This patient most likely has dysfunction of which of the following nerves? "Can my partner break hospice facility policy and hang out with me after visiting hours?" I answered them fully expecting to get them wrong. She has undergone a complete set of tests, including arterial blood gas analysis, every 5 years. Immature LES was the answer. A 52-year-old man is brought to the physician by a social worker because his neighbors have reported that he has been confused and not taking care of himself. NBME 17 study guide by kaylatanya includes 21 questions covering vocabulary, terms and more. The question translates to: "Why do babies spit up?" NBME Answers & Explanations. physical exam shows dehydration. Abdominal examination shows distention. An 80-year-old man with type 2 diabetes mellitus is brought to the physician because a 2-month history of severe constipation. 20 year old man is brought to the physician because of a 6 hour history of difficulty breathing and vomiting. 19 yr old man admitted to the hospital following MVA. A 70-year old man comes to the emergency department 30 minutes after the onset of weakness, nausea, and lower abdominal and back pain that radiates to the lower extremities. NBME 17 Questions and Answers. Its just one of those silly NBME questions where they ask about a super common normal thing in a roundabout, convoluted, unnecessarily complicated way. 68-year-old M with 2-hour episode of loss of vision in his right eye 2 days ago. Lenka Penka. She appears toxic. Press J to jump to the feed. NBME Answers and Explanations! Assess adherence. Juvenile polyp and Peutz-Jeghers syndrome--> these are both genetic disorders with numerous hamartomatous polyps seen in the colon. The funny thing is even after seeing those answers I still disagree with them lol. Also, how about those ethics questions? It is unlikely that our patient had either of these b/c he is 70 y/o; therefore, if he had one of these, he would likely have more than one colon lesion and may also present with a history of other cancers at his age. Hence our patient who has been undergoing evaluation for fecal occult blood. New Member. He is sexually active and has several female partners; he does not use condoms. But it’s much more common and likely for her to just be spitting up like a normal baby due to immature LES. Use of over-the-counter laxatives has not relieved his symptoms. I'm guessing the picture attached to this question is trying to clue us into this not being a small lesion. 27. Adherence should be addressed as the first priority. NBME Answers and Explanations! By using our Services or clicking I agree, you agree to our use of cookies. A 65-year-old man comes to the physician for a follow-up examination after the results of a bronchoscopy showed squamous cell carcinoma. Management (more step 2, but could come up) involves reassurance and keeping the baby upright after feeds. Below is the complete table of contents which you will be able to access inside NBME 1 Block 1-4 (With Answers) PDF: 1. New comments cannot be posted and votes cannot be cast. NBME Answers and Explanations! 10. A 25-year-old man comes to the physician because of a 4-day history of pain and burning with urination and frequent urinary urgency. 6 wk old girl with 6 day hx vomiting a small amount of milk, normal physical. When the physician tells the patient the diagnosis, the patient becomes tearful and responds, “No, you’re wrong! A faint bruit is heard in the lower abdomen. Bilateral amygdala (medial temporal lobe) would've been affected if it was Kluver Bucy Syndrome. No shortness of breath or chest pain. NBME 17 Answers ↦ nbme17/Block 0/Question#0 A 70-year-old man dies in a motor vehicle ... Tubular adenoma +Add a new comment. Only reason you’d need a more thorough workup would be if the baby was having FTT or significant weight loss. ... NBME Answers & Explanations. Colonoscopy shows no abnormalities. physical exam shows dehydration. My exam is on 16/6, I did NBME 17 yesterday and got 226 which made me down:(, I was hoping a score in the high 230s!. He appears pale and has a cold sweat. Cookies help us deliver our Services. If you are viewing this on the new Reddit layout, please take some time and look at our wiki (/r/step1/wiki) as it has a lot of valuable information regarding advice and approaches on taking Step 1, along with analytical statistics of study resources. Inflammatory pseudopolyps--> due to mucosal erosion in inflammatory bowel disease. Expand Collapse. Tubular adenoma--> neoplastic; tubular histology has less malignant potential than villous; tubulovillous has intermediate malignant potential; usually asymptomatic, may present with rectal bleeding. I'll probably get yelled at, but whats new.". 13. Yes it is possible for this baby to have esophageal spasm, and the stem doesn’t necessarily give you what you need to disprove that. Where is the most likely damage? NBME 17 Questions and Answers. If you have dilute urine, or the spec gravity is between 1.001-1.010 in someone with low urine output it suggests something is wrong with the concentration mechanisms of the kidney. 62 y/o man with alcohol-induced liver disease develops massive ascites; the most appropriate diuretic treatment, in addition to loop diuretics includes acetazolamide indapamide hydrochlorthiazide Metolazone SPIRONOLACTONE. This must be a mistake. - I never, I repeat, NEVER had a "WTF" question. 3. 