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NBME 18 Answers

nbme18/Block 1/Question#30 (14.7 difficulty score)
29 yo woman irregular menstrual periods
Provide follow-up appointments to assess the patient's progress in attaining her goalsπŸ”
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 +4 
submitted by azibird(161),

Follow-up vs support group?

The only thing that saved me was the ancient Step 1 adage: "Never refer!"

Especially when the answer to another question in the same exam was "Encourage the patient to participate in a support group for persons with her condition"

I mean REALLY! The only difference is that they used the word "encourage" instead of refer. Exact same answer.

cbreland  Note to self: Never refer, even when that seems like the better answer +  



 +0 
submitted by jean_young2019(13),
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donttrustmyanswers  It isn't A, because research shows that understanding of information (i.e. eating good and exercising) isn't enough to cause change. Why it is Provide F/U, over support group, IDK. +6  
thisshouldbefree  because it says "refer" and u never refer +1  



 +0 
submitted by geekymle(9),

okay. i get this question, but what i dont understand is that why cant we inform the patient of the health consequences of not treating her condition?