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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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tisSyetiinv tsset era dseu rfo scner.ngei cteciiySipf ttess aer deus fro fricnimontoa etfar votiipse nenegcss.ir

tivsietniSy stest era sdeu orf ngsiee hwo many lpeeop ltyur haev teh eiaeds.s cSipityfeci stset aer orf hoest ohw do otn veha het easeds.i

A glyhih essetiinv t,set hewn etegai,nv suler OUT sdseeia. A hyglih siefcipc ,etst nhwe v,otiipse urles IN daiee.ss oS, a tets whti thiw wol esntiiisvty ocntan uler tou a seeis.ad A etts tihw wol tipsifeicyc 'cnat leru ni dsseae.i

heT rodoct adn ptniaet tanw ot resenc rof locno ceacrn dan erul it .out Teh odtcor lwuod twan a estt with hhgi nttveiisisy to be aleb ot od ah.tt He knswo htat enttsgi erh oltos rof oldob llwi tno uerl uot eht biyisstloip of onloc A.C

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sympathetikey  eSN tuO tSno(u) >-- tensiesvi ;stte - ttse rusel Se tPcou nI ec)(iSpn --> scfipeci tt;se + estt ruels ni +27
usmlecrasher  anc oanney lsp ialepxn yhw ti si tno ;t&;tll& tntploaie lfas-e ipvtiose lursste ;&tt;gg& ??? +1
almondbreeze  reotcrc me fi 'Im ,gonrw but ghih' FP iocech( )Co=wl fpcsityieic hoeicc( B.)' heWaers hgih tyiifcepsic is deqrueri ot leru ni zd +2
almondbreeze  pidcek epoiivst ertceviidp euvla fylmes. anc ynnoae elaipnx hwy ton VP?P +1
williamfreakingosler  heT iprilpnce ayh@yhaa is knlitag batou a( tgnaeive sett gnieb lederi pnou to lleriyba ruel )uot is eietavng rpictevdie avlue NPV.)("" I todn' ees yhw u"ctienrna NPV" nst'i hte coretrc nrw,sae liupycaarltr aucbees NPV is draitpedce on eht isesdea ghinva het aesm esab tera ni eth ns)sepor( ebnig stdete as ni eht lpaoptnuoi thta swa zhceeritaadrc rof the estt tas.stitci nvieG hatt hte natpiet ash a rognst lfaymi ohyrist of ocnlo ran,cce hte VNP fo OFTB is taurcn.nei dSia atnohre a,yw the svttneiysii fo a tets seod ont hnagce whti eht naupiolotp, tbu the VPN sod.e Teh whleo rsenoa hte rotcdo si ngidyne BOFT si eeabucs fo eyasbain tiknngih a( ripoir tmronafioin etealrd ot mlfiay oystrih), and ofmr ym topni of vwei ansabiey lgoci si orme etnerval to V/PPNVP htan ot et,tisnsyvii neceh my nuifonosc rove yhw VPN tnis' eht hrgit wa.nsre +4
ibestalkinyo  I htthoug entvgeia tedeprcivi euval for eht mase riesgnoan +
raga7  TEFAR TEH LSERUT FO TSTE EW ACN ESDU PVP OR P,PN TBU ORF HET IFTSR ITEM OONGKLI YNA SEEADSE SUE ITENTISSVYI RO CSCYIP.IFITE +2



 +5  upvote downvote
submitted by aazib05(5)
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ecuabse they hvea skead batuo THE ET,ST dna ettiniivsyfpisceit/cyis rea eht irroseptep fo eth st.te reahsew PPV &p;ma PVN ear apedtndne uopn eht uopapinlto gibne te,dset sit' ton het niriticsn teoprpyr fo teh tt.es

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lovebug  bz@a0a5i plsmie nad ealr.c nakhT u!oy +1



 +3  upvote downvote
submitted by โˆ—bbr(58)
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Aterhon way to tinhk fo sih:t ehS ahs a sntgor layifm htysir,o so we rea tinhkign hse baoylrbp esod ndieed veha hits ioutmtna pby(balor a uTer oiivP)e.st urO a,rfe loudw eb ew od het grown estt and aarebrtyln tlel rhe atht she is in eht crael F(laes Ntie)eav.g aviHng a hhig Fesal iNaveteg ulowd eb eeirlsuoted to htis ,tieantp nda upggginl iths tion a 22x bltea viges a low eittsviinsy TP/( TP .)F+N

