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Retired NBME 20 Answers

nbme20/Block 3/Question#38 (reveal difficulty score)
A 23-year-old man with a 3-year history of ...
Psychogenic polydipsia ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +23  upvote downvote
submitted by โˆ—drzed(333)
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Ptnatie sha wol smure umidos = oenphiryetmGa.ainv htat hte enptita sah a WOL NRUEI YTASOM,ORLI ti sgtsuseg htat ADH si NOT ecativ. eTh only yaw rfo emoneos ot avhe yomeaarhtnpi NDA a low ADH in( hits sa)ce is utrghoh nicpshyecgo spapliodiy (e..g if it aws ,DAISH teh runie dulow be XAIMMAYLL etrdnoecctna dna ti is TNO in hist eca)s

A)( ldouw aeusc tcenalr DI -- on HAD masen oen desvloep pmeyehatinrar sa eefr rweat si slot in teh er,inu tuhs eccngiantonrt hte e.sumr

()B tcoomis edisrisu cudol sceau raheparteyimn ude to sslo fo feer waret ni hte rniue

C)( ddareiogtan of ADH asdel ot DI hwihc samen eno dvelpeos itepheymrnara

)E( eeiscstrna to HDA eg(ircehnonp ,)DI in,aga aritmpareey.hn

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lovebug  ntkahs rof lnifkdu nallb!gie ): +2


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 +2  upvote downvote
submitted by โˆ—masonkingcobra(408)
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nI gcnecoyphis lspoapiyi,d srmue idomsu is w,lo nda atfre etwra irpeviatnod sett, eunir osytalilom is narsinece.iUred laytoimols does ton nrseieac htwi psaeossivnr njoitncei

In phinrcegnoe tasedeib psdsiinu,i uresm dmusio si hghi nda teerh si on eichamgdln/ csaerein in rniue oimaslltoy trfae teawr ieiopdrtnva

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yotsubato  ihsT panetti deos not unroedg a rewat oanirtviedp tset +12
niboonsh  espvolCumi ewatr rnkigidn ro gephncsycoi oaspidlypi si now nigyscinelar sene ni itycircsaph ipsouaonp.lt sfcfEte fo nedsaeric wreat tnkaie nac eadl to typmrhnaoiea nacisgu mmysstop of aeu,san vitmo,gin sreue,zis diluimre adn cna eevn be leif etargthnein if ton cneregdzio nda aenagdm lr.yae //s/mnomcnpMwb.e6cph9gt4iittw/:/lisrn.5.Phv45a/.7wlCc +7
missi19998  Jsut ndriegwon why it in ton icarestnse ot HAD oncati fo soasvsrinep +
amarousis  bceaues he uldow be emaypricentrh twih on DAH. cat'n rresob ayn etwra +1
minhphuongpnt07  wol ms,eou/nir wlo pamasols/ &t=;g hinecypscog iaidlspypo +
benitezmena  nI hsti qstieonu eht pt hda a olmarn euinr som )0(8 a wlo uienr som wuold eb ks.&lol5mtmg;o/0 +
euchromatin69  u wrdol 221 +


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 +2  upvote downvote
submitted by โˆ—dickass(127)
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ah,Ye o,s rtuns tou siht si otn noehNcreipg DI ude ot timuilh e,su yuo ndt'o egiv huitmil ot etart a.eiicrshhzpon

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mbourne  fI it asw incheerNgop DI, ouy ulowd have enltlsasiye haev the ftcsfee fo oot LTLETI A.DH hsTi epattni sshwo eesrev trioy,hanemap ianlylteess het efctesf fo too mhcu eawrt ni hte rsem.u ihTs culdo eb mofr SIAHD or silypoi,dap and het ouistneq mest dan nerasw ehoiscc alvee us tihw csgncyieohP ipyoPsiald sa het cctrreo reessp.on +1
rockodude  I swa intnihkg aoutb aniemcebzarap usgaicn HDASI tub tath si an ticitnapie-lpe ont itctsypoanchi adn laos sa nsooeme aisd ,oeabv hte inuer dulow have hgih oloisarymt deu to trawe epurkaet ta hte clgilncteo ctud. jsut ify +

Anecdotally, some of my clinical faculty have mentioned that typical antipsychotics have a very high predilection to cause psychogenic polydipsia.


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