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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 ont a nfa of srosg ahpt eigasm dan nqseiutos htta ysa kloo", twah si hsit "hitg?n - atth isad aeoimmisgnn ear the ostm oommnc ranbi omtur nad thsi ceptiur si is a ogdo plemxea fo e.no I had on edia wath tshee nights doloek elik adn otg ti wgron, o.ot eakT a kolo at hist one

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johnthurtjr  'eHser[ eorm osm)negot/optoyt/arofwt].air.:nhilnumeuten/mahlioncpcmtloi(weg/tmgwhscoln.ip +2
meningitis  I tgo it nwrgo cesuaeb I d'dnit ees any rtaeapnp uaDr tarem nor ohtre ennmiges Teh( nesiv 'rtane igneb edveocr yb nay "yhins "y),elra os I hgoutht eth trmuo aws migcon rofm nsiedi eth ibran nda otn mcsnspirgoe it lkei onsinimagem ulayusl d.o +3
meningitis  tBu it did wolofl eth momcon tceasp wehre htye aer funod ni eeenwtb vindiisos of arbin adn aer licurcra rgwstho ilke a blal. +9
nala_ula  cnSie it wsa libcalysa dpmliei ahtt teh ipnatte edid dan rh"ee olko ta hatw hits i"s I thoutgh it swa a igtamnlna rtmuo ao..llm)basi(og.t tbu I sguse si't all uabto emlan.etcp +15
thelupuswolf  MGB wlduo be ni hte eamcn.hepyr ieDnve caosdpt dsai fi yhte oshw uoy a gross trcipeu fo eht bootmt of eth riban hetn 'ist a nmmbiaatsooegalh cb 'its smto efton abeere.rlcl uBt htsi one sawnt' eebeclrrla so I etwn ahade htiw inmgimaoen AF( yass lartenxe to rinba hanarpycem as elw)l +2
vivijujubebe  MBG uodwl ahev osecisrn dan eibelgdn hweersa eth dapalbslhe- ormut in the upctrie solko smohot and vrye evi.bnn.egen. oht I ahev no adei hwo mesoeno can dei so ldunedsy ofrm iengomnaim +1
seba0039  nMori oc,iocnterr ubt I do ton iknth that enaisgomnMi ear het tmos omncom naibr otmr;u yhet era eth omst oommcn giebnn inarb rutom of lustad (P,aatohm) but I'm ton ruse fi e'rtehy hte smto nocomm .roveall +
an1  Tsih imgea avge su lla teh slltaetle fro imgai:emnno na ledlrye anm,ow nldemii sms,a r.unod I tnhik hareont ihgnt ahtt edam me tpo orf ignoenimam was hatt I had ot kool rof eth smas nda maek erus I wnst'a kigooln at the gonwr .hgitn ormF tawh v'eI ese,n BMG rstepsne hwti a enl,ltiaura mrgai,ohrehc ccoetnir amss ahtt wloud cstik ruo eikl a sero tubm.h +



 +3  upvote downvote
submitted by โˆ—hgandler(4)
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Maennoismgi omts otfne ccoru rane hte rcaufses of the n,rbai aieplsecly eht gtpagalasari geonris. yhTe rea etnfo oymtctispaa,m nda gslorsy it esrapap as a ondru amss htadtcae to adr.u tI illw ecrmossp het xrtoce npegln(ixia teh h,edcsea)ha ubt ti wlli ont ed.iavn yhTe ear laso het tsom ncmmoo mypairr ignebn SNC urto.m mWeon era oerm omnmycol aeffet,cd hcwhi si odusteppr yb hte vteneg.ti

etrOh rswae:sn

A: atmcsoyrosAt aer syulual ufond ni het otrerposi s,foas adn rea eht smto comnmo irpryma CSN murto ni hedrlnic

B: tilsbGoloama ufmmteirlo si ylslauu sene hiiwnt eth rclereba hssmereep,ih adn owssh gissn of nessiroc adn rmhrgahee.o

:C eMaamlon nac misaeszatte to teh r,ainb utb htsi ldwuo leiykl ofrm in eptiluml spots, and yhet dwulo ton be utiseod fo eth aeacphynrm

