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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 🔍 / 📺 / 🌳 / 📖
tags:

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 +9  upvote downvote
submitted by dr.xx(176)
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MIR is lhihgy iie,snesvt piecsfci, dna taceurac in teh otetndcei fo AV.N

ehge1-Tdtwi egms:ia ANV otsm otnef sprtesen itwh a tcercncesi, rkein-lig or well eednfid nadb fo wol nailgs wtinih het reiusrpo ionrpot of the lbdcsuaornh rlemofa dhea bnoe rormw.a Tish danb is ogthuth to etnprsere teh erctviea faercnite eteenwb hte icerncot nad teprvieaar ,snzoe adn ayplictly destenx to eth crnhobadlsu tlape.

/cto-sre/he/pp-afasuoird:tnh.h-vu/t

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 +5  upvote downvote
submitted by paloma(10)
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Acrocdign ot U,W alhcloo beasu is a isrk cftoar for aacuvslar rs.snocie Teh omst nocomm seti si teh omlerfa h,ead hcwih etsperns thwi niap ttah is badcetaerex yb whegit ebragin huwotti fotamarmlniy inssg on sclhpyia inie.oxmnaat

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cbreland  iSamilr tuthogh ssrepco rove ee,hr ind'dt etg a ehowl tol ormf eth RMI toehr than klac fo r,ymmstye tbu tp hwti cloalho rosbpeml was eth key rfo em. tusJ lydpae het dods +1



 +2  upvote downvote
submitted by tiredofstudying(71)
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AF :0202 436

uCessa of vacsraual ss:nireoc SCTSA denB m +oLs+Sk+ere.stGidEo Ai lccrlcilSiotoshCo ecll eSami ue dE+LaasTr+s

e+h“t Bsend” sodsposa(irccemsieo/nn -é-)eg+vLsaig EeClasd shrPtee aesedsi hiidai)coatr e(pGu+hc Sdeiel+aiss ppde actiapl oamerfl pisehispy

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drdoom  ofr eluetbld tlssi, eb ures ot ofwlol teh pusl isng tihw a apc!es :) +3



 +2  upvote downvote
submitted by almondbreeze(110)
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AF 0192 pg 455 on saalavucr orsiscen fo nb ioc:anIoenftr fo oenb dna mrrao,w alsuyul yver nulfia.p sMto mmocon iste is lorefma hade hrasdwe(te )zeon ue(d to iensccffiuyin of eimald crufimlxec learmof y.trea)r eauCss eidlncu cCreo,rtsdooitsi hlAmsocilo, ceikSl elcl esisa,de Tmar,ua E,LS the" dBnse" dcpsrae(/sosnienicomos ,eaide)ss -ageE-LvlCg erPhets edeasis dchioii),pta( aGurhce seia,dse Sipdlpe ltcapai elramfo iis-speyph ATSCS eBdn EL.GS

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 +1  upvote downvote
submitted by usmleuser007(464)
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(A) kR is srtaocf rfo legnpvodei cruaavasl isnorecs :einculd

)1 rmTaua = jIresni, u cshu as hpi ooiaciltdns ro atur,fcer can dageam bernya bodlo lssesve and edecur ldoob olwf ot neobs.

)2 deSitro us e= sUe fo dgshieo-h otiocoecssdtirr, ushc as rdpeesi,non si a mconmo asceu fo aulvsarca s.escroni eTh eorsan si nnnkwu,o tub neo pyoestihhs si atht otoodicsrcirtes cna eearscni dpili evslle ni ouyr bdool, unrcgeid bldoo lw.fo

)3 Ecsevseix aoohllc ues = Cnonumsig sreelav icaloohcl ridnsk a ady fro rsevael syear oasl acn caseu atyft tspsdeio to from ni uyor obodl slveess.

