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Retired NBME 24 Answers

nbme24/Block 3/Question#13 (reveal difficulty score)
An 83-year-old woman is brought to the ...
Discussion of the diagnosis with the patient privately 🔍 / 📺 / 🌳 / 📖
tags: syphilis ethics repeat

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submitted by ∗peqmd(75)
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ouiensqt si asgnik 'sahwt teh best next stpe otn seeasylnric awht si eht stbe dcoantiigs t,sep ichhw si omwahtse of epSt 2 aoitrnot ehfsl etsqouin (rfo oelepp woh ksate etpS 1 feart o.tr)aontsi L,TRD etsb NXTE spet is lkat to rhe sfitr at mnummii uyo nede to enrmeeidt if esh ahs cpiaacy.t

eihlW the ietatpn has tetypr dba MMS:E

B. sI eth sbte ntex p.tes ouY eend to udsicss hitw reh tirsf. >= eeetnrmdi erh cisdeoni ikmagn tcaaiycp t&g;= tnhe poedrec hwrhete ot sssudic tiwh rhe uhgredat .()A

rmuLab rcuenptu is hte etbs ctsnaiigdo stpe. ewr,oeHv in thsi nseouqit ryethe' gkiasn uyo thaw uoy ened to od to enve coperde ot hsti pst.e .eI. tge her citcaayp ethn uoy anc pecdroe to lrb.amu sTih is seabcue lambur eputcunr is erom ivaeisvn nad uyl'ol eedn ot ssseas cticyaap sa well sa teg etehri erh fi( she ahs py)taccia ro ragutd.he

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 +1  upvote downvote
submitted by centeno(3)
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I othgtuh thta hte vtgnecioi ineatrimpm cloud be eth eoiftntasiamn of lrsoei.pinuhsy nI ddiiat,no the tcoord lhduso talk retcyild to the ettipan to chkec orf euxlas .aubes

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j44n  hTe amxuimm SMEM serco is 30 onpt.si A cores of 02 to 42 egstgssu lmid naeedit,m 13 ot 20 sgteussg etdroeam i,etmdane dan essl hnat 21 scnteiaid sreeve mtea.neid On eva,rega hte MMES eorcs fo a pronse hwit eeAlshmzr'i deisencl oabut two to rofu tsnpoi chea .y sahere noyl hsa mdil dm.aitene I dha to oolk iths pu seh udlco lislt reiant reh apcytica +1

All patients, including those with dementia, should be assumed to possess the decisional capacity to make medical decisions unless the physician determines the patient does not possess decisional capacity.

+/- namesthegame22(13)

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 +1  upvote downvote
submitted by ∗lispectedwumbologist(122)
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aCn bndoayy penxlai sith eno? I utp eedratpe stets eaecsub I mseudsa an -dreoyl8-a3 awnom is an uuausnl ghdemcaiopr fro ylphs.isi

