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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 ton a nfa fo rgoss phta ageism adn tuseoiqns htta say ook,l" waht is thsi t?"ingh - ahtt dias niamisgmeno aer eth otms oncomm nabir truom dan hist recupti si si a odgo eexplma of oe.n I hda no aied htwa seeth nhgtis ledkoo klei dna tgo it owr,gn o.to kaeT a lkoo ta tish oen

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johnthurtjr  eHse'[r remo o//nhgiy/hnigmiwsmoomltuutc.hl.wween)piotaolnt(timcoae]rl/tapgsnntoprmcf:.eo +2
meningitis  I tgo ti nwgro useebca I 'idndt see nya ranpptae rDua atemr orn hoter enmisneg h(eT isnve atren' inbge dcevero by yan "syhni "ya,elr) os I tguhoht the uromt was icmnog omrf ndieis eth rnbai nda otn escgmsiornp it like ioiasnnmemg syulual do. +3
meningitis  Btu it ddi lowolf het cmnoom patsec weehr ethy are nfdou in beenwet iivosnids fo ranbi adn ear rlracciu gthrwso keil a b.lla +9
nala_ula  cniSe it swa yaclasilb iimdlep thta het itpntae ddie dan r"eeh kool at hawt this si" I thtghou it wsa a alnitamng omurt o).ltol(as..gabim ubt I ssueg 'ist lal uaotb p.lemntcae +15
thelupuswolf  GMB duowl be ni the yrepc.amneh ivDene ctpsdoa siad fi yeht sowh you a rsgso upetrci of het totbmo fo the narib ehnt sti' a aamonglbaetiosmh cb is't msot netof ler.ceearlb utB hits one swna't erbcallere os I twen aeahd with nmoianimeg AF( yssa rlaenetx to nbrai repahnyamc as wl)le +2
vivijujubebe  BMG olwud have onsceris nda lbeginde reshawe hte edal-pbahls urmto ni hte eirtcup sookl motsho adn yerv n.nv.geei.ben hot I vhea no edia ohw osonmee can eid so sneddlyu rmfo emogmiinna +1
seba0039  noirM ntccrioer,o tbu I do otn nktih htta snaineiMogm ear eth otsm mcnoom ibanr trm;ou etyh ear het somt nomcmo ibgnne narbi muotr of ldtuas a,P(t)moah btu I'm ton seru fi yr'ehte teh stmo nmcomo lrvoal.e +
an1  hTis aemig vgae su lla teh tesealtll ofr eimnog:mani an dlylree n,moaw niimeld sm,sa dr.oun I nkith hrnoeat ginht taht adme em top fro aionegmnmi asw that I dah ot oolk for eht ssam dan ekma sreu I a'tnws ikoglon at hte ongrw tgh.in rFom awht Iev' es,ne MBG epertsns thwi a ,alualtnrie rhaogic,mreh cctenroi mssa tath lwduo tisck ruo ekli a sero h.mbtu +



 +3  upvote downvote
submitted by โˆ—hgandler(4)
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noaiMgmneis sotm etofn rcocu rena teh rfasecsu fo hte airn,b lpleyicesa eht laatggirsapa .segoirn heyT aer ofent atiomstpc,yma and ylsgosr ti pparaes as a udonr ssam ehtctdaa ot .ruda tI llwi ossceprm hte oectrx lenxgipian( hte hascdah),ee but ti liwl ont aied.vn heyT are olsa het osmt mcoonm irpramy neginb CNS .omtru Weonm rae mero lmyocmno aefefd,ct ihchw si rpsouedtp yb hte eniettgv.

reOht resswna:

A: syaAorcsomtt are uaullsy odufn in the petroiosr ,aofss dna aer the stom ommcon rrmypai NSC omrut ni dihrelnc

:B biaomGlltsao mrtfmiolue si luylsau eens inithw eht ereclrba esesehmri,ph nad hwoss isngs of rincsose adn hrehargm.oe

C: Memaalon acn ttezsmsaiae ot eth rbai,n but sith wodlu ileykl fmro ni temuplli spost, dna hyte wlodu tno be iustoed of teh cnyamerpha

E: mqusouSa tlehipliea dluwo lmsiaylir eb aaesttmssi nad refhteoer sloa be timeupll osleins sdniie eht pecarymnah

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 +1  upvote downvote
submitted by smit 24(1)
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lCcianil teenvtgi is elganid to Mse(aGrBottyc i.nr.n.)itgoo. seru auobt hte rgoss ei.ct..upr..

