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NBME 16 Answers

nbme16/Block 3/Question#5 (3.9 difficulty score)
A 45-year-old man is admitted to the hospital ...

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This is describing hemochromatosis. Happens in men more often than women (menses is a protective factor for women in this iron-overload state), and he's also over the 40 year-old barrier between Wilson and hemochromatosis.

He's got bronze diabetes: hyperpigmentation and high resting glucose. Also has cirrhosis.

According to FA '19 (p. 389): classic heart issue is restrictive CM, but it also causes a dilated cardiomyopathy as seen in this vignette.