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NBME 24 Answers

nbme24/Block 4/Question#33 (30.5 difficulty score)
A 12-year-old boy is brought to the physician ...
Inhalant abuse🔍

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dr_ligma  Fkn narcs +2  

 +16  upvote downvote
submitted by dr_ligma(30),

If NBME asks about a kid with suspicious rash under his nose + lightheaded/dumber in class, that kid's huffing glue

abhishek021196  Inhalants intoxication causes disinhibition, euphoria, slurred speech, disturbed gait, disorientation, drowsiness. Withdrawl leads to irritability, dysphoria, sleep disturbance, headache. +  

 +8  upvote downvote
submitted by lsmarshall(345),
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 +2  upvote downvote
submitted by mousie(160),
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medskool123  I picked impetigo because of the gold stippling... I guess I took that as honey crusted lesions. F*ck NBME. +5  
yotsubato  Huffing gold spray paint. A la the chrome huffers in Mad Max +6  
subclaviansteele  LOL I think that might be what they were going for here. Gold spray paint. +3  
et-tu-bromocriptine  Anyone know what may be causing his weight loss and unwillingness to eat? I thought too much into it and put "mercury poisoning", since I thought the heavy metal's abdominal symptoms may have caused him to not want to eat. ¯_(ツ)_/¯ +2  
covid2019  I'm not sure about the pathophysiology there... But I do know that inhalants are popular in places where there's extreme poverty. I spent some time abroad, and one of the patients was using inhalants to take the edge off the hunger, so that she could spend her money on food for her kids instead. She also worked on the streets so I guess it also made it easier to, you know... +1