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Retired NBME 20 Answers

nbme20/Block 3/Question#20 (reveal difficulty score)
A 67-year-old woman comes to the physician ...
Low sensitivity ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +18  upvote downvote
submitted by โˆ—hayayah(1212)
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viytSiistne tsets aer usde ofr nsgec.neir tpcieiifcSy estts aer sdue rfo tmofrnonicia ertaf spioivet signcsnere.

nttySisviei sstte ear sdeu for negise owh ynam opeelp yltru veha het eie.dsas ficySceitip ssett rae for ehots owh do ton ehva the .ssieead

A igyhhl vsintiees ,ttse whne ne,ivtgae rluse TOU is.esdae A ghylhi fipicsec tts,e nweh v,tipieso rleus NI saeiesd. S,o a ttes itwh ihtw wlo tvnseytiiis onactn lure uto a seiedsa. A test wthi low stficciyepi n'cat rlue ni diesae.s

eTh dctoro adn iaptetn nwat to cesern fro ncolo ecarcn nda erlu ti uo.t Teh ootrcd duowl awnt a tste twhi hihg ssviiiytten ot eb elab to do at.th He woksn thta gsnttie hre tolso orf odblo lliw nto erul tou eht iybsspiolit of lonoc AC.

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sympathetikey  eSN tuO (noS)tu >-- eistisenv t;set - ttes uelsr ouP t eSc nI S)neicp( ->- csiepifc t;tse + tste lsure ni +27
usmlecrasher  acn aeoynn psl nlexiap hwy ti is otn l&l&;t;t eliaonptt s-alfe opvstiei slturse tg&;;g&t ??? +1
almondbreeze  crterco me fi Im' w,ngor tub gi'hh PF coic(eh =Cwol) epticiiscyf ocehic( B'). hreaeWs ighh cytsiifecpi is qereiudr ot uelr ni dz +2
almondbreeze  cpikde viispteo tiievcdepr uvlae ls.feym cna oanney ixpnale yhw tno P?PV +1
williamfreakingosler  eTh npirclpei yha@ahya is iatknlg obatu a( gevaenit etts nigeb dierel nopu ot lblyreia lrue to)u si gtvianee edivceptir luvae ).NP"V(" I 'tnod ese why iren"tncua "VNP ins't hte cerortc wrne,sa uirclparylta escuaeb VPN si dtpirdaece no het eissade igvnah eht aesm aebs atre in the os(sr)nep bineg dsttee sa ni eht anppotuloi htat aws tdirerezccaah for the ttes tisstc.ati vGien taht teh netipta sha a tsorng mfylia syrioth fo clnoo ,cencar teh NVP of TBOF is cnan.reitu Sida ohertna ,wya teh tiysstniiev fo a test odse ton gcnaeh wtih het au,iotponlp ubt teh NVP oesd. eTh oehwl snroea het doroct si deyinng BOFT is auceesb fo aiysaenb inhtking a( rroiip faoritonmni daletre to lfimya syhrt)oi, adn frmo ym otinp fo vwei aynsibae cliog si oerm ntelvera to PVVN/PP naht to vteysintis,i cnehe my nonsocfui ovre hyw NVP t'sin eth grith arnsw.e +4
ibestalkinyo  I htothgu gtievnae pierecvidt uealv rfo het msea ogensrani +
raga7  TRFAE HET UETRLS OF TTSE EW NAC DESU PPV RO P,PN UBT FRO ETH TFRIS MITE OGKLNOI YAN ESSEDAE EUS TVNTIYEISSI OR CIESPCFITI.Y +2



 +5  upvote downvote
submitted by aazib05(5)
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ceasbeu teyh vahe dskea btuoa HET TTSE, adn stictiyiiieepcfsynvits/ ear eth spreptoeri of eht tes.t wsaheer PPV ma;p& PNV rae aepddtenn npuo the npoopaiutl gbeni estd,et its' ton eth siirtnnci ytreorpp fo hte tset.

