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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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tiyestvSini estts rea edsu orf r.nenesigc fyccieiptiS tsest era duse rfo ianornfcmoit rteaf tvespiio cegnesrnsi.

Stentiiysvi tstes era ueds for ingees owh namy eoplep yrult heva hte ds.siaee Spyeiiciftc tesst are fro teosh ohw od ton heav eht d.eissae

A iglhhy tnsseeivi s,tte henw eniagt,ve srule UTO ade.isse A iyghlh icpeicfs es,tt wenh i,otisvpe ruels IN d.isesea S,o a ttse thiw tiwh low tisyeivtsin tncoan elur tou a ea.dseis A etst thiw wlo syiietccifp an'tc eulr ni dsaes.ie

Teh dtoocr nda naeiptt ntaw ot rncsee ofr ocoln cncera dna erlu it .tuo hTe dotrco wuold twan a tste with gihh ntvitesyisi ot be aleb ot do atth. He nwosk atht sgtneti erh ltoos for dolob illw nto uerl tuo teh oybtlpsisii of nocol CA.

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sympathetikey  NSe Otu no)(tSu >-- itseivesn et;ts - tets rusle eto ScP u nI cpiSen)( --> cepscifi et;ts + tset rsuel in +27
usmlecrasher  cna aenony pls xlanepi hwy ti si ont tl;;&< tleoptani s-lefa evisipto resustl ;g;tt&g& ??? +1
almondbreeze  ecrctor em fi 'mI owr,gn btu g'hhi FP cehc(io )lwoC= fceiycsitip e(chico B'.) esrWahe hhig iifctiyscep is rrdieeuq to urle in zd +2
almondbreeze  edicpk eipstiov teepirvcid uvela f.elsmy acn aonnye axnelip hwy otn P?VP +1
williamfreakingosler  hTe pecpinlir yhay@haa is gkltian utboa a( invgeeat sett gibne rdeiel nuop ot albiryel eulr )tou is atneevig derpitivec veula ."N(PV)" I t'dno ees hyw ia"rucnent P"VN nst'i eht ccrtreo war,nse ayrlrtiuapcl usaeebc VNP is tcaedrpdie no eth eidaess ighvna the eams aesb aert in het roes)ns(p inebg sttede sa in eht tooapipuln taht aws rdiczaeecathr rof het etts it.sttiasc veGin tath the aptenit ash a gsnrto ymlfai tyrsoih fo coonl cera,nc het PNV fo FOBT is ecain.rnut aidS haetrno y,wa het isyvtsiiten of a etts seod nto cenhga wthi eth ipoapn,ulot tbu eht PVN edso. Teh owhel ronesa eth octrod is nyenidg TFOB is bceaseu fo yaasbein hkngtnii (a irorpi nioiarontfm areetld ot malfyi )yhtsr,io nad mfro ym tionp of iwev ysbniaea lgcoi is meor vaetrlen to PPVVP/N nath to tines,istiyv neech ym ocnfnisuo rveo hwy PNV tnsi' eth thrig swan.er +4
ibestalkinyo  I httgouh eienvgta dpcievtrei auelv for eht esma nigaesnro +
raga7  FRATE EHT SLEUTR OF STET EW NAC EDSU VPP OR P,PN UTB FOR HTE TRSIF IEMT GONKIOL AYN DEEAESS EUS TNIESISYVIT RO .PFSEIICCTYI +2



 +5  upvote downvote
submitted by aazib05(5)
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eeabcus ythe ahve dasek bauto EHT T,STE nad itfsiyiintpvcsitieyse/c era teh epetirospr of teh ttse. aehsewr PVP &pa;m PNV rea dnnpetaed opnu het lopoinptau gbein ,edtets i'ts ont eht iiirsncnt tpryepor fo eht t.tes

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lovebug  bia5z0a@ mielps nad e.alcr ahTkn !you +1



 +3  upvote downvote
submitted by โˆ—bbr(58)
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Ahrento wya ot nthik fo :shti Seh ash a grotns yimfal itrhos,y so ew rea tiinghnk seh byorbapl esod edndie ehav tihs tnoaumit bry(albop a rTeu soi.vP)iet urO ,erfa loduw eb we do teh ngwro tets nad anbtaryelr tlel reh htat ehs is in het acler leF(sa .itvgNe)ea nHavig a hghi saFel vtNgieae dluow be tseirdueeol ot shit epintt,a nad gpnuiggl shit oint a 2x2 ealtb siegv a wlo yisvntestii /P(T PT F.)+N

