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Retired NBME 24 Answers

nbme24/Block 4/Question#24 (reveal difficulty score)
A 13-year-old girl who has a 6-year history ...
Discuss further the impact of the patient's illness on the family 🔍 / 📺 / 🌳 / 📖
tags: ethics

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 +12  upvote downvote
submitted by nwinkelmann(366)
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I usjt ohugtth fo a ayw to (lue)yphfol avodi igtgten eehst etspy of wsasren .nwrog t,srFi hnew I dera mhte I alaysw loko for eth letsa osle""sah waers.n ehT,n if ureo'y lilts ,tscku ytr ot upt teh atsnmette nito a eouqt htta yuo lwduo ysa ot a tteinap as a nisayihp,c regimebernm ttha ndd-peneo,e gnulnnojam-det siqtsunoe era aleid.

ehT rneaws for sthi doclu eb dprheas sa a ttsmenaetqt/uneois by teh droc,ot ot hte fimya,l as llT"e me oemr uoatb ohw hsti aicmgptni uroy lymfia nad idayl "ief.l daH ti eenb erdshpa kiel a,htt I INETLIDYFE l'nudwot avhe tgotne ti nowg.r I louwd ahev nvere vnee hda het ypotniruopt ot meka na usspmtoina buaot eht ay'mflis gtngfihi inebg due ot iedt nrcenocs adn uths dginene a tsttiinoinru erlaerf i(hwhc is thaw I ).oeshc

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usmile1  I tnhik hte aoners adincitie aws enoctircr si cbauese seh has dah adbteeis rfo 6 esyar nad hre aisbdtee aws ellw cneltolodr hatt treein tei.m neTh for eth psat tow otsmnh reh ouesgcl nootrcl sah eneb o.rpo Tihs si innitpog tdrsowa eth susei ONT bgnie ttha heyt ont'd nwko who to gnamea teh eiedtabs so irferrgne to a aitdneici dtnu'owl eb f.seluu +6
tiredofstudying  /.9199090 stemi het nsearw ilwl neerv nuedcli errlrfa.e Teh yonl rnaseo I od nto ays 001/010 is ucseabe reeth mya eb na sawenr eno dya hatt is ot efer,r ubt rhhgtuo lla fo UW, xR, and MBNE ti ash vrene nbee ot r,efer so do wthi ahtt inof awth uoy ilwl +5
gutierreznar  hogThut tobua natresp inghtigf at amels eud ot myeon sissue of rhe slaiepc itde so ethy odhslu sdcisus it itwh teh eaitntid ot try ot ctwhis ot a reephca d.ite ehivOgnirnkt a tbi oll +



 +5  upvote downvote
submitted by targetmle(10)
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Sh'dloutn ew rftis sserdad teh ueiss yb nreogtcric rhe gcsoule eelslv yb edgnrsiutaj lnsiniu nad nthe see tawh aer het eobsr?pml

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am4140  shTi is what I cpekdi adn thwa d’I lstil ikcp in rael ef.li hTe actf taht her asdebite saw ernodloclt eeofbr n’tsoed nahegc hte caft htat i’ts otn etlnlcodor w.no.. bemay ew lduoc ecgahn the lusiinn bakc ot htaw ti asw rtfea eyht egt rihte ilaymf isusse xedfi, utb het tsi’tpnae emameiitd dbloo arusg eesllv dene tranemett M.IO I’m tjus ioggn to issm htsee suetoqnsi freore,v I .hnitk +1



 +3  upvote downvote
submitted by sabistonsurgery(5)
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To get shuc ugvae sonteuiqs grh:ti

  1. sorCeidn ignysa all hte etmtnseast ni the asinekrts ento sespoilb nredu ruyo rbheta tet(nrsaal to tromhe etnuog fi MGI for nubos fc)tfee.

"pSto k"Bgniiecr - hilew y,nsiga nt'od you egt a thni of ,eamarplistn keil eth dootrc iantetgr hte seatpnr as rgentesea evlhss.mtee yhTe rae uflyl gw-pourn seemvehls;t hyet okwn yeth 'lnoudsth !rikecb

  1. nDto' sohoce the eerfr itpoon on eStp 1 9(%9 of eth mtie r)c.t.r.oe.c lsesnu no ohrte noptio ta all ifts uroy acse irftsU oWrld ahs uotisneqs gonig to octur sa teh gtihr awresn eenv! utB ni all fo m,eth it wsa tvednie tath on eothr noptoi doluc mcoe esocl to egibn lelihaageeol/ielliy/cpntt/c tocrr.ec

  2. ptnOosi thta sya - iaecrsed/nssueougascs/konedr/ - rea yswala errer.pdfe cuoCmtionmnai = Key esioQutsn

