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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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eSitiisntvy sttes are udse orf gesrennci. icyiicSftep ettss ear desu ofr onoracnmtfii tefar epoiitsv nesisg.crne

ySsititnive ttess rea udse rof esengi owh yamn ppolee tulry heva het dseaesi. tpifeycicSi tesst aer orf estho owh od ton eahv teh sseiaed.

A hhlgyi isiveents ett,s wehn etavne,ig lseur UOT s.idesea A lyighh cipfisce tes,t hwen soeip,tiv rsleu NI as.isdee S,o a tset hwti hiwt olw iinytsitsev onnact elur uto a seeasid. A etst whit wol cyipcsifeit ctna' elur ni se.idaes

ehT odroct dan epattni wnat ot cerens ofr clnoo rcnace nad rule ti uo.t heT dortco ouwld nwat a tets with ihhg vitntsiyesi ot be lbae to od .ahtt He snwko that igtenst rhe tolso rof oodbl lwil not eulr uto eth isoltspiyib fo ncolo .CA

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sympathetikey  eNS uOt tn(oS)u --> nevtsiies stet; - tste rleus oeuPc S t In ci(eSnp) --> cesifipc tste; + ttse lsure in +27
usmlecrasher  anc yaonen psl iplnxae wyh ti si nto ≪t&;t nteloipta fas-el eiostvpi stluesr t&g&;;gt ??? +1
almondbreeze  orcertc me fi 'Im on,rwg ubt high' FP ceco(ih oC=lw) ifiypitsecc h(ceoci )B.' rWheeas high iyicptiefsc is duqeirer to erlu in zd +2
almondbreeze  peckid eiiotpvs tpdiecirve auvel fy.selm can enynoa nxaeilp hyw not P?PV +1
williamfreakingosler  The crinelpip ahaha@yy si aktgiln otbau (a igaentve estt iegnb leedir opnu to lyelirba eulr u)ot is tnegvaei iietevrcpd uevla ("V.")PN I tnd'o see ywh "ntaeurinc P"NV isn't hte crrteco sarnew, aulypicraltr aeubsce NPV is edrdcaiept on the sseeiad inavhg the smea besa tare ni hte )nsropse( nbeig tseetd sa ni eht opnuiplota thta wsa ztaecrreihcda orf hte etst .tiattsisc neiGv hatt the pitneat has a trgnso afmyli rhyitos of locno rc,ance teh PVN of BTOF is icn.utrnea Sdia oraetnh y,aw eth ynevtistisi fo a sett deso ont gnhcea wiht hte oatnu,polip tbu hte NPV od.se ehT ewlho roesan eth tocord is gynndei TBFO is eceasbu of iebayans tihikngn a( iorrpi maroonftini eldarte ot lmifay rhyt)i,so dna frmo ym oitnp fo wive ynaeisab iolcg is mreo teaervnl ot NPVPP/V tanh to tine,vtyissi cheen ym uocofisnn erov why NPV sn'it teh gthir nws.rae +4
ibestalkinyo  I gtuthho neetgvai cetrieidvp ueval rof teh esam asrnneigo +
raga7  FAERT TEH URLTSE OF SETT EW NAC EUDS PPV OR P,NP TBU FRO HTE SFRTI ETMI NILOOKG NAY SEEDSEA EUS TIINISESVYT RO ISET.YCPIFCI +2



 +5  upvote downvote
submitted by aazib05(5)
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abesuce they ehva eksad boatu ETH ,SETT nda i/cvitnytiytpisseseicif ear hte rtepipesro fo teh ts.te swarhee VPP p&a;m VNP rea tdpndeena pnuo eht unoptoailp ngbie ,seedtt tsi' tno teh nsirictin rporytpe of eht .tste

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lovebug  @0b5ziaa siepml adn lr.eca hTnka yo!u +1



 +3  upvote downvote
submitted by โˆ—bbr(58)
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Aerhnot way to hiknt of :stih ehS hsa a otnsgr aflmiy shtoi,yr so we ear giinkhnt she prlobaby esod ienedd vaeh sthi namtitou obrbyl(pa a Tuer Psi)ivet.o rOu ra,ef ludow eb we do teh nowgr ttse and aarnrlytbe eltl hre atth she si in the raelc Feasl( e).evaNgti nivHga a ighh Flsae etaNeivg ldouw be erdtoliuese to this patneti, adn glgiugnp tish iont a 2x2 bltae vgeis a olw vtsiisyeint P/T( TP )N.F+

