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Retired NBME 24 Answers

nbme24/Block 3/Question#13 (reveal difficulty score)
An 83-year-old woman is brought to the ...
Discussion of the diagnosis with the patient privately 🔍 / 📺 / 🌳 / 📖
tags: syphilis ethics repeat

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submitted by peqmd(75)
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nusoqtie is gisank t'haws teh esbt tenx epst nto lyerseansic what is hte tebs isgnidcoat p,est ihwch si satmhewo of Stpe 2 otairnto fhles itnquoes r(fo pelpoe who saket Sept 1 faert itsoa).tnor D,LRT sbet XTEN spet si kalt ot ehr irsft at uminmmi uyo eend to emrteined fi she sah .aciapcty

hWlei the etitapn sah tprtey dab MSME:

B. sI hte tebs tenx .pets uYo eden ot iudscss htwi her .srift g;t&= edrnteemi hre ideincos kngima paciyatc g&;t= tneh dcpoere rwetehh to sdisscu htwi erh hdarguet )A.(

maLubr prtunuec is hte sbte ndsicogait tpes. vwr,eeHo in htis tesunoiq et'eyhr nskaig oyu hatw uoy eend ot do to veen preocde ot tish .epts .e.I etg her ictpcyaa hnet ouy nac eredpco ot r.umalb Tshi si uaecesb ralmbu uretcupn is reom vvaeinsi adn olu'ly nede ot ssssea tcyaapic as wlle sa tge hitree erh if( seh sha ciap)atyc ro tauged.hr

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 +1  upvote downvote
submitted by centeno(3)
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I hohtugt ahtt hte gietvncio trnapmimei cdolu be teh mnfioanttseia fo npsyihrseo.ilu nI ,iadotdin het dootrc dusohl altk lycirdte ot eht ntpieta ot kechc fro eaxslu beuas.

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j44n  eTh mmaximu MEMS corse is 30 op.ntis A ecrso fo 20 to 24 gsestsgu ildm aemt,ndie 31 to 02 gsusetgs mtodeear ai,ednetm dna esls nath 12 ditainces rvseee mn.deeait nO aergv,ea eth MSME scero of a oenpsr wiht le'ehisAmzr dneclsei otaub tow to uorf ipston heca e r.yesah ynlo ash ldim t.eanemid I dha to lkoo this up hse loudc itlls anetri her pcyiatac +1

All patients, including those with dementia, should be assumed to possess the decisional capacity to make medical decisions unless the physician determines the patient does not possess decisional capacity.



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submitted by lispectedwumbologist(122)
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anC yndbyao nilexpa thsi one? I put teeeardp sstet euesbac I demusas na -deroa38-yl wnoam is an asuluun icaogrmhdpe fro ilyis.psh

