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Retired NBME 22 Answers

nbme22/Block 1/Question#20 (reveal difficulty score)
A 49-year-old man comes to the physician ...
Avascular necrosis 🔍 / 📺 / 🌳 / 📖
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 +9  upvote downvote
submitted by dr.xx(176)
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IMR si hhgyli ,seitivesn icip,fsce nad aetucrac in het dcetoneit of AV.N

gTdie-1hewt iemsag: NVA tmos eonft nesperts with a r,encseccit lkenri-ig ro llwe deidnfe badn of wlo igslan ihwnit eth espiruro ortnipo fo the csbahurolnd melrfoa aehd neob ramo.rw Tish abdn si hothutg ot nrepeestr teh ircatvee rcetanefi benwtee het ntecroic dna rpaieaevtr z,sneo and yltlaypci tdesxne ot the snblhoacdru e.atlp

f-rdthpa.p/uoho/trce:-/sa/evh-stniu

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 +5  upvote downvote
submitted by paloma(10)
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gdnAoccri to U,W ahlcloo usaeb is a rski focart fro aavusralc nco.riess ehT otsm cmnoom seti si eth amferlo d,eah whihc pesnetrs ithw npai that is daxebtrecae by itewgh bnragie whiutot ymlrnaaofimt gsnis no cpilyash .onetmnaxaii

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cbreland  mlSriia othguht recsspo evro eerh, indtd' tge a eholw lto omfr eth MIR rthoe hnat kalc fo rtemm,yys but tp tihw hlaoclo lbspoerm was eht yke fro .em ustJ adpyle hte dosd +1



 +2  upvote downvote
submitted by tiredofstudying(71)
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AF :2200 643

uesaCs of valasracu :nscireso ATSSC ndBe oLillclCtm so GtSsEoso+okd+eci+heiS ir.Arc llec sLi s +auTeemSrdaE+a

t“+he nBse”d mnrdiespoiecos/acsnos( EégLdveia-l-+)e gssaC hserteP eaiesds cht)iGua+aoidhpr ei(c leipeeSis sdap+d lcptaia amlfoer hyiepissp

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drdoom  fro tluebeld lsti,s eb sreu to ollowf eth lsup snig iwht a ap!sce :) +3



 +2  upvote downvote
submitted by almondbreeze(110)
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AF 0291 gp 554 on aslaruacv incorses fo :onIcnar beitonf of boen dna ,arowrm asluuyl vyre filna.up soMt mmnoco site is omalerf dhae (tdeewsrah )enoz (edu to nuscceiffiiny fo elidma ulemxrccif aomlfre rytr)e.a sesaCu nueicld e,tcrsoirdoiCots oAmlochlis, eSlkci elcl ,aisesde r,amaTu SLE, t"he eBnds" /ocip(sodernensmisacso sees,adi) LggvEel-a-C tsPeerh sdaisee chaii),pdoit( auechrG sea,eisd dpSlpie tliaacp frleoma psiyi-hspe TCASS eBdn .GESL

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 +1  upvote downvote
submitted by usmleuser007(464)
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(A) kRs i arostfc fro gdeolvinpe uvaalarsc siocrsne lenc:iud

)1 arumaT = In,jsriu e cush as iph coiaodstnil ro ,retfaruc can gdaame anbrey odblo lvesses adn urdece ldoob flow ot one.bs

)2 doitSre ue=s sUe fo esdhg-oih sdoterocsto,ciir schu as ieesp,rnond is a moocmn csuae of crlavaasu rociesn.s eTh esaonr si ok,unnwn ubt eon tyiophshes si taht idttrsioecorsco anc isecenar lidpi lselev ni yuor d,oobl ngrcdeiu blodo w.flo

)3 ixveesscE lcohola ues = uoimnnsgC aerlvse cooilchla indrks a yda orf vreseal eryas oasl can cuase tfyat oipdsest ot from in ruyo lobdo sevss.le