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regularstudent  I ovle hits mola. I siad sopt igrkcbnei asecbeu I tughoth it wlduo eb ufdcke up to kas teh eaprsnt buaot hwo ehrit k'isd aeetsdib has amdeiptc tehri yMe imfal. "So: woh ahs tshi d'isk iedsaes edcatpmi uyro imfl?y"a "hrse !PantO weer' atubo to odcvrie cueebsa fo htis inckgfu dki. sSeh' a ntctnaso ,estrss and ahtst' ywh ew stolynncta fihtg, even rdungi nnidre dna ta the tod'cors "icfoe!f +4
unknown001  oll. thsi cmomnte mdea ym yda +



 +3  upvote downvote
submitted by subclaviansteele(11)
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.hUg.. tog tepirdp pu iwth Rr"fee ohtb ntteaip and reh rtpasen to a "eiatcindi

verO hni..gkn.tIi uhgttoh teh sorcue of hrtei sueatngmr eerw ta emal smeit cesaie.p.os.yll beamy yeht acn fidn a oogd nutiloso tihw a etdaini.ci

OsCCAM RARZO TSHI ITH.S kepe it islmep dpsiut. eTh arsnwe itfs hte bste tfare re drigena i.t

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nwinkelmann  .EMS.A.. g!uh +
johnson  olAs - y'ueor stamol ENEVR eegsnfragriinrps/ on a tantiep htwi the MSUE.L +9
bmd12  yehT rea at aeml sietm, hihcw is hwy 'hess gniahv dyctluffii lofwolnig teh cdreebpris deti bc erh sarepnt rae ignruga gduinr ttah emti os ist ufficlidt orf ehr to errylctoc eeecxut it wenh thyree cnyatsontl e,cnkibirg nda cb es'hs noyl 31 so hes acnt eflficyvete emgaan erh diet hwoittu the elhp of her pseantr. And cesni het teid ash nbee gnokrwi iwht eht anepitt oirpr ot lal the biikren,cg uoy anc smesua the edit is tno the orto uacse. +1
jamaicabliz  het renasivlu sosnatnct: eha,Dt xa,sTe adn nvere lungstcnio hte hiscet immoecett +
meryen13  atth is lrtlayile awth I hghou!tt htwa fi teyh odn't ifx ihtre esuis adn this rpoo dki liwl have gceyciml rtoclon !esusis nifigx fymial is not a oen ayd kwo!r xif oesgclu tifsr dna okwr no lfamyi susei orve !wsek!e! atst(h ahwt 'lIl od in earl ile)f :((((( +



 +0  upvote downvote
submitted by therealslimshady(42)
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ouY can tlnmeeaii C ceauseb rhe eeisabtd asw lwel elctrldnoo in hte .stpa eTh fcat hatt teher si sessrt ni reh flmiya nda hes sha proo oulsegc lnrotoc ltsle yuo hatt hte rhe oopr uolgsec rcnloot si sonedcray to eth tersss in her aiylfm. oS uyo wtan to xif eht alre mobe,lrp nad ot do hit,s ouy ende omer oaimfitrnno aoutb i,t so ikcp ,B sa o-eddenenp sotnsequi iwll wysala veig eth achniyisp emro ihgntis to awth's onigg on dan tetebr be blea to deiedc woh to kealtc hte perlomb

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 +0  upvote downvote
submitted by hhsuperhigh(49)
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eTh teid si rpei,bcedsr os on deen ot refer to ecdnaiiti .oymenra tI si a scae fo teh paneitt nnpmaco-loecni fo .eitd tuB why tac'n deisva eht asenrpt to sopt gcik?enrbi

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therealslimshady  I brmmeree oBsadr and Beyond disa atth yuo ernev twna to kcip yan nsttemtesa that onuds "nli"gc,dso puls ti tdlcu'on be humc elhp to ustj sya t"osp iu,a"nggr 'sti eebttr ot dfin uto oiiornatfmn on a'twhs sganciu hte ggnraui so ttha uyo acn stpo ti etiler,ny wchhi icceoh B wlil wlloa ouy ot od. +
tyrionwill  tserss is het tnihg to erosw eth iinndtcoo of ,DM dan wlli eb erbtte reatf bieng en,es e,trmfcdoo and tapee.cdc +



 +0  upvote downvote
submitted by thisshouldbefree(51)
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I adtasltnre ioechc B ot h"te nspeatr aer rguaign abtou ithre hcdli nad rfetereho by gysnai shit i am gdadni flue ot het efri" I eochs A uebasec i egriufd gnthi are eiggntt etedha dna teeerfroh ocd sdulho tyr to malc hisgnt nowd efoerb ceirgopedn

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 +0  upvote downvote
submitted by unknown001(9)
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mosawee aayolgn . 3 stesp to cthsei

  1. stale lshaose nwaser
  2. pstloite
  3. no rhsot utcs ( elik keat teh rengol edrrha omts ytiikslagnpan fiolcfia eturo to nay o)srcpes.

s.p ltsa ,niotp ouy wlli ese its use in htero i,uosnqest not hsit neo

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