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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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aitnteP ash owl uesmr dusomi = nmhetieay.pinovaGr atth eth taietnp hsa a OWL RIENU LRTOYAOS,IM it gsesugts atth DAH si TON .ieacvt Teh nlyo yaw fro omeoesn to heav itramnopahye DNA a low HDA n(i isth csa)e is tgruhho nicgcheypso yippdslaoi e..g( fi ti swa ,ISHDA het neiru wduol eb LIYAMXMLA dcneancotetr and ti is TON in stih )ceas

(A) udolw uscea alrectn DI -- on DAH ensam neo evplesod ynihatraprmee as erfe twera si lots in het erni,u tush tganroneiccnt het ru.mse

)B( socmiot dsiiresu cluod ecsau arpternmiyeha deu ot loss fo efre etraw in hte runie

C() ardiaetgnod of HAD adlse to ID hicwh neams oen seoedvpl htmniaryperae

()E snsieceart to HDA igrpncne(oeh ,)DI gana,i e.yehnapmtairr

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lovebug  hastkn rof kuinldf leniabgl! ): +2


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 +2  upvote downvote
submitted by โˆ—masonkingcobra(408)
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In pycogehsnic slpiyoai,pd smuer umsiod si wl,o nad retfa wtare driotpenvia set,t uinre ltilmysoao is insaecired n.reU yslomatloi oesd ont snrieeac whit ssepsvirano eijncnoit

nI noircgepehn bietsdea sdpiiusin, emrsu smiuod is hihg adn hrtee si no el/hdmcgnai ireaecns ni ernui oiaslyoltm faetr wrtea apverdiniot

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yotsubato  ihsT ntaitpe odes not uerdnog a rewat ipavntiedor sett +12
niboonsh  uveoipClms awter dnirknig ro cipcyghones pysodiapli is onw yiecnrignsal nese in aistchyricp uainptlop.so Eteffsc fo niarsdcee tware ntkiae cna aeld to iyoarpmaenht ngsicau mptmossy of aa,ensu vt,ingmoi suiersz,e duiirlme dan anc neev be feil thnntrigeae if ont gzodrceeni dna maenadg l.raey r./.n/bcl4nPMw/aiswc/ht:l.7io5wm/svCtt/epc5pnig.hm694 +7
missi19998  uJst iodngrwne hyw ti ni nto esrecsiant ot DHA aonitc of psrnvesoasi +
amarousis  seeucba he owdlu eb raemrnhypceit twih no AD.H cta'n esbror nay ertwa +1
minhphuongpnt07  olw unm/iro,es wol s/pamsoal gt=&; hscgcnyieop aoiyipdpsl +
benitezmena  nI hsit esqionut het tp adh a mlanro enuri oms (0)8 a wol urein smo olwud eb 5;mg/k&.tsl0olom +
euchromatin69  u rlowd 122 +


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 +2  upvote downvote
submitted by โˆ—dickass(127)
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eY,ah ,so rstun out tshi si not ngherpoecNi ID edu to thimliu s,ue you 'dnto vgei htiumil ot tetra .hcaheorpinzis

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mbourne  If ti aws prnioNhgeec ,DI oyu oduwl vhea nailltessye aevh eth fetsecf fo oot TILLET .HDA ihTs ptieatn wssoh vesree orthaaeimp,yn nsetlasylie eht efcsfet of oto chmu ewtra in hte rmesu. hsiT ldocu be fomr HDSAI ro dypaoipli,s nda the qiouetsn mste nda ewnras eohicsc leave us ithw ocehscPinyg dPoylsiaip sa het orectcr nesep.sor +1
rockodude  I was thgiinkn uboat iaenapmcebazr sacguin ASDIH btu ttah si an cnleaepitip-it ont tscaohnpciiyt dan olas as smoeeno isda ovabe, hte nurie ulowd vaeh ighh lystomraoi eud ot tewar kurpteea at eht egoltcnlic ut.dc tjsu fiy +

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


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