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m-ice  38 hgmit esme an conmnuom aeg, utb we 'odnt onwk for sreu hre esuxal istrhy.o heS yonl ltneyecr 8( snhtmo ag)o ttarsed inwhosg msoe nisgs of dilm teniiocvg aprtenimi.m ehS sha lla ethse essltru niygpilm ttah she sha syiilhsp, os teh tmso ylleik wrsnea is ahtt seh sah hyi,sispl so we udoshl akesp to her pleritvya btuoa rhe aeusxl y.horsti eTh tesst no'dt inryselesca esnma ehs otg iylpihss eyvr c,lnyeetr st'i pielbsos esh's dah siyilhsp orf a lheiw and eernv tog d.tetrae +5
mousie  I nsedrntdua atth ehs udolc oiyspbls vhea lsphysii utb I lsao utp aptree ssett aesuecb I nwok hteer aer a ewf ntsihg htat nca secua lesfa iestopiv DsRVL utb if seh osal sah a + PRR odse isth meka a FP sles lk?yeli dAn olsa fi hse hsa ilmd eictiogvn emipirtanm you lsilt dcsussi thwi erh ton reh rhaguted eocrcrt .?.. +4
m-ice  This iiletynfed dcolu be a sfale iovspite, ubt forebe ew twna ot oidesncr ti ot eb a lfaes pvseo,tii ew lsohdu atlk ot the atinpte tboua ti tiypvle.ra nsAgusmi ttha si't a afsle votsiiep rofeeb naiksg eht eittanp tbaou ti odclu aedly tntrmeate of rhe sypili.sh ehTesr' a cnchae ehs d'dnit wnat ot sloecdsi hre usxlae shryito in tofrn of erh ahutergd or eamyb hes aws rssemareabd or ntidd' tnikh ti saw normaptti to t Ao n mne.dni 'reouy blyaeultos it,hrg esh loyn ash dlmi iogivncte aprmm,eniti os ew stom dnleifeiyt lhsuod klat ot het ntpteai aneol ttihouw reh arhedugt r.tifs +4
seagull  heS sah iemdeta.n She dn'oets eahv eth pcitayac to irtdmenee her won erca /3022( )M.ME I efel hte gdtehrua duohsl heav teh rdow on teh arec escin Gradman ykiell todsn'e vaeh teh aacyiptc ot nstrnadeud rhe c.ontais +5
sajaqua1  rFmo whta I r,eembrme meatdnei si liypltyca a iannmicboot of idemarpi yremmo *n*ad riapimed uhhtgto esocs.pers eTreh is onhitgn to ntcdiiae thta teh ttainep hsa aidrepim thohutg ssoereps,c nad teh emromy inarpiemmt is oynl dmil. ehT netatpi cna litsl naobysaerl idas ot eb npete,motc and os erh vrtepai frnionamoit usohld be iucdsseds htwi rhe al.neo +12
yotsubato  drelE acre mhoes or elrdyle mtmioisnceu tcalualy eavh a ihgh eatr fo DTs.S rTuns tu,o ewhn uyo utp a bcnuh of e/ecdodwddioiwrv tuslad rgeeohtt ni a mmyunctio tyeh ahev .sxe +12
yotsubato  olltddinAya,i you dulohs etpscer eth pyiacrv of a teecmpotn ultda hwti idl"M emry"om im.etipmrna I wkno I odluc heav dlim mrmyeo mimiprntae engicrsiodn the arcp I rfteog ngdiuyts orf estp 1 +14
drdoom  ulglsa@e mtnaieed ≠ ecsbnae fo cpenmtocee -- het wot era ersaaept pncstceo nda vhea to eb uvataeedl enp.dyetnnlied ese :03/mo=0hd7upvei0Dgtms./nrstbun?i/eiohch.l/r4. dan ih/oe=h/mh4/urg.6tnsmecob7vl0n3/?uidi.p1.trD:s +3
wowo  saol tiptmarno to neto, d) retpadee ssett is also ncicroter as het rmtoihnangietmuliacog asysa is a imrafrooncyt aomltenepr etts (nalog teh smea nseli as BF)TA-SA h8//wa.lrml-hbf/w:rhoot/saeh593ityuwthgrl.taewhp +5
sunshinesweetheart  .l..soa. I nhitk ew cna ssmuae thta epare"tde e"tsts esnma trpaee R,LVD tno ilid"atonda estst ot urel tou eflas s"tivopesi +2
imtiredofstudying  eth neeirt potni of hist siueqnto si that hewn uoy ees na DTS ni an pdunctexee aocirhepgdm henlcir(d, reeyl)dl, KTINH ULAXES ASUEB +

23 of 30 is mild dementia by DSM V , still has capacity to answer basic questions , and STD in childs and elderly ALWAYS think ABUSE FIRST

+2/- usmlecrasherss(27)

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 +1  upvote downvote
submitted by ahd_ve(7)
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het nima aolg fro ihts qisonute si davoi dgiusscins eussis tihw lasveriet titwouh het ’ipteanst eoismnprsi. ubt meos oeelpp eewr edelpy eckosdh ot ees thta a rhmtaegonrd ahs hsy.iilps wtB I eevla a nkil of a arhecesr uobta iCnlilac lyUitti fo het lMannitie-M atsuSt otmnixnEaia henW Aisesgssn gcseii-ankoMnDi iy.tacapC 0og3s/mbse2p00.uo//taac7.p77rs19j/hn11d78lb2a/9ui7.t:o1s4/988

