NBME Answers : stinkysulfaeggs's page

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Contributor score: 92

Comments ...

+4 (nbme23#16)

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Me ndgaier tsih stnuiqeo set:m ....o.d uyo mnea iwhch fo teh figlnwolo YNZSEEM?

+2 (nbme23#9)

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If eht irmyalbtaon swa msgnioeth omer ifle ,enrehnaitgt unt'owdl het ftris toanic be ot llca eht aieirc?tiandp I aws khngiint, bmil emirettxy tghim aemn oimsthneg slee oemr suoisre was haegnpnpi oto -;t&g- dnee iaicaiperntd hirtg ywaa ot .dx

tinydoc I thought about that but then I ruled it out as with the NBME ethics questions the answer is almost never to defer to someone else. The question doesn't ever tell you what type of doctor you are for you to be referring to a different more specialized physician. Also I assume that they think if there was something wrong you could handle it. +2

llamastep1 Out of all the questions (UWorld,NBMEs etc.) I can only think of 1 question where you had to refer. +1

targetmle even i thought pediatrician should be called as after all, every newborn is screened by pediatrician and in this case, he had abnormality! i still wonder why would gynaec comment on that! +

+29 (nbme23#4)

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Did oneyna eesl og odwn he:t essh' ihsenyteovp so ymeab hlse'l etg sewurothae rideicefnhsr rneymsod caebues nthiogn esel is kmagin eenss to me ta hsti ??piot?n oerut -

nrTsu ,out seveer maaailr can ucaes drisaaucaovcrl cloaepsl and .ieohpnnotys

redvelvet me too :( +1

abigail me three :( +1

yex Me four :-/ +1

link981 Slowly raising my hand as well +1

tinydoc Sammmme +1

bullshitusmle same here!!!:@ +1

usmlecharserssss patient has malaria with obvious picture and clinic, i answered because only thing associated with liver was hypoglycemia +9

aisel1787 me five( +

myoclonictonicbionic I was thinking that she is hypotensive which can cause an infarct of the pituitary (since pituitary is growing during pregnancy) and therefore she'd have secondary adrenal insufficiency. +

alexxxx30 sammmeeeee +

snripper Dumbasses unite lmao +

usmleaspirant2020 lol saaaaame! +

anechakfspb me also :/ sitting there trying to figure it out during the test I thought I was so smart too - like "wow nbme, way to tie in micro and endocrine, not getting me though!" ... i was wrong. +1

+8 (nbme23#38)

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eyK :wdrso a"t isth mte"i dan nc"a be uel"lhfp

Teh wrnsae to ihst oiqesutn sn':it getar - now we'er goign ot etak mhi off eth ntev eucaseb yuo tlod us ht'sta wtah he deawnt.

nbmehelp ^^^ exactly +

Subcomments ...

submitted by sajaqua1(524),

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eTh aeinttp has a proir tosrihy fo yhsttcmoryee ihtw aibtlrale -lnpy,aopsomcrtihegooo adn edicrvee erexlant ebam iaraotind ot het lpse.vi eTh tptaien now lsadsipy syhrhsrnopdeio nda royre,druthe htwi tsdali arlretue nanorgriw atrle.alibyl The ilseliket ptnioo is thta ew ear negsei dinsesaoh mofr uvoeprsi rgysrue ctsocrtin teh ete,rrus iasugnc h.tsi

E) iUeolalthr imoncrcaa olsa( lcdlae naorainittls clle nairccaom) is slao a bi.spsiytoil thWa ksmea shit ukiynlel is teh clatoio:n eblrlat.ia Teh rroip tsemyehrtyoc nda iltaarlbe o-otmhsilpcoparnoeoyg wlodu aveel racs teusis on otbh sdsie fo eht yb,od but eth dsod fo llahietour rcaincaom rgsiina elrilybaalt are rvey l.sim

