need help with your account or subscription? click here to email us (or see the contact page)
join telegramNEW! discord
jump to exam page:
search for anything ⋅ score predictor (“predict me!”)

You must be logged in to vote!
Retired NBME 20 Answers

nbme20/Block 4/Question#13 (reveal difficulty score)
A 62-year-old woman comes to the physician ...
Bronchogenic carcinoma 🔍 / 📺 / 🌳 / 📖
tags: pulm

 Login (or register) to see more


 +10  upvote downvote
submitted by xxabi(293)
The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$279$49

nhBegnccoior oamcnaric = ulng ccnaer

athT nbige ,dias nglu oadreinomnaacc sefcilcalypi si deoiasatcs itwh trycpiophehr rhtaott,hoeypasro iwhhc is a lpianrapotscea msndroye taccrrzdeeiah by tidglia nu,cilbgb ihaa,lrrgat oijnt esifuo,fsn adn iipeotsrsso fo utrlbau eosbn

unscramble the site ⋅ become a member$279$49
luke.10  ywh tno syetmsic lemrdasreoc snice i idd this oqsuetni wrgno adn i oecsh stcyemis sioseslrc lmaderrcseo , nca eeonmso pnxiale tath ? +2
kernicterusthefrog  My esbt sesug sanerw ot hatt l1u@ke0. si :atth a ) es'rteh on itenmon of nay isnk noinlvmetve ihcwh( erhet lwudo eb in edror ot be m oecaslerrdb)) mercrdoSale swhso tgptiin in eht ,nials tno ibcub)l ngc eThre wodlu be anlegclo teodnspoii iwht ,rbissoif nto rerphyypoth of eht beno ta n igy Ssjnitao ht,ta I olsa gto tshi !gnorw tu(b tpu .)R..A so 'Im not aiiclngm ot t"ge ht"is Hoep my utohhgt cprsose e,pslh hohugt! +8
yotsubato  hisT si ni AF 0219 gaep 292 +11
larascon  I egrae hwti cngtrkeiresotuehf@r no this e,no cBegrconinho oanrimcca = gunl rn.acec suqSaoum lcel moirancac segvi oyu alerecmphciya n(we oben aor;ofntmi ,ea?yb)m mmoolcyn ndufo ni KESSROM ... +5
waterloo  teh biclngub is the otmspym htta ekats otu oatl fo eth answer c.scoieh t'Is eupsr kyrci.t +
jawnmeechell  ulPs the ntpetai sha na 84 re-aakcyp komngsi hr,yoist prseu ghih rksi rfo ugnl acernc +
veryhungrycaterpillar  FA 9012 gp 292 is lla aaopicersaltnp .snmdreyos eTrhe is on neomnit of ibcnhegroocn racaconim in ayn fo mhte. There is inndra,coceomaa btu ttah si sotm yllkei ni non oems,krs ont in mesooen thwi 48 apkc eyar fo mgoiksn rytiosh. Wyh dsoe he vaeh 5 puovste rfo ingeneercrf istrf iad ehre, hwat am I nmsisgi? +3
jakeisawake  @lracehvpryelirutgnary suosdn kile cgorehobicnn moaracnci is a gnelare rmet rfo ugln .ecnrca oYu ear tihrg that fi a kn-msoonre estg ulng ecrcna it si otsm lyikel oadnccmeaniaro sa snmoenr-kso lryera etg llsma le.lc oeHvrwe, mesokrs can etg cedsonanmoairca as lelw. Teh snooticolg taht I ahdswo esse hist nelufrytq.e Aeocrniancomad fo teh unlg eacuss heptirorhpyc roptroaeshathoty epr 922 ni 92AF01 +2
mangotango  niyrplrlgeetur@ravahc @asakjeiweka ecoAmarodainnc si hte toms ncmmoo uomtr in kneoomrnss nad in mfelea rmeosks ilek( shit tnpteai), os dnoencmaaocrai luowd lltis eb the mtos leiykl ecnrac fro htsi pt over teh otsh.er ohaamtP Pg. 96. +3
fatboyslim  nAltpayerp ceobnoichrng crcanaomi is lliscayba an reumblal rtme fro glnu cec.nar Se:ruoc /ligennatg/us-rciap/3td.etrah-codre:clr/aasoip +
lifeisruff  bncghcnoiroe si thoenar rtme rfo caicnemaorndao ni tuis noiccdarg ot omphtaa +1
topgunber  hWti eth tpoxieecn of oem-hmtisoale %59 ear ncroeghbcoin +1
meja2  liffusfrei@ N,o iohnncroebgc acrcnaoim is a lebnakt rtem ofr all gunl scae.ncr weHor,ev eht croennoadaacim ni itus bypteus si aldlce vhloaBaorlecor c.a fe:R AF 280,1 gp .656 +1
an1  hSe lsoa sha a ewf smpymsto to tpporus ti (cguo,h suutpm, )srmkeo. eTh ielwnlsg may tworh ouy off dan smee klie AR but her gae 'ndsote ealryl ift het esaesdi (als,o on calspit nslo.eis) weN ebon nooaimftr is a eigv aayw. UW asys htat beno fominrg srccaen ear o,ertsatp giknHdo dan alsml cell weearhs cilyt ear n,n-ndigokho oanmlnsl- llec, rlea.n GI nad meolamna allf ni eebtewn eht ctisl/ba ctlyi s.ecmtpru lbuignCb si atrhneo vgei aywa (sene ni ungl AC, B,T ,CF em,pyema ti,rsaecbihnosc ohiccrn lgun sbescsse,a dcaicar ctcanoyi seids,ase ceftiivne adiesrodtcin, ID,B ohrmysthireydip, dan solobaipmtarn. a) onugy saelm tiwh booamb psnei nda laacrs apni c) dpetneres eeirlar (ctcyoian eiseadss entsrep in abbise adn eend yaler ocicrtnre)o d) lkoo orf mose SMH nda anjiecud tarlede disnfign ro ameby a ishrtyo fo oiftnenic otsuer )e oemhbcnyo cppeeaa,arn culgbinb si eprtsne tbu nto feont redetla to beon dfngsiin )g onetf stnseper ihtw ECRST et(,ilmi)d or ksni u(ie)sd,ff ndstbioiae + +1
an1  croiocne:rt GI nad sbaret aer ,medxi onlmaema si lyict sa si itlpulme yaeomml +


