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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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eaPittn sah wlo mruse iuomsd = nGieipoyarven.math that hte apnttei hsa a OWL RUIEN IMOATLORS,Y ti tssuegsg hatt AHD si TON aie.tcv ehT nylo wya ofr msneoeo ot haev itanyohprema DAN a wol DHA ni( isth sec)a is uhrtohg yigsocnepch opylsiiapd g(e.. if ti aws H,SDAI eth nurie dlwuo eb IMAXLAYML ntdtneecaorc nad ti is TON in hits c)ase

()A wloud csuea ecalrtn ID -- on AHD nmeas eon sdveploe eymhniterarap as reef ratwe is tosl in eth reni,u suht nnragintotcce teh rs.meu

(B) cimosot duseiisr odulc csaeu aeptiyeharnmr edu to sols of reef wtrea ni teh nruie

C() onadritedga fo ADH ladse ot ID hiwhc amnes one lpevsedo ypmrneheitaar

E() acsierstne ot DAH oehcngrip(ne ,ID) ,naaig errnatymhp.eia

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lovebug  nhksta orf ufndkil nigblla!e ): +2



 +2  upvote downvote
submitted by โˆ—masonkingcobra(408)
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nI ecopcyghnsi liopsidp,ay uemrs smdiou is wol, adn atrfe etraw rvitodapein ttse, nreiu mllatoiyos si cneeaeUsi.ndrir latisolomy deos ton nesicear tihw noaeisprssv cnjeoitin

nI cnpignrheoe teadbies dnii,sspiu mruse iduoms si ihgh nad ehter is no geclm/ihand ersaniec in neiru lysotaliom refta tawer rivointpead

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yotsubato  ihTs tinptea esod tno roeudgn a retaw doierptainv etts +12
niboonsh  osCleupivm raewt gndrinki or snciypocghe pisilpodya si own agnsncireiyl nees in isatyhciprc po.tsaiplnou estfEfc of eescdirna artwe inekat can eadl to hyraatmepnio igacsun tpysmmos of enaasu, g,nvimtoi rz,usiese mliudrei dan nac enev eb life neeanthtgir fi not edonizecgr nda eadnagm .yarle C/n..orw9c.v4iMnsm6c/pg7iwm5lh./ttPl4t/5hbe/sianpw:/c +7
missi19998  tsuJ wenndgroi hwy it ni otn aeetcnirss to ADH icnato fo irseaspnosv +
amarousis  bceeusa eh wolud be hmcpyenairtre twih no ADH. 'cant rbsreo yan water +1
minhphuongpnt07  owl ireo,sun/m olw apsl/osma tg&;= hcniopgsecy palidsiyop +
benitezmena  In hist qneiutos the pt hda a lmroan enuir smo ()80 a lwo ureni som ldwou be lo;/mt5l&s.o0mkg +
euchromatin69  u wlrdo 212 +



 +2  upvote downvote
submitted by โˆ—dickass(127)
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aYh,e os, nrtus tuo stih is ton nrehNgeipoc ID ude ot uhtliim se,u uyo n'odt geiv tiiluhm to terta hszenp.oiiarhc

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mbourne  fI ti asw cNopnregihe DI, uoy lowdu vhae aellsitynse hvea het stfcfee of oto TIETLL .ADH siTh ttenapi whsos veseer haniorpmye,at alseieynlst eht fcetsef of oto cuhm ewrat ni the .remus Tihs lucdo eb mrof DHSIA ro sdppli,yaoi dan teh qnuesoti stme dna snware iecosch elave us wthi cPigsnoyehc dipoysalPi as eth rcoctre srnpeo.es +1
rockodude  I saw tiinhkgn tabou azrcebaepnaim nscaigu SADHI tub htta is na eetc-painltipi not cysntithcapoi nad aosl sa msenooe adsi ebao,v hte ruine dolwu ahev hhig tlmyiarsoo deu to rewta takeprue ta eth niolclgetc tdu.c sjut fyi +

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



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