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Retired NBME 24 Answers

nbme24/Block 4/Question#6 (reveal difficulty score)
A 68-year-old woman comes to the physician ...
Inferior mesenteric and superior mesenteric 🔍 / 📺 / 🌳 / 📖
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 +13  upvote downvote
submitted by ∗cocoxaurus(59)
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eTh neosttrneipa hree esems to fti thta of enrtemeics alcrusva co-ioclsun drsoptpalain apni thta lstsa 1 rh,uo oodf ,sniearov gitweh so.ls heT ttnpeia soal ash kris rfaosct iosaedtsac tiwh secinemetr arlcvsau oilno-uccs redol ntah 06 rseay ld,o yrielia,mpieHdp ernysneiHto,p .PHxM

"eTh eerntmseic nocliairutc ncssisot fo etreh amprriy seevlss thta lpypsu dolbo to het lslma nda egalr :oblew hte cecial atrer,y iueorsrp treecsenim artery ,)ASM( and fineiror inesmcetre raetry AM(I.) oBdlo wflo thrghuo esteh errsaite rsniecesa iwthin na ruho ftear ienagt edu to an nericase ni cbialmeot adendm of eht ientnaslti mCcnioouch.rsa occinousl of a liengs ssveel lslwoa altlclaore blodo fwol to seectpmon,a huts ysmsoptm od not lypayiltc rspteen uitln ta talse owt rypamir vlssees rea duc"o.e cld:o7i/lb//b4vw.4mwK.hNsk//oo3p8h.wnntgsci.n0Bt

Caltloaelsr betenew MAS dna IAM rnea teh lecpnsi ulxrfee nnMeideagr( tMrieensec ).ratyre eehrT si slao aarollltec ewteneb ciaCle ertyrA and ASM norcouaPeei(dadcnlta a.are)cd

ays,Ltl I kown thta eterh si a m3c- ticceta aotra udfon no TC, btu na iartco srumeayn wlodu not cepudor hstee mpsm.syot venE if uoy httuhog htat eth spstmmoy rewe due ot the A,AA ouy duocl itsll teg ot the rtcorce anesrw fi oyu sue s'1d4hfaem n.srnaiego

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honey-crusted lesion  reGat nan!xipoltae sh'eTre lsoa a siled tuoab tish in hte 100 ytoAnma neoCspct fpd tub osdte'n go oitn as hmcu ailetd sa shit ap.ilenoxnat !Tnhkas +
djtallahassee  Godo oaatxlnpnei but I hinkt an AAA doulw eb reom keylil useorirp reemicenst dna .cteiaph eth ASM nda IAM aer more htna 3 cm aptra L(1 ot ),iLsh4 priTel A acgenftfi tohb dlowu eb vyer large. I wbel tihs eutoqsin eesacub I was 3mc nad mupjde ot AA,A nidtd veen ese ti swa a isrleocss .nihtg Ptu eth wot ssoclte sireater adn dmove on +


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 +12  upvote downvote
submitted by ∗deathbystep1(21)
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lal the throe sesevls, ereiht ehav aclltleaor psespuil or hyte pulyps ot snroga twih ptumelli csrusoe of obodl lyupps

MAI dna MSA bhto aveh arlctsoalel whti ceha reoht lrmai(ang arsteier adn deimrnngea )art,seire os cnaies eetrh si ltvionevemn fo noe fo the riseeatr eht lobod yslpup omrf roeth acn eevrtnp imaei.hcs

tbu if obth SAM adn AIM aer delvniov ti lowdu utelsr in emiishca nda ospymsmt dbcdrisee in eth eiotsn.uq

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paperbackwriter  ptSo on! +


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 +5  upvote downvote
submitted by ∗fahmed14(31)
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The m3-c caticet roaat nemsa hse sha na nmdoilbaa aticro myena.rus ,Gyrlleena teyh detn ot cocru wlobe teh ealnr rehsnbca os I netw thwi hte owt tscsloe baernsch- ASM hilgsytl( veoba nrea)l dna AMI ow(ble .lns ,lAoe)ar lecpins rleexuf si a mocmon haesrdwte aera sepupild by ASM dna MIA os lietvvnenom fo ohbt acn ascue her ssmypmto

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 +5  upvote downvote
submitted by ∗usmle11a(102)
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the nyol tinhg dmae em csoeoh IAM dna AMS is hte acft ehty lpysup hte tnietnise whhci is hte mocomn iset for siichemc ciernmstee isesad.e

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 +1  upvote downvote
submitted by targetmle(10)
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fi eth potnoi adh AMS adn aclcie tr,nku dolwu atht be ccteorr?

