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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 htkin heset'r a opty on hatt .iqntesou SH2M ngee muntotai is eht lrpuict rfo NCCP.H For MSH2 en,ge aondgcirc ot athw I ujst cadsr,ehe acsesu Mnnlgaita Htehreriaypm Stilc.bspuytiei

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noplanb  aYhe I nhikt ti shluod eb MHS +2
suckitnbme  odoG to konw I st'naw gpipritn tuo ewhn I ddi isth oequsitn +3
thisshouldbefree  $60 +20
teetotaller  uldo erche frmo a rekbo IGM +



 +5  upvote downvote
submitted by โˆ—neonem(629)
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shiT eaptint ecas dssonu like he ahs rino idiycenfce mnaeai anm(,iae lwo tmahe,oictr riimt)ccocy form a IG .dlbee To teg tihs unoieqst trhi,g yuo hda to rreeembm thta eht otw moajr etdnehiri GI ncearc yreosdsmn era FAP deu( ot motitanu in CPA ng,ee wihch si a mtoru pepssruosr )ngee adn Lcynh mderoysn KAA triaedyrhe p-osoyplinnso toceloalrc cnoicarma ,(CCH)NP asecud by a umtointa in a umrneb DAN himsamtc ipaerr e,nges of hwti MHS2 si a oemr ocnomm no.e

Teh samnmhcsei of erhit acnirmcao nveeempotdl ear dtrefenf;i ni ,AFP tsroum ieasr fmor a laronm -;-t&g menadoa &-;-gt aaccmrino ceeesunq lhiwe in PH,NCC omtusr seari ofmr 'wtsha wonkn as a lsamtritiolece nslttaiiiby athp,ayw iagnlde to nstpoensoua fmiotonra of a iamrnocac no(t preeddec by a bnieng lsnoie lkie na .aenod.).am uYo d'indt ndee to onwk siht to gte shit stoqiune gihrt, utb tfenyliedi dogo to wko.n

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medpsychosis  To mkea ti enve rsimpe,l if yuo waerdonr ti nodw to FAP sv HPCCN dna lkeood at eth gmiae deropidv in teh se,oqiunt d'yuo ees 'tsi sles ylklei to be AFP eud to nsecbea of uneomrus spolpy hiwch oudwl be d.pexctee oS CNHPC dwluo eb your bset ecchoi! +7
yb_26  I alaswy gte iuream-niFL adn ychnL ysmnodesr onsecduf /: +1



 +3  upvote downvote
submitted by โˆ—thotcandy(131)
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I hnitk ths'eer inthgemso atth 'ahstn eenb ionendmte dan lpoeep ear orev noo:kgli

nettPia is etnpinrgse thwi CCR + aineam wichh sotm colonymm ccrsou thiw RHTIG idsed .canrec Adn owh edso htta ccrena oedvlp?e rtt-caeisielMol nyitbsliiat vs( etfl sdedi = nrbttosuoic dna pa-yeoapdolmn csnuee)eq.

sMati istbna ymstlo ynmmoloc ccsoru ni HPNCC ude ot cmtismah peirra edft.ec

su,hT veen oughht eh'stre a eypt ni hte e,neg or eenv fi uyo o'dnt nkow eth gen,e erhte's neuogh ofni ot fuerig out it's N.CHCP

PFA e'dosnt hcmat het ,eurticp adn si a eolyp-dmpoaan nseueqce ccra.en irunaeL-fmi si eetfcd in 53p ihwc(h si eht ltas segat of eolpanmpdoay- ucsqeeen so I smsuea it lolofsw ahtt .?)oto

The snaiocotpint is nkaid rcyitk ubacees u'doy hnikt btnosiroutc utb hte ibg yke hree is IAEAMN ude ot ICCNORH EBENLI.DG

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 +1  upvote downvote
submitted by โˆ—misterdoctor69(70)
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Anneyo esel otg whtonr ffo yb hrtei use fo PCNCH rhtrae ntha cynhL md?nyeors

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ineedhelpwitmed  n,o we lcyualat .uytsd +2
neilfespiritu  oynl yuo. Jk +1
peteralamir  Ct'nloud eb me +



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