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m-ice  38 gihmt esme na muomnnoc eag, but ew n'otd nwok rfo eusr erh axeslu hry.isto Seh lnyo lrnteyec (8 onsmth oag) sdetart iohwgns semo sinsg of limd gnteviioc mertipmia.n She ash lla eetsh sluster nmilypgi thta seh sha pyihss,il so hte tmos lkiley anerws is ttha ehs has i,syslihp os we oluhsd peaks ot ehr relavptiy aobut ehr uexasl toisyr.h The sestt dnt'o anielecrsys saenm ehs tgo hilispsy yver eyntcrle, 'its pbsoiles ses'h hda isspyilh fro a eiwhl nad evern ogt raet.edt +5
mousie  I udneadtsrn hatt seh doclu ssyboilp evha isplihys btu I laso tpu pertea ssett eecabsu I knwo erteh are a efw hnstig atth cna ucaes faesl iiosetvp sLVRD btu if esh lsao ahs a + RRP dose shti kame a PF sesl y?kiell nAd oals if hse sah diml otivgnice mnpermtaii you llits siusscd ithw ehr ton rhe ehdtgaru eorcrtc ?... +4
m-ice  Thsi ieldyinfte lodcu eb a elfsa e,iiovspt tbu oefreb ew wtan ot nreosdic ti to be a lsaef pes,oviit we hdolus ltka ot het aitenpt uobat ti iptleva.yr nmssiugA atth i'st a lasfe vetipois foeber igansk the eitnapt uboat it duloc eylda teeanmttr of her ihysspl.i 'rsThee a hnaecc she idtd'n twna to sleisdco rhe xesula tiyohsr ni tonrf of hre tudgrhae ro ebyma ehs saw bemrarasesd or tid'nd nkthi it wsa rpoatitnm ot n etidom nn .A eyour' estloaulyb t,hgri she oyln has lidm ivoctgien i,mntpiarme os we tosm liyentdeif loudsh tkal to hte ttaepni enola wttuhio her tdrgaeuh rit.fs +4
seagull  hSe ahs .ieaedmnt heS eodnts' aehv the aaytcpic ot nietedmre erh nwo arce 22/03( EMM.) I efle hte uhgtedar dholus eahv the wodr no hte ecra eiscn anardmG ilkeyl toes'dn evah eht ayctcpia to snudaredtn reh iac.nots +5
sajaqua1  ormF hwat I remeb,mer eaeitdnm si clyipltay a otcbmianion of dipaemir oermmy and** pridiame huhotgt cope.srsse erehT si ngothni to iceaitdn atth het aipentt sha pmdearii hhtotgu cspr,oeess dna het moryme ratpimmine si loyn mdli. eTh iaptetn acn tlsli bnreyaosal dsai ot be cpmeeontt, and so erh teaivrp tianomoirfn houdsl be udsicdsse thiw her alo.en +12
yotsubato  Edelr earc ehoms or lreyeld esioutcimmn claytula heva a high reta fo STs.D nsurT u,to wnhe you put a cbhun of odvwewoiiddcedr/ dtaslu htrgeeto ni a miyutcomn yhte haev .exs +12
yotsubato  nyldldaAto,ii ouy uslhod epcsrte eht vcpyari fo a ptnoceetm duatl wthi dl"iM eoymm"r ianptmrei.m I nwko I could heva dlmi myorme tmamipnrei iieconngrds the apcr I erogft nuydgits for pest 1 +14
drdoom  s@ullaeg eiamentd ≠ enbecsa fo pneemotcec -- hte tow rea raesaept cenpctos adn heav to eb teveaaldu dneeidlnty.enp ese 0c:bu3m/7r.?s/0Dhu/rv0d/ei4otnmpohi.=ne.iglsth adn /:biinue1uD.0th/4=/mhos7od/ev.mpin6rl?cstgrh.3 +3
wowo  osla noamittrp ot ,neot )d eptaeedr tstes is aosl rnectroci sa the aohnuilcaritgemnmigot aayss si a oftairmcyrno emptlerona stte ang(ol het meas ilens as A-ASBFT) hww-9tltie8pwlab:uhor3a/srghh/a.ft.ow5lmythh//er +5
sunshinesweetheart  oa.sl... I nthik we nca smeuas hatt e"teerapd "sttes amsen teeapr L,RDV tno dadl"ioaitn tsste to elru otu lfase spoiseitv" +2
imtiredofstudying  het neerit nopit of hits uietqnso is atth hnew uyo see na TDS in na enpecxdetu opaechidgmr ed(hl,nirc llee),yrd IHTNK XSEULA ASUBE +

23 of 30 is mild dementia by DSM V , still has capacity to answer basic questions , and STD in childs and elderly ALWAYS think ABUSE FIRST



 +1  upvote downvote
submitted by ahd_ve(7)
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het nima gaol rfo stih niteqous si ivoad nisdcusgsi isseus thiw teilresav uwttioh the etn’ipats ipm.nroeiss but some epleop weer peyedl skeocdh ot see ttah a aogrhetnmrd ahs ssihpliy. wtB I evela a ilnk of a hesracre outba liClcain tUltyii of teh tlieMM-inan usatSt xaiEtmnoani eWhn sAsissnge osnaMiinDg-ekic ypaiac .Ctb8//asdpso81870sbg/ajo7170a1:/t.pue0/nusc794r3/t..79h2l1m2i9o

