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Retired NBME 18 Answers

nbme18/Block 4/Question#35 (reveal difficulty score)
73 yo man, 4 months poor appetite and 25 ...
Cytokine effect ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +2  upvote downvote
submitted by carrierose11(9)
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I ebilvee tihs amn has ieahcaxc or(mf ihs xh fo i)n-eh-chcawcr si myalin eud ot serneidca npolarrtmyifoam kesytoicn

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santal  geWhti o,ssl lmscue throyap dna tfeaigu atht orcuc ni nrhcico adeisse eg( A,ISD ahetr fia,uerl DCP)O -- gt&; ix.eacCah ddaeeitM yb TFN ,hlapa NIF am,mga -I1L adn L6-I T(seeh slmttueia hte ntbiquiiu mprosoeaet aptwhay ot eedgadr elaltesk lcemsu n)sCro:ttueoysr pei FA 9210 g.P 822 + rloduw +10

After initial elimation of everything except for Cytokine effect and Tumor hormone production, I thought through it like this: We know he has small cell lung carcinoma and it can't be tumor hormone production because the three paraneoplastic syndromes of SCC are 1. ADH (would increase weight) 2. ACTH (would increase weight) 3. Antibody (Lambert Eaton, no change in weight)

So only could therefore be A!

+8/- tyggles(12)


 -3  upvote downvote
submitted by โˆ—yousif7000(12)
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eys dliase nad eeenlgmnt FNT ,aalph FIN mamag aer nto nshoerom

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