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Retired NBME 20 Answers

nbme20/Block 4/Question#42 (reveal difficulty score)
A 65-year-old woman dies 6 months after the ...
Meningeal ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: neuro images gross repeat

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 +4  upvote downvote
submitted by โˆ—johnthurtjr(168)
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m'I tno a fna of sgrso taph smiage nad iuensqtso that ays ,lo"ok athw si shit nit?"hg - that sdia ognsiieanmm rae het somt mcomon rinab tuomr dan tshi irptcue si si a gdoo aepmxel fo neo. I had on diae hatw eehts stnigh deookl keil nad got it o,rgwn .too aTek a ookl ta tsih eon

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johnthurtjr  se'[reH moer /oconcethtoyi.h]gmpe/etutslifltciinwi/oraemtrpm)hm.usm:n(lgwo/notnwoago.pnal +2
meningitis  I otg ti ognrw sucbeae I nt'idd see any apaprten uDra maert ron toher einemgsn T(he ensiv ar'etn ngbie cerdevo by nay syn"hi er),ya"l so I hguthot teh toumr swa igcnmo omrf nsdiei hte aibnr nda ton orimgecpsns it ielk iomenmgnias yuluasl od. +3
meningitis  Btu ti did loowfl het nmcomo taspce whree yeht rea donuf ni beeentw isdvnoiis of raibn adn rae ulcircar rhswogt ikle a l.lba +9
nala_ula  ncSei ti was bcalsaily idlpemi tath eht iptnaet eidd and eer"h look at tahw hsit si" I ugththo it saw a nntmilaag trmou olag)ot(..amil.sb utb I essgu its' all oaubt amlt.npeec +15
thelupuswolf  BMG ldowu eb in het .chypmaener eveinD ocstapd dsia if yeth wosh uoy a ssogr etrcpiu of eth bmttoo fo teh ainrb thne it's a hmenooamaagtbisl bc 'ist msto fnote cblerealr.e uBt hits eno 'tsnaw reeaeblcrl so I wnet aadeh tihw naeomgimin (AF sasy ntrxeela to airbn ncayrahpme as e)llw +2
vivijujubebe  BMG dolwu evah sroniecs and bdleneig esahwre eht abdellahsp- tmruo in eht ecutpri ksloo hosmto adn vyer gnn.ei.eebnv. tho I haev on aide how osoeenm cna die so yudlsnde ormf onamneimgi +1
seba0039  roinM cooitrn,ecr ubt I od not tinhk hatt sgnMeiimona rea het mtos nmmoco raibn tomr;u eyht ear hte tsom mmocon inbegn nirba utomr of astldu ah(Pam,to) ubt m'I ton ruse fi rhyeet' het otms mncoom arleovl. +
an1  hiTs agmei gave us lla the lelsettal fro imienngmoa: an erlyeld awon,m idemiln sams, droun. I ihnkt hnteroa hntig ttha amed me otp fro nnamieogmi saw ttah I dha to look for hte msas dna maek ersu I s'twan glkonoi at teh wrogn hgi.nt omFr awth Ive' ,nsee MBG sneetrps twhi a aueltianr,l oehgm,arhcir eoctcnir amss htat luodw ikstc uro keil a sore uhmt.b +



 +3  upvote downvote
submitted by โˆ—hgandler(4)
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soaineMmgni omts efnto ocurc rnea het frasecsu of teh in,rba lylaecspie eht alirpatagsga ne.sgrio hyTe are tenfo ymstptacmi,ao nda sygrols ti rseaapp as a round sasm tadaethc to .urda It iwll ocmseprs the xcorte eiagnlnipx( teh )he,sahdcea btu ti ilwl otn adevni. hyTe rea losa teh tsom mmoonc pyiramr bngine SNC .tmuor moneW rea mreo yomclmno etadcfe,f wchih is redoptpsu by teh egvitten.

rhetO ss:rwane

:A aAmtosocsytr are uualsly fuodn in hte poreirots fas,os and are het tsmo nocomm imyrrpa CSN utrmo ni hledcinr

B: btsaioalGolm multmfoier is uuaslly nsee wniith eth arcrbeel phe,isemsreh dna woshs sisgn of oinecrss adn hgrmee.aorh

:C anemlMao acn zaiseatstme ot eth i,abrn but iths wludo kielly mfor ni ptumeill s,stop and ythe oluwd tno eb eidouts of teh yahencprma

E: qousauSm hlaietiple wuldo irmlyslai eb aastitesms dan eehofretr saol be tmileplu ilesson dsiien the prnyemhaca

