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NBME 21 Answers

nbme21/Block 3/Question#46 (15.1 difficulty score)
A 38-year-old woman comes to the physician ...
Patent foramen ovale🔍
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DVT ahtt etwn to teh .brnia If ti dlouw vaeh gneo ot teh pnuymalor rytera esh wldou vhea a ,PE utb ti dsorcse het atira wlal vai a taenpt namreof leaov nda tewn ctyelird to eht .rianb

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 +1  
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 +