E: Somasuuq liepaehtil luwdo isliyalmr eb stssaamtei dan eeehoftrr sloa be mlepltiu nlessio isndei teh ycnpaherma

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 +1  upvote downvote
submitted by smit 24(1)
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icCllain egtteinv si gdieanl ot (cBoeGtrstaMy ..r.)tgii.noon reus ubtao teh sosrg r.i.cu.p..te

tD'on wonk awth fi ushc tsusiqone arppae on rlea x๐Ÿ˜‘๐Ÿ˜‘๐Ÿ˜‘mae

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htballer55  I lfte eht msea wy.a ubt if you loko ta touapsy psci on ,oggloe you ees hte gmaoneimni is lkei a lbal gmocni uot fo eht imsegenn. r cmoeap hatt to oaogmlltbasi icwhh si wnihti eth abrni in cbeaerlr msshiorp. eseeh ist' nyimal one rtmou si ignocm out of eht nbria dan het etroh si endisi eht rbeceral esm.shh'esheitatp r eht tseb i cna omce up hitw. utb i'ts snoicnfug +5



 +1  upvote downvote
submitted by โˆ—misterdoctor69(70)
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nI sace yoaenn wsa nnodweir,g naioismnmeg rae mero oocnmm ni omnwe as(prhpe ued to an ornctgiese fcete,f btu hsti is tlisl thlyo ebed.adt)

Asol, BM'Gs uldow hwos up as tedybher-apfutls adn innaareytl.phacrm Thye ahev a 0%6 ghihre niccnidee ni amles hnta fs.lmeae taoHsclrii adise - deT dyenKen idde orfm a BGM

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 -18  upvote downvote
submitted by thomas(3)
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snrwAe si c.otsytrAe eatntiP ash soolgatalimb rmitol.mufe Ahtohlug ameiionmsgn yam orucc at ixs,ociveent mnagisoemni are ibengn dna tefno myacmt.ipsato hyeT yma caues h/a u,izesers btu luowd be kulnylei ot caues ehadt /iwn m6 of snoet of /ah. ehT szei of mtuor dna scoeru fo lnsisel is stoencsint hiwt eth usceor of GBM

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masonkingcobra  vAboe is viuobolsy cneicrtro suebcea the esarnw is aegnnliMe oll. eH e r si a klni ot a dgoo rpiuc:te /fweseplt.7atho/e gahhyeor ncrto7tlb:ehop-casuhM//llropcr .itaem tpugn +28
kernicterusthefrog  bylOvusio htamso si sgeedragini tihw het aesnrttponei fo het uiesqt,on adn I reaegd tiwh im!h siTh yubaesltol noudss ekil GM,B hwit radip ontes dgnelai ot ,edath dan eth smoysm.pt eTh tiueosnq stem sdlae ouy ot ,BMG nad het ssorg iegam to mginnimeao (I ugse.)s +2
kernicterusthefrog  Fehtrrmr,eou eerhw aer teh nsnegmei on hte gorss magei romf cwihh tihs nganm()eomii eg?wr! tI hsudol at eslta whso eth esitsu omrf wcheen ti !cema +1
nala_ula  Hda the mesa e,brlmpo otg osenudfc scnie ti dapeearp thta het wrhtog swa glitnmana (: +
sugaplum  AF 0912 gp 415, olsa eerga hwti ee.eorynv edrwi aonrnpes.tite Glios are amnltnaig eadht tiwnih 1 aery, gomaniinme rea ntefo myptmtioaasc or avhe oclaf sin.gs utjs a srgso tgphalooy sioetqnu at stih iotnp +
garima  ฤฑ kinth esh iedd cb fo ressprue ro hsemtgion ugys, tis ivlyoousb orudn dshape gbnnie l,nosie sit osla xrate ilaax nto kiel MBG. she dha thsi maeyb years beeofr tdeah +2
skonys  I hkint hte otnpi si thta GBM csesua a iprad dieclne dan thaed at evyiltlaer lsaml oselin ezsi bceasue st'i hntiwi eht raenyhp.mca anonMiimges era nibneg dna nca orgw lsanniey ralge efreob ethy uecsa mpsy.msto +

  • 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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