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Retired 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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 +8  upvote downvote
submitted by ∗notadoctor(175)
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tatMcastei iesdeas is orem mnomoc hnta rymrpia obne .stmrou

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lba9587  tMihg be hullpfe to oseirdnc .eg of a lngu u.otrm neo ln?iseo roeu’y ealngin ulgn yrr.piam lMitpelu islones in gu?ln .TMSE Q mset reeh neddiluc, murse“onu ltcyi onlsies lango eht bartrveel om”n.ulc su,Th STEM. +
jurrutia  s,olA pain atht is sorwe at nihtgs dna isretpss aledegrrss of a.vctiiyt Pt'gase si iytlpcyla tyspmoaacmti (hahgutlo nipa is hte toms mncmoo so)pmytm dna ldouw evah thero finngsid ee(sdrtoii,mf VA ,shunst e.t)c +
jurrutia  los,A ipan htat si oswre at ihngst and prsesist sregldeasr of vatyici.t sgPa 'te is plaltiycy aimytspmcato ohtgulha( ainp is eth omst moomnc mtpsyom) nad dlowu ehva eothr dsniingf fesremot(,idi AV hsn,uts tc.)e +
umpalumpa  eisranced ALP si ,rdiew igrnenicsdo atth teh noiles is c.y.lit +1
l0ud_minority  uaplapmu@m I eerga iytlc olsiens 'tnod eakm ssene with an teavdeel LAP. kiLe na tdoii I gthutho sdtaeiol ALP and csoeh tgaeP assieeD +



 +5  upvote downvote
submitted by ∗j000(17)
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teulpiml eolmamy si teh stmo moncmo IRRPMYA laimyagcnn of nboe ,tm)hpao(a so its' nto .MM

'its otn gtaep (lcak eroht S,x dulwo soal have lrciocets sinosl)e

oystml keilly rnale ro ungl aecrnc ttsmae ot eht eobn

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 +4  upvote downvote
submitted by ∗oznefu(22)
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I’m iganhv torlbeu ditnsendarnug why thsi is a eretbt ciceho tanh tePag dsisea,e ecylaplesi tiwh eht cdneesrai L?PA

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zelderonmorningstar  g’Paste wuldo aols swho esmo lsc.oisesr +5
seagull  LKA si crenedsia in oenb nwrobaekd oot. aetostPr sovel pengardsi to eht rlmuba ni.eSp 'Its klie ckioanac-crec fro nccrae. +32
aesalmon  I khtin eht ersW"o ta hn"tgi lsnde estfil rmeo stwroad ,mset and hte pt hodpcmeigsar alne trwadso taoetspr cecan,r iwhch eslov to og to teh armbul iepsn vai eth nBaost x.plsue I eidckp taPge but i nthki they lduow eahv inveg emihstnog emor ilgntle if hyet etdawn sp,eagt tysgioolh or aornhte eulc +2
fcambridge  g@eaulls dna smaoanle, I tnkhi 'oeyur a itb off r.ehe ePttsrao etsm owudl eb blasecotoist, otn ctyliostoe as si decdeirbs in the ttgee.niv +17
sup  aehY I coesh tagsPe' oot bcz I gdruief fi ti wtasn' paosrett recanc h(whci as @dmcfagbrie adis dwuol retneps w/ siebtsolcaot lsi)sneo yhte dulow igev su nrohtea trseiepnng xs of eth tsiatmatce rccean ,(ngul nl,ear kis)n ahtt tmhig topni su in htta nticioedr. I otg idttdcesar by teh sdirecnea PAL too dan lefl orf Paget (: +1
kernicterusthefrog  @mdefr,cgiba ton talexcy. s,eY aetsrpto setm ensdt to be a,ebcotlsitos tub auotb 30% are fudno ot eb cyli,t per hsti ty:uds sMb/w:.i/4h2pnPgtmc5i/.is8r.a/mnc72//ont.vwhC6pclletw lo,ntailiydAd eht hignt nobe sanpi ipton to t,ems adn e'sPgta is ucmh reom ynolomcm nfodu ni teh nacilar sbneo and ailncrpadupe snle,otke tanh .laiax shTi dulco olsa eb CRC t!ems +
sweetmed  I nmlyia duler tuo geatps eeucasb yeth asid hte ilhysacp maintaoeixn swa .narlom eH dwulo efd eahv teroh spm.msyot +4
cathartic_medstu  oFrm hwta I erermmeb form s maaea:atstMtoiPsh to onbe is ylulsau estotoyicl ihtw cpxeiotne to ,opsrttae which si Thteesot,r.ocbeeafoli rs mtes says UEOUSMNR lycit inosles dan sunosd eomr iekl mats.teisas +5
medguru2295  fI isth si taestaticM ecra,cn ti is lekily MM. MM srasedp ot the inaslp docr dan scseua cityL n.le ssotIi is NOT eotatpsr sa tstdea eab.ov ehWli oamandoicAercn soed psdrea to eth sPtetaor, ti spodercu loyn LTCAISB snsio.el +

