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Retired NBME 23 Answers

nbme23/Block 3/Question#43 (reveal difficulty score)
A 65-year-old man has had increasing ...
Osteitis deformans (Paget disease) ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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submitted by โˆ—sajaqua1(607)
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In an derelyl epntati wthi daleiost taeeledv alknalei petapahhoss (maroln surme cciulam adn shpeat)ohp Pestga' aesedsi fo beno dhsolu be at het pot fo het tfl.rfendeiia Tshi eseaisd si edu ot rnligtsaeuydo of tsostciaeclo nad socsbieattol ;ctatiivy irtsf na niiatli tssalecoto hievcittyaryp sp,eah hten rdnaecesi ttaoeolssb ivcaytit ofr a rxe,timu tneh otoesaltscs burt"oun" aeldign to rvm-looninezieratai dan sceciolrt beno qa.lupse nI oddatnii, tshi nac arcete reeiosvnruaot uhssnt ni eth nsoeb icwhh casredsee tanssier,ec alenigd to hihg tptouu diaacrc ireaful a( miairls omeplrb nca seair ni oanrveuseotir utsfiasl morf lobod sisiyd.la) On yilhotgso ti lwli avhe a oias"mc" nr.pttae

-A) reamynsAul enob ys-tc leglrya a ucropdt fo ertvyyiaphcti fo eottlssco,sa itsh sourcc reom entfo in eth bmil,s dan wohss a tcycis cpaes hitw n-lalbiklooe taolni.di )B oirnasmcaoA-g nraogmoascai of teh ebno si n loatms pelyur ticyl sno.lie yheT ocrcu mroe nyfurqeetl ni eryoung p.epleo C) iaiNnc -efcdieinyc I acn idnf htgnnio atbou miabvtin B3 yeccdneifi lniogvinv ons.be B3 efiedcicnt leusstr in aplle,rga ihtw eth ccalsis heTer 's-D eamitdirts s(rah ecankcel on 3C4C/ r,dea)mmeto tman,edei dan raeair.dh )E arsstoOemao-c dnouF oamtsl uesyilvlcxe in urenyog peoep,l tshi neob wghotr cscour at het trghwo ,laept yltuarcpiarl at hte xarmopli end of the tbia,i idtsal end fo hte r,muef or oimlarxp edn fo hte ruuesmh in( eth goln enbso nuador yuor seenk ro at rouy .hdssrloue) tI owssh a gr,ela lsodi wnorgig ssma ttha may sraie the smrpioteeu in a bsnsrutu apasCr/onntdmet' .eanlritg F) rPaitsoct ao-rmiaccn rrae for bnige one ,fo if otn hte oynl teicmatast nboe ccaren htat is eyrlpu sttaboloiec.s

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alexb  earGt xpeno,naiatl xeetpc ahtt eehrt asw a onsutiqe in EMBN 22 ni whihc het stcatriop cimaonrca wsa .yeisltootc neO of eht strnmoemec erhe leodko it pu nda lpaenytpra t'is eilk htta 03% fo eht emti or ositegh.nm oS I esgus oyu uoldw haev to eus hte ighh ptutou FH, mnarlo C,a hhig ALP, nad oamsic aerpntt ot a"ylp dsod" sa ajolnG wolud ysa. +2
qball  tA latse thye eewr enic enugho to upt eagPt sedsiae ebscaeu I adh no idea wtah oitisets amesnrofd s.i +1
drzed  SEUML meess to be igvonm awya mrfo gsuni meonyspuo .aem.s.n so its' a oodg aied ot see if rehet is a ptseeridvic eamn rof sseiased. orF ,lmapeex tyeh n'dot use the wrod reeeg""Wn eyoamnr if oyu ehav on,citde icnse ti runts otu tath yug was a aiz.n oS wno ehyt clal ti by ahtw ti is -- uarsismnltgoao with .onpigytsial +6
fatboyslim  rz@dde smae ihntg iwht erRite yonsdr,em he wsa a niza oot nda nwo eht aenm uesd si cRveitae ihritAtrs +
fatboyslim  sJtu ot dad ot P,O Pgate eesdisa of bnoe nsercasie eth sirk fo esmrstaocoa,o r,ewvohe eht -ottiuhhugp trhea luiraef ni stih aecs si dueasc yb agPet idsaees esiltf +



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