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NBME 21 Answers

nbme21/Block 2/Question#27 (14.4 difficulty score)
A 47-year-old woman with psoriasis comes to ...
“Most people find it difficult to stick to a routine. How did you do?”🔍
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 +5 
submitted by temmy(127),
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wenh ni ,buodt kpic an opne ddnee ns.iteoqu hyeT igev hte anttpie na ioptnutoyrp ot spveeresetlhsesx m tihw mipgportn romf the rocodt




 +3 
submitted by temmy(127),
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dAn nreve kipc na tpnioo ttha akems uyo dsoun iacirclt




 +1 
submitted by anjum(15),
  1. ALWAYS acknowledge the pt's problem, distress, situation, etc. The corollary to this rule is to first make a statement acknowledging an issue without sounding harsh, then asking a non-passive aggressive follow up question to get to the heart of the matter.

  2. NEVER ask the pt to lie

  3. NEVER be a dick. The answer may sound robotic, but should never be mean.

  4. NEVER refer the patient to another resource (in this case, the nurse, but could also be risk management, therapist, etc.)

  5. COMMUNICATE. Talk to other clinicians/experts, etc. to resolve issues.