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NBME 23 Answers

nbme23/Block 1/Question#48 (reveal difficulty score)
A 20-year-old man is brought to the emergency ...
3,4-Methylenedioxymethamphetamine (MDMA) ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: psych toxicity

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 +13  upvote downvote
submitted by โˆ—azibird(279)
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Woh lsee ogt isht ujts uaceebs it asdi l"tlhangi- eadcn a?y"prt Aippdel ym lowndkege of saevr adn nionhgt sele.

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chaosawaits  htat laosmt runied me eucabse I emebedermr lla hsteo nuf paoeovld pratesi ym bsoy adn I dseu to h.vae /s +6
imgdoc  dIk how skaet itknamee at an lla hgint ncade yap,tr yeamb asslo?ishnstgteieo +1



 +3  upvote downvote
submitted by โˆ—mousie(272)
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Wyh on n?sitwage I anem I teg cyaEsts si yblpbora the rgdu fo oihcce ebeofr an all igthn dncae ytapr lol)( utb odn't nrddnesuta yhw heetr would be ocdl iesextiermt nad on wnastieg hwen is FA it yass remeatpihryh nda ??oahbdr??

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sympathetikey  AF say,s uoihrpa"e, i,hstndniiiiob tehypiayi,rtcv tisodtred enyosrs adn imet i,etpcrpnoe mx.urbis h nnfL egieat ier t fscfete enulcid ,ynohseetirpn ,triadyccaha repy,rtehhmia armta,nipeyoh onieotsnr ey dSnos omr." I ikhtn etyh atwden yuo to ees uSnsi hTayc adn mpuj ofr MDM.A dIk wyh Ktiemena onulc'dt osla ypitlntleoa be otcrcer htguho. +13
amorah  I eipckd nitkaeme cusbeea ti adsi no ideaphsosi.r utB fi oyu eend to dnfi a o,rsane I suges hte lafh iefl of tkineaem gitmh rule ti out. mbemeeRr omrf hcse,tyk taeinmek is sued for satasnaiehe iuinct,dno so abrbpylo 'notw eekp the HR and BP hghi rfo 8 r.hs In ,atcf tsi ctiaon si ~01-15 imns-ish iv. +13
yotsubato  uBsacee het MEBN is ulfl fo ukec.rfs hTe ygu si byaorpbl dheedytdra so he atcn awset ?ynmoare +22
fulminant_life  uyo dutwonl ese haadyacctir twhi ateeimn.k It aeussc rauscarlocdvia pdersisnoe tub lnytseho i aws " hlinlt-ga cneda yr"atp ikecpd eth mdam wnesra nda dveom no oll +10
monkd  tKenmaie stac as a athsyipmoicmtme ubt oh l.lwe MBEN sahn't cgathu on ot ekneaitm sa a grdu fo iterncaore :) +6
usmleuser007  yhW not DL?S +1
d_holles  eems7rsu0l0@u DSL n'otsde usaec TNH and โ†‘ R.H +2
sbryant6  fafemnilnul@ti_ FSLAE. TKEAENIM EAUCSS AUCAROVAILSCDR O.AINLSMTUTI +12
dashou19  kTae a okol at wyh het ianpett sha plae dna locd ihsxre eeetmtsccMt"aini.i lnlaccii etudsis daceinti tath eht MMddDcenuA-i aeietonslv ni dbyo tmaeuptrere in nshamu rlatlyapi enpdde no hte nuD-MAcdedMi erlaees fo noenpipenrheri nad nvveoli edenachn lmbaeotci ehta aoneirgnte dna snocuatue vtintncos,acirsoo leitsrugn ni imaiepdr thea ois"spi iatd.ne5/t6iw/p0nw0rnPvohbs.Cg:t///wticmcmp/..l1an.chil8s7M +5
drzed  t6r@syabn 'eruyo thob yasgin eht easm ginht. mKaienet hsa a detcri aeegvitn topnroici feeftc on the trhae, tub it si oasl a itoyitpecmmahm.s uYo era btho .cerorct +1
paperbackwriter  @rdezd Cna you psleae seti tat?h As rfa sa I udrdtnsena kientmea sah a oiscameyihtmptm etceff on eth VC messty g-&-t; cnasreeid yntorhoprco dan BP. I loas do'nt see woh herety' sangiy het emsa itnh.g Oen sorpne dias ilm""nsotaitu nda hte ehtro sadi s"rpeiosd"en +1
nutmeg_liver  lPepeo ndet to nrkid a lto fo ertwa on D.AMM I sjut sugdese het nuincofso aws a eutlsr of eaphmiryotna too( mhuc eref wte)ra tub no iaed if reehts' nya taad gasyni taht eppleo tend ot moeebc rpyhantmoeic ude ot erwat rvemu-ipsooncton on MDMA l.lo +2
cassdawg  eesDpit" sgissnpeos a rcietd tvaeneig cardaic iocipnrot t,ceffe teamkein ascseu seod ndnedtpee icdter situolnitma of the NCS atht sldae to eenacisdr teiymcaspth onsuevr yssmte oulfwt.o oslneCeuqny,t makntiee sdueorpc aiaurdslaocrvc cesfeft htta brmeeles meytscaitph vruonse ytsems ountiial.tsm meKntaei is aasicesotd htiw eiascrsen in cmsesity nad ypornluma boold r,speruess rthea rtea, caidcra pt,tuuo rcacida kowr, dan aaolmiydrc geynox ees(mrei"utrn.qtrt/ieacefkmsee/eetafnpsias_w.nh._gesh:tysopftmcs_wnwoti/e/o) +1
brise  LDS seod ceasu NTH and yaidatrccha cocgranid to lwrou!d edl@ohl_s +2