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 +1  upvote downvote
submitted by komodo(4)
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I knhit oen fo eht oiscuofnns here si htta teh mauirnnihgmtailtogoec sayas n'otdse nesiecyrlas dtaeiicn rutnerc necfionti itwh hsiysli,p acbusee epermtolna ttses can tysa siviptoe vnee fro aseyr rfaet ateetmnrt (p/es/./tv.wm9:wn5C.h2r/02pmtw0igMilsco0.nlihncPb/tc/a)ht Ta in mcoob thiw eht evry owl RRP etitr ocudl caitnied eedrtat hilsi.ysp oS alrley eht setb tnghi ot do uolwd eb ot ksa hte ntiatpe iecrydlt obuat ti ofreeb you wsate iemt idnog syslibop ssrynneuaec ngseitt dan( I udlwo eyeitnildf aks reh tyiecrld inces omts epopel d'nto lkta taobu itreh TsSI wiht etirh )deicrlnh

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 +0  upvote downvote
submitted by ∗deathbystep1(21)
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oiopnt B) ht(e cotercr onptio as rep m)ben :teh etinatp sah a nimi nealmt eatst of 2303,/ so tath odshul nmea htat esh isn't bpceala fo agnmik hre nwo dic!enssio so tshaw eth oipnt ni itangkl to ehr eiaypltvr oitwuth rhe ruhag?tde

pitono A) is nwrog eaecubs ouy ncta jtsu dehi the adnoissig ormf het eatipnt dna arehs it with eth iafmly

tpooin C apm&; u)Dyo noatnc disgdrrea eth ttes or petear eth tets sa both het tets ear iotspe,vi RPR is a snicgreen test whti lsse siiyiectcpf ubt nrlhcgegitioominumata si a lyihhg pccsfiie etts so ehs ltyienefd sha slyiih!lsp

onotpi )E sdntoe eakm essne caueebs ywh ldwou you od lmbaur nrctepuu orf ?slpyhii!sl

i kihtn tyeh gtrfoo to egiv an topoin )F ustj akrnefi attre erh ofr !yhil!pils!s

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saturdaynightpalsy  P"entatsi ithw eecsdupts iruplseyihson ohsuld uondger ambrlu puunrect nad essntuqeub LDRV, S-AAFBT /norad RCP of slbeonrpecira uif"ld pre ym noste and the bmr netrueaLnti nrutuecp is esdu ot inoadges iih,lsyueopnrs so tath's wath I ptu. +2
saturdaynightpalsy  oT dad to atth, I dtdin oosche teh retho snrweas yuo tlside for teh easm essrano oyu sltdie. +1
ac3  whhic of teh oollifngw si the NTXE TSBE EPST anmigne uoy ntlwodu twna to mupj ihrsttga ot a amublr ectuunpr aypclseeli ehnw ereht aer awnser sechico ahtt egtgssu gundsssici the sioandgis ithw het anitpte .isrtf If yuo twen to het oodtrc dna yeth degsoina you tyhe lwli iucssds tish htiw yuo breeof rgoinrde ldntiodaia gt.teisn +1
yerpderp  /3203 si laso tsuj midl cogineivt iimpnaemtr os I usjt guhohtt seh tills adh niciodse inkagm talapcibyi sa 4/320 is lltsi nolarm +3
cbreland  eAr we epctxdee ot neprettri ICM eorssc +
madamestep  ildM oeymrm piirtenamm oesd NOT aenm dcsdeerae nsagocn-kmiiied iayatcp.c An 83 ayre lod itwh na maolts arnmlo naetlm uttsas emxa how aebmy sah a nwe ybderiofn at rhe ngrusin ehmo bplyaorb tonudlw' watn rhe trugeadh to knwo thta she ash an .TSI dnA if tihs is dreel use,ba yo'du also wtan to klta to hre rlipvtyae to see fi h'ess fae.s No mtrtea t,ahw edlor taudls thiw dlmi edeamnit ear illst mnolar eolepp nad uoy nede to esssas hiret ionmnikaecsdi-g piaccaty iisdecon to iedsi.con ihTs awonm stmo iyklle ash het ycpicaat ot iedecd fi esh awnts ot udoregn isyhipls ttenmetar. +


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