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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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ittnaeP hsa lwo mseur ioudms = hmao.inpreavnyGtie atht het etniatp hsa a OWL NRIUE IOTYSMAR,OL it stusegsg ttha HDA is TNO ai.tcve Teh nloy way ofr enmseoo to ahve apmihnyaoret AND a low ADH i(n itsh )seac is gruhtho nsocighpcey iosdyalpip .(g.e fi ti swa HD,SAI het unire wloud be IAXLYAMML tnderaecnotc and ti si TNO in tshi ace)s

(A) wloud euasc naerltc ID -- no DAH nsaem eno soepvlde eeyiprhatnmra sa eerf eatrw is lost ni het e,uinr stuh enncctgtonari eht .mrseu

B)( comtios ridsieus uolcd sueca arehaptireymn edu ot ssol fo efre awret ni het neuri

)(C onitaraedgd fo DAH elads ot DI hcwih eansm eon vosplede yeirmpthaenar

)(E csneateirs ot HDA (ehcrignenpo D),I gaian, ramanitehpe.yr

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lovebug  saknht rfo iulfdkn lalbegi!n :) +2


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 +2  upvote downvote
submitted by โˆ—masonkingcobra(408)
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nI yoheipccsgn oi,lpypaids mseru oduism si o,wl nad trfea awetr apretdiovni sett, neiru olsoiltyma is Udensirec ria.ne ytmalslooi dseo ont nsceeiar whti aspevnsriso cioeinjtn

In hernincpoge estideba psnd,isiui uesrm dimuso si ghhi nda htree si no adnhlic/gme ecresani ni eiunr silmatlyoo terfa awrte enitodpviar

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yotsubato  This ptnetai odes ont rgenduo a water pridveoinat etst +12
niboonsh  levmCospui aetrw dkninrig ro icgoeychnsp aspplioidy is nwo eicgnsliyanr esen ni ycachiiprts opnoi.tuaslp Etfefcs fo niasdecre atewr eknita can leda ot ohntiamyepar agcinsu mpmsyots of naesu,a igmo,nivt siz,eseru miluried dna can vene eb lfie rteiatnhegn if ton iecgodrnze adn angemda .yaerl v/M5/osnttshi.pw./:l5pn9wh.6e/4Pmmr/C7/ai.gwbncc4ilct +7
missi19998  uJts wodinreng hyw ti in not ssaientcer to AHD aitonc fo epiasrnvsso +
amarousis  uescaeb eh olwdu eb thrrepanicyem with on .ADH tanc' sroerb ayn ertwa +1
minhphuongpnt07  owl ni,meuos/r wlo os/amlaps =tg;& gnhcyepiosc diopyalspi +
benitezmena  nI tish onsiutqe eht pt had a amnlor eruni smo 0(8) a owl uenri oms dwulo eb l5stm/.;kmg&ool0 +
euchromatin69  u rldow 212 +


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 +2  upvote downvote
submitted by โˆ—dickass(127)
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ahYe, s,o turns otu tsih is nto peigoeNrhcn DI edu to uitmhil s,eu you ntod' veig mtihilu ot eartt ihecr.naophszi

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mbourne  fI ti saw cNepehonigr I,D oyu dolwu ahev laseleitysn hvae the cteseff of too LILTET HA.D siTh tepanti oswhs vresee rotnaepmyah,i lenysleiast eht cffeset of oto cuhm treaw in the u.ersm This uocld eb orfm DAIHS ro pidsaiyp,ol dna het esuqtino stem nda esanwr cohcise lveae su wiht sPghcocynei pyiaidsolP sa eth roctcer rsospeen. +1
rockodude  I asw tgnhnkii ouatb rbzaaipnaecme suniacg SAHID ubt htat is na iltanepip-ciet not thpiictaysnco nad lsao sa eosonme dsia ,vabeo the uerni uldwo haev hihg yiomoarstl eud to rewat ruptaeke ta het colctnglei .dctu tjsu yfi +

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


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