 +3  upvote downvote
submitted by macrohphage95(10)
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AMMD si teh loyn nnluoglceaih ahtt ash epaihttmycs aivcttiy sa it is iredved mrfo atmpienehemsmthha ( okol at ist n)eam ... ttha elsxanpi rty.vhineeg

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tyrionwill  s,Ye gdoo ipotn to rermee.mb In the ageyrotc of FA ntsstmaui,l 2 neagts hsa apeittcsyhm cy:tatiiv M)D1A;M 2C)PP +
jackie_chan  liBsycaal how I lvdeos i,t all hte rehot gruds era onwerds +
jackie_chan  nveE hto tmakenie has tmsitohyeapcemm fsfte,ce ethy wldou eb lwidy ,irpptgin tyhe ondt clal ti gilnlfa tino a e-loKh rof toi.hnng +



 +2  upvote downvote
submitted by โˆ—bmilt34(1)
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kO I htikn isth is a dba otnmoacniib of 1) a olryop ternitw no,seuitq 2) a pneliatto untnd-ignassedsmri yb het tierwr ) ,da3n a tacxipeteon orf eht cellar of eirstoce itfmarioonn edccioltamp yb eht 8 soruh hwchi haev eelsadp eiscn hte ntiigosne

r'Hsee tawh I ihtk:n )1 tyeh ndeo eoodgf by synagi treeh is no hpasde.irosi We aevh lla sene awht AMMD oeds to o'leepsp cneecri snlgda - ervormeo pepelo inkrd .a.. lto su(ht ucgisan eht cssaicl wlo aN cwhih sesuac si)euezsr2) s'tI iwrde thta eh oldwu have actadahcriy tub neon fo eht hreot xs of MMDA octixnionati )3 I ugsse ew era oppsseu to nkow n/da or raeons that eenv ohghtu MMAD ecasus ryh,ehaierptm ti laos ahs eystimhpcta eefsctf d(rsncaeie rebdiialn/iheeste peuter fo nr,diaeenla nrohpi,eeeinrpn tie,sornno dan mei)nodpa cihhw olcdu ceasu eht lcod mtreiteesix

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 +2  upvote downvote
submitted by medstudent22(12)
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Sinwtaeg si eidtemda yb het miaychttsep ornesvu s,tsemy utb si trguhoh clceoliyhAent me(Rreemb - uciitrMna-sAnci signnopio = Dry sa a neob seeaubc on wies.gnta) It lla stnopi to EN rosdeeov kcm(dmiie by na iempt)menaah gt;--& cyacdraahiT N(E @ 1)t,bae- ieyvtHnrepse N(E @ a1),-aphl lPae + dloC = oonivroatscsctni N(E @ p-haa)1l

Key inpot - swtaeing lilw otn eb tlmiduseat yb DNA.M

oNt altyxce sreu hyw etiamnke si OTN het nesawr bm(aey it sneo'td edla to aerlrheipp tsrcsvoeinitvaoc eeprit)orps? tuB NADM esod tif the tpue!ric

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 +0  upvote downvote
submitted by โˆ—brise(86)
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oHw do oyu leur tou L?DS tI alos seascu ra!hcytdcaia

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