)A The ttineap had a s,yerhmotcety so the dosd fo uerrrcten elcvaicr cicrnamoa aer osal ndyreiiblc olw. )C dan )D arleUrht dlmooyanc adn ehlrtrau laoatnnisitr elcl polaapilm ear ni the gnrow otoncali to ntccuao fro tablrlaei urtlerah warinorgn tiwh .hreudtryeor

stinkysulfaeggs Great explanation - just one addition. The retroperitoneal fibrosis could also be a direct consequence of the external beam radiation. It's linked to both causes. Either way, it's a better fit than urothelial carcinoma (in retrospect). +13

spow Why would the onset be 15 years later though? +3

drzed I was thinking the same thing @spow. I had put urothelial carcinoma, thinking that a field defect would result in bilateral tumor. +3

submitted by thomasalterman(147),

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Seh jtus etleopdcm the uoecrs fo iuxrabim,t hwihc gsertat DC20 trceorsep. ell-cB fcicdneyie acn pesseopdri to ablitcear ecofnns.iit

)b MB lafuier is ton tsoaaiecds wiht a )icixtrmbu )dnwgro r ew)nog hits uccros n/wi 17-0 days fo artsngti ttnmetae,r nda oudlw not rccuo erfat gtplneicmo a mt4hon- orcsue of ub.aimxirt

meningitis Forgot the time frame for Serum sickness and got it wrong.. thanks @thomasalterman +20

stinkysulfaeggs Same. Crap. +2

medstudent22 Taking it one step further - B-cell depletion = decreased Ab secretion = decreased opsonization. Opsonization with subsequent phagocytosis by spleen = #1 mechanism by which encapsulated bacteria (ie Strep Pneumo) are degraded. +1

submitted by imnotarobotbut(161),

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evEn fi you nddi't chwih eon cveotr wsa aAamp,nlsa I vbeliee iehcco A asw eth oyln eno ni which hobt rmonsagsi dsareh het sema roe.tvc

stinkysulfaeggs Agreed, that's how I made my final decision! +

alexxxx30 yeah I literally had no clue what anaplasma was, but came to the correct answer the same way +

submitted by imnotarobotbut(161),

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rselcaVi eiimasasnihsl suaesc ltnhaopesaegloyemp nad smot totml,nyrpai n.atoypcipena tI si oenft nfodu in loeppe who iisvt hte iMlded satE nad si artsitnedmt yb eht nl.Sfday hWy idd ENMB utp 2 ahLeaiimns eqsouints no thsi fomr lol

stinkysulfaeggs tell me about it... I got both in one block and started seriously reconsidering my answer choices! +11

rongloz I got both questions within 5 questions from one another! I was seriously doubting my answers haha +1

faus305 Visceral Leishmaniasis affects about 0.001% of the world population each year so it only makes sense to have two questions on it. https://www.cdc.gov/parasites/leishmaniasis/epi.html#:~:text=For%20cutaneous%20leishmaniasis%2C%20estimates%20of,to%20400%2C000%20or%20more%20cases. +

underd0g How do you differentiate leishmaniasis vs malaria? I picked malaria because I thought, no way leishmaniasis is on here twice. But doesn't malaria also cause splenomegaly, fever and abdominal pain? is the key differentiator PANcytopenia? +

faus305 @underd0g, correct no Pancytopenia in malaria. But also malaria probably would've said the patient was in Africa. +1

submitted by potentialdoctor1(32),

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ondIerfm enotncs hudlso eb dnbtaioe yb a dirovpre owh has sefiucftni glendkweo to eivg na tracceua ceitoprdins of teh entn,nitrvieo teh ksri nda ,efeinbts aenvlttriae mnttsatere dan to srnwea lla of eht in'psttae tquniosse

stinkysulfaeggs Hate this question though... the first thing you would have to do in this situation is refuse to do what the resident asks you to do. Then you could accompany them.... +10

peqmd If not for the additional "refuse to sign consent". I think the answer would have been extremely straightforward. +1

dyckim4 I was taught that that the person who is operating should get the consent that's why I got this wrong.. +1

submitted by bigjimbo(46),

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oiistEopmy is uct romf againv to eht ielnrpea obyd ofr dlhci itrbh

btl_nyc But why is it external anal sphincter instead of bulbospongiosus? Aren't both attached to perineal body? +1

stinkysulfaeggs Bulbospongiosus connects to either side of the perineal body. But if you go directly posterior rom the commissure you hit the anal sphincter +13

need_answers I just think about how women say they done ripped their asshole while giving birth +3