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NBME 22 Answers

nbme22/Block 2/Question#8 (38.7 difficulty score)
A 73-year-old man has difficulty urinating ...
Area labeled β€˜Eβ€™πŸ”
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 +9 
submitted by seagull(1539),
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oS lapah saw teh sawnre os ym gedtuafi idmn tup lel.wA".". .node ou'erY inggo to eb a otcrod. llo

impostersyndromel1000  hope you dont have to write a prescription for me one day lol +4  



 +6 
submitted by pppro(23),
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neaitPt hsa HP.B ieGv phala one aittnaongs to creedu hsmoot msuelc rnatccnotio nda liereev dityulicff tn.agiruni

d_holles  lol i thought it was some kind of urinary retention problem and put H. +15  
sbryant6  How is H wrong? Oxybutinin or tolterodine treat urinary incontinence by blocking M3 muscarinic acetylcholine receptors --> urinary retention. We're just supposed to assume they are talking about BPH here because he is old? +  
jaxx  I agree. I picked "H" for that same logic. Does anyone know where we should have come to the conclusion that this was BPH? +  
forerofore  they are telling you he's having "difficulty urinating", one of the clinical criteria for BPH is reduced urinary flow rate. this is not incontinence because they are not telling you he leaks at all, just that he pees "a lot" +12  
drzed  Even if he was urinating too much, anticholinergics are contraindicated in the elderly (Beers criteria) +3  
pathogen7  @drzed tI mean techinically alpha-1 blockers are on the Criteria too ... +1  



 +1 
submitted by mamabara(1),
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I vieleeb het durg htye are kiltnga ubato reeh si s,tmlinaou hwcih si an taigano-1asnt




 +1 
submitted by enbeemee(13),
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lowdu an yaeaseeleocrlinhtcts roiitnibh wrko as llew ot liervee eth mss?mytpo tbu tsju ucbeeas 'esh ,7yo3 eer'w psoudeps to amsseu ts'i eud ot HBP nda egiv na 1a norbiiht?i

yb_26  acetylcholinesterase inhibitors are used in treatment of urinary retention, not urinary frequency +17  



 +0 
submitted by tekkenman101(0),

leave up to NBME to put "difficulty urinating" and "frequent urination" in the same sentence.