You must be logged in to vote!

 +3  upvote downvote
submitted by niboonsh(409)
The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$279$49

unfdo tish noni:el iyo50deoa/.h8.0/ma2pc/rm0/t:amihuc/r1/4uret45t/slpa0kc/cp9e

yteicorrpHhp mryplunao ehaottosyroprhta H)(APO si a snyrdeom cizrtahdeearc by the ardit of sspor,iiitte dtiliag bcbilgun nad unfipla haytroaphtr fo hte grela ,njosti lecleypisa vgiionnlv the orewl blsim. blnubiCg si tacdacirerehz yb ulbsobu armeegnnlet of ltarenmi gsestmne of eht girfesn adn etso edu to roiotrfpanlei of nsbualuug oivcctnene u.tessi

rr..apmi.y is a rear rdehatiyre icin.ontod

A aotrjmyi of seacs )0;(%g9t& fo seanyrodc OAHP are iedoaatssc hwti moyurnlpa nsginmicalea [6] ro noihccr tpeiruuasvp muplyonar sid.asees

nymalPour ieilnca,samng ucigidnln iyamprr ],[7 ttatesamci ungl ceancr nad nitaricohtrca hpmaymol, nctocau for 08% fo sseac fo coaydnsre OAH.P noainmcodaArec fo het lngu si the msto nreqeftu dna alslm lecl mcaorinac is the tlesa etfueqrn ogholtihtapcois pety of glnu acncre aisdtacoes iwth APOH ].[7

herto tescoadsai rcroxaehctiat iiangaenmscl ducleni nnypaagelhaosr ccao,manir eanrl clel cimc,naaro agaholesope r,ecnca tacgirs oumutr 8,[] rcaicetpna ccra,en aertbs eoldsyhpl umorut ,[9] amenlm,oa itdohry ccaen,r oassoacetorm adn etsltianin pyahm.lmo

uroVsai graelouiotmhc csidtno,oni ndnilicgu RA [0]1, AS ],1[1 eptrislityrao on,daos LES ]21,[ Tasuykaa assedei 1,][3 cis,asoorisd SAP adn rtdirnaneaMee efver ear ownkn ot be saaiodtecs hwit hsit itinodonc as wlle.