)4 opaethphnsoisB sue = -emgrnLot ues fo mnidoiseatc to rsceniea eonb enydist mtgih btturcioen to gepdievonl tcseosnsrooie of hte .awj sThi rear nmlaotpoccii sha rcecdour in osem leeppo eratedt whit ghhi dseso fo tehse dctmsaieoni orf cnsra,ce cush sa iplmulte emmaloy nad atcatsemti bsreta cena.cr

5) rCatnie admecli metaesntrt = iRantadio trpyaeh fro ranecc nac neaewk be.on ranOg pa,ialtonnsnrtta sllaciyepe neyidk pnalasnrt,t soal si odcasestia thwi acvsaular src.niseo

aelMBd)( ic osnoinctid tioesdsaca itwh lvacaarus sisrnceo udcle:ni

Pcatabciet naiursaD'eteGershsi semsdSI cyAesDa/tVeSIiHi slupu chmliksta etyoSeeurs ecll enaaim

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 +0  upvote downvote
submitted by warbyparker1(3)
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I tghtohu it asw tscepi statrhiri cb ipan whti gtheiw nabrieg + mir, btu 2 stmonh hwti etsipc trtsihrai cmeo n,o ti saw na yeas onsqueit dna I sedism i.t

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warbyparker1  ouiotvnlE itme si key +1



 +0  upvote downvote
submitted by meningitis(644)
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I ikthn hte lsmal rdak eaar no eht ltef ahde of emfru dan hte erdkaend cken aer het avsalucar teiss.

ekc:N mbsceattt/tmige.gtn:p/m./5iopji//c5cpp.5s11ca/mhd1s9/edk

aHd:e i(ovosbu soienl on the TR rf,emu utb iimarsl cseiredt olisen on eth eflt sa eesn on hte acrepitc B)NME wsshdnpad0/t/opaacg-utotr/e0lnurp/o.s./1/12:cup/et15j

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 -2  upvote downvote
submitted by seagull(1933)
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bamey omoesen can nxaiple yhw shit is avsualarc rsseinoc dna not siepss. It so'tdne teniomn rfvee ro esaebnc fo erv.ef The RMI hsa a smlla aomtun fo idysnytpoeh utb ot tge vcaualasr nscriseo msese odd/

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someduck3  gP 545 fo .F.A esnmtoin ahtt aoshilmclo cna be a ausce of aausalcvr neco.issr +6
meningitis  I tikhn the msall dark eraa no eth eftl ahde fo murfe nda het rkeendda cekn era eht rulvaaasc s.stei 1ce .m1dtekom9cd5mp spcci/ tsi/tj/s e H ce/gh/tn:.5pib 5/1k e/ a aa.:gptmN:d b(uoosiv eilson on het RT ru,mfe utb mrsaiil seedtcir slonei no teh ltfe sa snee on eht rtaipcec uoal1np/ M15 1rhd/nNaj .e:cuE0/s)pesg/ t2tost/-dapo/tucp.Br0/w +4
yotsubato  eH oundtwl eb ilapgny folg if he hda cetisp irrt.aiths ruAsclaav rscseino si a mero chiocnr docinoint htta hsa a wosl so.etn +4



 -2  upvote downvote
submitted by usmleuser007(464)
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euCssa

1) saAarclvu censrosi usocrc wnhe ldoob fowl to a nbeo si netiprrdteu or u.dercde cRdeued dbloo slyppu can be seadcu by:

2) intoJ or oebn aaur.mt An nu,iryj cush sa a saoedldcti ,notij mtgih meagda bryaen bolod slv.eess enraCc tnsertmaet nigiolvvn ndiaiotar saol acn eaewnk nboe dan armh odlbo evlsess.

)3 ayFtt tpsedsoi in boold s.eevsls Teh fta s)dilp(i acn boclk salml dbloo lsvsse,e nrceguid eht olbdo wofl thta efdse snebo.

4) aCitenr deas.sesi Madelci nncit,isood cshu sa siclek lelc inmaae dna euchsr'aG seise,da osal acn uaces sedniiimhd obold fwol to neo.b

oFr baout 52 terpnec of epelpo hwit cvlusaraa s,reniocs teh auesc fo nrrdueettip lodob wlof si .knnonwu

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