NBME 24 Phantom limb pain (NBME Answers)

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NBME 24 Answers

nbme24/Block 3/Question#48 (reveal difficulty score)
A 62-year-old man comes to the physician ...
Phantom limb pain 🔍 / 📺 / 🌳 / 📖
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+6 upvote downvote
submitted by ∗drmomo(24)

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risk factors include chronic pre-amputation pain, post-operative surgical pain and psychological distress.

Phantom pains often described as crushing, toes twisting, hot iron, burning, tingling, cramping, shocking, shooting, “pins & needles” Tends to localise to more distal phantom structures (e.g. fingers and toes) Prevalence in early stages 60-80% Independent of age in adults, gender, level or side of amputation

https://www.physio-pedia.com/Phantom_limb_pain

rest of choices can be ruled out

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+2 upvote downvote
submitted by ∗jesusisking(31)

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I got this wrong b/c didn't read where it said "[pain localized] to the distal portion of the absent extremity." That's the giveaway :D

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+1 upvote downvote
submitted by ∗fatboyslim(118)

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I got this question right from watching that House episode of the patient with phantom limb pain lol

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+0 upvote downvote
submitted by ∗boostcap23(42)

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This mentioned anywhere in FA or other board prep resources or just supposed to be common knowledge lol?

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jurrutia I think you just had to gamble because none of the others really fit the bill either. +

jaramaiha This wasn't in any book or resource I've used, but I do recall seeing this on House ;D +1

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