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Retired NBME 22 Answers

nbme22/Block 1/Question#18 (reveal difficulty score)
A 13-year-old boy is brought to the physician ...
Reassurance ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +18  upvote downvote
submitted by โˆ—meningitis(644)
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Tnnare ssgtea tatrs ta TNE raesy old

Sateg I :

  • I si l,aft as ni latf ;stehc
  • I si oel,na as ni no ualexs hars.i

etgSa II )(2: gseat II srttsa at 11 y/o II( lkoo iekl 1 )1

  • 2 lasbl eiratclu(st elgnea)nmetr
  • 2 shiar (bpuic hrsai won ripnpage)a
  • 2 rasbet sdbu omfr

teagS III 3:() stsrta ta 13 y /o

  • fI you rtotea 3, ti osolk leki alsml bestrsa ta(Brse muodns )of;rm
  • If yuo lsugqgei eht III eyht okol elik yroulrc+csea icupb hira
  • eracdenIs npesi tgehln and iezs cna eb tneerepdser :by II gt-&-; III
    (uoyr einsp swa tinh II ubt nwo tsi krhtcei II)I

gateS IV :)(4 sstrat at 14 / yo

  • sFitr maei:gni eTh I ni IV nsptreerse eht ihht,g adn het V in IV lkoos kiel eth noms bsipu bwtneee uoyr sel:g
    IGNN :AME ouy aevh hrai ni somn spbiu V() ubt you evha a oebdrr dntegaiin the hari form ngirwgo otni .hhtgsi
  • ehT V si yiotnp, sa ni nwo het basesrt ear oyiptn dei(rsa raelao ro mnduo no udomn)

eaStg V 5:)( 15 /yo

  • V ash no reobsrd ntainegdi aihr omfr gwnoigr oitn shihtg (piubc riha + htihg r)iha
  • 5 e(ssfniarg in dsa)hn eltitgafnn teh earsola nwhe bnbgigar tmhe roeala( ltaneft ta itsh gaste dna no reom mnuod" on odm)u"n

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meningitis  Sryro btuoa eth ,rmafot ti aecm out gwron tbu I phoe hsi hspl.e +2
drdoom  olsko ogdo to e!m +25
gh889  rnicocdAg ot 9FA,021 gtesa 2 edsn at ,11 stega 3 rttsas 51113-,. nda gtesa 4 rasstt ta 5131,- eehrw ddi uoy etg oury ifon o?rfm +1
meningitis  You nac hgance ti to NSED at 1,1 ENDS at 31, SDNE ta .14.. I isplmy evah it as a grnea ustj ikel you estadt in a upleoc of tmhe. heT atiponemcr si ni hwo eth dki rstepsne ceuebas eeshh/ wlli vahe smeo gishnt utraem utb oretsh nt,o het age lilw yavr in .qesouints +1
endochondral1  estga 3 esabrt mdnuo is ofr eealsmf tno mseal bwt +4
endochondral1  ese .gp 536 ni AF ti stju .aeubpltr Idk fi thta teleroacrs ot teh same estag as aeefsml +1
angelaq11  sthi is utjs oto yufn,n I LEVO ti! xD +4
snripper  hlWei ihst si mess,ivpire tsih edn'ots lehp with anergnisw eht ou.nstieq +2
yng  otPcdaueiosnmasgey las(eF noi)tsamegcay: itsh has ogihtnn to od wiht ebtuypr or hneosr.mo pmiSle /dt het sfat semo ygsu aehv xetar fat ni cthes area, imangk it kloo leki ehyt hvea esat.bsr Teh yob whgite at 06 reielenctp ilehw ghieht ta 05 .tcnperliee +1



 +14  upvote downvote
submitted by โˆ—dr.xx(176)
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btelrPua acngieoytmas si hthutog to be a piallhoyicsgo ,nhnpeomoen nda si smot mcyoonlm ense in btirpdeumy hwti ennrTa gtsea 43โ€“ ubpci hiar adn uietctrlas uloesvm of 5 to 10 mL leylrtlaabi.

ga0//bpi.wPcM5wn6c/m3s/vo.w7C0tminlt/4nh.h:spr.tleci/

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 +8  upvote downvote
submitted by โˆ—paperbackwriter(161)
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ncodcirAg ot nlo,Gaj nem veha sobob herte mstei ni eithr svi:le wenh e'yhrte asbbei, ewnh eeyr'th nggio ohgrtuh ,eprutby adn hnwe t'ryhee dl.o 'sIt ohal/cromp.ylilogisna

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sars  I -rgi,snegae bbstoeeera srtanerf ohurgth tpacnael rmof o-roepernetht tutmeoetbrssy vonrneisco vai esrtaaamo ot i delrnlrnysetrcsagee-deoe aft tontnce htiw ednsrndineaoeto cnvoerniso to e anerrosdet ihts eserhemwo nda it isktcs OLL +2



 +2  upvote downvote
submitted by โˆ—impostersyndromel1000(42)
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os ist ecsaeuansrr bc emos bsyo nac heav ldmi esratb enleompdtev ta ?31 vI'e enerv daerh or nsee ihts beofre anc sneoome speael ficryl.a iBlcaalsy ssireragun ahtt iths si e)vlyitera(l ?omlrna

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 +1  upvote downvote
submitted by โˆ—moloko270(77)
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rcesdiaen unoamt fo tseorneg oemaprdc ot onrednga ctviaiyt si pigiylhsoco ni rubtype

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 +1  upvote downvote
submitted by mishudishu(1)
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hWo sele oshce rrasaecensu hgitinnk tihs asw a tuqseoni obtau asniirg the hld'ics sefl edinofnce?c

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