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Retired NBME 24 Answers

nbme24/Block 4/Question#47 (reveal difficulty score)
A 40-year-old man comes to the physician ...
HNPCC syndrome ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: oncology oncogenes

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 +11  upvote downvote
submitted by charlie(11)
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I inkht e'rshte a otpy no ahtt ieqnsu.ot 2HSM ngee otnumiat is teh rciltup fro C.NPHC oFr MHS2 en,eg gccanodir ot wtha I sujt a,sercedh seuacs Mnanilgat Hypaihrmeert Setusiyt.icpbil

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noplanb  ehYa I ntkhi it huodls eb MSH +2
suckitnbme  oGod ot nwok I sta'nw gpirtpin otu whne I did iths noqtsuei +3
thisshouldbefree  $60 +20
teetotaller  ludo hcere ofmr a reokb IGM +



 +5  upvote downvote
submitted by โˆ—neonem(629)
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sThi itatnpe saec sosudn klie he sha oinr ynfdieecci animea amine(,a lwo oiemhtat,cr tcmciiyroc) rmfo a GI be.led oT tge isht iutsnqeo rhigt, you dha to bereemmr htta the otw mrjao enihridte IG earccn esryodmns ear FPA du(e to nuaottmi ni PAC e,egn ihwch si a mtoru epporssrus neg)e dna Lnhcy rodnymse AKA erhiedrtya ysspi-onpooln racclotloe acairmnoc CPCN(),H dsaecu by a atnimuto in a urebmn NDA msmcatih riepar gene,s fo whit HS2M si a mreo coommn n.eo

eTh cmsiashmne of treih inormacca pmneeetdovl rea di;tfenefr in ,APF sruomt easri rmof a mlonra ;t--&g emadona -g;&-t acomrcina eeesnqcu eihlw ni CN,PCH ursmto aeris rfom awsth' owknn sa a emiieltorlatcs iibttnailsy a,yawthp ligeadn ot psnntoauose oiafrmotn fo a omcniaarc on(t deeerdpc yb a bninge iosnle ekil an aonmde...)a oYu dd'int eend ot nkwo isth to teg isht usnqtoie ,grhti btu dinifetley doog ot n.kow

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medpsychosis  oT keam ti even m,ilesrp if yuo ownarrde it wdno ot APF sv NHCCP and kodelo ta hte amieg oivddpre ni het qusto,ien o'udy ees s'ti slse yeikll ot be APF ude ot abceesn of rouuesnm polspy which wlduo eb ectedxe.p oS HCCPN uolwd be yrou tesb hcci!eo +7
yb_26  I salayw etg i-rnLiumeaF dan nhcyL ssdrnomye dofescun /: +1



 +3  upvote downvote
submitted by โˆ—thotcandy(131)
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I nihtk hst'ere goteimsnh ttha hn'ast neeb tnmoneeid nad pploee are vreo ogl:ionk

teniatP is rnetnsgeip tiwh RCC + aaeimn icwhh osmt noomcyml scrocu whti TIRHG dside .nccear ndA owh osde atht anrecc epvlode? stroie-cleatMli isanittybli s(v eftl esdid = inbrctsouot and poaapnm-dyleo eeen.)uqsc

astiM atibns myolts oomnymcl ocrcus in HCCNP ude to shiacmmt eaprri fectde.

,ushT vene thguho teeh'sr a etyp in het ge,ne or eenv if yuo dtno' nowk het ,ngee ehe'rst heougn onif to gierfu tou t'is CC.PHN

AFP 'etsdno chtam het p,ucetri dna is a nypaalome-pod seqceenu arc.cne eiir-fumanL si ecdfet in p35 cwh(hi si the tlsa esatg of lnpdam-apooye nseceueq so I uemass ti sowfoll taht o?)t.o

eTh posnciontita si inakd yctkir euecsba dy'uo tknih suibntotcro but eth gbi kye heer si MIAENA edu to IRCNHCO .GIEBEDLN

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 +1  upvote downvote
submitted by โˆ—misterdoctor69(70)
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eAynno eels tog ntrhwo off yb rheit use fo NCCHP rertha than chnyL n?emodsry

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ineedhelpwitmed  no, we tcaullay t.ysdu +2
neilfespiritu  olyn .oyu kJ +1
peteralamir  uoCt'lnd eb me +



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