but prostate cancer is not lytic as blastic lesions

+5/- titanesxvi(106)


 +1  upvote downvote
submitted by amphotericin(11)
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I deulr uto P'tsage esbaecu 'gaetPs si ulsalyu lalzcdoie, epr ,FA taPahm,o Ba.B;&pm lotgAhuh isht tpitnae entyiilfed isft the egmaocdirhp tcri,peu taesotpr crance is efdyltneii tno het oynl ceacrn thta acn maeestziast ot the .eobsn aeesuBc steeh era iyltc olss,ien 'tis yboalrbp eoms eroht erncca 'shatt prdesa to hte nsbeo

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medguru2295  silosPby litlpMue .aomMley haTt is csailsc rof an rdeol rposen whit kcba anip adn yiltc oisnsle ni hte c.kba +
asharm10  tlose-tiyco tliuplem el,moaym cstitlobsa-Oe os;ePattr otnd ntikh byoend tsih orf hsit xm,ea i aveh vrene eesn a osiuenqt ni NEMB or ruodwl eyht tdrie to folo su fof no this cenpotc so .arf +2
euchromatin69  u rowld 143 sema enotccp +
skuutnasty  'dI ekli ot rrtetieae w'hsta tsaetd ..ovaeb. xd NTO MM ni tsih sequtnoi esauebc MM si IMPYRAR tno SCAMTITTAE @ neob eawrn(s ser:ad ttaeicsmat mn)ir& alac3;oct +



 +1  upvote downvote
submitted by ∗imgdoc(183)
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acoasmConrdhor ucocrs in eht pih ro axlai so.nklete 'dI imagein htta ti is icyeicsalfpl loacdet in one nrgieo rraeth ntah epltmuil selisno huoogrttuh teh raeerbvt. ashtT yhw I edlru siht tu.o

I erdlu tuo eocatasosorm dan ngiwe rcasmao asbed on age l.oean eseTh outmrs era snee ni -2155 eyra lsd,o dan eht ilcincla iontsaftemasin dt'on thmca u.p

gaPte's adeiess ahs na adevetle lnikaAle phesahpsota ele,lv ubt teehr uolwd leietnyfdi be a tslriccoe hpaes of nboe toip,snioed rrteah anth plietmul clooytstie lssin.oe eesBds,i no a ilinclca vieettgn tehy wlodu klat tboau lnaeggrin aedh zse,i NC 8 i,mitnpgenme fsu,eartrc .ect veEn fi uoy did go this eourt, gs'aetp essieda ecussa atec,somaoros ton litpeulm tycli olssi.ne

hTis tfle em tiwh tticetmsaa aoa.nicrcm

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imgdoc  I hetlsnyo huhtogt htis aws ltmiupel mloymea roebfe I ewtn hte tetcaasmit oamaccnri ureot oll +



 +0  upvote downvote
submitted by ∗paperbackwriter(161)
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I alos heosc taePg :/ tub aerezldi isht hwhci I tdi'nd efeb:or

The gseast are ont oimfrnu saoscr drnfefeit sbn,oe os ouy olcud eavh omse seobn ttha ear ni eht saeottibocsl aetsg, ielhw sthroe ear in eth tiycl tesag e.ct

0phtna08p2ocli0%mg/ag/sle'/cjb4n2u%bpioto.ocg/aeem.sos0tster

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paperbackwriter  po:so .%s0st4/c%2:thc/0os/0npp0o/eggtd2juaeb'sotlc/lmei.tuippaloomphratano.gs/e8b +



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