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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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Tarnen sstage ratts ta TEN aesyr dlo

gSaet I :

  • I si t,lfa as ni altf cht;es
  • I is lon,ae sa in no exusal rashi.

gateS II 2(): sateg II ttsrsa at 11 y/o I(I lkoo eilk 1 1)

  • 2 albls tetrcau(isl anrnmteelge)
  • 2 iasrh bpc(ui isrha won rpaegian)p
  • 2 sterba udsb rfmo

gtSea III )(3: artsts ta 13 /o y

  • If uyo ertoat 3, ti oslko iekl sllam betasrs aBtesr( usnomd fom;r)
  • fI uoy qggluies teh III eyht oolk like ccrylr+esoua iucpb rahi
  • edascrIne espni glhtne nad siez nca eb neeesertdrp :yb II ;--t&g III
    o(yru pensi saw nthi II btu onw tsi hkrcite )III

egSta VI 4:)( tatssr at 14 y o/

  • stiFr miie:gan eTh I ni IV tnseeprres eht h,hgit dna het V ni VI okosl ilke teh somn isbpu eentweb oury lsg:e
    G:AMNE NI uoy vhae hria in osmn suibp V)( tub ouy have a eobrrd ditaening eth hiar mfro rgogwin itno ghi.hts
  • hTe V si oyi,pnt sa in own het bassert are pytoni (arsied oaeral or mduon on uno)md

tSega V (:5) 15 /oy

  • V sha no drserbo iegnidant iahr mrof grngiow toni hgiths pi(buc iahr + hhigt i)har
  • 5 gsi(afrnse in a)dhns gaintfletn hte sarolae enwh rbibggan hemt oa(rlea tfnalte ta sith tsage nad on ermo "nomud on )mo"dnu

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meningitis  Sroyr abtuo hte tmfora, it caem tou ngwro tbu I epoh ihs lehs.p +2
drdoom  lokos odog to me! +25
gh889  gAcnicdor ot ,20FA19 gaste 2 ndes ta 1,1 aetgs 3 srsatt 5.-113,1 dan agste 4 tstasr ta -15,13 ehrew ddi ouy teg yrou fino mfor? +1
meningitis  ouY acn geahnc it to SNED ta 1,1 DNSE at 1,3 ENSD at .41.. I pmisyl vhea ti as a ganer jsut leik uoy etsdta ni a olucep of mt.eh heT ciometapnr is in ohw the dki pessrten seaucbe e/shhe ilwl vahe mose sginth atmeur but reosht otn, het aeg iwll avry in .soneisuqt +1
endochondral1  taegs 3 rtbesa dnmuo si fro esfleam ton slmae wbt +4
endochondral1  ees g.p 365 in AF ti jtus bl.rptuea Idk fi thta erloesract ot hte amse gseat as lfemsea +1
angelaq11  hsit is tjsu oot ynnfu, I LVEO !ti xD +4
snripper  ehilW sith si mirispesev, hits dt'osne lehp wtih srngenwia hte qtueno.si +2
yng  cenmtdooeiagysaPsu laeF(s mcsyagtn:oa)ei stih ash gnnotih to od with tpbruey or ormshoen. Sliepm d/t teh fast esom usyg heav tarxe tfa ni schet eraa, knmagi it oolk ikel hyet ehva .rtssbae ehT oby tiehwg ta 06 ecenptlrei wleih ithehg at 05 e.eectpnlir +1



 +14  upvote downvote
submitted by โˆ—dr.xx(176)
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rluePbta msioaategycn si ghthtou to be a loliciaohsygp nem,hnepono and is toms mlocmnoy ense ni dbeuprmyti whti Terann atgse โ€“43 upibc arhi dna utiaetsclr uvlmoes fo 5 ot 01 Lm ytlraai.llbe

t3/hg:7lt.0v.hwe/M/iimscnPwto5c/C0nbclin./p/r4.m6swap

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 +8  upvote downvote
submitted by โˆ—paperbackwriter(161)
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gndArccoi to lojG,na emn ahev boobs hetre emsti ni irteh i:lsev nweh ee'hrty sabbie, ewhn eethry' nogig rugohht rbpeu,yt dna nweh ey'hrte odl. 'stI yoa/iinhlglomoaprc.sl

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sars  I ,esano ebabieeg-retrsg ftrarsen guorhht ptlnaeca fomr ren buhoytsotmretteet-serop snveirnooc iav etaorsaam ot eeyleatel-ne sdircngrosdre taf etcntno wiht aentersdnoinedo cireosnonv ot erneatrdeos isht reeweshmo dan ti sctksi LLO +2



 +2  upvote downvote
submitted by โˆ—impostersyndromel1000(42)
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so its cueraseasrn cb meos obys nac hvea lmid bsrtae nemtedolpev ta 13? eI'v nveer arhed or nese hsit bfreeo acn msoeoen epeasl lcya.irf Bycalaisl rasnigsure htta siht si e)y(illvraet rnm?lao

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 +1  upvote downvote
submitted by โˆ—moloko270(77)
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enidreacs atumon fo rstgeneo dmapcroe to rndanoeg tavciiyt si opihscoligy ni rtuybep

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 +1  upvote downvote
submitted by mishudishu(1)
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ohW esel oehcs euransrscea nihgtnik isht saw a squiento obatu sagirin eht dhs'lic fsle o?deccfnein

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