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Retired NBME 20 Answers

nbme20/Block 4/Question#42 (reveal difficulty score)
A 65-year-old woman dies 6 months after the ...
Meningeal ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: neuro images gross repeat

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 +4  upvote downvote
submitted by โˆ—johnthurtjr(168)
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mI' not a fna fo gsosr apth meisag adn sntqoeius hatt yas oko"l, thwa si siht "hngi?t - htta sdai mgmaonensii era hte tsom nomocm abnir mrout dan siht terpiuc si is a godo mleeaxp fo n.eo I had on aide htwa eseht inghst okeldo elki dan otg it w,nrog too. Teak a oklo ta tihs noe

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johnthurtjr  'eHser[ rmeo oteomusl/twthotnsotnyl.eerthfrhmt/ia/agaoig/imn].min)pmlw(woiplcc.unopcogne: +2
meningitis  I tgo it orgnw abceues I 'ddnti ees ayn raetpnpa rDau aretm ron thore nemnigse (heT sievn at'ern ngbie rdceove by yan n"hisy a,r"y)el os I othuhtg het tromu saw gnoimc romf dneisi eht binar and nto gescpsomirn it keil mnoiinagsme yllusua .do +3
meningitis  tBu ti ddi lowfol eht mnmooc atscep ehewr htey rae fdoun ni eteenwb dnsvisoii of nbari nad era lcarciru rotswgh ielk a l.lba +9
nala_ula  niecS it was labaicysl ipmledi ttha the tietnap eidd adn hee"r kool ta twha stih s"i I htghtuo it swa a taimlgnan omtur m)..gsailbla.ot(o ubt I sesug ti's lla auotb pe.tanmecl +15
thelupuswolf  GBM lwdou be in teh ynecphmr.ae veDien patodsc iasd fi yeht owsh uyo a gssor rticuep of the mootbt fo the abirn tneh i'ts a atmsmaogehanlibo bc 'sit stmo fenot arcere.lble tBu ihst eon 'tansw alerlrbcee os I ewtn aeahd whit geominianm (FA sysa xernaetl to nbari eamnacphyr as llw)e +2
vivijujubebe  BMG wlodu vaeh noicsers nad iednlbge weaeshr eht d-lhlpesaab omrtu in teh eturpci loosk otohsm adn yver nvneb.g.eie.n hto I hvea no diae hwo emoeson anc ied so ydenlsud fomr mgmnieinoa +1
seba0039  nroMi ceciroon,rt btu I do ont ikhtn htta agsnnMimeoi ear hte otms moomnc iabnr ut;orm ethy aer the omts comonm ebning nrbai rumot of sladut o,aPamht() tub mI' nto urse if yheter' hte stmo noommc e.rlavlo +
an1  hisT amegi vega us all the tlsetllae for mn:eioanigm an lelydre wmoa,n inlimed ,ssam .rnduo I tikhn northea nhitg atht daem em pto fro iamomnneig saw ttha I dha to kolo rfo the assm nda meka ruse I tn'was onigokl ta teh rgown hgti.n romF ahtw 'vIe esne, BMG nersstep htiw a e,ltrianlau h,omiecrhgra onccerti amss tath olwud ckist uro eikl a rseo tuh.mb +


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 +3  upvote downvote
submitted by โˆ—hgandler(4)
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ageoMinsnim omts enoft occru rnea the srsfuace fo hte ,nrbia leplcsiyea eht taarlagpgsia r.negsoi yTeh era fneto cmtoitpmaa,ys dan syrgsol ti paaersp as a nodru amss adathetc to rdua. It liwl ssmcproe eth xterco gelpxninia( het ,)decseaahh but ti llwi ont dieavn. Tyhe are aslo the otsm moomcn iyrrapm einnbg NSC mro.ut omWne era remo mylonmoc afe,tecdf hhciw is pruotesdp by teh v.gtnieet

Orhet serns:aw

A: tAyrocmatoss aer ululyas donfu ni teh ipseootrr ,aofss dan rae the smto cmmono iryapmr SNC tmuor ni nrdechli

:B mlablaitGsoo mloufmetri is asyulul nese inwhti het cberrela epsrehh,sime nda sswoh ssgin of ionsrces and romrgehe.ah

C: Mmaenola acn atmezsisate to hte biar,n tbu isth odwlu ilkeyl orfm ni telpimlu ,sotsp nda eyht lwodu tno be euidsto of teh cpamearhny

:E Suamousq eiltapleih oulwd ailmrlyis be tasteisasm adn rheeferto salo eb ilpmeltu lnisoes insedi the erypcaahmn

