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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 belviee sith amn sah hecicaax fo(mr ish xh of icch-rn)ew-cha is yinaml deu to cnireadse rmoiaynmopralft otnsyicek

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santal  gWhtie s,ols csmelu hprtyoa and agiutef htat ccour ni choncir iseedas g(e ,ISDA terah ua,firel POC)D -- ;> xiheaca.C idaedeMt by FTN al,ahp IFN mg,aam LI-1 and 6I-L e(eThs iutlaemts eht nibutiqui eprsomeota tyaphwa to rdgaede kelaetsl slumce iyoCrs)s epentuto:r AF 0129 .Pg 822 + rwudol +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 sdelai nad nnmetleeg FNT palh,a FNI amgam aer not rnohsome

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