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NBME 20 Answers

nbme20/Block 2/Question#19 (reveal difficulty score)
A 66-year-old man is brought to the emergency ...
Cigarette smokingπŸ”,πŸ“Ί
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 +14 
submitted by louisville(12),
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w:Aners VRS drci;neeas PVR d;edaercse WPCP rc.niaesde


 +5 
submitted by βˆ—hayayah(1130),
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sI't litansaontri cell ir,ocncaam hiwch noikmsg is a ocmonm riks crfota ;fro ti nac ovinlve teh alnre .eys/spccalvlei heT oshit iameg shswo teh lplrpaayi neatru of het tmoru erweohv( ti anc oasl eb lfta ro olunrad orgaccind to .)tPmahoa

slAo nonwk as urtollaieh imca.rnaco sotM oocnmm rtomu fo uainyrr trtca mtessy a(cn ucroc ni lenra aeyclcs, elrna ilpe,sv ,sturere and rbld.ae)d nCa eb gesesutgd yb lassepni uametiahr o(n sta.)sc

usmlecrasher  i'm sorry guys it's bladder cancer blocking urine flow => reflux ureteral widening => reflux nephropathy. +8  
hello_planet  FA 2019 pg 588 +2  
kevin  Is the idea since that since the histology shows transitional cell cancer the most likely is smoking and that's the answer? The fact that this was unilateral really threw me off. Is it common to have unilateral carcinoma of the ureter (if that's what this case was, of the ureter) rather than bilateral? +  
lovebug  I Choose F) vinyl chloride <- only liver angiosarcoma. :( about many Carcinogen FA2019, 226pg. +  



 +4 
submitted by βˆ—chandlerbas(108),
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IOERSLP LATRE for trueuf rraedse, hte tonntce ngloliwof yma ctianno ecsbjust esen ni rehto MNBsE




 +4 
submitted by βˆ—step1soon(47),
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oltEgyoi β†’ eC tertiga kmnosig is ojram skri atfroc %8-05(0 of ne,acrcs ksir sdesoatcia ihwt inoudtar dna Ansie lytsniot) limaarysen e(tann)iy2hha-plm adn ailenin eny sdI ovineeldpg iesrntuoc, tsmSosiacoh utiommaheab voa are edestdipo in darlbde llaw dan sueca coihcrn ofain,ammlnti amossuuq ealpstaam,i ypaasidsl; %70 fo stmour era oassquum llce miVcHPoarnac aym caeus odnmcylao, asumusoq yalsia,sdp sqamuosu cell acrcaomni ainc ehscetuenqePen seu lualy(us ognl mert ues ni goyneur en,mwo trmuos vlevion purep lgteocicln ynhst) icmerCso unyrria rattc cntneiifo dan Ruialc layercl moeihcyahpodcspl with ngol metr use




 +2 
submitted by βˆ—chandlerbas(108),
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riehet eldrbda necacr ia(reatllun ni tihs )esca or tiritlansona elcl aoircmcan oas(l )niu are ripptecaiedt by okmngsi hnlianat xoitc ri.njyu UBT hatw atrmtse eomr htan the esacu si ttha eth raeedr egorienzc ttah htis si oitwthu a tbuod

briocvutset hpnrdsirsohoye iwht diletad lcvelaeicapyl yssetm adn xtcero fo eikynd snogwih ayoprth nad igntnn.hi

sAmigsun ttha eth pt stlo ooldb mfor eht AMV - ihst dwluo rehrtfu heacnen the ralen miahseci (TPC and agedinnsc LHO rea obht vyre evsntiise ot csimheic inonoitcsd 30 etnsumi fo odblo sosl si nouheg ot teaecexabr teh draalye ccemhiis icooitn.dsn




 +0 
submitted by shakakaka(13),
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I ootnsrdude atht ti aws inartnatlsio ellc amca,rinoc nad a kigsomn si a sikr aocftr ( as ti ntsainoc timaaroc mnasie ) , utb woh obuta earmniayl ?pouxrees Its ureepsxo salo tsdsaoceai htwi erbadl rcncae.




 -3 
submitted by βˆ—monoloco(144),
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sI htis eht oen htiw eht ropo ykdein atth wsa tuc in aflh tgaasni sti ilwl nad sah a adiletd ltadis e?rruet If os, rpbbloay hoiwgsn us ntaiialsrnot racmicnao tihw mdli nnavoiis oitn atth tadsli urte.er mhaotaP esod a yrtept esaowem bjo fo laktgin obuta GU rsccena adn( smot rcscan)e ((nad sotm in)ceimed) IO.M




 -7 
submitted by βˆ—lancestephenson(38),
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EPOSLRI PSIEROL POSIRLE
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hisT is AELITRLYL teh emas tooph yhet udes to ceersidb hte a-4-elryod yob htiw ueiffsd litccroa risonecs mrfo MEBN 8.1 nCa eoosnme elxipan tahw's goign no here

lancestephenson  *Tubular atrophy, not cortical necrosis lol +  
charcot_bouchard  Can u fuckers talk about spoilers +1  
adong  same photo because the end gross pathology is the same. whether it's due to cancer or whatever the 4 year old boy had (some sort of obstruction IIRC) it ends with atrophy of the kidneys +  
j44n  they used the same kidney on NBME 17 for posterior urethral valves lol +2  
j44n  this is probably the most famous kidney in medicine +3  
meja2  Why would you add a spoiler like this? some of us haven't done form 18 yet.....smh +  



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