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Retired NBME 21 Answers

nbme21/Block 3/Question#46 (reveal difficulty score)
A 38-year-old woman comes to the physician ...
Patent foramen ovale ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: cardio repeat

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submitted by nerdy nik(9)
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DVT that went to the brain. If it would have gone to the pulmonary artery she would have a PE, but it crossed the atria wall via a patent foramen ovale and went directly to the brain.

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cienfuegos  Some more UW info: incomplete fusion in up to 25% of adults: remain functionally closed until RA > LA pressure (e.g. valsalva), esp. concerning if hypercoagulable (e.g. OCP) -evaluate cryptogenic stroke with buble study: inj agitated nl saline and look for bubbles in left heart +3
athenathefirst  Are you very sure of this answer? because she is an adult and not a baby anymore so it can't be a patent foramen ovale. +
teepot123  has not closed basically +
kevin  cienfuegos is spot on with his explanation @athenathefirst +



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