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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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'mI otn a afn of rsgos phat egiasm dan nssqotiue that asy o,k"ol ahwt is htsi gni"?ht - thta dsia mnmioienasg are teh mtso mmoocn nbair utomr dan isht iueptrc si si a oodg xpmeela fo eo.n I dha on edai atwh seteh hisngt eoolkd ekil nad tgo it rn,gwo t.oo akTe a look ta sith one

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johnthurtjr  rH[see' mroe mgoreolmysowti]intc/.nangtphtraao.ci)pe/thluhwsitowpnno/:ongcmfmllt./eemuo(i +2
meningitis  I tog ti wgnro cesbuea I i'dtnd see yna antarpep uDra amert ron rtohe nsgimeen (The sinev atren' inegb dveerco by nya hi"syn )ley"a,r so I ogththu teh mutor was cnimog mfor densii hte narbi dna tno pcrssnegiom it ekil nemisiongam lualsyu do. +3
meningitis  tBu it idd oflowl teh cmmnoo tcapes ehrwe thye ear ndouf in wetenbe vidonsiis of rnbia adn rae ralcrcui rhwostg klie a lla.b +9
nala_ula  cnieS it swa clsialayb idlpmie ahtt teh tatenpi ided dan rhe"e kolo ta wtha sith "is I hhgotut it was a lmgaantni tomru agl.s.omia.b(lto) btu I guses its' lal buaot mt.canplee +15
thelupuswolf  BMG owudl be in hte nr.apehmcye eneDvi tdapcso disa if yeht hosw uyo a ossrg uipterc of teh oombtt of eth brain hnet st'i a aosbmnmaghlteaio cb s'ti somt fonet .raebeelcrl tBu sith eno snaw't reeercblla os I netw dheaa whit mgiminaneo AF( ysas enelxtra ot ibarn ceanrhpyma as wlel) +2
vivijujubebe  BMG oudlw hvae sinrseoc dna lgdibeen sehaewr eth aelslpa-hbd rutom in eth epructi kloso thosmo nda vyre .iv..nengebne toh I veha on iaed hwo sneemoo nca ide os snydueld fomr iimoemgnan +1
seba0039  Moirn r,ercocniot utb I do not nikth htat mogiMeinsna rae eth tmos moconm nibar mturo; ehty era hte most oncomm ginnbe ranbi uomtr fo saldut hoa),mtaP( btu m'I not suer fi t'eeryh het tmos mocmno lrolv.ae +
an1  Tsih eimga vage us all het lttsleela orf aimeiogm:nn na dleyerl nw,amo elmiidn mas,s rondu. I nthki trenhoa thgin htat amde em pto rfo minaeginom saw atth I had to okol orf het smsa nda ekam ures I wsnt'a oogklin at het wrogn ih.ntg mroF thaw v'Ie en,se GMB tsnsrpee iwth a liaratun,el g,hamhrrcoei ecitocrn amss that ulwdo ickts oru keli a reos b.utmh +



 +3  upvote downvote
submitted by โˆ—hgandler(4)
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Mniigamsneo somt foten ucorc aren eth csaurfse fo hte nbar,i yslalcipee hte aalpastgairg nreo.igs Thye era ntofe ptsamtm,cioay and yrgsslo it peaaspr as a urodn mssa ceahtatd ot drau. It will pscmreos hte corxte in(gxpnaeil eth ac,hh)edeas tbu ti liwl not dnavei. eyhT ear olsa eht smot moncmo rripyam gnebni SNC torum. oemnW aer eomr yoclmnom etfde,fac cwhhi si esppoudtr yb the ttnivg.ee

rOteh aer:wsns

A: sAtacoostmyr era auyllus onfdu ni teh osrrioept asf,so adn era the toms ncoomm mrrapiy NSC ormut in nicrlehd

B: mbalolasiGot uimtrmloef is aluslyu esne inhiwt the rlbceear h,ssmeieehpr dna hosws sisgn of crsosine dna ehr.hgaoerm

C: nalmMeoa cna amitsseatez ot het ani,rb tbu htsi owldu lyilke mfor in mlueilpt tps,so dna ehty ouwld ton be uotieds fo teh nhcaparyem

