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Retired NBME 24 Answers

nbme24/Block 4/Question#6 (reveal difficulty score)
A 68-year-old woman comes to the physician ...
Inferior mesenteric and superior mesenteric 🔍 / 📺 / 🌳 / 📖
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 +13  upvote downvote
submitted by cocoxaurus(59)
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eTh tstainoeepnr reeh emsse to fit ttha of sminetrece aavrlsuc sooi-nlccu odnlitarapps inpa ttha stlas 1 huor, food ar,noeivs hitewg ls.os Teh etpinat osal ash skir sotacfr csaoesaidt twih sinecretme asarlvuc lnu-ocisco redlo nhat 60 ayser ,old dmiliH,eapeypir Hp,nsyierneto x.MPH

The" ntrcesmeie ciocnatulir ctisossn of rheet aypirmr seevlss that ppusyl olbdo ot eht samll nda ragle wobel: hte leicac reat,ry porersui icetesnemr reryta )AS,(M adn eifrnrio setcrmniee areyrt MI.A)( doloB olwf oghtrhu stehe strereia rienasecs nwihti na uhro tafer nigeat edu to an aercnies ni ibcmtlaoe madden of eht tenniislta mhurCs.cncoaio ocinulcso fo a glinse elssev sallwo letalacrlo lobdo lowf ot aom,enetpsc hsut tsymposm od ont claytpyil estrpne ltnui at laest wto yariprm sesslev era od"decul.c b/:v8loism37.N0w4so.ttpn.kgi/nwobw//4K/hn.hcB

aCeoalslltr webnete SAM dna MIA naer hte eclsipn eulefxr e(eiangrndM neMiertesc art.e)ry eeTrh si losa aloraceltl wtebeen lCcaei ertAyr nad AMS ecrtceooPina(adandlu ad.raec)

Lytsla, I wkon htat ether is a -3cm atitecc arota unfod on ,CT tub an crotai ymaresun dlowu ont cueodrp ehest mostpms.y enEv fi oyu hgtouht ttah hte tsspmmyo reew edu to het ,AAA oyu odluc ilslt tge ot hte oecrtrc warens if ouy esu mfe1adsh4' o.aisgnnre

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honey-crusted lesion  Grtae pnnailxte!oa The'rse olsa a dsile butoa isth ni het 010 aonymtA Csncetpo pfd tub sn'tdoe go noti sa mhcu adelti sa sith tnenxplaio.a nakshT! +
djtallahassee  dooG nltenaxiopa utb I hknti na AAA wdolu be more iyllke eurirpso sicmereetn nad t.cphaei eth SMA dna MIA are eorm ntha 3 mc ptara 1L( ot i4,hsL) pelriT A fnetgfcia otbh lduow eb ryev r.elag I ebwl tihs oueisntq beseacu I aws 3cm and jdpeum ot A,AA inddt neve ees ti asw a issoecrls hn.itg tuP the tow sscolte aisreetr nad edmov no +



 +12  upvote downvote
submitted by deathbystep1(21)
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all the ehrto vl,esess itereh ahev lecalltora euplipss or eyht uylspp ot srgaon ihtw tieupmll esscoru fo lodob syplpu

AMI adn ASM htob hvea cellatosarl htiw hace ohret inlgr(maa atseierr dna ndeemirgan ,strie)are so censai ereht si mnevteovnli of neo of eth ateirers het doblo ulppsy morf troeh acn retvnpe sieah.cmi

utb if btoh MSA nda AIM rae lievvdon ti uwold reults in iasmcehi nad ysmtsmop ibdecsedr ni the .utsqeino

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paperbackwriter  ptoS !on +



 +5  upvote downvote
submitted by fahmed14(31)
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Teh 3mc- atcceit atoar enmas ehs sah na lbamidoan iocatr eysmunr.a rlGynel,ae yeht dten ot ccruo owble eth nrale ahcbresn so I newt hiwt eht tow essctol er-nbchsa MAS ihys(llgt obeva aln)re dan AMI wboel( ol.sArn,lae) iscnpel xleurfe is a cmoonm teewdhrsa aare pepdulsi by SAM adn IMA os evlmnovntie of obht acn cueas erh smypsmot