uanrlmoPy inontdcios uhcs as icctsy rs,iisfob cior,bsluteus opcdaihtii polmaynru isrsiobf []41 nda nglu nilrntapatnatos ehav aslo eenb ssciteoaad twih OHPA.

unscramble the site ⋅ become a member$279$49


You must be logged in to vote!

 +2  upvote downvote
submitted by queenofhearts(18)
The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$279$49

iThs atpinte ahs yrcioprhpeht tpotethroashayro hichw si sdsieacoat twhi hringnbeoocc ioanccmra. tI persetns wiht auplinf lwlsgien fo ,tsisrw nr,egisf ne,lkas nseke, or eblsw.o nI dioti,nad the ensd fo long sbeno wsho tiepoearls new bone notofamri , chwhi cna decoupr idligta ublingcb dna tnfoe rsaiitrht fo aecantdj ojtnsi.

rReecs:uo aplnaK Bneo atgooPhly ePag 723

unscramble the site ⋅ become a member$279$49
an1  I khtin tsiropiiset im(fliatomnan of het tpemi)usero si ont thaw eht q is feerrgrin to ehnw ti syas enw" bone a"notfimr;o ttsa'h agtindncii an sltisaboecot sloeni cihwh is eomr ncommo ni malls lcle C.A +


You must be logged in to vote!

 +0  upvote downvote
submitted by tulasi(0)
The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$279$49

Teh etinstranoep of ohrcnBngiiec cmianoacr -oigshC u nda Ttpihy eessmh rotut esistamtas to ,unrebi,agnBLon dna arda.ne sl So nwo het qtesnuoi is gntniinmoe eht easm tispon hTe ugcho adn utmups adn asol nwe eonb otaorinmf on afdtcefe bonse no aryX dan sola liugbcnb rtneessepr teh gl.un

efcR-eeern 100 osecptcn of amanyot eldis 94

unscramble the site ⋅ become a member$279$49
tulasi  olsA tis elcl type si smsuqauo ellc nacarimoc ikle ont aomnaancrodice .eikl +
tulasi  lsAo tsi lelc tpye is usomsauq llec cimaoracn iekl nto madocaerciaonn l.iek +
tulasi  olAs its ecll yetp si omuassuq lelc miccnraao kile ton oannrcicdoaaem kle.i +


You must be logged in to vote!

 +0  upvote downvote
submitted by assley(1)
The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$279$49

rrhppoHteyic rsathyoeroptotha si a lcimdae idoiocntn mciniongb cbnuigbl dna isiiottepsr fo teh slaml dahn ist,onj esepcilayl eht aldsit gniheranetallpa stijon nad eth ltpcamgeeaharlonapa ton.sji iDslat ixnneospa fo hte gnol snbeo sa llew sa u,afnipl ewlnsol tjsnoi nad slvynaio lsliuvo pitlnrifeorao are otenf .nees hTe tncindooi aym ccuor laeon ram,ry)i(p ro it mya eb nracsyode ot eisesdsa lkei lnug acr.nce mogAn iestatnp iwth unlg anrc,ce it is msot otcsdeasai with maeaccdaniroon nda satle tcdaaesios thwi lalsm ellc glun anrcec. hTees patisent efotn tge nbiuclgb and ensdceair boen oeniosdpit no nlog oenb.s erhiT tenreisnpg yposmstm rea esiotemms nylo ilbgucbn dna pnluifa sl.eank pHcytproeihr rytehharosoaotpt is one fo mayn ndattis fectfe sieoddsrr due to ccerna, hiwt lnug rcacne einbg hte otsm momnoc casue btu losa ocngucirr twih irnovaa or adelrna .iecimnlaasgn )b egcinrcnbhoo Ca. adn teh ylno anewrs tasth seatrel to ugnl crcaen dan lla ehotr nrewass od .nto I oecsh RA, tub if ouy tdo'n n.oow.wkn. ouy k.now

unscramble the site ⋅ become a member$279$49


You must be logged in to vote!

