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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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;TLDR: siTh is Eigwn camaros baecuse ti si a ugnoy oby iwht lmsal blue llec noeb rumot ni eth ihaypssdi fo eht fmeru

nigwE omscaar si a alnigmant obne urmto omnmoc ni ounyg syob &oyl;.t.51 yacylpitl unfod ni het dassheiip )e(lddmi fo ngol oebns itular(acyplr mrfeu) ro cpeilv falt bo.nes It si a slmla beul ellc ,otmru aginemn eht oeicrsdrtp fo ml,las morif,nu hytccpohraeirm selcl htiw hgih ployueul:csntcmsa ra.tio tI also sah na oin"no i"snk ptlasieroe oiraecnt in eth nobe bdsieecd(r as esiuts rdernuodus by nterncicco arlyse fo caertvei bnoe ni teh eoi.)qnsut oNt idnnmtoee si eth asocistniao tihw .t221)(;1 [AF 0022 p 64]4

yWh the rhtoes are rngwo:

  • ohcrdnaomsCaro si a oumtr fo nmtnialag ocdcrtohnyes aa)itgelc( dan nfdou mliany in het vsep,li oxlmipar rfe,ev nad rusumhe
  • iosncEholiip rngluaaom si si a arre, igbenn koimte-url drreoids citraredczahe yb noalcl filnitpreooar fo rsanLhaneg ellsc nad eth smot mocmno eiranvt fo nhegLrsana clle toWss.yucilhiosidot yiklel ays otiesgmnh uotba kcbieBr lagensru in the tmes and dluow ehav cisasotdae ompmysts hucs sa rsha FA[ 0220 34]p4
  • pieMtlul aommley is a aalmps cell cdiryassa [FA 0220 13p]4 itwh oeuvoprtdornci fo yy)t(cllaip gIG. iacrshetCcsitra eliudcn CBRA - ml,aCriyaechep naRel tvnmlnioe,ve n,eiaAm B/kaconeB anpi ued to cudenph tou tiylc eobn elissno ltiacp(yyl of het sen)pi
  • WlmsiaNo/srohlme'bapt muTor is hte tosm nmcmoo ernla iacanmylng of lraye icohoddlh dna espsretn sa a nfkla sasm A[F 0220 p 6]06
  • coatemssrOao r(o tceosioeng m)asocar is a amryirp beon mrtuo mnoocm in mne ;t0.&l2 It is aclytypil undfo ni teh hspasiemty (tsp)i of olng .esbon yslHiogto swsoh hipioocpmerl odsetoi cirdopgnu cle.sl On ryXa- yuo loduw liaenpoyttl see a nCmado engrialt eltneova(i of pmresteuio) or nrtsbuus tetrpna
  • lSmla yiccthmopyl pmlyoham is ltnsaeesliy the mase htgni as coicnrh ycolhypmcit eeulmka.i tI si nrdcseedio a Hgki-nnoodn lpoahmym fo lslBc-e adn eth stmo mnmcoo iakmueel fo alsudt (sa C.L)L uegSdm lcsel olduw ylikle eb ense no haplireper lbdoo .smera It wlodu nto ielykl septnre sa na sectooytil eilosn dna is iklleuny ni nilherd.c [0220FA 23]p4
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cbay0509  ahktn oyu +1



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