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 +1  upvote downvote
submitted by ∗brethren_md(105)
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chnrioC rcsMeienet aIiemhsc aka tinlitnaes innaa.g naMi sluec ear oraspagtinlp trpigcsiae p,ian etwhgi .loss Uuaslyl edu to lCecia (a), AMS, ro IMA tsrree.oscihlsao

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neonem  Wtha's uthgo tabuo tehes rsnawe siceohc gtohhu is taht you evah 2 tfeendfir aiblve mosboc. +
codyluvr95  Teh cacttie ratoa hmigt saol mnae AAA wbeol eht l,srnae ciefntfga eht IMA, +2
sherry  lsoA isecn three si isht iecactt aa,rot eth eitrersa nveldoiv eedn to be deantjac ot one h.eortan fI hteer si a ceicoh sa ni cleaic dan SM,A it lucod oasl eb ccr.otre +


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 +0  upvote downvote
submitted by ∗ankistruggles(18)
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Why aer hte MIA and SAM stom lyelik ot be cffeeadt in hre itnnic?doo

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sattanki  aA,gin ont oto ru,es tub I ithkn tehy rwee eiridcsbng a tinepta wthi hcronci aeltnsniit ingn,aa hhwic is scslaayllic ofrm steosraslhioerc of the AMM./IAS +5
mcl  I saw also nknihigt atoub hchwi asrea ahev carypp obold uslppy (eaedhstwr rase),a chihw I eamuss would be worse off ni teh eacs of rnhoicc eernecistm emhsi.aic fI uyo kloo on apge 753 of FA 210,9 AMS &m;ap AIM ta the ceplnsi refulex is a wheradest ;aera het otrhe is origomcisedt ntoujnci i(soidgm brahcn mfor IMA dan upriosre elc)tar. +


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 +0  upvote downvote
submitted by ∗bharatpillai(40)
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neO awy to kool ta shit lduwo eb ot og kbca to nspeheiogast of tafyt s.ektrsa They ear msto cloyomnm fdonu at the rtaoic iuraifcnobt, os aysliaclb hte werlo ownd ouy go wdon eth daonmilba o,arta eorm erttunubl eth lwfo, cgiuasn hghier anileptto ofr oaloiscersesthr adn isnsstoe fo hbacrn sles,vssloA.e anlre eartyr tssesino is elwl ecseidrdb chhiw si nvgie ffo ferta eht clceai utnkr so fase to say lcicea nukrt si raesdp ni any inkd of iolcarrtsteehoc ontssies.

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 -1  upvote downvote
submitted by ∗mousie(272)
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lookgin kcab at siht Q I itoecn ttha het ipattne olsa has nronytshipee d..oc.ul hatt ehva eben a ulce to ndelciu eth MAS cb ist so ecosl ot eht nlaer reaserti neal(R a sosnt?)ise

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nwinkelmann  I 'tddin wnok ohw to rapapcoh hsti itr,hee ubt nwo isth is ym ouhtthg spc:eros neittPa ahs iapn freta .itgena If i'ts tno edu to an crleu hic(wh si het ynlo tinhg I ulodc meoc up hwit ueabesc I n'ddit knwo hatw esle it swa nitgalk ),abuto hwy dwoul ategin cusea ainp? .l..Wel eintga sseauc ieaesdrnc ITG cvttiiay ihhcw enams cnreesaid bdool oflw. sA uoy dtoniep o,tu teh npttaei ahs HTN adn AC,D tgiancidin lklyie entesixev oicoesrhaltsre.s shTi si ptamnitro bcesuae hyw olwdu tgnaei lnegdia ot dericsnea lodbo wlfo cesau i,anp hwen lsuauyl it e?sdno't ..lWle. seehtorasrocsli ni hte retah alsed to ebatls agi.ann hTsi oitnstpaeern dosuns ilek a l"taebs agnina" fo eth ben.maod +1


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