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 +1  upvote downvote
submitted by smit 24(1)
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llniciaC ngveitet si inldage ot rG(cttoeaysBM ogit..in.r)on. rseu oabut teh orssg r.pc.teui...

o'nDt know waht if cshu tnqissoue rpapae on elra ๐Ÿ˜‘๐Ÿ˜‘mxa๐Ÿ˜‘e

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htballer55  I flte teh msae ay.w ubt fi you kool ta uoyatps ispc on eogog,l you ese eht igoaenmmni is klei a llab coimgn tuo fo eht gem.nsein amo rpec htta ot tmolibglaosa cwihh si wiihtn the rbina in ebrelarc . eeihssershomp st'i ylmnia one utomr is icmgon otu of eht brina and eth orthe is eisdin het reeralcb 'ma.retseih stheshp het tesb i nca eocm up wthi. btu st'i snnfugoci +5


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 +1  upvote downvote
submitted by โˆ—misterdoctor69(70)
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In aces yeonna saw o,ndignrew ioimmnasneg ear orem ommcon in owmne er(shpap deu to an eogsitnecr ef,cfet tbu isht is itsll thoyl ate.dd)be

As,ol Gs'BM wolud show up sa ubelhres-dypatft dna ahrl.amyreacntnpi yeTh evha a 0%6 irhgeh cdiiennce ni alsme tnha sfmee.la oHtrialsic diesa - eTd yneKdne dedi ormf a MGB

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 -18  upvote downvote
submitted by thomas(3)
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resAwn is rcte.yoAts atnteiP sah lomoagtbasil irefultm.om lhuhAtog mnsoegnmiia amy ucroc at xoteinicsve, smemoinagni rae nbegni nda eotfn tpmsomyact.ai yehT may eacsu h/a z,sersieu but ldowu eb eklulyin ot usace dateh n/wi m6 of tnose fo ./ah heT isze of umrto dna scruoe of lisesln is osnttenisc wiht the ueorcs fo GMB

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masonkingcobra  veboA is yobvloisu ertnocirc sbcaeeu eht asnwer is iaegnnleM llo. H ree is a ikln ot a odog iptrc:eu t-gaicpe y:/futerehr oeal7./l/nua7mhh hlprepoMapwccglteob.t/torhsnsto +28
kernicterusthefrog  bvsyuliOo tosmha si srgnieidgea itwh teh nnroespeitat of teh sqiuntoe, adn I ragdee tihw !mih Tihs leulsyobta ssdonu elik BG,M htwi aiprd estno neldagi ot adthe, adn hte ypo.tsmms heT qenouits stem sleda you to ,GBM dna teh ssrgo imaeg ot ignoineamm I( g.sesu) +2
kernicterusthefrog  Fhtrrre,umeo hweer are the eisgnenm no the gssro eimag ofmr whhci hsti mo(a)niigmne w?e!rg It ldsohu ta stael ohsw teh ustesi romf ecwenh it me!ac +1
nala_ula  daH het asem r,epblom tog ouedcnfs secni ti arpdaepe tath hte orgwth asw mtinngala (: +
sugaplum  AF 9210 gp 14,5 olsa eegra itwh .vnreeyoe eirdw ro.ntseentipa oilGs are inatalngm athed itwhin 1 er,ay aemmgonnii ear teonf cytsmomaitap ro evah lacfo gns.is sjut a rgsos lpyoatgoh enoqistu ta hsti poitn +
garima  ฤฑ iknht esh iedd cb of ussreepr or ehsgotmni ,gusy sti uboiovlys odnur hapesd gnnbei li,oesn sit slao traxe xilaa nto elki B.GM esh had siht aeymb eayrs oebfer dhtea +2
skonys  I thnki eth itnpo is atht GBM aucsse a irdpa ilcnede and tahde at evaeilytlr lmsla elison zsie ubaseec 'tsi tiinwh the emynhrp.aac Mnseoiimnag are ibnnge nda anc ogrw eaisnlny lraeg reebof tehy uscea tmpsysom. +

  • Astrocytes proliferate to form glial tumors in adults, for example, glioblastoma. These highly malignant tumors appear as intra-axial masses in the cerebral hemispheres, which typically demonstrate areas of necrosis and can spread to the opposite hemisphere across the corpus callosum.

  • Meningiomas are the most common primary brain tumors in adults. Malignant meningiomas may grow rapidly and cause symptoms of increased intracranial pressure such as headache. Meningiomas appear as well-circumscribed, extraaxial masses that compress the adjacent brain parenchyma.***Parasaggital regions.


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