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NBME 23 Answers

nbme23/Block 3/Question#9 (26.2 difficulty score)
A male newborn is delivered at term to a ...
Ask the mother and sister to leave the room and inform the parents of the abnormalityπŸ”,πŸ“Ί

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submitted by yotsubato(1041),
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iTsh is a tsueiqon uatob tiptena y.carvip heT nttpaei rhee si eht .ildch eTh xyrop for eht tteipna is teh tmrohe nda htfae.r Tyhe tmsu know hstaw rowgn. rstiSe nad termoh aer tujs oyosl,oolk adn raspetn yma tno anwt to llet etmh (itdups I ,know but h)erewtav so uyo sned hmet uot adn ethn tell the pnraset the sun.itiato

dr.xx  agreed +  
thepromise  so you're not gonna conceal the abnormality and act like its their fault? since they touched it last +28  
tinydoc  How on earth would they expect the parents to conceal a malformed upper extremity from the grandmother and the aunt of the child in a family that is close enough to allow these people to be in the room during the delivery. As always the ethics questions seem to make sense in retrospect, but always seem to have a ludicrous action on your part that you wouldnt do in practice. +10  
llamastep1  It's not just conceal but it's a private and sad moment, gotta give the parents some time to process it. +5  

submitted by stinkysulfaeggs(93),
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If teh oamitylbarn was tehmsongi oemr eilf tnengae,thir duontlw' the stfir citona be ot llac hte iiandr?apitce I asw n,nhiigtk mbil xiyermtet gimht nmae gthniemso lese reom serousi aws nnapgpieh too ;g--&t eend iatiearcnidp right ywaa to dx.

tinydoc  I thought about that but then I ruled it out as with the NBME ethics questions the answer is almost never to defer to someone else. The question doesn't ever tell you what type of doctor you are for you to be referring to a different more specialized physician. Also I assume that they think if there was something wrong you could handle it. +2  
llamastep1  Out of all the questions (UWorld,NBMEs etc.) I can only think of 1 question where you had to refer. +1  
targetmle  even i thought pediatrician should be called as after all, every newborn is screened by pediatrician and in this case, he had abnormality! i still wonder why would gynaec comment on that! +