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NBME 22 Answers

nbme22/Block 4/Question#26 (36.4 difficulty score)
A 60-year-old woman comes to the physician ...
MeningiomaπŸ”
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 +8 
submitted by fallenistand(23),
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hisT si menigmanoi auebcse tsi in eht isrerheicipmnthe rsefuis its nto aginitlnrift eth ni.abr llA eht hetro soen era ihwitn eth aibnr suseit




 +2 
submitted by nor16(57),
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oen tpnraiotm ecstpa nto ni:mdtneeo eth " nlgo " 1 year nbn"ige" ysorhti fo hte mp.sm.yst.o otn ylkeli fro lmigaatnn ypahsmm,ol otrsas ro tsesaiatsm to tays that amcl

of cseuro in dnadtioi ot lal rteoh idmntoene eehr tn"o airbn ilgftntinari ec".t




 +1 
submitted by fallenistand(23),
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iTsh si gmnmnieaoi ubsceea tsi ni eth rmtenhihrecispie erfissu ist otn girniliftnta eht .iranb llA eht herot snoe are iwhnit eth anbri seitus




 +0 
submitted by natuwalrien(0),
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ianneosgmim ucotn sa nhnicange is?oslen hit(s comnemt dsnee ot be ermo htan 50 rscheatacr apenrt.yp)la

goldenwakosu  I think it’s because meningiomas are able to calcify (aka sometimes they have psamomma bodies). I got this question wrong too but I totally did not completely register that the tumor was in the dura (interhemispheric fissure + central sulcus). Hope that helps! +2  
pipter  the only reason I got this right was because they described the tumour as being near the falx cerebri. +2  
fcambridge  Other hints include being described as round and seen in a female. Both indicative of Meningioma +15  
niboonsh  also meningiomas typically present with seizures or focal neurological signs +  
suckitnbme  I thought enhancing meant it uptakes contrast. Meningiomas are commonly enhancing lesions per Radiopaedia. +  



 -1 
submitted by j000(5),

also according to pathoma: meningioma expresses estrogen receptor, which means more likely a female adult than male