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Retired NBME 21 Answers

nbme21/Block 3/Question#39 (reveal difficulty score)
A 74-year-old woman with mild dementia is ...
Inability to understand the severity and prognosis of her medical condition 🔍 / 📺 / 🌳 / 📖
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 +11  upvote downvote
submitted by drdoom(1206)
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etSm lalctuya tseat,s On“ iegi,ustqonn het tpineat sedo tno ownk eht taed itm[e], eht eman fo eth potalihs ce[l]ap, or hte neam of ehr urens ohw adh tusj dntridcoue sehilfm o[]pners”. ,oS pt is risteoiddne to time and pelca ehio(cC );A ahtt si etniydefli cnecirognn -- sa lduwo eb edepersds dmoo ociC(eh )E nda eth threo cechosi -- tbu yi“lbatini ot ndauntrsed treysive dna ”ipgoonsrs is eth stom ccroengnin escin thta is eht reyv nnfdtiioei fo ctypa.ica atniliIyb to rentndadus = ckla of ypccaat.i

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lovebug  uyo lixpean eyvr ay.llecr !!!HXT +
drdoom  tsahnk gulobve! +



 +2  upvote downvote
submitted by fatboyslim(118)
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4 iirtrcea sumt eb mte ot onkw fi a etitnap ahs ycactaip atke(n fmro iyDrt uusieYciedeTM'bon ae:)lhcnn "LACI"

:I tteaipn is flyul FIEROMND about teh insicdoe at hdna (.e.g codtro letls teitpan yuo hda a guln efnioticn which nrsdeoew nda espdra ot uyro oodbl dna you mceeob epitcs neht uyo dpovleede rcadaic tsarre nad ew hda ot rmeorfp CRP no oyu and egvi yuo ihrpiepeenn to igbnr oy ass cb)ak

C: tepaint ECTINAMUMOSC tireh eoniscid g(.e. xclilyitep ssya I" nwta ot be s"gercdhad)i

A: ipteant CSPTAEIPRAE het utnaer dna iresytev fo eth lsnleis (e..g crdoot tslel tnaptei ouy gtimh eid fi oyu vaele tagsain our imeclad advice adn hent teh cdootr akss eth taneitp to trepae ti kcab ot emka srue eh hecpdenemord htat f)act

:L etptina can nplixae ehirt oinsecdi in a OLGCLAI adn nreali sofahni .e(g. ttnapie says his dad was in na ICU eroebf twhi aynm uebts dna odblo aelpsms enibg wdrna and swa no a aeinrtvolt dna hte pnttiea e'tsnod tnaw ot end up lkei his add)

:TOEN het itasnt'pe l"iclgao" anaonixltpe fo ierth iicdseon seod ONT avhe ot caulalty be a dgoo adimlce ocideisn. sA a o,cortd yuo can sgereaid iwth rheti opro lemidca ,iocech but sa ogln sa eht tpainte acme ot atht decsoiin twih cpiaytca t,tncai enht uyo dsoulh trpseec ihret iediosnc y().utoomna

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 +1  upvote downvote
submitted by vlodkadrinker(7)
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I ivlusboyo tghutho thta teh aimn hgtin ofr pcatcyia si to arneddsutn het eisrevty nad isosgronp of erh dmiacle iinonotcd UTB I hhttuog htsi asw a cktir qenositu useaecb tyhe desak fi" eht tnaeml tinanoimeax idifngn ds..how".e nda eth mtes laifde ot tomnien iayghtnn outba rhe irnoeoattin ot apcle or iet.m dbmu

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drdoom  metS lalaucyt sts,ate O“n nonuqie,isgt het ietpnat does ont wnko hte tade e,tm]i[ het nmea of hte oplaiths ]celp[,a ro het enam of erh nusre how dha sujt drcnuitdoe ifehslm re”p]o.s[n ,So pt i**s lcatluay eeoidtndsir ot tmei dan elpca co(eCih A.) Tath si dfeliteiyn nronncecgi -- as uwlod be ersepdeds domo oihec(C )E nda hte htroe hcoecis -- utb linbiyta“i ot anursdentd ievytrse adn g”ossonipr is the** most cnnric*e*gno sncie atht si eht reyv einiiftdon fo t.iaaycpc binIlayit ot dtundnaesr = kcal fo aa.citypc +1
sahusema  oS yb eth liocg of eth n,oqetsui if eoenoms rnsetnadusd het vieeyrst fo rthei dclmeia iiodconnt ADN naepsph to sloa eb earndoitdseti ot alepc dan tmei. Go aahed nda od xs no hmte, 'tis .infe +4



 +0  upvote downvote
submitted by step1soon(51)
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Ti,em lap,ce mnae → sssaeess nntaeoriito → to see if pt si for eapxelm dixtcnoieat or nto

Deicnosi mkgina ypacitac is bdaes ffo of eretwhh het ainetpt dtnasunrde erh osaisnigd nad is maikgn an noemdfri onectsn → esh wnkso nad nsdutardnes

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