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 +1  upvote downvote
submitted by smit 24(1)
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clClaini vteignet is deliang ot crBayost(GteM oi.intrn.o.)g. suer atoub teh sgsro .pu.te...rci

onDt' konw ahtw if hcsu eionstqus prpaea no lrae ๐Ÿ˜‘๐Ÿ˜‘xa๐Ÿ˜‘me

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htballer55  I ftle het emas wya. ubt fi you kool ta taypous cips on eolgg,o oyu ese hte amiigennmo is lkie a lbal mocgin tou fo the geenni.ms rmacoep atth to imlsaogblota whchi is intiwh het bnria in ebcearlr hh.smeorspesei is't yaniml oen muotr si cgnoim out of eth rniba nda eht throe si dsiien eht ceeablrr 'taeehtp. ihsmsrhse het ebts i can ocem up twh.i ubt is't gcuisfnon +5



 +1  upvote downvote
submitted by โˆ—misterdoctor69(70)
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nI seac aenyon saw grinn,oewd gainmenoims aer omer mocmon in enomw reppsah( ude to an iotcgernes efce,ft tbu isht is ltils toylh .ebedda)t

o,Asl BGMs' lowdu whos up as pue-dtyasrlbfeth and tcrn.anyapaeimhrl heyT aehv a 60% hheigr eiincdnec ni elmsa tahn lsf.amee siroaitcHl siade - Ted yeeKnnd deid rfmo a BMG

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 -18  upvote downvote
submitted by thomas(3)
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resnAw is yorctets.A etitnPa ahs lotogabamlis mure.milfot ulhAgtho mmeonngsiia mya ocucr ta iecetvsxoin, oenainmgism ear nngbei nda fenot mmtc.aisyopat Tyeh mya seauc /ha eu,rsseiz ubt douwl be nueyilkl to acues aedht wi/n 6m of noste of a.h/ hTe szei of ormtu nad escuro fo esinlls si nisocttens whti the sceuro of BMG

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masonkingcobra  vobAe is oovsuibyl noctrriec uceasbe hte anewrs is Mnnigeale lo.l e H re si a lnki to a dgoo etuprci: ufo:r/tah /Mphyolblepaowpol /es/.lh7hcapncr7e nirtsgtgehurtctotema. e- +28
kernicterusthefrog  oyOvbsiul smtoha si egdnsaiergi hitw het iantneseprto of eth ot,seqinu dna I redage ihtw mih! Tihs butsyleoal nuodss ilke G,BM twih apdri otsne ldgeian to haedt, adn eth ymsmt.pso The iuonstqe mset ledsa uoy to ,BGM nda eht rsogs eaimg ot ingiemnmoa (I )eu.sgs +2
kernicterusthefrog  mtr,Feeruohr hwree rea the mensnige on eth gorss iemag fmro iwchh shit noai)mg(mine e!grw? It olsdhu ta tasle swho teh sisuet rfom whecne ti ec!am +1
nala_ula  aHd eht asme mlbepr,o otg cfodsune scien ti daeerpap that eth hrowtg aws ianltnmga :( +
sugaplum  AF 9210 gp 14,5 laos eerga iwth ee.yvnroe iedrw inapneros.tte soGli ear agnatimnl ahdet nitwhi 1 raey, nimeonigam ear eontf tspaciamoymt ro hvae fcloa nsg.is sut j a ssrog lyotoagph neusqoti at shti tiopn +
garima  ฤฑ nitkh esh eidd cb of seerrsup ro nehmisgot ,gusy ist oylbiusvo rnudo easpdh ninbeg snolie, sit osal rtaxe ixlaa not leki .BMG she adh hsti emyba ysear rfoebe dateh +2
skonys  I hkint the opitn is ahtt MGB seucsa a rpadi ndeeicl adn dtaeh ta lyietevarl masll ensloi isez ebcsuae tis' twihni hte ynhacr.apme Mmaniioesng era genibn adn cna ogwr nelniysa agelr oeebfr htye csaue .osptmyms +

  • Astrocytes proliferate to form glial tumors in adults, for example, glioblastoma. These highly malignant tumors appear as intra-axial masses in the cerebral hemispheres, which typically demonstrate areas of necrosis and can spread to the opposite hemisphere across the corpus callosum.

  • Meningiomas are the most common primary brain tumors in adults. Malignant meningiomas may grow rapidly and cause symptoms of increased intracranial pressure such as headache. Meningiomas appear as well-circumscribed, extraaxial masses that compress the adjacent brain parenchyma.***Parasaggital regions.



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