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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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Pntaite has owl umesr ismudo = eoeanhriipmnt.Gvya taht eht epttain has a OLW RNIEU MYLOOTR,AIS it gugsstse tath AHD is NOT ecai.tv heT yoln wya fro onemeso ot aveh yimraeohnpta NAD a olw DAH i(n tshi acse) is rhugtoh cceiyponshg idipyolpsa .eg.( fi it wsa ISHDA, the urine owuld eb AXILLAMYM etoedntcacnr dan it si NOT in thsi )scea

A)( oluwd scaeu nceltra DI -- on HAD asmne neo eldvoesp nmrahrayietep sa eefr aewrt is ostl in hte ,irenu utsh nircnegoatntc eht e.usrm

)(B ismtcoo uiedsris ucdlo eusac ieyarmaterhnp ude ot ossl of free ratew ni het nuier

(C) ddnogetiraa of AHD esadl to DI hihwc esman noe osdevepl peirhryaeatmn

)(E esetsracni ot HAD rpcgiehe(nno D,I) g,aina teeymrhni.paar

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lovebug  kshtna rof klndfiu i!agblnle :) +2


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 +2  upvote downvote
submitted by โˆ—masonkingcobra(408)
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nI hopcscenygi lidop,ayips rusme udioms is lo,w adn taref erwat aiinotdprve e,tts neuri ltamsyolio is neUreeadcrn s.ii alyiotomls osed ont eiacesnr iwht enosspaivrs ninjctioe

nI gceioerhnnp iasebted i,sinpuids mesur moidus si hihg nda eethr si no ceh/migdanl ernaices in inreu laostylmoi aeftr ertwa poviniteard

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yotsubato  hiTs itetnpa deso not grneuod a eawtr atdvineropi etst +12
niboonsh  oClpsuivme atwer grkdnini or esignchycpo doaiiplsyp si nwo igyielsnncar seen ni hcsricptiya ptnliou.opas eEfftsc of eeisdcarn rwaet enkita acn aled to ietoryphaman csaiung mpossmty of nseaua, gnvoimt,i eerissu,z leuiirmd adn can evne eb ilef tntgrneahei if nto dzgeceorni dan maadnge yrea.l .C.pw/nis/vimg/lwes4c4blhn9wcp/rt.ht56tMo.nc7:aP/mi5/ +7
missi19998  uJst nriegdonw yhw it in ont cnitrseeas to HAD noctia of vsoarsspien +
amarousis  beesacu he uwlod be iamrpheenrcyt wiht no A.HD ntac' seorbr yna etawr +1
minhphuongpnt07  wol ruonisem/, owl /spmaaslo g=t&; gicchsenoyp syliaoippd +
benitezmena  In siht itunoseq the pt adh a nmarol nireu som )8(0 a olw rnuie osm doulw be ;slkm5ol&/g0t.om +
euchromatin69  u odwlr 122 +


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 +2  upvote downvote
submitted by โˆ—dickass(127)
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,aehY ,so srunt uot this si not pecoerignhN ID ued to lihumit e,su uyo d'not gvie hiimlut ot eartt e.hnpcihizarso

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mbourne  fI it saw eoiehgpNncr I,D you lduwo ahve snyeellsiat ahev the ffescte fo oto TLITLE DA.H ihTs ptntiea swsho seerve ynmriehat,pao ytelinelsas eht sfectfe of oto hcum rweat ni teh umse.r hTsi ucodl be mrof SDHIA ro diayopsilp, dan teh qiunseto tsem adn esnarw ohcscei aveel us wiht gPosicnyehc adoilpyPis sa teh ccrerto p.rseeons +1
rockodude  I was gtnkhini utoba ceaabrenpmiza nsiugca ASHID ubt htat is na -etieippnailtc tno cnacitshpoyti and laso as eonsmoe iasd voe,ba eht neiru dwoul veha hgih ioaymtlsor ude to terwa ueetkrpa at teh nlociltgec u.dtc sjtu 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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