 -2  upvote downvote
submitted by step1soon(51)
The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$279$49

heT erdreotp iindnecce fo apClan eymosrnd si 1 ni ervye 1000,00 epep.lo hisT ahs eenb a gdcleniin buemrn ude ot orewl rpxuseoe ot oa,lc tsas,bseo nda .isalic cnevPralee fo Clapna omyrndse si giehhr ni etspinat hiwt ciials prxsueoe oameprdc to het hteor ssea.uc The fstri oemiicilpegdo ysdtu rkandenetu by the snooiemocnPsui csaherRe tiUn vsoeredb na inercedsa evreelacpn fo RA mtanogs enm with isergvepros vssaiem sisrfobi M().PF aMlil et a.l odfun no sdnacriee nevreaecpl of aihruomtde stirhitra in imerns wneh poedmcra ot a tunoymcim erhwe MFP adn urdhoemtai trithisra wree lnetpaver nda refeohert oclecddun ahtt eht olgoyeti fo AR asw ton oetdciassa hiwt oerxepus ot dstu ro unlg ghsncae of accpliedmto pocnousoime.nis hereT swa a gihh acenelvrpe tera fo MFP and icusloretsub atnomgs insmre dna esim-nerx iwth htiaoredmu [i]ta4[5r].rhist

yoh:on saAghoitpPly ietmmnuoau oinnciodt is a nehnpeonmo hwere eso'n bdyo sah imaoflymantr lecsl chhiw catkta its onw uitses ,dan ni eht eacs of AR, hte mn.yusvoi It si dveibeel atth ni eehst an,tpstie ehrte is na aoetilnrat wcihh sucesa eth aserdcein umimen pnseroes to igeronf israealtm ni hte gn.lus hTeer si emminu titpcvareihyy hatt is kseardp yb cliias ni chwih tnmesyoco dna agsaecpormh sarleee nkcotiesy hsuc as re1inilu-ktne nda gcpnlrsnuott-raaoluat-nolmyh-gccegemioiay fatcro nda outmr crssione rocaft h.apla The shpar eegds of eht siilac soal aeusc ssyli fo mloasoyls rsteoaspe in gscmoeh.aarp othsmpyLecy ear tctaeavid by eht nocstyeki sedleera yb coaah.rsmpeg This lla easdl ot an ammnuuieto monoenpnhe hothrgu erxoueps ot iicasl ciwhh si eegrdtirg ni atgcylneeil peirsdpeosd liausdniidv how aevh RA.

tlwdon'u eth ydunernilg daeeiss eb RA whchi si nteh ucinags goeconnhbric micr?oanac Im' en!fcdou!s

unscramble the site ⋅ become a member$279$49
kpjk  i otnd hktni its R,A aebuces yeth sadi yarx shwso wen nboe tfonaiomr, where as AR wdulo evha sooneir +1


You must be logged in to vote!

Must-See Comments from nbme20

amorah on Cytomegalovirus infection
masonkingcobra on Contact with parakeets
hayayah on Capillary hydrostatic: increased; ...
hayayah on X chromosome-linked isoenzymes
medbitch94 on Mannose 6-phosphate
hello on Capillary hydrostatic: increased; ...
hayayah on Osteoblasts
imgdoc on Hypophosphatemia
hayayah on Missense
celeste on 50%
justgettinby on Omeprazole
andrewk1 on Cold, dry air
yotsubato on Jugular venous pressure of 12 mm Hg
strugglebus on Drug effect

search for anything NEW!