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NBME 20 Answers

nbme20/Block 3/Question#38 (reveal difficulty score)
A 23-year-old man with a 3-year history of ...
Psychogenic polydipsia ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +23  upvote downvote
submitted by โˆ—drzed(332)
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tPneait hsa low msrue dmisou = ptrnevo.nyaiihameG ttah eth epttain sha a WLO RINEU TLIS,OYAMRO it esssgtgu atht HDA si TNO ic.aetv heT noly ywa rfo mnoeeos ot veah mnearyipatoh NAD a wlo HDA n(i thsi e)acs si htugohr ecpcisygohn dlaypopisi .(.eg fi ti wsa SDHA,I hte nieru owlud eb YMALMLXAI aenecocntrtd nda it si NOT in stih s)aec

)A( dulow ceaus centarl DI -- on ADH anmse neo eolsvdep eamiyhraetprn sa refe water si olts ni the ien,ru tuhs ccnetogrnaitn the e.msur

(B) mctioso risuidse cdluo usaec mnaeyrptireah deu to olss fo eerf erwta ni eth nreiu

)C( irtondaedag fo AHD ledsa ot ID hchwi enmsa eno eespdlov apiehmeyratnr

)E( sreanetsci to HAD grocpe(nihne ,)ID ng,aai rmeytenpirhaa.

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lovebug  nkshta rfo kidnlfu !galilebn ): +2



 +2  upvote downvote
submitted by โˆ—masonkingcobra(408)
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In noycscghpei s,ayiidoplp umser isoudm is ,owl adn aftre tewar inarevdtipo stt,e iernu yailmlsoot is ncriiraedn.e eUs yoltaomsli sedo nto eairesnc hwti sapsrvoensi tneijicon

In gcrnopeehni asebetid iiunid,pss esmur idmsuo si gihh dna ereht si no cai/ldmngeh seinacre ni nreui lltmasooyi featr erawt prdeiavotni

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yotsubato  hisT naetipt deso nto egdnuro a aterw irietdpovan stet +12
niboonsh  poCuvsieml ewtra krniidng or eopsgcchiyn aysioppild is own cnlraeiingsy sene ni tpchyaicsir onitp.uapsol eEctsff fo sdraniece taewr nikeat acn ldae ot ameinrypoath ugncias sypmstom of anas,ue ton,ivgim sirue,sez eimrdilu nda cna neev be lfie eitaherngtn fi not czrngeeido dan neaadmg .ryale c:v/msi/w.hww6n/tse4/t./pi4P/.rlgCcMa.5t7hnmilopb95cn +7
missi19998  uJst downnregi why ti in tno ssetaiecnr to ADH nitaco of nsieovpsasr +
amarousis  euasecb eh dwulo be yenetrhrcipma hitw no A.DH at'nc orersb yna arwte +1
minhphuongpnt07  owl nero,/usim wlo plmsasa/o =t;&g nyoccsgpehi plsiypdioa +
benitezmena  nI ihts oqutnsie eht pt dha a noraml uiren som 8)0( a olw rnieu osm owldu eb &0mlk.osotml;g/5 +
euchromatin69  u lwdro 122 +



 +2  upvote downvote
submitted by โˆ—dickass(127)
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,aYhe os, nutsr tou ihts si ont criNoghpnee DI eud ot htiilum eus, yuo n'dot geiv tlhuimi to treta zihirp.naescho

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mbourne  fI ti swa iornNhegpec DI, uoy duwol vhea selsyltiane hvae hte efstefc fo oot LTTLIE .HAD hisT tnipeat whoss sreeve riaypaho,tnme tllaseysien eht sffecet of oto much tarew ni het sem.ur hTis doucl eb fomr IHDSA ro api,oyipsdl nad teh oistnequ mets dna swrane scoiche elvae us twhi eihncyocgPs yiloasdpPi sa eth ortercc nprssee.o +1
rockodude  I was khnignti obatu eancrazapeibm gcusain AIHDS but hatt si an -pietlaipietcn ton pyhaiittsnocc dan oasl sa omnseeo isda abov,e het ireun douwl heva ihgh imslroytoa eud to wtaer ketreuap ta hte clengliotc tc.ud sujt fyi +

Anecdotally, some of my clinical faculty have mentioned that typical antipsychotics have a very high predilection to cause psychogenic polydipsia.



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