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Retired NBME 19 Answers

nbme19/Block 4/Question#14 (reveal difficulty score)
11 yo boy, right mid-thigh pain for 2 weeks; ...
Ewing sarcoma 🔍 / 📺 / 🌳 / 📖
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submitted by cassdawg(1781)
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TLD:R; shTi is wEing aamcosr buacsee it si a oguny oyb hitw lsmal buel lelc obne motur in het shyipiads of teh mruef

gniwE ascmroa is a antlgnami oneb murot mocomn ni nuoyg osyb to.1;y.&5l cyplilayt fudno in eth shdeipisa )lemdid( fo ngol noesb irpyrl(aacutl e)frum or lcipev lfat eos.nb It si a llsam belu llce t,omur inmgnae eth pstidcroer fo s,laml io,nmrfu ipchoyhtcearrm llcse hitw ihhg emcpautlssynolc:u .aiort It osal sha an nn"ioo ikns" eelpsoatri eortcina in the oenb (irdecsdbe sa stuies rsdedrouun by nctecncori yralse fo tivrecea nbeo ni teh s.qieo)tun tNo odmtnniee is hte staicoaoins wiht 1t22(1;.) AF[ 0022 p 6]44

hyW eht ehstro rea rnwog:

  • rcoodCaharsmno si a trumo fo tignamnla crshcnyootde caagli)et( and dfuon lnyima in the elp,svi irxpolma ,fever dna musheru
  • oniopEhislci olaagmurn is is a era,r ngnbie omktiurle- ddesroir dzeciaatrrceh yb acloln opionlrfatier of engnLasahr slcel nda eht osmt oomncm arinvte fo ehLasagnnr clel huiditlWsciyost.oos illeky ysa genmtosih about iBcerbk ualersng ni het estm dna would aehv eaiscdaost ysmmopts hcsu sa sahr A[F 2002 3p]44
  • Mplluiet ymleamo si a maplsa cell rsisayacd FA[ 0220 14]3p twhi noiodcveortpur of cylla(ipt)y GgI. rhtsiaicatrseCc edlciun ABRC - miaryahp,Ccele alenR ineot,vlvenm A,eniam oBceka/nB nipa edu to pchuned uto tilcy bnoe seisonl yiclyaplt( of the ensip)
  • spr'etlaNml/miWhoosba roumT si eth stmo onmcmo aenlr ginnacymal of aylre hchdoidlo dan epsnrets sa a laknf smas FA[ 0220 p ]660
  • sortacOseaom ro( ecieotnsgo ma)ascro is a airympr ebno uromt moocmn ni men ;0l2&t. tI si ilypaylct fdoun ni eth yphsemitsa p)t(si of nglo eso.bn ysgtiolHo wssho pieoophmclir isoeodt pigounrcd lslec. On ayX-r you uwlod lolpteitayn see a dComan traglnei vetn(eialo of ueps)itmeor or sstubnru tnerapt
  • Small thmccoypiyl mmpohaly si etnislesyla teh asem hntgi sa rcchino phmtiyyolcc emalieku. tI is iscodernde a Hnnknoi-dgo mlpyoamh fo el-clsB and het toms cmmoon ulmkeiae of dastul sa( .CL)L Smugde slcel uwdlo eiklyl be ense on rapehelipr olbod sma.re It ouldw otn eliykl epernts as an ettclyisoo soniel dan si lleikuny in hdnil.rec [0A022F p432]
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cbay0509  nkhat uyo +1



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