)4 psoanisthBohpe sue = Lret-omng seu of itoiacsemdn ot senceair nobe siednyt htimg itrneobtcu ot oevelpidgn oeonotsrssiec fo eht aj.w hiTs aerr aoilipnoctcm has rdecucor ni omes popeel reetdta itwh gihh soeds fo etseh iaectniosdm rfo ncarsc,e husc sa mltuleip aoymmel nad stteatcaim taesrb .nrccea

)5 iarntCe icmdela rtsatmtene = aatoiiRnd pthryea rfo accenr cna ekaewn be.no anOrg plnaatrnitant,os ylpiaclees diekny parlntts,na saol si iteaocdsas hiwt avcrlsaau s.senoric

il aeMdcB() niicdotnso tedoicsasa whit saacuralv cressino nd:ilcue

aauniber eicaaPeDstis tGtec'rhs sIaes edcHSVD/steSIii mAy lpusu miShoyl uesketercats ecll emiaan

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 +0  upvote downvote
submitted by warbyparker1(3)
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I oththug ti asw tscepi ratrihsit bc npia tiwh ehgiwt branige + ,imr but 2 smhton tiwh ctieps haittsrri emoc n,o ti asw an eays ostuneiq nad I dissme t.i

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warbyparker1  uoEvloitn time is yek +1



 +0  upvote downvote
submitted by meningitis(644)
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I nthik hte alsml dark aera on the etfl aehd fo ufmre adn hte erdakend cekn rae eth auvlcrasa stise.

:ckNe mgocm5/gppcc/5a/dii.s11bcnhpm:91.dm/5tktspt/jeeae/.i/tts

:dHea sioov(ub einols on the TR urfme, ubt sairmil itercdes esonil no teh telf sa eesn on eht rtacepci EM)NB hs/pj/ra/de.u01o/./1ttsopa1usnd:pctup0t2wnr-5/clgoe/a

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 -2  upvote downvote
submitted by seagull(1933)
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mbaye nmseeoo nca eaplxin hyw shit si sarlcaauv rnocssie and ton siesps. tI oet'dns netinom vrefe or esnacbe fo refe.v heT IRM sha a masll otanum of ytpdsohiyen tub ot teg cavusrala irsecnso ssmee /ddo

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someduck3  gP 554 fo F..A iomnnste ttha ioaclshoml acn be a ueasc of asarlucav icsons.re +6
meningitis  I nithk hte sllma dkar reaa on eth tefl eadh fo mfure dan the dreekand enck rea eht ulrvaaacs e.stis 5 e / pp.t1 ttt: gn1i /tc59.:aegckd i//m5m/hdismjasdk ebm H1s/ccee:. ac/poNp v(ousboi elnosi on eth TR ermf,u but sramili edscreti oniles on hte ftel as sene no eth tipeccar n 1s/1cpt.assd/cte/rNop/)0jdlgp1h/autuo:M n0 //pwE5.ro aeBt-u2 +4
yotsubato  He wnltuod eb ganyipl gflo fi eh had istpce .riasthirt vAaalrcsu eioscrns si a mreo rconich innooctid htat hsa a wlos en.ost +4



 -2  upvote downvote
submitted by usmleuser007(464)
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Cssaeu

)1 craAusvla icsronse ocsruc ewnh obdol owfl to a onbe si ertterunpdi ro udced.er deduceR lodob lpusyp anc eb ecadus yb:

2) iJotn ro onbe aaum.rt An uri,nyj chsu as a tcliadeosd tio,jn tighm dmgaae braeyn doobl elvsess. cnrCea tmseantert nligonvvi oatanidri sola nca eeanwk eonb adn arhm oodbl slesesv.

3) tyaFt dsiestop ni oolbd sle.svse The aft slii(d)p nac oclbk amsll ldobo e,svsesl idcnrgeu eht oblod flow tath fdese ens.ob

)4 nertCai sde.sasie edlaiMc i,inocdtson cshu as lckeis lcel maeina adn ahces'Gru adsee,is losa acn ecaus diieindhsm odlob oflw ot boe.n

rFo obaut 52 tcenpre of lpoeep twih uaaclavsr ois,ecnrs eth eacus of ueeptdrnrti dbool wfol si .nowuknn

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