NBME 22 Metastatic carcinoma (NBME Answers)

Retired NBME 22 Answers

nbme22/Block 4/Question#27 (reveal difficulty score)
A 78-year-old man comes to the physician ...
Metastatic carcinoma 🔍 / 📺 / 🌳 / 📖
tags:

+8 upvote downvote
submitted by ∗notadoctor(175)

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tMaettscai seeaisd si oemr oomncm nhta rriaypm beon otrums.

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lba9587 gMhti eb flpuhle ot ecroinds eg. of a gnlu mtro.u one ls?oine yeu’or ialgnen lung pmyiar.r upleilMt sosinle in n?glu M.TSE Q mest ereh duli,nced “mernusuo lytci osenlsi anlog the etelbvrar lc.”mnuo Tus,h EMT.S +

jurrutia ,soAl anpi taht si ersow at gthsin and spestris dslersreag of ticiyta.v e'atsgP is yalyctpil yomitctasmpa ht(auolhg inap si eth stmo ocmmon )mtpmyso dan uwodl aevh thoer fdnsngii sfiredim(e,ot VA t,ussnh .t)ec +

jurrutia osAl, anip ahtt is oersw ta shintg dan ssesitpr easdgrersl fo tvtiya.ic eg Pt'sa is ycaltiply cmptaiomstay uatoh(glh niap is teh tosm omcomn ypm)msot adn uwodl vhea hteor ngisdnfi rsdifite(oe,m VA t,ussnh ct)e. +

umpalumpa ndcsraeie ALP is wi,rde cnnrsdgiioe ttah eht oenlsi is i.yclt. +1

l0ud_minority mpaul@pamu I aegre ltcyi loienss 'tdno make ssene with na avtedele A.PL eLik an itdio I togthuh iatsldeo PAL dan shceo Ptaeg sDiesea +

+5 upvote downvote
submitted by ∗j000(17)

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mpulitel laoeymm is teh ostm cmnomo YARRPIM aamnglnciy of beon ,)ahp(mtoa so ts'i tno MM.

it's ont tpgea a(clk rteoh S,x douwl loas aevh rscoelcit sle)iosn

lotmsy liykel ernla ro lung erncca tmaest ot het obne

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+4 upvote downvote
submitted by ∗oznefu(22)

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I’m naghiv boetrlu rtdnisunengad why iths is a tbtree cheico hnta gtPae die,esas caileplyse tiwh het reacsined AP?L

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zelderonmorningstar Ptgsae’ wuold laso hows emso iclssso.re +5

seagull AKL si rsednaiec ni nbeo nkbraeowd t.oo Pttresao sevlo npadsergi ot teh mbrual pSi.en tsI' leik crkn-ocieacac orf nerac.c +32

aesalmon I kthin eth "soeWr at ngt"hi dnsel tfseli rmeo rdasowt tm,es dan hte pt iaderphgosmc aeln dtsarwo teoaptsr raecn,c chihw sovel ot og to eth murlba isnpe vai teh taBnso x.pules I cipdke etgaP tbu i hnitk thye luwdo vhae vineg tehginsmo oerm gltnlei if yeth etadwn pesgta, toglyoshi ro aeotrhn luce +2

fcambridge lelsu@ag nda oemla,san I ihknt 'royeu a bit ffo .eerh reaPstot mste lwodu be stot,alcbsoei not ltcyoiotes sa is dieebcsrd in teh i.ttenvge +17

sup haYe I cshoe asetg'P oot zbc I uidfreg if it nw'ats ettaspor caecrn (wihhc as bafce@dimgr sadi luodw etnsrpe w/ cloteosbtias snisloe) teyh wudlo eivg su tehonar snepegirtn sx of the itcmattsae ercnca ug,ln( rlane, isk)n thta itgmh iotpn su ni hatt idtone.icr I otg ttceairdds by teh niedsrace ALP too adn llfe orf aPget (: +1

kernicterusthefrog im@cgeda,fbr nto ayte.cxl eY,s atroetsp tmes esdnt ot be isbtealo,scto tbu uotba %30 ear nuofd ot eb yci,lt epr tsih :dytus pih.wml8ti6/hn2pMws/oCcam.elnr.ctwc/:2iv/75Pb./n4ts/g Anta,lyolidid het hnitg eonb spnai ntopi ot setm, nad etsgPa' si much mero mmncoyol fodnu ni eth ciaranl boens nad ndapicularpe eltoens,k nhat .aixla hisT doucl sola be CCR etm!s +

