saicereroKkWfn-fok sydnroem eud to iehiamnt (B1) ycfen.ciied oCmomn ni llsiohocc.a
The soarne wyh tyeh said lsteu"rs fo lhoocal dan gurd esrenc rae "neigatev is hatt het fteifldeairn nsdlieuc uctea acoolhl aitntiinc.oxo
retssnp*e heer as nuystgmas
kreeffaorc-nKksiWo eoysr.ndm toD'n ehav to be na caohlciol to etg shti, tujs uslayul si adleret to lhscoamilo / nemtiahi enicd.yifec
Despite the patient not being intoxicated, this patient is presenting with classic findings of Wernicke-Korsakoff syndrome. Even if you figured that Thiamine deficiency wasn't likely given the history, if you know that WKS causes mammilary body atrophy, and this "mystery disease" is causing similar symptoms to WKS, you can guess that this "mystery disease" is causing mammilary body atrophy
Anyone find it strange that the NBME loves to write questions where physicians are alcoholics?