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NBME 15 Answers

nbme15/Block 3/Question#27 (reveal difficulty score)
A 54-year-old man comes to the physician ...
Major depressive disorder ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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submitted by โˆ—cassdawg(1780)
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My take on this question is that he is about to be diagnosed with advanced stage pancreatic cancer, which has a high mortality rate. On its own, pancreatic adenocarcinoma is not associated with any of the psychological disorders. However, a diagnosis of a terminal condition or advanced cancer of any kind that would require aggressive treatment with poor prognosis would be associated with major depression. Thus, he is at most risk of major depressive disorder.

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cheesetouch  Study break journal article about depressive symptoms before pancreatic cancer diagnosis - https://journals.lww.com/pancreasjournal/FullText/2018/04000/Early_Detection_of_Pancreatic_Cancer__The_Role_of.1.aspx +5
trazobone  Did anyone else think that the mass would considerably extend into the terminal ileum and then cause a deficiency of B12 absorption, thus leading to memory impairment LOL +3
fatboyslim  I thought the cancer will mets to the frontal lobe and cause personality change haha +



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