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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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Im' ont a afn of rssog ahtp samgie adn oeuistsnq ahtt yas kool," wtha si shti hitg?n" - taht sida iemoisannmg ear hte otsm omomnc nabri trmou dna ihts pcruite is si a oodg eelapmx of e.no I dha no idea awht tehse higsnt elkodo lkei nda got ti wn,gor oot. eTak a loko ta shti noe

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johnthurtjr  se'Hre[ more otowsamnltge(ncmtpoianehrciolu]umttrh)l/woo.esctg:/ag/wfh.ip/ntl.imoenpoinmy +2
meningitis  I tgo it nrgwo sebucae I itdd'n ese ayn aranetpp raDu matre nro rhote mnseieng h(Te envsi enr'at ngibe cedervo yb any nhy"si )la,"ery so I uhtohtg hte rutmo wsa gnocim mfor iiesnd teh rianb and not oripnssmcge ti ilek ienanmosgmi luuysla od. +3
meningitis  But ti ddi fowlol teh nmomco ctpase erweh yhet are dunfo ni newbete vsndsoiii of biran adn aer cruiclra toswgrh leik a l.lab +9
nala_ula  neicS it wsa csillayab lmiiepd ahtt hte ttpinea eddi dan h"ere kolo at awth hist "si I htohutg it was a ntlgniaam muotr s(oo.igab).atml.l ubt I gseus sti' lla obuat mntpac.lee +15
thelupuswolf  BMG oudlw be in the rnyeahpcem. eeDinv dtpoacs sadi fi yteh ohws uyo a rsgso urepcit of eth tmbtoo fo het aibrn tehn t'si a oimaselnahmgtaob bc ist' tsom otnfe bc.eleerral uBt isht eon ntsa'w bcreealelr so I tenw hdaae ihtw innaimoegm (AF asys alerxtne to biran ayprcahemn sa elwl) +2
vivijujubebe  BGM wodlu hvea scrsoien dan ienlgdeb hrewesa het lea-blpdahs tuomr in het erciptu solok mothso adn yerv nvegb.ne.nie. tho I haev no diae how nomeeso acn ied so ldyudens mofr nomigeniam +1
seba0039  Mionr c,netriroco ubt I do otn nihkt tath nomaneigMis rea het mtso ommocn rnbai mtro;u ehyt are eth msto onmocm gbeinn rbnai otrum of lutsad ,oamaht)(P ubt 'Im otn esru fi heter'y eth otms mcoomn lreao.lv +
an1  iTsh igmea vage su lal het elltastle ofr omeginnam:i an dllyree m,onwa dlenimi ss,ma u.dron I ihktn hratoen ingth that dmea me pot ofr angiinemom saw htat I ahd to olok orf teh ssam nda make uesr I ts'awn kniolgo ta the wrnog inhg.t rmFo hatw Ive' nese, GMB nspsteer htwi a uneiaal,trl mho,arehcgri crctenio ssam atth dulwo tkcsi ruo ilke a erso mhbt.u +



 +3  upvote downvote
submitted by โˆ—hgandler(4)
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noiMagemsin tsom enfot crcuo aern the ercasufs of eht i,rabn aslyilpcee het igrsatlaapag ogesinr. Teyh are tfneo psacttmimoa,y adn soyrgls it paarspe as a rodun mssa edhaactt ot arud. It lliw csmoespr eth xecotr leinpnx(gia hte ,acdeash)eh btu it ilwl nto d.ivena hyeT are losa the mtso omcmno ymrprai nbgnie NSC utr.mo nWemo rea omer moonmcly f,adfetec hwchi is rppudetso yb the ev.tgeitn

hOrte arn:esws

A: tstacAroymos rae alusyul ufdon in the proeorsit ,fasos dan era hte sotm nmcoom marrpyi CNS omurt ni rinhceld

:B baitamslolGo muormiletf is yuulsla sene wiihtn the brceelra me,phiehrsse dan ohwss isgns of ernoiscs nad heomhrr.gea

:C aonaMeml anc iesstetazam to teh a,rnib tbu htsi odwlu keliyl morf in ellipumt tssop, adn yeth dwolu otn eb tuosedi of eth eraanypmhc

:E qSouusma aeiethillp duwlo lrslimiay be stastiasme and eetfrroeh aosl be ieutpmll seoisln dneiis teh cpmahreyna

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 +1  upvote downvote
submitted by smit 24(1)
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aliinClc vteigtne is dlgnaie to sMoBtyecGra(t ).rogi.i.on.tn seru utoab eth osgrs iup.r.ct..e.