sweetmed I ayilmn relud tou apsteg casebeu tyhe adsi hte alyscpih aixtimonaen was n.lmrao eH dlouw efd ahve hreot stoms.myp +4

cathartic_medstu Fmro atwh I bmererem mrof h Mo:astPitseaamsat ot oneb si usalluy loiyetcsot thwi eiepxncot to eotarstp, hhciw si ee,.hoeTsrsrc fiatelboot mtes syas RUSUEMON lycti esniols and onssdu orme lkie ismte.stsaa +5

medguru2295 If htsi is ttatcesMai ec,racn it si kyelli M.M MM aperdss to het iapsnl ordc dan cueass yctLi ieso tnIl.s is TON trpasteo as attdse a.vebo eilWh cncanredmAoaio dseo erdpsa to eth reoas,ttP ti dcuepors nlyo CIBLSAT ne.sisol +

but prostate cancer is not lytic as blastic lesions

+5/- titanesxvi(106)

+1 upvote downvote
submitted by amphotericin(11)

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I luedr out sPag'et ucbsaee teaP'gs si asulyul zlielcoda, pre FA, hPa,tmao ;amB&Bp. ulghhAto hsit paiettn teyfeinidl sitf eht dpomaehrcgi crpie,ut taostepr ncrace si nedfitiely tno hte nylo nrecac htat acn siaamettesz to hte .sbnoe eBeaucs ehets rea tcliy lssne,io it's yopbblar emos toerh ecnarc ha'tts darsep to teh esbno

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medguru2295 yossbiPl plMitule la.oyemM aTht is islccsa rfo an rdoel sneopr itwh bcka pnia nad yctli elonssi ni teh cbk.a +

asharm10 -otstoilcye plteuilm alomeym, eatstco-sbiOl sortPate; otnd tkhni doyebn stih fro itsh ,mexa i have evrne nese a oeinstuq ni NEBM or dowlur yhet rdeit to fool us off no hist cneotcp os rf.a +2

euchromatin69 u lwdor 134 asem contpce +

skuutnasty dI' ikle to iraetetre haw'st astdte ..oabev. xd OTN MM ni thsi nqeiostu secabue MM si RIARMYP ton MACATIETTS @ obne ra(wsne erd:sa eistmctata alacom)r;3&icnt +

+1 upvote downvote
submitted by ∗imgdoc(183)

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dahCasoomonrcr rscuoc in teh pih ro xaail lesnktoe. dI' mgaeini that it is laleyipfccis aedotcl ni oen oigenr athrre anth tpuemill siloesn htouogurth eht tbverea.r Tstha yhw I urlde sith .otu

I deulr out certoomasaos and egniw csaoamr sabde on age eo.nla seheT sotumr rae seen ni 2-515 eyar ,odsl nad teh clcnilai nifismtnasoate 'dton mhcta u.p

st'gPae ssaedie ahs an eeldtvae Anlikael aehosatphps vll,ee tub rehet wudol eieydlfnit be a lsccrtoie apehs of onbe pooitsned,i htrera anth pliutelm ltsoeicoty lsn.sioe s,seiBed no a ccliinla gvetntei ehyt dwluo latk tuoab ninagrelg aedh zi,se NC 8 eenmtpgn,mii sa,crtferu e.tc vnEe fi you idd go iths ,outer pa'tsge asedeis asusec omesr,oasotca not tiupllem lyict s.sleino

Thsi felt em htwi iastctemta mc.craiano

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imgdoc I yohstlne thghuot hits was pllueitm almeymo robefe I nwet hte tetaitasmc cmcniroaa ruote llo +

+0 upvote downvote
submitted by ∗paperbackwriter(161)

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I saol hesco tgPae /: utb eradleiz hsit hicwh I tnd'id b:ofere

eTh astesg ear tno nfmioru rcosas irefdefnt s,ebon os oyu doluc hvae eosm oesnb atth era ni the sstcteabooil sa,tge lwieh ohrets are in teh icytl esgta cte.

lr0atbec0oa%oujmic4/pbs'e.2csg%n2ealgpo/mp0gt0ho/istons.et8/

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paperbackwriter s:opo np0pbt8l2//o2cg/eomosabu0tioea//asi%.:ecps%.tgsl.0shalrdu0enmth/o'4gjpttocp +

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