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trazobone  htWa a ultafebiu lpxeaanonti HAKNT UOY +



 +2  upvote downvote
submitted by โˆ—l0ud_minority(15)
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I pecdki eth rowgn eon busecea laeFc lctcOu loBdo tTsinge B(FOT) si iygsiethht-vnis.i My hghutto ssorecp si evne fi it si svitioep it otn'w eltl sue gannihyt iefcscpi will deen to soepc yyaansw.

/rusaCpcBtlcRsftgdiic.F/onnon.et:ipepp-eoeFiTentltr/f/Ohlnd/sanncawrc

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divinedomain  htsi si xtlacey ym asrogenin +
abhishek021196  eEvn i tog it ,rgwno tneh eesdarhc oloegg dan got siht omfr rsrioanH OFTB( has olw ntystisievi nda teebtr hsdtmoe rae won lbviaaale rof grenic)sne : H2ilreCTCirRaiA-CO.dnwnnpi9cs/hserf3csraM/o/sRscoOmumsdiChoai./aoEhbL-tu/no/euMvalrin6Ani_:Eenr8/t6oN/ds-aenlLEV EElrTIaRN yNPO cideteotn of olnoc anaimcroc may be caiteitdalf by iunotre egnrnecsi of tloos for cotulc boodl Hmo(eculct ,II a,oloCnrCe eersmu;Ho) orheewv, yenisvtstii ynlo 5โˆผ%0 orf o;amranicc epcciyitsfi rfo muotr ro pypol %2โ€“โˆผ45.0 rweeN stset g,.e(. Crod)lgao oaicrpotngnri itoendcte of dbolo nad admeutt sneeg era omre nivseiset dna ciicpf.se lasFe oiseistpv ofr lccuot dol:ob isngtioen of edr mtea, i,nor sinri;ap pupre IG beindleg. eaFls eneavti:gs iatimvn C otisginen, nimtttritnee edlngei.b eGnicte testing is fedufeatnc by hetes sota.frc +



 +0  upvote downvote
submitted by โˆ—abhishek021196(120)
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Eevn i ogt ti rgnwo, hent scrdaehe goegol dan otg tshi rfmo asirnHro BO(TF has owl vintsisiyte nad eetbrt heotsmd ear now laeavblia rfo cne)girsne : nrommnlOer/6L_l9Rpevests//Eu/ecToLrAii--hiMloi3i/snbH/8das:onCnhsdun.wMOraanoa-aCi2adi6An.sCscEhCifR/tNorr/cue - TERPVNNEOI : Erlya eetciondt fo ncolo cnoraacim yam eb caealdiiftt yb rtnoeiu neciegnsr fo stloo for uotlcc odolb uoHmetl(cc II, oCnrloCa,e ;rosm)eHue reh,woev ietisvsinty only 0โˆผ%5 rof ac;icnorma cfpseiiycit rof umrto ro olpyp %.5โˆผ2โ€“40 werNe setst (g,e.. Cglrd)aoo goactnriinorp doneticte of bodol nad mdeautt gsnee era more evisitens dan sp.ifecci leFas isvpsieot fro outlcc :dlobo osnetniig of rde emat, ,roin siip;arn purpe GI gden.blei Fasel egtsvane:i nitamvi C gne,ostnii ietenmtrittn edieb.gln Gticeen tnsitge is ectnfauefd yb teehs rcftosa.

,oS ot rleu TUO a aeessdi -tS)/enou,sunOt( cesegnirn stet dlhosu ehva hghi isivit.entys cVie e,rvas ot elur IN a sdeaeis ni)I-/np(c,esepcS oroacntfrmyi etst hodslu vhea ghhi pictfi.csyei

I istll o'dtn ednrstuand woh we uler out PVN nda VPP romf hte erasnsw cisen w'ree eficclialsyp ktnlaig aubto eth 'ari'tks- iutpnopoal purgo yonl dan hseet aevlus aer sedu rof taht .iftels

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