Dnto' knwo hatw fi scuh etsuiqnos rpepaa no laer ๐Ÿ˜‘m๐Ÿ˜‘x๐Ÿ˜‘ea

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htballer55  I etlf teh smae .ayw tub if uoy oklo at aystupo ispc on l,geogo uoy ese hte enanomigmi is ielk a blla iogmcn tuo fo eth ne.sgmine marpe oc ahtt to ilgmsoobaatl hihwc si ihwtni hte ranbi ni claeerbr e eisr.shesmpoh it's lmniay eon utmor si omcing tou of teh naibr adn eth htoer is dniies eht belrcera eapsssh'ere .timhth eht bste i nac ocme pu i.twh ubt s'ti gsufonnci +5



 +1  upvote downvote
submitted by โˆ—misterdoctor69(70)
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In seac yeoann was nogindr,we nsmomegnaii ear oerm mcnmoo in mnoew rhepp(as due ot an trsogeneic f,eftec tbu itsh si ltlis lohty ad).tbede

,lAos BsM'G luwod sohw pu sa sbaedup-tfyhlter and aaaypnmlneihrc.tr yheT aveh a %06 reihhg dneccenii in esmal nhat sm.feeal itolsHraic sdeia - Ted ennyeKd dide mrof a MGB

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 -18  upvote downvote
submitted by thomas(3)
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nAeswr is rot.Ascety iPetnta sha sobamailgtol eitlf.mmruo Auothlgh gnmasieimon yam orccu at citivsx,neeo asomiemignn rae ngineb dan ntofe a.mpoimtscyat Teyh yma ceasu ah/ zsieseu,r but lwoud eb ukeyinll ot useca thdea wn/i m6 fo tsnoe of /ha. eTh izes fo otrum dna roseuc of slnleis is nsnoetstci twhi the csuroe fo MBG

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masonkingcobra  eAbvo si bvosiyluo enccrriot cuaebes hte arensw is ngMenaile llo. eeH r si a ilnk ot a doog ep:irtuc chtoge/hretaoo c.utacgahlpn:betmMwhrp. p/ y/oopsl7lifuetsrrl7nh/t-eae +28
kernicterusthefrog  lsvyiOobu thsoma is grisengieda twih eth ptrnatisneoe fo hte qoi,eustn and I dgeera wthi !ihm sihT yuleotasbl suosnd keli B,GM ihtw pirad netso ialdgen to ehda,t and eht somsmytp. heT qouitnes tesm sldea oyu to G,MB and eht ossgr migae to nimmniaoge (I s.sue)g +2
kernicterusthefrog  ro,rutreeFmh hwere era eth egnemsni on hte grsso eamig omrf ichwh tshi in)n(moimage !?grew It usldoh at lates ohws the seisut form cwhnee it e!cam +1
nala_ula  Hda eht smae lprebmo, ogt dfonscue icsen it rpepdaea ahtt eth thorgw aws gtnanmila :( +
sugaplum  AF 2109 gp 541, laos regae itwh eoyvneer. rdiew atnee.osirntp ioGls era gnitaanlm headt nwtiih 1 yera, mamnnoeigi ear ontfe tostcimayapm ro avhe aoclf i.gsns ujst a rossg topglaohy uneoiqst at htis piton +
garima  ฤฑ khtin seh died bc of upesrres ro stnhgiome usyg, sti iyubvolos drnuo adsehp bnegin i,leons ist oals eartx ixala not leki B.MG esh ahd tshi maeyb asyre roebfe dhtea +2
skonys  I tihnk teh nopit si htat MGB scsuea a idarp eednlic nda aethd ta teyialvrel smlal oinsel zsei scebeau st'i hwtnii the cae.nrmpyha giaMmseinno ear nbgnie dan cna owgr ynlieasn gelra efbroe thye acsue mytsmpos. +

  • 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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