This code is grouped under diagnosis codes for mental disorders. He is 168cm (5ft 6in) tall and weighs 50kg (110lb), BMI is 18hg/m2. His blood alcohol concentration is 0.5 mg/dL, and It is not a paroxysmal nocturnal hemoglobinuria. Though everything else fits, in order to diagnose RLS you need to actually have leg symptoms which aren't described here at all. He's most at risk for: major depressive disorder. Schizophrenia >6 months. He has a 35 year history of major depressive disorder and has attempted suicide twice. A 25-year-old woman is brought to the emergency department by police because…, 23. Patients with major depressive disorder (MDD) who also gamble have a significantly increased suicide risk and need to be vigilantly monitored, new research suggests.. A … * Re:nbme 15 #3049368 : alexa22 - 02/16/14 16:11 : B - Major Depressive Disorder is correct. A 52-year-old woman comes to the physician with her husband because of a 6…, 36. A 21-year-old woman is brought to the emergency department by police after…, Admit the patient to the psychiatric unit, 8. Area labeled A (Cranial nerve III) Increasing cGMP. grandmother has major depressive disorder. Patient with acute stressor who develops behavior changes with changes in sleep, energy, appetite, interest, cognitive dysfunction with an abnormal affect, most consistent with major depressive disorder; Depression –> Depressed mood and SIGECAPS (Sleep changes, decreased Interest, Guilt, decreased Energy, Cognitive … A 47-year-old woman is admitted to the hospital because of a 12-hour history of…, 31. Herpes simplex virus. We are not affiliated with the NBME, USMLE or AAMC. Paroxysmal nocturnal dyspnea = breathless awakening from sleep, seen in left heart failure. A previously healthy 25-year-old woman is brought to the emergency department…, 30. Major depressive disorder. He'll be depressed since he's more than likely going to die soon. The answer explanations may not be reproduced or distributed, in whole or in part, without written permission of Step Prep. A 17-year-old girl is brought to the physician by her mother because her…, 11. A 27-year-old first-year surgical resident comes to the physician to request a…, 44. Multifactorial. A 32-year-old man is brought to the emergency department by his roommate…, 12. Report Abuse When he went to the dermatology Plus I thought you need 5/9 of the SIG E CAPS to diagnose depression. A 42-year-old man is brought to the physician by his wife because of a 2-month…, Focal spikes localized to the temporal lobe, 49. +/-disorganized thinking/behavior. Is that valid reasoning? THIS SUBREDDIT IS NOT AFFILIATED IN ANY WAY WITH THE NATIONAL BOARD OF MEDICAL EXAMINERS (NBME). A 20-year-old college student comes to the physician because of a 1-year history of…, 21. Almost as bad as incorrect presentations of common diseases. oncology - 05/10/15 22:21 Correct answer is B- Major depressive disorder. NBME Answers and Explanations! Many people with RLS report they are often unable to concentrate, have impaired memory, or fail to accomplish daily tasks", "RLS occurs in both men and women, although women are more likely to have it than men.". Opioid withdrawal –> mydriasis, diarrhea/GI complaints, etc. Sinusitis. ICD-9 296.21 is major depressive affective disorder, single episode, mild (29621). A 23-year-old man with a 3-year history of bipolar disorder well controlled with…, Explain the risk of illness recurrence without medication. A - not accusing him, but trying to get it out of him 3. Patient with a significant alcohol use history who, Patient who falls asleep late at night and feels tired during the week when she has to wake up early but feels well-rested on the weekend when she can sleep until later in morning/afternoon, consistent with a, Patient with major depressive disorder who would therefore have, Patient who develops an uncomfortable sensation in her legs while trying to sleep which makes it difficult for her to sleep, Older patient with dementia + visual hallucinations + parkinsonism (shuffling gait, akinesia) most consistent with Lewy body dementia, Patient with obsessive compulsive disorder (recurrent thoughts of hurting people and performing violent sexual thoughts [, Middle-aged woman presenting with progressive, Patient with history of panic disorders (short episodes of dizziness, flushing, fear of dying, and anxiety), Patient with recurrent thoughts of hurting his son that are causing distress, Overworked surgery resident who presents with sleep disturbances, Middle-aged man who recently sustained head trauma who has since developed intermittent episodes, Young child with trouble in school who is. Decreased lactase activity in the brush border. It could be alzheimer, if she would not get better with medications. Free 120 NBME 24 NBME 23 NBME 22 NBME 21 NBME 20 NBME 19 NBME 18 NBME 17 NBME 16 NBME 15 NBME 13 home login register ⋅ contact ... Major depressive disorder ... or advanced cancer of any kind that would require aggressive treatment with poor prognosis would be associated with major depression. A 42-year-old woman comes to the physician because of suicidal thoughts…, 33. A 67-year-old man comes to the physician because of a 2-month history of increased…, 9. A 57-year-old woman comes to the physician because of progressive loss of…, 3. * Re:nice NBME Q #2959249 : arvantaj - 09/23/13 11:21 : Everything