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Retired NBME 19 Answers

nbme19/Block 3/Question#50 (reveal difficulty score)
39 yo man, 6 months of headache, muscle ...
Basophilic stippling 🔍 / 📺 / 🌳 / 📖
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 +20  upvote downvote
submitted by cassdawg(1781)
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So I ateh htis iosenqtu eabuces uoy acn onwk htwa eht inadgoiss si and iltsl issm .it

DRLT:; hTsi si ldea p,niiongsio os ethre si opahbsliic gipsniplt in a lheaerirpp oodlb asrem UB[T rgiedn ssrbltosaide lwoud lsao be onduf ni hte neob orw]ram

Wyh tish si adel ispin:nogo 2(02AF0 )254p

  • cicociMtyr enaiAm s(duaec by dela iibnniihto fo rechelteorfsae and AAL aesedt)hyadr
  • Eennmioalrtvn eeoxprsu mai(unitnmo at teh eganr, he is an crfeifo)
  • GI fefsetc pcyr(ma laibdnamo ap)in
  • iouNoellcagr tecsfef chdaa,ee(h tatiibilryri, dsaictiar,tiyltb egrufftl,o rotmo esesw)ank

Why ti is ONT the treoh srw:aens

  • urAe dros - ctcrehictaisra fo ectua guoeeosynlm uelkeiam hcwih lwudo tenpesr hiwt aynispoctapen (ihs BCWs rae lanr)mo lngao iwth ucrgitalnic bmselsatoly on eiarehrlpp earm;s menaid ega ntose 56 sryae nda he has on srik actfros
  • alvO Mayortccse - ni aymctircco iaenmsa B12( ro aeltof ,neidcfcey)i shit is itmyccoicr sa tnedidiac by CVM
  • lcpoeimohPr ocmspyheylt - ocruc ni ohrccni ylhomipycct iukmsleea nda nusefioitc mon,o tboh chiwh hvea tfnfdeeri gymosoeoltopstmi
  • iRgdne etirsobalsds - era fmro lade ginopsoni tub era ni hte nobe wormra
  • etycscstoSi - asitrreatichcc RBC cihwh ahs eneb throhgu a ggcldeo sevles dna erdaseh f,fo dfnuo in acmhoigtircnaiop chyioelmt asneiam Ms(AA)H ekli tbocmrohit enotosaigciarphmi ilek PTT dna SHU yti(lpyalc oncormiytc aiamne adn tfdnfeire neis;aptorent a eisnutoq owudl lyeikl giev oyu rmoe onif on hte ilrtotyobmch apwytah fi hyet nawedt uoy ot hooesc h;sit ew id'tnd vnee tge a tletealp tnuoc r)hee
  • gaTret l:eCsl undof ni CHb disease imaugcl(t aidc to iylens ni goeb,imohnl auscse xvsarruaetcal ,ioh)semlsy ivrle saidee,s laspnaei, nda msseTaalhia ie(olsndte ni eitreh aaphl or beta cahni fo bihaglmon,e sucase aimaen ttha wldou eb eenstrp rmfo ldhdohoic and odwlu ont evha enour pyso)tmms
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ftr_dr_bowowers  tanhk o!uy +3
chaosawaits  just aket my ptoevu you ealubituf b!sachoiotnf +
chaosawaits  oS if CFR cesdereas, LCT raeceseds sa wl,le which rseul uot .E +
chaosawaits  vboAe oetnmcm ton terlade ot sthi osuenitq +



 +0  upvote downvote
submitted by dragondeeznutz(0)
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wlel t'saht niyagnon AF I n'didt neve see pBihosicla igppnSilt bc I aws aftidessi hwit blraseodssti orf lead onsipniog

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lovebug  Yp.a ndam. eSa I sola wsa htsi pyet unseQito ni WU .oebfre B ut I idessm giana ni MBNE. so ads (: +



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