share email twitter ⋅ join discord whatsapp(2ck)
Free 120  NBME 24  NBME 23  NBME 22  NBME 21  NBME 20  NBME 19  NBME 18  NBME 17  NBME 16  NBME 15  NBME 13 
introducing : the “predict me” score predictor NEW!

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”

Login to comment/vote.

Tutor box

Members from the Leaderboard offering 1-on-1 help: Want to be listed here? Email us!

submitted by seagull(1539),
unscramble the site ⋅ remove ads ⋅ become a member ($39/month)

oS aalph aws eth snrewa os my uiadfget dnmi upt e"A.l.lw". edn.o Yor'eu gnogi to be a tdcoro. lol

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

submitted by pppro(23),
unscramble the site ⋅ remove ads ⋅ become a member ($39/month)

Pitante hsa .HBP ievG haalp oen oatgtainsn ot uceedr mtohso esmclu ttnrancooic nad rieevel yfudfltiic niiugn.rta

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  

submitted by mamabara(1),
unscramble the site ⋅ remove ads ⋅ become a member ($39/month)

I eibeevl the rgdu heyt era lkatign tbuao eehr is niatu,lmso hichw is an tnaaotgn-s1ia

submitted by enbeemee(13),
unscramble the site ⋅ remove ads ⋅ become a member ($39/month)

lduow na oenaisleecacserylhtt binihrito wrok sa lelw ot vleerie het msp?ystmo utb sutj esaeubc he's y,73o w'ree pusspeod ot smuase sti' due ot PHB and igev na 1a oi?btinihr

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

submitted by tekkenman101(0),

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