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trazobone  thaW a laetfuuib inexlotpaan KNAHT YUO +



 +2  upvote downvote
submitted by โˆ—l0ud_minority(15)
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I kcdepi eth wngor one bseeuac cFela ccOltu looBd Tgisten TOBF)( si nitiths-i.vhygies yM huotgth orecssp si neev if ti is vieoptsi it wo'nt tlle esu ntngayhi iceifscp will edne to copse awnas.yy

gtlBtiese/p/rRfnC/uo:tnhe-edF.dnopin/rT.tFcnfiapcs/laecscpnnraliwOtco

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divinedomain  siht si yletxca my noeganris +
abhishek021196  nEve i tog ti go,wnr hent eacdrseh eoolgg dna tgo htsi romf aorHsnri (TOFB ash wlo ettiiysinvs nad etretb doemhts ear now ielbaalva orf ei)rnsgenc : iL8CTmioiueRurshmniodl:tiEr-cC3nw6n-Mdsne.lsEHfnae//sO_u/i9/LchOtN/sMiAopresls2bnRerrhoaoa-Cd6Cav/.c/o/nnAiraaTINOaVE EryNERP l iteodcent fo colno ocmiranca mya eb ctatefialdi yb uonrite niengrecs of ostol ofr ctoclu lbodo mcolHcuet( ,II ae,olCorCn mHoer;sue) ,hevrwoe ytiinstievs onyl 0%5โˆผ for aoamrcnci; stfpiyiccei orf tomru ro ylpop %.20โˆผ54โ€“ reeNw stest e.,.g( raldC)oog onirgnrpcoita cntieotde of ooldb nda atemdut neesg are rmoe sesnievit nad ficei.cps sFael tsviesipo ofr ltcocu :obdlo etiisognn fo rde ,mtae nori, p;sirian eprup GI idnlge.eb Flesa gtevin:eas iimvnat C enoisgtni, mttitiennret e.elgndib iGtence istgtne si faetcudnef by ehtes rsact.fo +



 +0  upvote downvote
submitted by โˆ—abhishek021196(119)
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Enve i gto it n,wgro tenh dcaehers golgeo adn got hist mrfo oariHnrs F(BOT hsa olw istitnsieyv nda treteb tmshdoe aer own liaebalva rfo )negernisc : C//-uwc3rc2-9aa8_in/isdLp.orOlNo.nnotonsi//AhCa-LunRHMdivnarmiesiA:orERnueinCserbaeMTlei/Clfsm6rOEoa/hsdc6/sth - EPEONVRTNI : Elary teictdeno of locno canrimcao may be aidctiaeftl by unteoir isnrecegn of sotol ofr utccol dobol cm(ctelHuo ,II n,eCCaloor eru)omsHe; ohwee,vr itnyeitssiv olny 50โˆผ% fro ci;rnmcaoa epifiycistc rfo troum or pplyo 2โˆผ.5%โ€“04 eNrwe tesst ,.(ge. Crodl)oag oagcptoninirr ottdencei of oobld nda tdueamt eegns rae rmoe tsineesvi dna iscicpfe. saeFl sioisptev fro uccotl b:dool sinigtnoe fo edr ,mtea ori,n si;piran ppreu IG nbgie.dle esFal sv:geteina tvimnia C enin,stoig irtntemtinet delin.gbe enGtcei gtsetin is utcafndeef by sthee o.rtfsac

S,o ot erlu UOT a sseeida uSOn-/n(o)tt,esu enircgens estt lhusod evah hghi yeitsv.tiisn cVie ,revas to rleu IN a essaedi s,n-peSpci)c/(eIn mryrtaionfoc sett hdsolu veha ghih tieicyp.cfis

I listl 'ondt ddunarntse owh we lure uot PNV adn VPP ofrm eth nerwsas cseni re'we aycpfslileci kgilnta buoat eth ra'si't-k auinloppto ogurp oynl dna sheet lvuase era udse for htat flsite.

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