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Retired 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(333)
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atntPei ash owl srmeu oidmus = Gpertieahnoi.aymvn hatt hte ttanepi ash a OLW RUIEN TYIMAL,ROOS ti gtgsuess taht DHA is OTN eitvca. heT nlyo way rfo noomese ot vahe mpnterhoyaia ADN a olw DAH in( sith as)ce is hthgoru ynpgohcceis lpasioidpy .e(g. fi ti wsa DSHIA, hte iurne uodlw be IXALLMAMY cteotdnernca dna it is NTO ni sthi e)sac

)A( ulwdo useca lcnerta ID -- no HDA amnse eno veepdosl arpyrhmateein sa efre arwte si oslt ni hte ru,ien suht etnccntagnoir eht r.umes

B() tcoisom dsrsuiei olduc esuac pmyteaaenrihr eud ot ssol of eerf werta in hte eurin

(C) nderdaotagi fo HDA ldsae ot ID hcwih nasme oen doslepev haepamyeinrtr

()E nrateseics ot HAD g(ienpnhoecr ,D)I a,iagn hi.netmrpaeyra

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lovebug  hatnsk rfo idklunf egli!nlab ): +2


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 +2  upvote downvote
submitted by โˆ—masonkingcobra(408)
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nI ychicnosgep sa,lippydio emsur modsiu is lw,o dan tefra rweat rtidnavpieo ,etts neiru tlsoialymo is ierdec. Uannrsie ooylimstal sdoe not enrsciae itwh osenvsrapis njcteinio

nI hengpirenoc eteidbsa n,upidissi mseru sodimu is high adn trhee si no ahl/diemncg saienerc ni nireu mllitaooys arfet aerwt evatopinidr

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yotsubato  Tshi etiatnp eods otn engduro a tarew tnoariedvip tset +12
niboonsh  pCsevuloim watre gnrkidni ro icgonchpsey polypiasid si own nseyincaligr snee ni cthyarscpii outolnpsi.ap fctsfEe fo rnsdeceia tarwe tieank anc dale ot ahoamteniryp csinaug smmpysot fo a,seuan mvng,iiot ssu,rieze idlumeir nda nac veen eb efli nntithegrea if ont gienreodcz nda eaamndg arel.y M6cavws./l.5t/pginpwtn44m9:CoPh/m/it..cl/7bc5nwrs/ihe +7
missi19998  Jtus gdwnneroi hwy ti ni ont eiescnsart ot AHD inacot of ssensrapiov +
amarousis  euescba eh would eb tinceypmeharr twih on HA.D ntc'a erbsro nay wtera +1
minhphuongpnt07  low i,/oumsner wlo aolp/ssam ;t&=g cghoepyncsi adpioslypi +
benitezmena  In hits snqoueit het tp had a rnamlo neuir osm )80( a owl urien smo uolwd eb l.s/gm;kt5&0omol +
euchromatin69  u wdrlo 212 +


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 +2  upvote downvote
submitted by โˆ—dickass(127)
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heY,a ,so rtusn otu this is not peonghNriec DI deu to tiimulh ,esu uyo odt'n igev htliium to artte szer.hcpahiion

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mbourne  If ti wsa eehorciNngp ID, uoy udwlo evah leinetssyla ahev het tefsfec fo oto TTLEIL DHA. iTsh eitpnat hswso eeevrs itoamaepnyr,h ntsaslyliee the tesefcf of oot mchu ratwe in teh .ersmu siTh clduo eb rofm HISAD or i,sapyiodlp and eth eiosnqut tesm dna ewsanr icsoehc eelav us iwht soPegcyhcin liadpisoyP as teh rctorce seonpres. +1
rockodude  I aws tkiingnh buato zbmprnieaaeac nsgcaiu HASID tub tath is na epcatii-inpetl not iopittachcysn dan slao as esooenm dsai ,eavbo teh neuir dwolu vhea ihhg tsymoloira due to werat rtpuaeek ta eth gltolccien .utcd usjt ify +

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


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