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NBME 22 Answers

nbme22/Block 4/Question#27 (reveal difficulty score)
A 78-year-old man comes to the physician ...
Metastatic carcinoma 🔍 / 📺 / 🌳
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 +17 
submitted by sympathetikey(1591),
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• oPmep eDissea (pyeT )
2    ○ aLck fo - lmoLsosay cDiennabgrh Eynemz (16,α- odu)sGeiclas
    ○ iBuuldp fo 61, gs
ikanel    ○ otietar:Psnen
        § .1 ymegdalori
aC

 +8 
submitted by notadoctor(173),
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ttsaMctaei iessead is orem cmmnoo tnah miyrpra onbe stur.om

lba9587  tiMhg be flhelpu ot srecdnio .ge fo a ugln ruom.t one oleisn? ’yuero ielnagn guln pyrim.ra ltpleMiu sloenis in l?nug MTE.S Q smet heer ecuilnd,d som“uurne tyicl nlisseo noalg eht erlaetrbv olmnu”c. T,suh STEM. +  
jurrutia  l,oAs ipna atht si oewrs at tnhgis dna seristsp rrseglades fo tti.vycai etgs 'Pa is lytipcyal mcopsttaimay utl(gaohh npia si het tmso momcon ys)tpmom dna luwdo vhae heotr iisdnfgn itfmodri(e,se VA ,shustn tec). +  
jurrutia  slo,A ipna htta is owser at higstn dna petssris rdarsgsele fo vitta.iyc t'sPage is alitcypyl omytasiapmtc ghh(otual apni si teh most ocmmon sptm)myo nad oludw vahe eorht niigsnfd e(otredsi,mif AV thuns,s )te.c +  
umpalumpa  aenidersc LAP is d,eirw iecgndonirs htta het nesilo si .clt.yi +1  
l0ud_minority  uaaumpm@pl I aerge lyitc ossneli od'tn kaem nssee hwti an talevede PLA. ekiL na otiid I thuotgh oatsdeil PAL dna ehosc eatgP eeissaD +  



 +5 
submitted by j000(17),
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etullmip maoemyl is het most oocnmm IYRAMPR nlcinyamga fo ebno a,mpo(ht)a so s'it otn M.M

si't ton egtpa akl(c hotre xS, ludow also veah ceirsclot ossl)nei

stmlyo eliylk naerl or ulgn aeccrn amttes to eht oebn




 +4 
submitted by oznefu(22),
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m’I iavhgn tulober dgudnsentirna why hist is a ebtret echoci hnta Peatg ,edesias yieleclpsa thiw the deaierscn LAP?

zelderonmorningstar  sga’Pet ouwld slao hsow oems rio.csssle +5  
seagull  ALK si ianeredcs in enob dknrewoab oo.t easttPro lvose rpageinds ot eth albrum p.niSe st'I keli enckiac-acroc ofr ceanrc. +32  
aesalmon  I nkiht hte Wsore" ta thign" ndles fsleit reom swodtar mtse, adn hte tp ieoamscrhpdg enal oradtws ptortsea ,ccerna chhwi eslov to og ot hte lrumab isnpe iva het sotBna e.sxulp I pcidke Pagte tub i knthi hyet louwd ehva ngvei itnomsehg orme nllietg fi heyt adwetn ,espatg oihsoltyg ro taeonhr luce +2  
fcambridge  u@gslale adn aeml,oans I tknih yreou' a bti off hre.e Ptrostea stme odwlu eb tbec,lsasotoi tno otytciosle sa is sdrbeecid in het tngiet.ev +17  
sup  eahY I cseho 'saetgP oot zbc I rieudgf if ti anwst' tpesoart cecarn cwihh( as gabef@cimrd sdai wlodu setnpre w/ asiltocotbse esl)iosn tyhe uolwd vieg us otaehrn rsenpngeti sx of het emiactastt aneccr l,(ugn re,nla ik)sn htat imhtg toinp su in htta di.encoirt I tog idtcdseart yb eht randseiec LPA oto adn lefl rof etPga :( +1  
kernicterusthefrog  gdc,@mrbafei tno xelc.yta ,seY sroapett tmes nesdt ot be ba,octtiesosl btu obatu 3%0 aer odunf to be ,licyt erp shit yutd:s ci..M:tgpnw7/h/ls2//hmp.waiiomtr/c4t6Pv./bCc5newsln82 dlolyndAaii,t teh gthin nboe ipsna tniop to ,semt dna a'tgsPe si chmu moer comlonmy foudn in eth nrlicaa ebosn nad pracdiuelnpa e,tolknse ahnt ial.xa hTis ocldu osla eb CRC !etms +  
sweetmed  I namily ldreu tou aspteg easbeuc tehy adsi hte cahyslip xnaiomnatei asw almr.on He dwoul fde aveh throe psyso.mtm +4  
cathartic_medstu  omrF twha I meberrem fmro aeoiM tsaattshP:msa to bone si uallyus osteolyict hwti ioetnxpce to rea,osttp chwih si oh.reetafr,ecitlsoTebso stem sasy ENSRUMUO ycilt iloesns dan dnsuso reom keil tatmsseisa. +5  
medguru2295  fI shit is ttMaitacse en,accr ti si ilyelk MM. MM sparsed ot het slpnai rodc nda escsau tiLcy onlisst .Ie si OTN esopatrt sa dattse .obave Wihle dnaoceroaicmnA sedo radeps to the tPoraets, ti epsdorcu yoln CTSBILA oeslnis. +  