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lovebug  0bzia5a@ eipsml dna calre. hTank o!yu +1



 +3  upvote downvote
submitted by โˆ—bbr(58)
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hoeAnrt awy to hnkit of i:ths ehS sah a stngro imalyf ,ysohtir so we era ihnkgint she oyrbbpal oesd ndedei eavh ihst iuanttom bpylab(ro a ureT iiePo.v)st Our earf, uoldw eb ew do the wngro tset and ratyeanbrl tell erh htat esh is in eht rleac selaF( g)i.Nveate Hanigv a hihg Fasle Neviaetg owudl eb tliuserdeeo ot shit int,taep dan ngugpilg hsti oint a 22x albet isevg a lwo tnistysevii /(PT PT +.F)N

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trazobone  thaW a ituubalfe nxeplatnaio HATNK UOY +



 +2  upvote downvote
submitted by โˆ—l0ud_minority(15)
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I kipcde teh nowrg eno ucseeba eFlca Otuccl dBloo iseTgtn OT()FB is nsiitth-.giiyeshv My htthogu seorpcs si even fi it is tipsiveo it nw'ot etll esu aygnhnti peiccfis illw dnee to soepc y.nasawy

nBsengp/fll:Rthitp.TcnpFiwoocOrpclfrdcte/F.aredn-icniens/saeat/Cnt/uo

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divinedomain  hsti si ycletax my nrgseiaon +
abhishek021196  evEn i tgo ti wgonr, enht hseradce ogeogl nda got siht rfom iHsorrna (FTOB sha lwo isenyivsitt adn tretbe hdmseot era wno blvaaeail rof gi)nrecsen : .-brihsedcTieer.E/mia-osnwChaL8iln6an/:enRC/oEcoi/raN_Cdnl/3CcOnLmMos2sd-nraHiitlio9hs6Aurs//prvOutonufRsAMa/ea ErlyVIRNTNPOEE inecetotd fo lcoon naioccram mya be dfailctaeti yb noieurt necrnsgei of tolos orf tcoucl dbool cHeu(lomct I,I lo,ronCeaC umeH;)osre ,heweovr yiisnetvsit lyno โˆผ%05 orf cmair;naoc piescciifty orf trmou or oyppl โˆผ20.โ€“45% eewNr ttses .,ge.( )grCloaod iinornotgcarp totdnciee of oolbd adn dmeutta seegn rea mroe eisitevns adn ii.cpsecf lesFa tipvsoies rof otccul dlbo:o etsonniig fo rde amt,e or,in asriin;p pperu IG dl.neigbe eFasl vnesi:gtea nmitvia C nn,tigieso tetnimirettn gb.elendi Geetcni itgnets is fuftaenedc by eseht tfos.rac +



 +0  upvote downvote
submitted by โˆ—abhishek021196(119)
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vnEe i gto ti ownrg, nteh ehadscre eolgog nad ogt stih mfro Hosrrian F(OTB sha lwo tisnietvysi nda beetrt domseth ear won laibevlaa fro g)inrenecs : /snCshL/EO9nlHhciitupaoiiMdoCoobRw/cnAsNvfm-EaarRe/iCduAr.raniass8.nt/eMeoC6rnsdeil/TOsm:eLhrn-iro36/aunl2/_-c - TVRNINOEPE : Eyrla etidoenct fo conol iccrnmaao yam eb ttiaacedfil yb inruoet igrsneecn of sootl rfo clcotu blood tl(ecoHumc II, rla,oCoeCn oermse;Hu) whree,vo tnviisyesti olyn 5โˆผ%0 rfo nociaca;rm siipytfiecc fro torum ro plpyo 4โˆผ50%2โ€“. rewNe sttse (ge.., )aoClrodg ininoargcport dntecoite fo odblo nda ttuedam engse ear orem esensiivt nad ccfpi.ise eFlsa psetsiiov rfo couclt bo:lod ensoigtin of erd ame,t ir,on sin;ipar rpupe IG .eigldbne easFl tivgnes:ea ivatmin C sio,nnegit neneitrmittt ignle.deb cGnteei eitnstg si efenfdctua by eseth fca.rsot

o,S to elru UTO a esdaeis sn,t(S/O-nut)oeu scnrgeeni tste usodlh vhea ghih nsiitsyive.t icVe ,vares to reul NI a adeises S)ci/pee-ns(I,npc cyfoimnrorat estt ulhsod eahv ighh ciyst.iepifc

I illst t'ond tudrdsnean ohw we elru uot VPN and PPV rfom eth nerswas csien wee'r iflpsylieacc itgnkla tabou the as'irk-'t oiulonpatp pgour oyln dna htsee alvsue rea uesd rfo ttah lf.iest

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