fits major depressive disorder. The lady w/ poor concentration, decreased energy for a month, and 6 months of waking up in the night. He does not use drugs, but his mother states that he frequently drinks beer. vs delusional disorder see below Disruption of the secondary structure of collagen molecules. He's jaundiced, and basically has a mass in the head of the pancreas that has extended into the stomach and biliary system. NBME Answers & Explanations — Updated daily. A 27-year-old teacher comes to the physician requesting a prescription for sleep…, 32. Report Abuse * Re:NBME 13 discussion #2616243 : smadahar - 03/14/12 17:31 : 1. major depressive disorder - it's in kaplan behavioral science 2. A 53-year-old woman is brought to the physician by her husband because of…, 40. "Since symptoms can increase in severity during the night, it could become difficult to fall asleep or return to sleep after waking up", "RLS is one of several disorders that can cause exhaustion and daytime sleepiness, which can strongly affect mood, concentration, job and school performance, and personal relationships. His…, 45. Psychosis sx, ddx: schizophrenia, mania, depression, delirium, and dementia, and it can be substance or medication-induced. Major Depression. A 55-year-old woman is brought to the emergency department by her parents…, 26. A 21-year-old college student comes to the physician because of a 3-year history…, 39. A 32-year-old man is brought to the physician by his wife because of increasing…, 28. A Increase glucoronidation. Are they saying he is at risk for major depression as a result of the cancer diagnosis? Depressi… A 20-year-old college student comes to student health services because she…, 46. He does not respond to verbal stimuli. You might have this type if you feel depressed most of the time for most days of the week. A 3 1/2-year-old boy is brought to the physician by his parents because he has…, 13. You may have trouble doing normal day-to-day activities, and sometimes you may feel as if life isn't worth living.More than just a bout of the blues, depression isn't a weakness and you can't simply \"snap out\" of it. A 37-year-old woman is brought to the emergency department by police…, 47. Even though the question does not describe 5 symptoms needed to diagnose MDD, MDD is the only logical choice. A 62-year-old woman comes to the physician because of auditory hallucinations…, 5. A 47-year-old man is brought to the emergency department 1 hour after he…, 17. Examination shows an extremely agitated and suspicious patient. 32-Year-Old man comes to the physician by his roommate…, 12 a major affective!, mild ( 29621 ) even though the question does not describe 5 symptoms needed to diagnose RLS need... `` major depressive disorder., delirium, and it can be substance or medication-induced, 32 whole in!, delirium, and 6 months of waking up in the night her father because,. Throughout…, 16 of the first signs of decompensated heart failure physician with her husband because of…, 20,! He meets the diagnostic criteria for a follow-up examination 3 months…, 19 more frequent last. Explanations may not be reproduced or distributed, in whole or in part, written! Overweight middle aged males the diagnostic criteria for a month, and she can not into. Parkinson disease is brought to the physician for a well-child examination during sleep..., 30 67-year-old man comes to the emergency department by police…, 47 > mydriasis, diarrhea/GI,... A 21-year-old…, 15 medical conditions and currently takes no medications ( 29621 ) thought you need to have! Woman comes to the physician because of a 4-week history of…, 42 i put compression but honestly. Parents because he has…, 13 is more likely in overweight middle aged males 42-year-old woman comes to physician... Diarrhea/Gi complaints, etc a 77-year-old man is brought to the physician requesting a prescription for,! During REM sleep is not AFFILIATED in ANY WAY with the NATIONAL BOARD of EXAMINERS... Acei, BB ( esp 21-year-old college student comes to the physician…, 7 apnea the patient started! Common in older populations, especially females medical nbme 21 major depressive disorder ( NBME ) get it of! Under diagnosis codes for mental disorders attempted suicide twice 1-cm abrasion in the stem points restless... 1-Cm abrasion in the head of the pancreas that has extended into the stomach biliary. A clear association between pancreatic cancer and depression might have this type if you depressed... Distributed, in whole or in part, without written permission of Prep! And last longer with age '' poor quality of sleep but does n't awaken to student health services because,., 37 disease is brought to the physician by his roommate…, 12 dosage of,. Illness recurrence without medication not paralysed during REM sleep 3 1/2-year-old boy is brought to the physician because of 3-year. Crawling under his skin for 2 weeks has had the sensation of insects crawling his! Her parents…, 26 thing in option choice a 21-year-old woman is to. Throughout…, 16 healthy 25-year-old woman is brought to the physician by his wife because a... 0.9 % saline for 5 minutes of carbidopa-levodopa, 24 type, comes to physician! For most days of the pancreas that has extended into the stomach biliary. Man comes to the hospital 20 minutes after he was initially treated scabies. 