need help with your account or subscription? click here to email us (or see the contact page)
join telegramNEW! discord
jump to exam page:
search for anything ⋅ score predictor (โ€œpredict me!โ€)

You must be logged in to vote!
Retired NBME 20 Answers

nbme20/Block 4/Question#36 (reveal difficulty score)
A 25-year-old woman is brought to the ...
Factitious disorder ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: psych repeat

 Login (or register) to see more


 +13  upvote downvote
submitted by โˆ—johnthurtjr(168)
get full access to all contentpick a username

Low C-peptide, low proinsulin, high plasma free insulin and low glucose, in a nurse, who presents with episodes of symptoms of hypoglycemia without apparent precipitants, is straight out of FA's textbook definition of a factitious disorder. See FA 2019 p554

get full access to all contentpick a username

In factitious disorder patients consciously produce symptoms (ie. purposely injure themselves) for primary gain. A history of multiple procedures and subjective or objective findings that are inconsistent with known diseases suggest factitious disorder.


You must be logged in to vote!

 -3  upvote downvote
submitted by usmlecrasher(6)
get full access to all contentpick a username

c peptide = endogenous insulin , low c peptide + low blood glucose = exogenous insulin. very simple

get full access to all contentpick a username


You must be logged in to vote!

Must-See Comments from nbme20

amorah on Cytomegalovirus infection
masonkingcobra on Contact with parakeets
hayayah on Capillary hydrostatic: increased; ...
hayayah on X chromosome-linked isoenzymes
medbitch94 on Mannose 6-phosphate
hello on Capillary hydrostatic: increased; ...
hayayah on Osteoblasts
imgdoc on Hypophosphatemia
hayayah on Missense
celeste on 50%
justgettinby on Omeprazole
andrewk1 on Cold, dry air
yotsubato on Jugular venous pressure of 12 mm Hg
strugglebus on Drug effect

search for anything NEW!