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NBME 19 Answers

nbme19/Block 2/Question#36 (reveal difficulty score)
75 yo man with dementia; no advanced directives
Encourage the family to come to a consensus based on their perception of the patient's wishes 🔍 / 📺 / 🌳

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submitted by cellgamesgojan(42),
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VA uiFssatl roru-te bdool orfm eth rreaailt sstmye ot hte euonvs myse,ts sbsyia-gnp het eAesrrolit = sarceenI LP &t;--g- ENAESIRC .VR lAl in lla = ecsInrae C.O

idgroAncc to Wo,ldrU hte errtsioela ear a ojarm creous fo rcaitensse ... so bgspansiy eth olrstiaere uslerts in a eceraeds in otlTa rreapiPleh itnesaseRc ... snuigac an nrcieaes ni the trea and emolvu of odobl rengtniru ot teh t.areh I ma etrpyt sure eerth si omre to eht hyosoglypi bhidne i,sth utb I epoh sthi ndilepeax a letlt.i

submitted by whoopthereitis(1),
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nca yannoe elrataoeb ywh yeth osehc htis arwe?sn

hiroshimi  Even though legally the wife has the right to make the decision first, then the adult children. However, it's still best the wife and children come to a consensus that reflects pt's wish. If there is a disagreement between them that can't be resolved, then the doctor will need to follow what the wife said. In these difficult situations, you are not only treating the patient, but also the whole family so you would try to integrated the family into the process. In short, i feel like the point of this question is don't be an asshole, and don't choose answer that have absolute words in it like "only" +3  

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