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NBME 16 Answers

nbme16/Block 3/Question#39 (5.6 difficulty score)
A 27-year-old woman comes to the physician ...
ReassuranceπŸ”
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 +1 
submitted by bingcentipede(219),

The answer is reassurance because this is all normal behavior. She's only snored TWICE in the past year w/ no daytime sleepiness or other problems.

It wouldn't be a sleep journal because it could imply that something is wrong, but there isn't. She's 27 and if anything she should upgrade from her husband complaining about nothing important.




 +0 
submitted by feochromocytoma(16),

A rule of thumb.

When seeing an option with "refer", it is almost always the WRONG answer in all NBMEs and Uworld questions.




 +0 
submitted by whoopthereitis(0),

The big take-away while reading this question for me was that, first-if you can tell that there is probably nothing really going wrong here with this patient then second-you should read the question carefully when it asks what the most appropriate "initial" action, and whenever you think a question is gearing towards a "behavioral" type question, pay close attention to comments the patient might make. The patient comes in because she is "concerned". Not because of symptoms. Bingo.




 -2 
submitted by bingcentipede(219),

The answer is reassurance because this is all normal behavior. She's only snored TWICE in the past year w/ no daytime sleepiness or other problems.

It wouldn't be a sleep journal because it could imply that something is wrong, but there isn't. She's 27 and if anything she should upgrade from her husband complaining about nothing important.