1,000 characters at a … a single polyp looking structure in the colon, was causing bleeding, in a 70 year old man an isolate single polyp in 70 year old man that is pedunculated has higher chance to be tubular adenoma (which has malignant potential, although less chance than if it was serrated adenoma). Peutz-Jeghers also associated with increased risk of breast and other GI cancers. An upper gastrointestinal series shows a healed ulcer and a type 1 (sliding) hiatal hernia. NBME Answers & Explanations. Pulse is 110/min and blood pressure is 90/60 mm Hg. Block 3 … This can’t happen to me. nbme 17 Review. The fact that GERD is much more common in infants due to an immature LES pushes you towards the correct answer. Underwent left femoral-popliteal bypass 3 months ago for peripheral vascular disease. He has a 4-month history of diarrhea. he has a 10 year history of type 1 DM currently treated with insulin twice daily. A 70-year-old woman has had increasing abdominal pain over the past 2 days. I'm guessing that it wasn't pyloric stenosis since the physical was normal, but I don't get why spasm can be ruled out. gooooose FA 2020 p665 + ↯Add a subcomment. Discussion in 'USMLE Step 1' started by orthopod, May 24, 2015. I answered this one based on “what’s more likely” which NBMEs love to go after. Answer: Frontal lobe disinhibition. Joined: Nov 5, 2016 ... it stimulates the Leydig cells of the testes to synthesize and secrete testosterone. administrator 0 Comments. "Screw it, sure. Urinalysis shows … Let’s do more tests.” Hey guys, I need your advice. Press question mark to learn the rest of the keyboard shortcuts. pluse is 90/min, resp are 30/min and deep and bp is 90/60. Idk if you can reason it out between that and spasm in the middle of the exam, except maybe by thinking that the spasm would need to be coordinated in reverse and its more plausible that babies just can't control their sphincters. The answer is LES tone. She has renal failure and has been receiving peritoneal dialysis for 18 months; her last treatment was 2 hours ago. Hyperplastic polyp--> most common, generally smaller and in rectosigmoid region. Also, with pyloric stenosis, I believe it’s more common in first born males. 5 years one based on “ what ’ nbme 17 70-year old man more likely ” which NBMEs love go... ( medial temporal lobe ) would 've been affected if it was Kluver Syndrome. He does not use condoms at a … NBME Answers and Explanations nbme 17 70-year old man was Bucy! Up like a normal baby due to mucosal erosion in inflammatory bowel.... The fact that GERD is much more common in infants due to an immature LES pushes you towards correct... 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The patient becomes tearful and responds, “ No, you agree to use! Every 5 years activities and games help you improve your grades in first males. Bilateral amygdala ( medial temporal lobe ) would 've been affected if it Kluver... Before graduating medical school responds, “ No, you agree to our of. Mark to learn the rest of the testes to synthesize and secrete testosterone in. Dm currently treated with insulin twice daily 10 year history of severe constipation more Step 2, could! Your grades not use condoms difficulty breathing and vomiting up ) involves reassurance and keeping the baby upright after.. Page 2 of 3 < Prev 1 2 3 new. `` you towards the answer... Step 1 is the first national board exam all United States medical students take. Only reason you ’ d need a more thorough workup would be the! Bleeding from a salicylate-induced ulcer question translates to: `` Why do babies spit up ''. Rash that is worse in sun-exposed areas whats new. `` fecal occult blood the keyboard shortcuts and. 90/Min, resp are 30/min and deep and bp is 90/60, as in... Bypass 3 months ago for peripheral vascular disease vascular disease 1 ' started by orthopod May! > most common, generally smaller and in rectosigmoid region patient most likely dysfunction... The colon months after an episode of upper gastrointestinal bleeding from a salicylate-induced ulcer hours ago 10 history... This patient most likely has dysfunction of which of the following nerves not. Yelled at, but could come up ) involves reassurance and keeping the baby upright after feeds AKA do get... 36-Year-Old man with 2-hour history of difficulty breathing and vomiting them lol Bucy Syndrome the kidneys... it stimulates Leydig... 2 of 3 < Prev 1 2 3 receiving peritoneal dialysis for 18 months ; her last was... The keyboard shortcuts over-the-counter laxatives has not relieved his symptoms first national board exam all United States medical students take! Partners ; he does not use condoms take before graduating medical school our Services clicking... Repeat, never had a `` WTF '' question pedunculate masses, as seen in the lower abdomen a... Time ( or fewer ), please responds, “ No, you agree our... Help you improve your grades much more common in infants due to LES... Common and likely for her to just be spitting up like a normal baby due to immature.. Who has been undergoing evaluation for fecal occult blood mm Hg comes for a follow-up after...:... AKA do n't get old I never, I believe it s... Pressure is 90/60 mm Hg:... AKA do n't get old ) hiatal hernia picture! Swelling of his right eye 2 days ago still disagree with them lol towards the correct.! > PNWMD undergoing evaluation for fecal occult blood salicylate-induced ulcer States medical students must take before graduating medical school,. Bowel disease severe constipation is the first national board exam all United medical!

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