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Retired NBME 21 Answers

 +21  upvote downvote
submitted by yotsubato(1208)
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Wlle tstha a elrlay uercd awy to ecrnes rfo eds..ri.epnos

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champagnesupernova3  r'eseTh yerall on erhot awy ot asy it uwtitoh gisnu mheuissepm +4
drdoom  ouY tcn’a eurl tuo idsicaul tugthohs aiv neceenfir. +
drdoom  WALR:EY Did yuo ska teh tntepia if hes saw audc?isil CROTDO: Wll,e ,um on, ont leytxca — ubt, I mn,ae hse esedme yako .. +
drdoom  ELR:YWA oS, a ettnpia wlask toin royu ,feicof uoy cpsestu tpos rupmta isposndeer — a gsiaidons whit wknno iuseidc rksi — adn ouy ndidt' aks if seh asw ldiucias? +
drdoom  TOCOD:R lgpu +
beetbox  odro@dm wwo ok won this lliw ticks to em r.oefevr aAlyws aks yruo aitnpet so I cna aiovd twulis!sa +1

NBME tends to focus on these rules for ethics questions: 1) ALWAYS acknowledge the pt's problem, distress, situation, etc. 2) NEVER ask the pt to lie 3) NEVER be a dick. The answer may sound robotic, but should never be mean. In this case, there's nothing more robotic than going directly from "I'm concerned" to "Have you considered suicide?" 4) NEVER refer the patient to another resource (in this case, the nurse, but could also be risk management, therapist, etc.) 5) COMMUNICATE with other clinicians/experts, etc. to resolve issues. Basically instead of referring the patient, you go to the resource yourself.

+4/- anjum(36)

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 +8  upvote downvote
submitted by consuela_salon(28)
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thaw I ogt ormf itsh iuqnet:os RVEEN %99( fo teh et)im reerf a tnpteia ot ese nyaoen

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madojo  I aws nvcdioenc isht neo saw eth xcte,oeinp tub sguse nto, EVNER REE!RF +


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 +2  upvote downvote
submitted by neonem(630)
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sTih si a uomtatrpsp mood atersndb,iuc a rteytp omocmn sdedrior atht ahs ot hvae na toens nthiwi 4 kewse of yieevrld to be meredt as sc.uh smrpttauPo ublse si eth tmos dm,li whit a 5%-508 cindneeic tear pe(r FA 0),821 laysuul relseosv hniitw 01 dasy nad reetnamtt si ylno spopvriteu utb edne to pollfouw- ot seasss orf pebsosli smauttoprp opesi.ensrd psmPtrtaou pesseriond = 5011%- reat, azaceircdhter yb sseepdred afce,ft xnye,ati rpoo cornnttineaco ofr eratreg anth 2 ewkes nda edens to eb etetrda w/ CBT + ISS.R I hknti the qitensuo is gtgtien at neeinrcsg rof this and a ttilolepany mero apetimorbcl omcacnoitp,il strppatuom o.hpsscyis

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thisisfine   odnuF shti tfiuflcid eeacubs FA acsrheictaerz thu"hsgot of hrimnag abyb ro "elfs sa ppstaoumrt hsyciossp - hhcwi is speru err,a and sdto'en ift sith .aesc os,Al CTB is tfsir nile ntrttaeme ofr tpputmsrao pernosisde - so I listl like the ffreo to rreef ot a itasrphet as het tebs hcoc.ei +11
d_holles  Smea @is.ifsitnhe +2
chandlerbas  i ese what reyou aigsyn tub ew duohls maek sreu tath het erohtm is lavei rfo su ot reerf to a srephatt.i rreeembm if ehss gnwilli ot mrah hefrlse smto lliyke oasl iwlgnli to hmar eth teh iltlte tcuei as....yobb knsgai fro lcaiiuds ohuhtgts rnscese rof geropssrnio ot psot prtuma spshysoci iwth hte ima ot prnteve hte netlseni een:vt arhm ot the bbya +


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 +2  upvote downvote
submitted by drzed(333)
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AECGPISS reiicrta: (1) nfgliee ,e/eowelpywvhdemer ()2 uirtgtybei,/atlifraii 3)( do,aehnnia )(4 uiyclfditf enpigl,se (5) I" flee .tu",y.ig.l orf a redoip fo 6 eewks = meets eht arcitier rof a eprseievds d,sopeie nad iesnc shti was in eth ptos turmpa oidpre, yma be ostp tparmu sneeso.iprd

xeNt etsb estp si to ernces ofr cisadlui aigthhoson/idettu of irmgnah eht i.ldch

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 +0  upvote downvote
submitted by bbr(58)
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asH" it mceo as a irsrupse ot you who dhra pinaetgnr ?is nyMa epleop feel tath ywI." a don't intkh hits edaitalsv ehrit ie,efglsn dna ti doulw emka eseoomn eefl balyd if you iasd y"eh eneyreov aseld twih siht si"t.h Aosl iths wrneas scouedf no gi,pnenrta ehtarr hant eth pcacritsyih cnocner rtupotas(mp eonsirep.sd)

m"i cennredoc aotub ohw bda you've eebn feglein yell".at I tnikh thsi edso gweleoakcnd etrhi neglisf,e nad sode swoh ttha the snyiahicp is egdge.na Yes, its tlbun. uBt at ist wtso,r tsi iltls oerm oemcetlp nath het eorth eos.n

oghuT tsoiequn dasbe no e'rouy naidger .yestl

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drdoom  if a saiesed or nsmoyedr sha kownn skir of ciu,side nda ouy ialf to sesass for ,ti t'sath cigglneene thoabr f“(i uyo us,pstec uyo utsm !rttcp)”eo +1


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 +0  upvote downvote
submitted by an_improved_me(91)
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I taollty tge ohw kansig atubo edsui,ic nda kgnsai ubato it tdeliryc is .pntitmoar But ym fioscnuno si how thsi rsaewn st'enod ridovpe yan ogdo egues. I etwn hwti "sha it coem as a ..e"prsus.ri eubaecs i rifgdeu atht owlud nedl siftle ycneli to eht neiptta gneinpo up. nWhe i leef it si tirppaea,rip i uoldw enth nibrg pu teh voasctienron abuto ,hfesma-lr hanimrg hte baby, dna iues.icd utB sa sit trwne,it the pttneai letsl uoy yteh leef hiytts, and hte pniiscyah very yitdlerc ssay o"ww uyo elfe ypertt "iyts.th eemsS rvye neivsteniis dna ton tlpomai ofr netohs couinmancimt.o

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an_improved_me  Also, liweh i haer meso poleep anyigs ttah ikngam it emse ielk her srpebmlo naert' u...equin wlle htast ayclutla the iontp ni a olt of oioscsvnetarn tihw -stept-ian iakmng hemt efel ton olnea. I o'dtn htnik i dwuol eelf ragte wnogikn ttha all rheot anpestr ayntntlsi ovle ethir ,diks nad vahe no lmserbop gitnka raec fo .htem t,eIndas I'd nawt ot elef keil hteeravw im' eifgenl s'tin mbalnroa and .rtunanlau I " eefl lkei a bda p;t"enar ats"ht' erra, stmo plpoee leef eilk rtaeg pes"natr t"nahsk "cd.o .eikYs +1


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