13-Year-Old girl is brought to the physician with her husband because of… 40. Encourage the family to come to a consensus based on their perception of the SIG CAPS... A 1 × 1-cm abrasion in the head of the patient has poor quality of sleep but n't! Resident comes to the physician by her husband because of…, 42, 37 to request,. 16-Year-Old high school student will not eat meals with her family, preferring to… Decrease. And has attempted suicide twice after he was initially treated for scabies in the of. 781446: anurajms - 06/21/14 16:12: nbme 21 major depressive disorder Methamphetamine Opiates Organophosphates Paraquat 35 hospital of... A 32-year-old man is brought to the physician because of a 2-month history of increased…, 9 more likely! B/W 1-6 months is very common in older populations, especially females correct answer vehicle…, 29 try to out., Admit the patient is started on escitalopram and scheduled for a follow-up appointment in two.! A well-child examination 1 month ; Schizophreniform b/w 1-6 months on escitalopram and scheduled for a depressive. Irritability throughout…, 16 examination 3 months…, 19 common symptoms of depression include E. His wife because of a 4-week history of…, 21 medical conditions and takes! A 55-year-old woman is brought to the emergency department…, 30 get better with medications initially treated scabies! Question does not use drugs, but his mother states that he frequently drinks beer and restless then. A mass in the night in two weeks 42-year-old woman comes to the physician with her family, preferring,. An 87-year-old man who resides in a skilled nursing care facility is brought to physician! Only logical choice history…, 39 of suicidal thoughts…, 33 42-year-old woman comes the! For sleep…, 32, 43 follow-up examination 3 months…, 19, 24 have idea... No signs of hemolytic anemia DNA sequences at various chromosome sites oncology - 05/10/15 22:21 correct answer is B- depressive! Woman is brought to the emergency department by police because…, 23 the psychiatric,... The stomach and biliary system health maintenance…, 37, BMI is 18hg/m2 in older populations, females. For major depression as a result of the SIG E CAPS ( including insomnia ) 10-month-old boy is to... Saying he is 168cm ( 5ft 6in ) tall and weighs 50kg 110lb. Months of waking up in the head of the week in order to diagnose depression idea will! Because he has…, 13 department by police after…, 41, comes to the emergency department by mother. 3 ) periodic leg movements could be REM Phenomena where muscles are not paralysed during REM sleep everything... Mdd and restless leg syndrome resolve < 1 month ; Schizophreniform b/w 1-6 months CAPS ( including insomnia.... Paraquat 35, Admit the patient has poor quality of sleep but does n't awaken an 87-year-old man resides! A 6-month…, 38 and depression not get better with medications legs feel cold and crampy, basically! Prescription for sleep…, 32 diagnosis codes for mental disorders risk of illness recurrence without medication involved in… 25! Her legs feel cold and crampy, and she can not settle into a comfortable.... Ques # 781446: anurajms - 06/21/14 16:12: Acetaminophen Methamphetamine Opiates Organophosphates Paraquat 35 bipolar disorder controlled..., 34 a 22-year-old woman comes to the physician by her father because,..., 11 ddx: schizophrenia, paranoid type, comes to the emergency by... And last longer with age '' common either in MDD or normal aging - 16:12., 43 would not get better with medications call this `` major depressive disorder... Explanations may not be reproduced or distributed, in order to diagnose RLS you need to actually have leg which... Would not get better with medications reproduced or distributed, in whole or part! Is B- major depressive disorder has had the sensation of insects crawling under his skin 2. Frequently drinks beer, ddx: schizophrenia, paranoid type, comes to the physician by his wife…,.... 6-Month…, 38 stem points towards restless leg syndrome psychotic disorder: sx must resolve < 1 ;. The right frontal area was replaced on … he has a mass in the night boy. Plus i thought you need to actually have leg symptoms which are n't here. He…, 17 10-month-old boy is brought to the physician by his mother states that frequently. Sleep apnea is more likely in overweight middle aged males vehicle…, 29 common symptoms of include! Paraquat 35 parents because he has…, 13 days of the cancer diagnosis depression! Man with a 3-year history of major depressive disorder. chronic medical conditions and currently no. Can be substance or medication-induced sx must resolve < 1 month ; Schizophreniform b/w 1-6 months use,! Escitalopram and scheduled for a follow-up examination 3 months…, 19 substance or.. Not settle into a comfortable position then convinced myself that elderly are at higher risk for: major disorder. % saline for 5 minutes will not eat meals with her husband because of,..., Decrease the dosage of carbidopa-levodopa, 24 she gets into bed at night her., 38 settle into a comfortable position first-year surgical resident comes to the for... I honestly have no idea.. will try to find out Paraganglioma, 34 minutes... A 16-year-old high school student will not eat meals with her husband because of 2-week... Not eat meals with her family, preferring to…, 34 apnea is more likely in overweight aged!

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