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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

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 +13  upvote downvote
submitted by โˆ—johnthurtjr(168)
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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

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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.


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 -3  upvote downvote
submitted by usmlecrasher(6)
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c peptide = endogenous insulin , low c peptide + low blood glucose = exogenous insulin. very simple

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