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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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ettiivsiSyn tsets rea dseu ofr necigenr.s fipctcSyiie tests aer sued rof oiocnamrnitf trfae otieisvp .esincnrgse

tntesiSiivy etsst aer esdu fro seneig ohw amny plepeo tyrlu vhea het ds.saeie ccfiiitepSy sstet rae fro seoth how do ont vhae hte sasdiee.

A hyihlg evienists s,tte hnwe egi,tnvea lurse OTU deeia.ss A hlhgyi iipecfcs tte,s enwh votep,isi leusr NI s.iesdea ,oS a etts thiw iwht wol viisetityns conant uelr tou a sseaide. A estt ithw low cptsiyfiice cn'at erlu in .iesedas

eTh tcdroo and tetanpi tawn ot ecsnre rfo onocl accern adn lrue it otu. ehT ortcdo dlowu watn a estt tiwh hgih entsiiitvys ot eb beal to od tat.h He nskow ttha entgsit ehr ltsoo rfo obodl wlli ton urle tuo teh tipsisiobyl fo locno CA.

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sympathetikey  NSe tOu (nuSo)t >-- eesisvtni et;st - tste lreus P euocS t nI nSpei)c( >-- ifeccspi tse;t + estt uslre in +27
usmlecrasher  cna yeonna spl epnxali hwy ti si not ll&&t;;t otaenpitl -sealf siteivop tlrsesu ;;tg&tg& ??? +1
almondbreeze  recorct em if m'I rog,wn tbu ihg'h FP heccoi( =l)owC ifiiescytpc (oecich 'B). aehersW hihg sciiticepfy is irueqedr to relu ni zd +2
almondbreeze  cepdik tivsopei epetrdiicv levau ym.slfe anc yeoann exlpani why ton VP?P +1
williamfreakingosler  heT neiipplrc aayh@yah is tiaklng tuboa a( eatngiev stet ebign edilre pnuo ot bairylle eurl )tou si vtnegeai cdiitreepv eaulv PNV".")( I 'tdon see hyw auti"enncr VNP" t'nis the rcorcet sewna,r atcpryllirau ecesuab PVN is ciadpteerd on the sedsiea haivng het amse bsea arte in eth (nosrs)pe engib estedt sa in het upplaiootn ttha aws tczicerhaaedr fro eht stet tastts.iic Gneiv taht het ntpetai has a tngrso fyliam yrtisho of cloon arcenc, eht VPN fo BFTO is er.nnitauc daiS hotarne yw,a hte nsvttiyiise fo a etst odes otn nhgaec hwit teh ,inatlpuopo tbu the VPN deso. ehT heolw nsoear hte orcdot si neiyndg TBFO si ucsebea of aibeyasn hniknitg a( opirir ntfioaniorm traeeld to malfiy horit,sy) nda mfor ym tnpoi fo wevi ybasanie oclig si remo rnlaeetv ot PP/VVPN hnat to invsiisttey, hcene ym iufonsocn vore yhw NVP its'n teh ghtir wsraen. +4
ibestalkinyo  I tohhtgu vteegnai vicdtperie eavul orf het eams rsnniegoa +
raga7  AETFR ETH TLEUSR FO STET EW CNA SDUE PPV RO ,PNP TBU FRO THE TIFSR TMEI NGOOILK NAY DSEAESE SUE SETINYIVIST OR CIFCTIEIS.PY +2



 +5  upvote downvote
submitted by aazib05(5)
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esabceu yhet have sdake ubtoa HET TES,T adn petictyi/esinsitisyicvf era teh oppriserte of the st.te eswrhae VPP ;ap&m PVN rea eddanpnte upno teh opltnopaui iebgn teets,d tsi' ton eht sitcrnnii ptrpeyor of eht tst.e

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lovebug  b0a5iaz@ ieslpm adn creal. kaTnh !you +1



 +3  upvote downvote
submitted by โˆ—bbr(58)
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Aneroth ayw to nhtki of shi:t ehS sha a nsorgt alyfim sy,rthoi os we rae igkinhtn hes labrbopy esdo ddenei ehva isht unomitat ab(yblrop a uerT .vPie)isto Our ,earf duwlo eb ew do het gwonr tset nad nayrelrbta llte hre that esh is ni eht earlc Flse(a .evtga)ieN invagH a gihh Fasel gNtaviee uwlod eb edirtolseue ot tshi te,ptain dan gngpguli tsih oint a x22 laebt siegv a olw stiiyisvtne /P(T TP )FN+.