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trazobone  taWh a aitebfulu aaeotpxniln TANKH OUY +



 +2  upvote downvote
submitted by โˆ—l0ud_minority(15)
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I cdpeki eth onrwg eon seubcae lcaFe ltucOc oBdlo setiTgn OB(TF) is hieyititnvssh.-ig My ohtthgu scepsro is vene fi ti is ioitvsep it tw'on lelt eus hnytinga ecpicisf ilwl deen ot cepos y.nsayaw

icOohppptdcclTcnfa:i.etntuegtiawnoea.so-Rlntn//lrenC/F/rcpsFesdrB/ifn

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divinedomain  siht si cexalty my ngeonrais +
abhishek021196  nevE i tgo ti wrn,go neth eradeshc oeggol nad tog hist frmo nasriHro TO(BF has wol stiyiveitsn and rteebt mdhetso era won vabileala rfo ireesng)cn : rR/LoC2ncNds-is/hoEs.si/ieCiAianaRiCrmo.i9o3enoreso/TOm/duv68stt/abdhnaC/n/Hrlcec-rMOns-lfiAEMpLnehu6rnu_w:aalEaErNR yNP lEVOTI nettciode fo ncolo ancmoraci yam eb etaflitidca yb tuoerni enisenrcg fo tosol rof couclt dolbo teHucclmo( I,I CnoelCroa, erHsoeum); ,owehevr sitetinyvsi noly 05โˆผ% orf iamcna;ocr ccipiyietsf fro umtro ro ppylo 0%.4โ€“52โˆผ erweN sttse ,e(.g. oglodraC) ciornnigtorap nedoetcit of dolbo nda deuamtt gnsee aer rmeo sinieetvs and ec.sfiicp sFale ipestisov rof lutocc :boodl ieonntisg of rde ame,t io,rn ;apisnir erpup IG lgiedn.eb Faels egtv:ieasn nitiavm C ngiio,setn tertitniemtn ignebe.ld eentcGi intgtes is feautfdnce yb seeht atf.rosc +



 +0  upvote downvote
submitted by โˆ—abhishek021196(120)
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Enve i otg it w,rnog ethn sehrecda gleoog adn got ihst mfro ianrosHr OTBF( ahs olw tnyisisitev nad etrbet dhemtos rea won albveiaal fro ecgn)rnesi : /snv6/uiiRnsn/aarf.rrhniCNTl:CMA-r6uaa/oisnoodcRnciAdi.Hpb-/3rOCLtn/OMwC/srieelLosE_ashehmcmiu8-92aEleonoetds/ - PNVROTIENE : arEyl etndoicet of locon oamccnria amy eb ftieltaiacd yb uertoin ensecnrgi of oslot ofr loctuc dbolo tuHcmlc(oe II, Cal,ooeCnr orue;mHes) hov,were viettiyissn nloy โˆผ0%5 for acnaro;mic feiciiycstp ofr tuorm or oppyl .โ€“250%4โˆผ Nreew sttse ,.e(g. oCga)dorl ngnatprrcioio ntocetdei fo oolbd adn ttmedua geens are emor teniivsse and spicicef. sleaF ovetiisps orf uoltcc dlob:o inetnosgi fo erd ,atem inr,o nipar;si uppre IG dgi.benel False n:tiaesvge mianitv C gino,ntesi nettittinmre .elbdigen ietceGn etsgnti is efcfentaud yb eshte r.fatosc

o,S ot urel TUO a saeeids not(Suu,O/nte)-s insneregc ttse udhols veah hgih s.eyiistvtin ceV i seva,r to rlue NI a eaeisds SIp-n(ec,icns)/pe arrmocnytofi estt lhuods have ihgh iiytcpci.esf

I slitl otn'd tdndareuns how we luer tuo VPN dna PVP fomr eth rasnswe escni we'er acllcpesyfii nkgatli abtuo het ist'-'rka poonatiupl gpuor lyno dna sehet vsealu aer seud for tath e.litfs

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