I od ont asy 0010/01 is cbesaue three yma eb na rnewas eno day thta si to ,reefr but rghhotu lal of ,WU ,Rx nad NBEM ti hsa evern nbee ot reer,f os do twih htta ofni twah oyu wlli +5
gutierreznar  htouTgh aobtu aserptn igthfgni at asmle ued to nyome ssiesu fo hre calspei deit os ehty uohsdl usicsds ti tihw the taidetni to rty ot wsihct ot a heacrep edi.t khiOienvtgrn a tib oll +



 +5  upvote downvote
submitted by targetmle(10)
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tloduShn' ew rifst drsdsea teh sesui yb negcrorcit erh ouglces vseell yb uijgadnsetr nilsnui dna hnet ese twha rea the b?erospml

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am4140  iThs si awth I ikpdce dna awth Id’ lsilt ipck in lera .elif The tfca ttha reh sidtbeea aws nooletdclr feboer d’noets gnecha eth caft tath si’t not oroedlltnc nw...o amybe ew luocd neachg het iliunns kabc ot wtah ti saw reatf yteh egt ithre alimfy issues ,ixfde but teh np’iatste iadmiemte odblo agsur leslev eend tertemant OMI. m’I tusj ioggn ot isms teshe tsusoeqin r,eeorvf I iktn.h +1



 +3  upvote downvote
submitted by sabistonsurgery(5)
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To etg hcsu vaeug nssutioqe gith:r

  1. oneCisrd aysngi lal hte mtettsneas ni eth enitsaksr neto oblspsie urnde ryuo rhbaet tseartn(al to hreomt utoeng if GIM ofr onsbu .te)ecff

topS" rineicg"Bk - ilwhe gni,asy 'ndot you etg a nith fo lprtiaeasnm, elki eth rdotco enarigtt het npsrate sa sengretae mvtle.ssehe yhTe are lyulf op-ruwng emtl;vshees hety nwko ethy 'tnshdolu irbek!c

  1. D'tno soheoc hte rrefe ionpot no etpS 1 %99( fo the iemt crr.ec.)..to unssel on otreh iotpno ta lal isft yuor aesc sirtfdWl orU hsa uosstqien niogg ot toruc sa the ihtrg naswer en!ve tuB ni all fo ,tehm ti was eednitv that no rteoh inptoo dclou ecmo ceols to ngebi l/ihilltcil//aecetaloegpeyn cotec.rr

  2. otOnpsi taht sya - d/aoiea/esgsekrs/snrncsceuduo - era ayaswl er.pedfrre oCtimnuoimcan = Kyeitusneo Qs

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regularstudent  I vole htsi omal. I siad tosp ikbeicgnr ucebsae I hhottgu it ouwld eb deufck pu to sak the renapst about owh tirhe ikds' ebetsida ahs cmaeiptd terhi f.iylmMea oS": who sah htis di'sk sesiaed adecmpti uyro ?fm"layi "a!tsOherPn re'we utbao to crodvei saeecbu of shti nugkcfi dik. eS'sh a scanttno sster,s and 'tstha hwy ew csoltatynn hif,tg evne nrgiud ernidn dna at teh rsodc'ot ci"ofe!f +4
unknown001  l.ol this oetmmcn adem ym ady +



 +3  upvote downvote
submitted by subclaviansteele(11)
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..gh.U gto tpperdi pu ihtw e"erRf both iapntet nda hre tasernp to a ncdiaeiit"

Ovre ghitn.k..inI oghhutt eth csoeru of trehi umrgantse eewr ta lema mstie aoeyli.pssce.l. eybam tyhe anc dnfi a doog nuooltis wiht a itidiacen.

AMCOCs ZRAOR HTSI IHT.S keep it isepml .istpdu eTh eraswn tsfi het stbe refat re eadrnig .ti

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nwinkelmann  A..EM..S gu!h +
johnson  Aslo - euo'yr atlmso EEVNR ggprsrinsfeen/ria no a itpetna tiwh the UESML. +9
bmd12  hTey aer at alme m,site hhwci si hyw 'sseh gahivn dcufilytif niflwogol eht bierpsrcde dtei bc reh satpenr aer gganrui idnrgu htta time so ist ciftudlfi rof hre to rceyctlor xeeetuc it ehnw tehyre olscatnnyt nkc,ebiigr dan cb eh'ss loyn 13 os seh cnta clefytevefi amgane her deit whoittu eht help fo erh pt.rsean And cinse eht diet sha neeb rwgkion hiwt hte npaeitt rripo ot lal the icnirbgke, you acn ssaume eth edit si not eth toro s.aceu +1
jamaicabliz  het elnsaruvi tansstc:no D,hate es,Tax and erevn ngisutcnlo eht thisce tcitmeome +
meryen13  htat is llrayilte thwa I hougt!th htaw fi htey not'd ifx ietrh suesi nda htis ropo dik illw evha gcceilmy cortonl eu!sssi fixgin yifaml is not a oen dya wor!k fix lscegou trifs nad rokw no yfmali eissu rveo !!ewesk! (hastt wtah l'Il od in alre ifel) (:(((( +



 +0  upvote downvote
submitted by therealslimshady(42)
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You can aiitnleem C eeuacsb hre tbeasedi asw llew tcrellnodo in het pats. Teh atcf ttah erhte si ssetsr in rhe lymifa and hes ahs ropo uoecgsl ootlcnr estll yuo hatt the erh proo esclugo rcnotlo si oadncyres ot the estssr ni erh y.almfi oS you twan to xfi eth erla o,lrbmep and to do ht,is you need omre ofrtmnniaio btaou t,i os ckip B, sa o-nddeneep equssotni liwl slaway iveg het aicinshyp meor tishgin to t'hasw giong on dan ertbet be abel ot iededc hwo ot talekc eth opbrlem

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 +0  upvote downvote
submitted by hhsuperhigh(50)
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heT tdei si rbsierpdec, so no ende to rfree to inditacie ao.nyerm tI is a ecas of eht eapntit nmpinnolcc-aoe of e.dit Btu wyh cnt'a asvied eht ptaersn to spot biigc?kenr

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therealslimshady  I remmeber Badsor and Bdoyne iasd tath ouy eervn tawn ot ckpi any mtsanettes taht undso l"o,c"isndg lups ti ocut'lnd be much hlep ot utsj yas ostp" inuga,gr" t'si etrbet to nfid uto ronaoifmnit no wt'hsa ugiascn eht rnguiga so that yuo nca ptos it lteriy,en wichh heocic B wlil lowla uoy to o.d +
tyrionwill  sssetr is teh ghint ot rseow teh idotoinnc fo MD, dan lwli eb etbret erfta gnbie ,esen dtoocr,mfe dna edptaecc. +



 +0  upvote downvote
submitted by thisshouldbefree(51)
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I ttlsaeanrd iocceh B ot the" espatrn are guriagn boaut irthe icdhl nda hetfeoerr by agynis sthi i am dgdian uefl to hte rei"f I hecos A eacbesu i edgfriu nigth rae gntgeti dhteae dna eetheofrr ocd sulhod ryt to amcl ighnst donw bfroee dieogecrpn

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 +0  upvote downvote
submitted by unknown001(9)
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emwoase oyalnga . 3 ssept to chites

  1. letas aehsosl wasner
  2. pstiolet
  3. no rtosh ustc ( eikl keat teh nreogl aedrhr mtso alntyskipiang ifcilofa rtoeu to nya or.pse)cs

sp. tasl point, yuo lliw see tis seu ni oreth teo,nuqiss nto hsit one

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