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 +5  upvote downvote
submitted by usmle11a(102)
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eth lnoy hnigt daem me sooche IMA adn ASM is hte fatc ythe puspyl eth eittnensi ihhcw si het mnomoc tsei rfo hsceiimc rcnsetieme .saedsei

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 +1  upvote downvote
submitted by targetmle(10)
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if eht inptoo adh AMS dna aeclci krt,un duolw atht eb rcor?cet

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 +1  upvote downvote
submitted by brethren_md(105)
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rinhoCc eteresMinc mheIaisc aak ttilasneni ngana.i iMan slceu rea ioapgnltsapr eaigitrpcs ipna, ighwte slo.s aluyUsl ued ot alcCei ),(a S,MA or MAI slsriehoes.ocrta

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neonem  htW'as uhgot buato teshe eawsnr coschei ohthgu is atth ouy eavh 2 fdeinfter aevibl combos. +
codyluvr95  The ciactet toara mgiht sloa enam AAA ewblo teh esa,nrl ceafgnfti eth MAI, +2
sherry  lsAo iencs rtehe si hits ectcita oatr,a het rtaesrei ivodlevn eden ot be anajedtc ot neo a.nreoht If there is a ehicoc sa ni caecil nad MSA, it ucodl also be .rocecrt +



 +0  upvote downvote
submitted by ankistruggles(18)
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yWh ear het IMA nad ASM mtso illkye to eb effacetd in erh o?tcidnoin

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sattanki  nAg,ai tno too r,esu ubt I itnhk yteh reew sndebiirgc a pteniat htwi ioncchr nslantieit gaann,i chhwi is clslcysaail rmof shesceaotrosilr of eht .I/AAMSM +5
mcl  I was also kihinngt utabo ichhw saaer avhe papyrc ldboo pupsyl aewhde(rts as,e)ar wcihh I smseua wludo eb erwos off ni hte esca of nhccori metecinrse mi.asceih If oyu look on agpe 735 fo FA 210,9 MAS &am;p IAM ta het cnipsle xfurele si a erhtesdaw er;aa het hrteo si cigsortmoied nucinotj oigis(dm rnahbc ofrm IMA adn resrpuoi e.tr)lca +



 +0  upvote downvote
submitted by bharatpillai(40)
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One yaw to ookl ta isth owdlu eb ot go bcak to iestaesognph of atfty reatssk. eThy are stom lcnmoyom fnoud at hte rcoati naibcotufri, so ibcaalsly hte orelw ndwo yuo go wond teh lbaiadmno troa,a oemr utnletrbu hte ,flow cigsaun giehrh itteaplno fro sescheisrlortao adn ostseisn of nhcbar lseAvlso.es,s lerna rertay tssinose si ewll crsdeeibd cihwh si genvi fof tafer hte alceic tunkr so faes to yas alcice kntru si arepds ni nay iknd of coclrtshtiareoe stioen.ss

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 -1  upvote downvote
submitted by mousie(272)
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olkinog abkc at hist Q I ntceio taht eht etnpiat osla hsa ieytrphnenos cou.l.d. htat avhe ebne a luce ot nlicdue eht ASM bc tis so socle ot teh ralen irtasree nl(eRa a os)ess?int

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nwinkelmann  I n'tidd onkw hwo to pcopraha tish ie,erht tbu own tsih is my tohtguh prosecs: Pinatte sah naip retfa igtn.ae fI st'i tno edu ot an lruec wcihh( si hte nlyo gtnih I ulodc mceo up thiw ucaeseb I d'indt nkwo wtha esle ti wsa lktinga at,buo) ywh dwoul itange asuce n?api .eW..ll getnai sausce adrscneei GTI ivyatcit ichwh snmae arncseeid oobdl .lfwo As ouy poietnd ou,t het ptnaeti has NHT dan CAD, ngaitidinc ellkyi xeeseitvn eectsoissarol.hr Tshi is prttaimon ubecsae hwy uwodl gnaeit eniglad ot aenidscer lbdoo fowl cuase i,pan wehn yulslua it et?o'nds .W..lel chlsstroreseaoi ni eht taehr edasl to sebtal nanagi. Tish iarnetnstpeo nussdo ielk a st"albe "naagni fo hte doem.nba +1



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