but prostate cancer is not lytic as blastic lesions

+5/- titanesxvi(105),


 +1 
submitted by amphotericin(11),
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I relud tuo t'segaP cebesua sgPe'at si yuuslla ,cldlzaioe pre ,FA ah,amPot pBm&;.Ba guhAlhot htis aenptti fteedilniy stfi het oecmaihdgpr eciut,rp otrstpea raccne is fyeliintde ton hte only eraccn htta can asemtziteas ot het on.bse eecauBs heest rae lytci sn,ioles ist' pbbolary moes ethro arcnce tsat'h rpsade to the sonbe

medguru2295  sPoibysl llpueitM oemaMl.y taTh si aclsics orf an droel srpoen iwth abck napi nad yclit sinesol ni hte ab.ck +  
asharm10  -sytcoilteo pilutmle almy,moe otssalbicOte- ePsratto; odnt kntih ynbdeo sthi for hist a,xem i evah eevnr eens a etuisnqo ni BNME ro urowld eyht tedir ot oolf su off no sith cpnecto os .fra +2  
euchromatin69  u lwrdo 314 emsa cctenpo +  
skuutnasty  d'I ilke to reareteti aswt'h adtste eov..b.a dx NOT MM in ihst iqestnou ucsaebe MM is YRMIARP ton ICMTTESAAT @ ebno enrw(sa ardse: tsiaaettcm m)3acnlrato ;ic& +  



 +1 
submitted by imgdoc(176),
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ahadsooncormCr ccsruo in the phi or aixal letkneso. 'Id aeimnig tath ti is clyiecsfpail lcdteoa ni oen irnoeg harter nhat etulilpm ioenlss urotgohthu eht ee.rbarvt Taths wyh I relud htis o.tu

I derlu uto acseooaostrm nda ginew aomsrac adbes on gae alnoe. shTee rtsumo rea nees in 1525- eyra dlos, nad eht alciclni tmafsatiosinne o'dtn tcamh up.

e'sPtga sdesaie sah an devaleet kaAnille hshaappteos lee,lv but teerh uwold nelyitefid be a rscteilco ahpes fo bone i,idstonpoe rharet tahn upltlime ottesyolci inos.sel sseie,dB no a liinalcc ttevnegi ythe udlow aklt butoa iggenlran head e,zis CN 8 nneig,pmimte ts,eracrfu .cet vEne fi oyu idd go sith urote, taepsg' sseieda saucse aomcatooerss, otn mieutlpl cltyi senos.li

Thsi tfle em whti cimtstaate aarinc.com

imgdoc  I enohtysl guhotht hsit asw lulmtiep molaemy bofree I tnwe eth saeattcimt iaranocmc reuot lol +  



 +0 
submitted by paperbackwriter(160),
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I aosl oehcs taPeg /: utb rdazelei tish iwchh I iddnt' reobfe:

eTh estgas rae ont mnfuior aosrcs erfintefd e,sobn os oyu oulcd veha esmo onseb atht era ni eth easclsiotbot ,eagts ilhew reosth era in hte ilcty taegs tce.

eb%sasteg20'0l/m/e%0agoibcpes4ocjuaoto../tic8mtrh/gl0pno2nsp




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