Dton' wonk hwta if hscu qstesnoui rapape no rale mxa๐Ÿ˜‘๐Ÿ˜‘e๐Ÿ˜‘

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htballer55  I flte het aesm .way btu fi you oklo ta atyopsu cpsi on goolg,e uoy ees eth onegmnmaii si ielk a blal ncgimo uot fo eth gn.nmiese ma peroc taht to oaltagioslmb whhic is wiihnt eht nraib ni eralcebr shs eoe.seimprh s'ti mylian neo ortum si gomnic otu fo the abnri nda eht retoh is endsii het ceaebrlr .h'apthrshimeseset hte esbt i cna meoc up twhi. btu sti' ngisnfocu +5



 +1  upvote downvote
submitted by โˆ—misterdoctor69(70)
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nI asec ayenon asw dniegn,wor isngmmionae era omer oncomm ni wmneo psphare( edu to an sonetcierg ftcfee, but ihst si tisll hloty a).teddeb

sAo,l GM'sB dlwuo hosw up as psuyradbtfheetl- and n.eincaayrpatrhlm yheT vhae a 60% ghehir nceediicn in emsla hant salmee.f iscaoiHlrt dasie - deT denenKy iedd orfm a BGM

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 -18  upvote downvote
submitted by thomas(3)
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nreswA is .Ayscttoer Pientta sah ogltsomaibal mlrotme.uif hhutAgol gmnneaiisom yma ccuor ta exsvneit,oci miniamosnge rea ebning dan oetnf y.imtsapactom Thye amy cusae h/a resiuz,se btu uwdlo be keilylun ot ueacs teadh wi/n m6 fo oetsn fo h/.a heT iezs of mtour adn oruecs of slesnli is ietntnssco wtih eht cesour of BMG

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masonkingcobra  oveAb is loubvosyi onitccrer esabuce eht srwnae si nMieelagn l.lo eH r e si a nikl ot a oogd u:ietpcr tfarpsgh/gluoapi/rtteoarhtuley/e .ce so:Mobnc rlel.oappctht/w7-7hmhn e +28
kernicterusthefrog  lOvyboisu hsamto is adingreesig whti eht rseonnipteta of eth nst,oquei adn I eadger hwti ih!m hsiT yulolbstae osdnsu klie B,MG hwit radpi esotn lgianed ot a,dhte dna the .tsmpyoms The tiquesno stem asled uyo to M,GB dna hte rgsso egiam to mneaigniom (I .)usges +2
kernicterusthefrog  Fmr,ohuretre eehwr aer the eniemgns on teh ogsrs gmiae from ihwch tsih ioamm)enin(g ?g!ewr tI oludsh at sealt hosw eht istseu morf nechwe it m!eac +1
nala_ula  adH het sema rlbpem,o got focdeuns incse ti epraepad tath het tgrowh was nalimtnga (: +
sugaplum  AF 0192 pg 541, aosl ergea wiht neyore.ve wiedr ntpa.seetnoir osiGl ear ingnatlma dtahe inthwi 1 yr,ae inainmomge aer fneto satocmmyaipt ro aevh loacf gss.ni tjs u a osgsr tohaplgyo iounetsq at hsit piont +
garima  ฤฑ iknth seh ddie bc of seurserp or ngehsmito suy,g sti uloibsvyo nodru haedsp ngbine si,elon sti aosl aterx ilxaa ont elki GBM. ehs ahd hist ymbea yersa eorbfe dathe +2
skonys  I tkihn the ontip is tath MBG ecsasu a iprad dicelen dna eahdt ta leyalrvtei smlal lnieos zies ebaseuc is't ithiwn eth my.hapcaern iMngmsoniea aer nebngi nad nac orgw nayenils garel eebrfo teyh eausc mssmypto. +

  • 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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