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trazobone  atWh a btuefiula nxetoailnap HTNKA UYO +



 +2  upvote downvote
submitted by โˆ—l0ud_minority(15)
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I pdecki hte wngor eon seaebcu aeFlc cctuOl dBloo sTiegnt (BFO)T si sn-iyhtihi.vitges My gutthoh sscpore si evne if it si spioivte ti tnw'o ltle ues ganynith ipcfecsi iwll nede to csope aysa.nyw

o-d/iatatonfssluenRtsC/ieBrnagpFclFccnpdnr:tp.oleOninfe.ic/r/hT/ctwpe

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divinedomain  shti si ctaxlye my agrsenoin +
abhishek021196  vEne i otg it ,ngwro neth raeeshcd eglogo dan ogt tsih fomr Hriosrna OT(FB ash low isnytteivsi dna etetrb ehmdots rae onw alvibeala orf gisecre)nn : so/napedc9Hnni2OhLn/arwclsE/haiMsnerd/Aa3eMCoR8Cr./sLnub6nmoifoetesOv.rt6_i:uR-m-nic//rilh/uliAo-dTsNarsoCiCEaTENEIayEPR VrlN O tcnetdeoi fo oonlc irccaoanm amy be liaaftiecdt yb eorintu reinesngc fo olsto rof tulcco odlbo em(oHccult I,I Crenao,Col rueHesm);o e,hovrew vteinsitsiy nyol 0โˆผ%5 orf ;aocrmaicn tpfeycciisi rfo routm or lyppo 42.โˆผ05%โ€“ ewrNe tetss (..g,e or)aCdglo aiorgiprntcno etnicdtoe of bolod nad temtaud neseg ear roem tseivsnie dna eccfiips. lseaF vtessiipo ofr ctluoc o:bodl ginnoetsi fo rde m,aet ,nroi ;niisrap puper IG ngebe.dli Flesa tsvegine:a imtnaiv C insegni,to itrtmeenitnt .ilndeegb Genetci sgetitn si ctneafufed yb ehste r.fctaso +



 +0  upvote downvote
submitted by โˆ—abhishek021196(120)
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Even i ogt ti ,nrowg neth ehcsedra ggeolo adn otg hits orfm rsrnioHa F(TBO ahs lwo tisevintysi dna ettrbe thdmsoe rea won vaaeilabl rfo niecrges)n : M/nrCe-nCmO/us8tr/sHN3cCso-nlaEeCoasrv/hseAdaubh-ncaLcirmoiRL6nunsoiA/a6hpdnri9_iioi/e2/:wnTlMrfsaRE./d.teiOol - RTOEVNIPNE : lraEy tneotdcie of lnoco accioamnr yma eb tlitdeafiac by eiutonr sreienngc of ootls rfo otlccu blood clmuocet(H II, aleCo,Corn Hmo;u)sere vr,heowe iynestitisv loyn %0โˆผ5 orf cinmrcoa;a ceyipcsitif rof urmot ro ppyol โ€“2โˆผ0%5.4 eewrN tstes (.,e.g a)goldCro orogrcatinpni ietntoecd of oobld dan dmueatt nsege rea mero ieensvsti nad sfciei.pc asleF isisvotep ofr tlccuo dbolo: ininstgeo of red mta,e nor,i ipr;nasi euprp GI bgid.nlee lFeas en:tgisvae ivamnit C iegis,ontn nieetnittmtr negei.dlb Gnietec gnsttei si tnfaedfecu by ehtse .cforast

S,o to uler UOT a esisead n/otOn(t-,)ueuSs eicrsengn tets husdlo aveh hghi tiiyvitssne. Vi ce arsev, ot rlue NI a aseisde /Ippe-nicS,secn() mtaoyrcrfnoi etst dhsluo vaeh hhig ty.efiisiccp

I sitll t'dno ntdanrusde woh ew leru tuo VPN adn VPP orfm het nsawers eicsn e'wre eiplyifscacl nklgtia oubta teh rs'a-kit' pniluptaoo purog loyn nad eesth vlsuae are sedu rfo htat ltfies.

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