:E auoqumSs teealhpiil would imarlisyl eb sesaitamts dan errhfeeto sola be pluemtil lsoeins inieds the peamcnyhar

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 +1  upvote downvote
submitted by smit 24(1)
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nlliicCa negtteiv is agndeil ot Me(ytsGtorBca in.go.i.r)n.ot seur obatu the gsros p..ru.cite..

tn'Do owkn whta fi uchs osnitqeus apearp no rlea ๐Ÿ˜‘e๐Ÿ˜‘ax๐Ÿ˜‘m

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htballer55  I etlf teh asem ayw. btu fi you olko ta oyputas ispc no g,egolo you ese the aiimennogm si ilke a abll inmcog tuo of teh inegmesn. aepco rm atht to abllmsatoogi hicwh is hniwit the brnai in cbraerel resshosemh.p ie its' ailmyn oen urmot is ogimnc uto of hte inbar nad teh theor si esiidn het lcarrbee sesas.'erhttp eihhm eht btse i cna ocem up .ithw tbu ts'i usogicfnn +5



 +1  upvote downvote
submitted by โˆ—misterdoctor69(70)
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nI seca yoanen wsa wei,rogdnn einsinmgmoa ear eomr mncomo in meonw rphe(pas ued to na cieosegntr fcefet, tub isht is lslit tohyl )dd.eatbe

,Asol sMB'G owudl oshw up as pdt-reshybufaelt and my.arnhnraciaeplt eThy ehva a 60% rihegh cninecedi in mlesa hant es.ealfm otHriialcs daies - Tde deKynen died rofm a MGB

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 -18  upvote downvote
submitted by thomas(3)
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swreAn si esAr.ttyco anePtit ahs tlblgsioamoa f.lmrmitoue hulgtohA iegmionnsam aym ucocr ta tseen,cixivo gmmsniaeoin aer nbnige dan ntefo aot.immypstac eThy amy scuea ha/ ,siuzseer tub uodlw eb euilkyln to uscae hatde w/ni 6m fo enots of ./ha eTh zsei of rotum adn ecsruo of niselsl si csnotsietn twhi the rcesou of MBG

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masonkingcobra  vAebo is oylbsviuo inroretcc bcuasee eth neawsr si niaeeglnM llo. ere H si a nkil ot a doog cetr:upi hhpo:c-c7r.yotorcn lo.h hbaeatw/au/eertumte/lrgg/sp fpealsilnopM et7ht +28
kernicterusthefrog  ilyouvbOs tamsho is naresiiegdg hwit teh ratiopnetnes of het oqitn,seu adn I redage twhi i!hm sihT lasluyoebt sdunos ielk ,GMB with ripda netos neialgd to de,ath dan the mm.topyss eTh iquetnos tsem sdlae uyo ot ,GBM dan hte srgso gmeai ot inmmeonagi (I s.g)seu +2
kernicterusthefrog  rFurho,etmre rwhee ear eht miesenng on eth gsrso iagem from ihwhc shti )aoiemnng(mi wg?!er It oduslh at lseat hows hte ieusst fmro hcenew ti amce! +1
nala_ula  daH the ames e,prlbmo tgo cufsonde ncise it ppaareed ttha teh gwrtho aws mgitnlana (: +
sugaplum  AF 0129 gp 1,45 losa eraeg with eoenv.eyr rewid st.rpieeonnat Golis rea tamaninlg tdeha whniit 1 e,ary mngaineomi rea otfne cotapstmimya ro avhe cflao ssg.ni tsuj a sgrso olopagyht nqitoues at sthi pinto +
garima  ฤฑ khnit hes eddi cb fo ersruspe ro nhmtgsoei u,syg sit oblyivsou undro pshdae inbgen nleis,o tsi alos raext laxia ont elik M.GB esh adh itsh aymbe esrya eobrfe edhta +2
skonys  I nikth the pniot si ttha BMG aeussc a iradp eecdnli dna dateh at alryleitve lslam sioeln sezi uaeesbc ts'i htinwi hte m.yearhnpca isiongeMmna rea eibgnn nda cna gwro ysinnela arlge obeefr yeth auesc os.mtmysp +

  • 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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