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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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eitPant hsa low srume oimsdu = nyv.pieearmonthaiG atht the tpaetin ahs a OLW IERUN TILO,RSYOMA it gsgsestu hatt HAD si TNO .ceviat eTh lnyo way rof eomnoes ot aevh hyromtnapiae AND a wlo DHA (ni tsih s)cae is hguhrot ehnocycgips lpdiyisaop g(.e. fi it aws HS,DAI hte inuer luwod be YXLIMALMA eterdccontna adn it is NTO in tihs )aces

()A uwold usaec lraecnt ID -- on HAD msaen eon pdeseolv haterypmiaenr as reef taerw si stlo in eth uir,en usth taotcnrcnenig eht sm.eur

)(B ciosmot ueisdisr ucdlo cueas rmtyinphaeera ude ot lsos of efre atrwe in hte nuire

(C) odgdraiaent fo ADH alsde ot ID which smena eno pvosedel arypenhmrtiea

)(E sicsntaere to AHD ic(prghoenen ,DI) aani,g hmatneeyr.pria

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lovebug  hsknta rfo lnufidk glbnial!e :) +2



 +2  upvote downvote
submitted by โˆ—masonkingcobra(408)
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nI igpnsocecyh ia,oldyppsi smeur suidom si ,olw nad rfate eratw nipdaveotir set,t eirnu otllsymoai si isriU edrnne.ace msyoiltlao dsoe otn ecresina ihwt viosarpenss itniceojn

nI ecienohgrpn betsadie idin,pisus eusmr modsiu is ihhg dan heetr si no hnimcladge/ raeicesn ni nuier otlmyoisla rftea aerwt nietovriapd

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yotsubato  iThs etanpit oesd otn goerdnu a twrae opiinetrdav stte +12
niboonsh  omeuilpsCv etwar nnikdgir or cosieyhgcpn slpioydaip si nwo iyelnicagsrn ense in yriicaptshc toopsplanu.i ffEects fo deesinarc ertwa niatek can deal ot aymoahenptri gisunac spmotyms fo ,anaues imvgiont, sse,iezru iluridme dan nac enev be file rgahieetnnt if otn cdogenirze dan daneamg lre.ay bl7sca/tshprt./wm9.4ceglMpm/w/iv565Pc./:nCon/n4.thwii +7
missi19998  sJut ediwngrno why ti ni ton cnietsrsea ot AHD oantic fo eioprsavssn +
amarousis  seeaucb he wudlo eb eeihacrtpyrmn thiw on DH.A cant' rbeors nay aewtr +1
minhphuongpnt07  lwo se/oniur,m owl apa/losms =t;&g pgnhysiceoc islpoadypi +
benitezmena  In tshi snquetio hte tp had a alnmor rueni som )8(0 a olw reniu som would be s&tllgo/5m;.ok0m +
euchromatin69  u lwdor 122 +



 +2  upvote downvote
submitted by โˆ—dickass(127)
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h,eaY o,s suntr tou shti is ont pihcrneoNge DI due ot lmiuhti s,eu oyu odtn' igev iitlmuh to tarte ozsnih.piaerhc

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mbourne  fI it saw rNeoigncphe ,DI yuo oudlw vhea setanlesyli ehva het tcseffe of too ITLTEL .DAH Tihs apniett wsohs everes ear,hnotymipa lesyasneitl the feestcf of oot mhuc eatrw in eth .erusm isTh ucldo be form DASHI ro pliysdapio, dna eth nteqsoiu emts adn rweasn ocheisc evela su ihwt scPgochyein iypPoldais as teh ortrecc .seprenos +1
rockodude  I swa tinkignh butao napmacebriaze cngasiu HASDI tub htat is na itcpaiteil-enp ton tccsipnoytaih dna olas as msnoeoe isda ,oaevb the nerui lwuod vahe ihgh tyoaroimls eud to trwae etakeurp at teh gtclcienlo cdtu. just yif +

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



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