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Retired NBME 18 Answers

nbme18/Block 3/Question#25 (reveal difficulty score)
63 yo man, 2 weeks of fullness in left upper ...
Myelofibrosis ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +16  upvote downvote
submitted by โˆ—amirmullick3(76)
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ishT epattin ahs a dyr pt,a hhiwc is nees ni iymoelfsboris adn cpiltsaa a.enima Teh aaonmrbl RBC are msot yilkle ccytroeads errdaotp( .ls)lec

MLA uodlw hvea urae dros and nmya laiuncrtcig mesyotalbsl, btu nor rnolmbaa .CBR

,CLM eedfind yb het 9t2];2[ hPlpideiaahl mmohcero,so lliw vahe mayn amtuer dan narumtgi cegsaonyltru, ihtw a low PAL cauesbe hsit is not a kumleodie oncart.ei

lctyyspmiDeioeo dsyrnome is hte esma as a tyodlssypclsiema somd,reyn hwich aer a pgoru fo serccna tihw tmmierau CRB ni eth enbo rwomra tath od ton oembce e.umtra ssinnpkktsri:aoedro/i.lyeipyoyhelatmpiMdidc_/ges./wtw/

aessltniE imothymobrtcahe i(hwch is otn lstsaiene pahoimectyy)l is utjs a rear crenca ihwt hgih leple,satt hwihc esntersp htwi nlaorbma doblo ct,noilgt nligdea ot sotrhiosbm, strse,ko adn .EP

cyhmeotaPliy eavr has evyr aegrl RBC sasm nda wlo PEO due ot iaengtve ekbedfac. It si deu to a AJK2 maonuitt and osal sah ighh BWC nad .ptllsaete uOr ianeptt is m.cniae

//ecoeouv.ymmwhuliwts.lts:p/tuebw

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 +1  upvote downvote
submitted by โˆ—dorsal_vein(47)
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rDy pat + aivsmse soenlpegmyal + amnrlbao CRBs is scaclsi orf ifymlroisoseb

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 -1  upvote downvote
submitted by โˆ—amirmullick3(76)
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ihsT ietntap sah a ydr at,p whcih si ense ni foelbsymsrioi dan tspclaia Teme.nh aai amlbanor BRC aer smot lelyik cescyatrod (rtopdera slc)l.e

LMA lwduo ahev aeru dros adn mayn ngcaicultir mtals,bsoley btu rno aobnlmra ,L R.MBCC iddfnee by hte ]29t[;2 lhialahiePpd hcosoo,merm will vhea aymn umerat dan ganrmuti tsnuyorcl,age ihwt a wol LPA eaucseb isth si not a louidkmee lieasio o.Dtociyperymctne ysmonder is het same sa a ltlyyaedsmsicpos emyso,ndr cwhhi are a rpguo of rnccsea hwti mueriamt BCR ni teh bneo warrmo hatt do tno oebcem tmeru a.otpdcgnadayis.iiil//kieh.sroyd/ytwispk:resonpw_Mt/leemE stsanlie hibratocmohytme hhwci( si tno aelenssti ihctm)playoye si jstu a erar ncacre wtih hghi ,tlpetslae cihwh ntrsspee wthi maonalbr odbol gcntotli, iegldan ot tomhr,bsois kosset,r dan P coyaml.yihtEeP aver (pg )466 sah ryev greal RBC ssam dan lwo EOP due ot tieegvan fekadebc. tI is ude ot a 2KJA itnoumat nda aosl sha high WBC nda eletatsp.l Oru inatept is .ianmce

ecetosboetumwtyu/vh.lws/iw/:.lpum

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 -1  upvote downvote
submitted by โˆ—amirmullick3(76)
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ihs ipttena sha a dyr at,p hcwhi is ense ni flysiirsbmooe nad clpstaai Theian e.ma bmaolnra BRC aer somt elklyi ccsdaotyre or(rpatde l.csel)

LMA uolwd avhe uare rsdo nda myan tcinraucigl ,msaoybltsel tub ron obmralan RBC.

CLM, neddief by teh ]2;t[29 ahpeiaihlPld me,mroohcso lilw ahev naym auetrm dna rgimnuta re,oascgtlnuy with a olw APL ebcuesa hist is tno a dlmeokeui aincreto.

cytpyoiselmeDoi ndyrosem si het mesa sa a lsmedsysiaoytcpl ,smyrnoed cihwh are a gporu of eaccnsr iwht aimreutm BCR ni teh noeb roawmr ttah od ton ebecom .meruatgyimwkhkp_yiiirawnosMedlecsele/dts/it:rp.an/so.pdoy/it

litanesEs hetyicorammhbot chw(ih si otn nelasseti yyciohmaet)lp si sjtu a arre crneca ithw gihh sltalt,pee whihc enrestps wthi mobaarnl lobdo ,cntoilgt iaegdnl ot otorss,mihb ,eoktsrs nda EP.

coyyatleihmP reva ash yver rlega RBC smas dan olw PEO due ot agtnveie fa.kbdcee It is eud ot a A2JK tmunaito adn laso sha ghih BCW dan atlee.lstp uOr inpetat is .mancei

twi:e.u/luce.mteymub/hvtl/sswoowp

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