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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(332)
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iePtatn hsa olw esmur udsmoi = amvoreatn.epihiGyn that eht iptanet ash a LWO RUIEN MOTYIRSO,AL ti egutgsss atht DAH si OTN iveat.c Teh onyl way fro moeneos ot ehav anhptoreiaym AND a wol DHA i(n hsit ecas) is hgthuor ighyscnocpe ipsiydlopa e..(g fi it swa ISHA,D eht eniur dulwo eb AMALMXLYI cnttraendceo nad it is NTO in htsi )cesa

)A( odlwu asecu clernat DI -- on DHA emans eon odepslev themrnaeryipa as rfee etwra is stlo ni hte u,enri tsuh nitnetoacrgcn eht msur.e

(B) mostico srudesii ulcod acsue teipmharnaery edu to lsso of rfee aerwt ni het runei

C)( taaonegddri of AHD lsdae to ID cihhw ensam one epeodvls yhtnraeerimpa

)E( icntsaseer ot HAD h(ncnigoerpe I),D ,agnai tirhaeeypr.mna

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lovebug  aksthn for ulndfki lalbgei!n :) +2


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 +2  upvote downvote
submitted by โˆ—masonkingcobra(408)
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In ncehygscpio ,diylpoipsa seurm ioudms is wl,o adn aerft wtera atiipvrenod se,tt uenri liltsoomya si ei.ecrasnd ienUr yaolmisolt dseo otn csiraene ithw aprnssviseo tinojcnei

nI hocnpneerig eetsadib pdisuisi,n sumer idsuom si hgih and heetr si no dailmhgce/n aesinerc ni ienur lltmsyaoio rftea artwe tdoraievnip

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yotsubato  sTih tnpaite eods ont odgrenu a tawre oeitivndpar estt +12
niboonsh  moseiCpuvl teraw gnkdirni or yehoincgpcs ppyiloisad si nwo ngrnlsieacyi enes ni pihacciryst .stpupalioon Escfeft of cdaerseni retaw kiaten cna ldea ot ymiaenaorpth ucansig stpymmso of ,euanas i,ogntivm siruees,z rlieudim nad acn neve eb ilef hentgitrena if tno cerozegdin nad dgmaean reya.l 4.rgiepbtiinM//ltnn/w.ct9/lvC6a4pmsh/5h75/Pcoww.cs:m. +7
missi19998  tsJu doiwregnn hwy it in tno sieansrect to AHD actoni of vrpoesiassn +
amarousis  aesbuce he udlow eb pmhryeeitcanr whit no .DAH tcn'a serorb yan tearw +1
minhphuongpnt07  olw im/nor,eus olw lasspm/ao g=;t& ccghopeniys spaydiiopl +
benitezmena  nI shti eonistuq the pt dah a rnoaml enrui mso 08() a wlo ienru oms uwold be lmk5og;.ts&/l0mo +
euchromatin69  u rlowd 212 +


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 +2  upvote downvote
submitted by โˆ—dickass(127)
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Ya,he o,s rstnu tou hsit si ont piegncrhNeo ID eud ot ilmiuht u,es you dnt'o egvi imhtuli ot artet ho.psziehrncia

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mbourne  fI ti asw gNcenoehipr ,DI uyo udlwo haev yasenlstlie vhea hte ffsceet of too TTELIL DHA. siTh eittnap owhss servee imhroeaypant, sleinatseyl eht ctseffe fo oot hmcu ertaw ni eth um.esr ishT cluod be mfro SDAIH ro ,pspadoyili and the qsounite tems adn sreanw cscehoi lveea su iwht cnocgshieyP isoydpliaP sa eth creotrc .eonrsesp +1
rockodude  I saw igkninht tabuo emanabcrazipe ugacnsi IHSAD btu htta si an ipaeclitepitn- ont tacptiihcyosn dan loas sa soemoen said aevbo, teh ureni owldu ehav ihhg alysiomtro deu to ratew eeuarkpt at hte ceitglolcn ctud. ujts yif +

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


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