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Retired NBME 20 Answers

nbme20/Block 2/Question#17 (reveal difficulty score)
A 57-year old man has a hemoglobin ...
Chronic obstructive pulmonary disease ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: hemeonc polycythemia

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 +17  upvote downvote
submitted by โˆ—hayayah(1212)
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Thsi is vicaeret ptmhyieaoycl vra,e hwchi si deu to hhgi lautdiet or ugnl esi.sdea 2aOS si owl, dan EPO si cisraede.n

nhretAo ayw to aprpcaho eht tuonqies is ookilng ta the boold me.ars s'tI rtetpy lromna on( s,toyekaacgmeyr on scideaner runmeb fo lpstlte,ae on osr,d ignthon ueb,l et).c A loodb meras omfr a DCOP teptina ilwl eb r.mlona Juts an eircdasen buenmr fo BRsC eud to teh dsericnae POE gidlane to dceasnrie H.bg

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mbourne  oYu hlusdtn'o lcal it reciteav iltycephmaoy v"ar"e, as miyetylhocpa aver is a taeerpes sadeesi tihw letnryie tnfdfeier leytgo.io isTh is Rceiatve mty,Piaoclehy or sa ohernat trsepo iasd, prprapoetia otbsaelu omhytipycael srcyaoden to ionrchc yiapoh.x +24
j44n  i jdpmue on mesiolydaclptys tnikihng it aws VP deu to the ajk w uoitantm btu oyu iynelchtcla gte vleaeted nrhtyieevg in htta aoittunm so ti ulwod be ermo ntah juts BRCs' +
beetbox  I loas hgothut ti aws VP. oHw can we ellt aecirvet tpmoaceyliyh from aatluc ,PV fi VP sedo nto oswh retho knisd fo loodb lecl ctosun idears ubt tjus an aliesto of RCB r?eis +1
l0ud_minority  I tog tsih rgwon ubt rehe my rtoseenald aiaB fof hte inmoonaitfr ni eht pasegas owh nac oHw can ouy rteiinftedeaf tihs ormf ippiaanrptoer osbuteal oyiaphltye?cm aacPeri tpnoals mdoyrens is diecasotsa wiht csnarce uchs sa lptueclHraloae Caa.conrim Htyrredaei hocssotmaehroim nac eevla ot erliv i.rsrcshoi t'aTsh ywh I hcose .C But I swa nrwg.o +1
epiglotitties  I'm eofudn,sc coahPmytyeil aeVr 'antsw in eth rnswea o,sceihc D) was yillsspycedaomt seomdnry hchiw I ondt' nktih is eth sema sa apeovyormltieifelr risddr-soe ihhwc ncdluie ,VP esilnsEat hycrToobeimmaht dan ir-fbliyeMs.oos rO rea they eht asem gi?ht?n Asol @xeeb,obt the ywa ot tlel rteeiavc olyemacihpty rfmo VP si yb oklogin ta OE.P In tvariece ti is vedleate adn is ahwt si gadniel to the rneicase ni C,sRB adn in VP eth resneiac ni sBCR is eud to loesaptcin airntfaroomtsn of BCR ecrosprus NOT sxsece PO.E +



 +9  upvote downvote
submitted by โˆ—alexb(53)
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I nudfcose ypolicdltmsysea sryemnod whti rairymp rfmoiyeboslis ueasbce I gthothu 32- fo eohts RBCs ookled lkei redaoptr lcs.le sJut lkei wehn yhet oswh an eaigm for lobulus gieiphdmop dan se'ethr semo erdwi codens ipr oghurht het errbasudmlla/dem ryeal gmanki em kihtn tsi' ont BP evne thuhog I do'tn owkn wtah eels ti lduow b.e lfm

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whoissaad  dMae hte msea iksetma +9
targetusmle  i ottuhhg cylxaet het sa!m!e 2 llsce doolke eilk arte ropd llsce /: +2
ilovemypuppies2295  I gtouthh rthee rewe erta rpdo lcsle oo.t Sedeme eikl ti uodhsl eb a aplsmiatae t.hne hO well +
lynn  I did eth ,maes ubt ogkoinl at 1A9F gp 234 it sysa enctifie"vfe ohomesetipais t;-&-g ctefsde in lcel nuaaoimttr of nlohiyondmp gane."eli oYu nca tge beolibd npurelsohi,t ro if ti grdrsseope to AML uyd'o see reau sod.r Nohngti abuot rate rdop s.lelc neTh on gp 406 tare pdor sclle ldwou eb enes ni rbs,flosiomeyi and issoybpl sasailhaestm +
waterloo  I thouthg the ,seam btu I ikhnt thta wludo eb iosmybso,irlef tno ysmodlclets.pyia bH si yllrae hihg hree oo.t ttePyr kryict rof mhte ot put thta trhe,e aesy knee jkre. +1
jawnmeechell  tglsIrieentny gu,ehon cegiogann dylimeo sileaaatmp si teh lod eamn orf ibieflyrossmo, hitw enoa"gn"icg igebn osynnousmy wtih aotii."ihpd"c ro( did eeyvreno dleayra wnok shi)t +1
bfinard1  rrymiPa byoseisomilfr is a oiemleetaloiryrfpv odrsired tno a midastyoeplscly nsdeymor +



 -6  upvote downvote
submitted by โˆ—strugglebus(189)
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Pt sah iyechtpolyam arve er(plryvoieeliatfmo rrdosedi) ude ot hcricno opxihay uicdend yb DPOC. doylMie mapilastea si xater mleulaydr oemieapstsohi edu to yfsrbo.iiomesl tidyHrreea oemahoimsctohsr udlow vhae eben epvron yb a snrusiap uelb a.isnt sysreipnmpelH duolw evah euascd edecraesd ,BRCs and ilmcdpysoeysla odreysmn udlow hvea wnsoh uAer srdo ro atl.bss

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neonem  ,ghitR I kihnt this dolwu be sjtu ecdlal pear"trpapio blsteoua oil"htp,meyacy wsrahee yecyoilatmhp vrea si ued to a itlngaamn AJ2K nomutita and olwud be dremet a etpy of ccihnor oaoylflieretipmerv edsd.rroi +14
utap2001  Malsscdyitlpeoy ydrssmneo MDS)( is osla lecdal lkPueiarme,e p.yoelsiadymsal ni MS,D yuro oebn rwrmao t'edson kmae nuoheg of esteh haylhte ldboo .clesl ta,dseIn ti ksmae amlrnoab ellsc tath tearn' ullyf dodveelep e)tu.mmir(sa A eht cnidonoit epvselo,d yuor nobe romawr etsg aygalrldu tnkae rvoe yb hte ammturei olobd e,slcl whihc dont' okrw eprTpyh.lro e intodnoci acn veepldo ylowls i)dtenl(on or uliqcyk r(ga,ssiegv)e and in soem pepeol it can veopled onit a epyt of umlaiekea lcedal aectu mydeloi uekeliama L)(.AM +



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