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 +1  upvote downvote
submitted by komodo(4)
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I khnti neo fo het fnisonoucs erhe si atth het ianemocimgnoltrhtigau asysa to'nsed nriclseayse tdceanii uctrenr nctiionef wiht s,piyilhs eseaucb tonarmlepe ettss acn yats itvesipo veen for sayer etraf rtnmtetea (0//cpvww9h.0e/cg22Mct.wbC.l:rl/.0mnPistnnmoit/pai/h5sta Th) in mocob wiht hte veyr olw RPR retti cdlou ncditaie edrttae s.lsyphii oS ayrlle teh best tingh to od dwlou be to aks hte tepntia deiclyrt obtau ti roebef yuo ewtsa time idnog sypbolsi synsueencra tsentgi nd(a I woldu eildefiytn kas her tyedlcir necsi mots eppleo tnod' talk tubao irteh ISsT hwti tierh lechdinr)

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 +0  upvote downvote
submitted by deathbystep1(21)
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poiton )B ht(e rrcocte onpito as erp eb)nm eth: aenitpt has a inmi etlamn taets of ,/3320 so tath hdsulo eanm tath esh tisn' pecalab of igknam hre onw s!onsiiecd os hstwa teh nipto in iltakgn to hre pliaeyvrt uwtihto erh ghuetadr?

otipno )A si grwno baecuse uoy acnt ujts deih het ssngiaiod mrfo eth iattepn adn saerh ti ithw eth mfilya

onptio C pm;a& oDuy) tocann radegsdri hte sett or eprtea hte ttes as othb hte stte ear ,tipeiovs RPR si a nreescnig ttes thiw ssel ptcfeisyiic but unoriottegamgmhilncia is a hihylg cciefisp ttes so hes itflnyede ahs lpilssyi!h

ootnip E) tdosen mkae ssene sbuaeec ywh oluwd ouy do uarmbl etcruunp rfo lyls?hii!sp

i hiknt yhte gotofr to evgi an toipon F) tjus akreinf taert her rfo pis!l!sihl!y

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saturdaynightpalsy  tsniPea"t iwht eetusdpcs epnlshisiouyr ldusoh gnurode ublram pnctueru nda neqbsuuets LRV,D FA-TBAS doa/nr RPC of srlranceiopeb l"fudi rpe my seont nad eth euirmrneta ntLb nurptceu is sued to aosgndei psyioi,urlnshe os s'ttah whta I up.t +2
saturdaynightpalsy  oT dda ot htat, I dntdi eohosc hte roeth enarssw you tdslei rof teh mase ssnaroe ouy tsile.d +1
ac3  iwhhc fo eth nflilwogo si the XENT EBST PSET nginmae yuo nlodutw wtna ot pmju tgtrahsi ot a abruml nprtuceu ialslceyep whne ehrte are nrawse eiohccs taht egstgsu sindcsugsi hte sgsndioai hiwt eth tpnetai t.srif fI yuo tnew ot teh odcrot and eyth soedagni yuo ehyt wlli usidssc htis htwi you berfeo dnorergi ailinotadd .eigntst +1
yerpderp  3/230 si also juts ilmd gonctieiv eatnmmipri so I sujt uhghtto hse isllt hda eocidisn imknag paailtbcyi as 2/340 is slilt oalnmr +3
cbreland  erA we dcepxeet ot teiterpnr MCI rescos +
madamestep  lidM myomre tepimnmria dsoe TNO emna dederacse g-cnksndiiameoi pa.ctayci nA 83 eyar dol tihw an tsmalo nmorla lntmae assttu axme woh bmaye sah a new nryeifbod ta rhe unnsigr ehmo ayroblbp wnoludt' twna ehr hratudge ot oknw ttah hes ash an .TIS And fi iths is leedr bueas, odu'y aslo nwta ot ltka to her rtyvepail to ese if es'sh saf.e No mttera ,tawh ordle tlsadu whit ldmi eientmda era lslit onalmr epelpo nad uyo need to sssase erith nacoinske-idigm aatpcciy dceniosi to onsd.eiic sTih nwmoa ostm klleiy ash hte yctacpai to ceeidd fi she sntwa ot uoergdn yhispisl tern.mttae +



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