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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 tno a fan of sgosr atph gamise and usioeqtns thta ysa ko,o"l twha is sith thngi?" - ttah dsia aiimeonsmng aer hte tosm mcoomn anrib utorm nda siht pieucrt si is a gdoo lepmaex of n.eo I had on edai athw etesh gnhsit kolode leik nda ogt it wngo,r oot. kaTe a kloo at thsi eon

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johnthurtjr  'eer[sH mroe y.ltgi]twra/mnti)teeusch/ani(ilomomnoosiatogohctlnhf.:/rgnmtemlppec.npo/wuow +2
meningitis  I tog it nogwr baceesu I idtdn' ees yan paraepnt auDr temar rno oreth esgninem hT(e sievn tan'er igebn roecvde by yna "hiysn ,erly")a os I thgtuoh teh murto was igncmo romf iineds eht ibrna dan not eigcsnormsp it ikle inoeamignsm lyuusal .do +3
meningitis  tBu it ddi fllwoo het monmoc ptasec where yeth rae uodnf ni ewbteen dnivsisoi fo ibran dna rea licarurc tsroghw lkie a albl. +9
nala_ula  eiSnc ti wsa ycasilalb lpidmie that eht antpite idde nda eh"re look at twah ihts s"i I otuhtgh it was a antmialng umrot .lgioa).ost.blam( btu I sgsue sti' lal tuoab atpeeml.nc +15
thelupuswolf  MGB oduwl eb ni hte pmahenc.yer nDevei pasdoct disa fi yeht hsow uyo a rgsso ceuprit fo eth btomto of het anibr hten tis' a mltoaiesobagmnha bc sit' smot nefot aler.lreebc But isht neo snwa't llebreraec os I ntew ahdae itwh mniogmeain FA( says xeetlran ot ribna ncpayhrmae as l)lew +2
vivijujubebe  BGM ulwod eavh sroesicn nad denligbe aswehre teh dlselap-ahb murto ni het upirect olosk othsom and yver .ingebn.vnee. toh I aevh no aide how oeeomns acn ied os dydnselu fmro igmnaimone +1
drdoom  ^ fkliniy llwtoomiisom/swannieroclnrate/ic:upwgltt.ytn.n/me/hhgootcmupaoeht.pgm +1
seba0039  inMor rertcico,no utb I od nto khtni taht iiMenogmnas era the most cnommo iarnb tu;rom eyth rae teh smto ncmomo bgeinn ianrb toumr fo udsatl mhPa(,to)a tub 'mI ton sreu fi te'ehry the msto ocmmno aolvrl.e +
an1  hiTs iaegm egva su lal eth ttlleslae rof :eoagmnimin an eledlry ,amown ldminie ,sams dou.rn I hktin naoetrh ghnit atth maed me otp for nanioeimgm was htat I ahd to kloo rfo het sams adn meka ruse I aw'nts nkoiglo at the onrgw tigh.n romF wath 'Iev en,es BMG epsstren htwi a niae,lulatr ,ihreahmgorc nocceirt ssam that luwdo sikct uor lkei a ores hutm.b +


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 +3  upvote downvote
submitted by โˆ—hgandler(4)
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aiioengMsmn mtos fteon rcuco enar the asrsefuc fo eth b,nira selypelaci hte aggaaptlarsi egnoirs. yehT rea netfo y,aocmpmttasi and ssrgloy ti rppeasa sa a noudr msas hcdetata to daur. It wlli omsrecps hte ecxtro npilg(aiexn hte dahhseea,)c tub it will ont ai.edvn Tehy era alos teh tsom cmnmoo rmarpiy nbgien CSN um.rot omWne rae orem nlomycmo ,daetffce hwcih is ppdsoteru by the .eetntvgi

hteOr wasnsr:e

:A Acstmratyoso ear luusaly fnduo ni the siroopetr saofs, nda aer teh ostm omcnom ipyrram SNC omrut ni hincreld

:B limtlbGosaoa momfieltur si lyualus eesn nwihit hte eelrabrc eehs,ieshprm adn hswso gssni fo icserosn and mghre.ahoer

:C aaoMlmen cna tsteizmaesa ot eht nrab,i btu itsh loduw elikly rfmo in liutplem pstso, dna htey oudlw tno be usdoeit of the epahranymc

:E ouSauqsm ltpilaeehi loduw mlalyiisr eb tsiatsasem nda erftreeho osal eb ueltilpm lsinoes diesni het aryneapmch

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 +1  upvote downvote
submitted by smit 24(1)
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lnliciaC tnetievg is idglean ot rByt(MosaGcet ono...i.t)grin seur taobu eth grsso .c..pitu..er

'tDon wkon wtah fi shcu snitouseq appear no earl xm๐Ÿ˜‘a๐Ÿ˜‘e๐Ÿ˜‘

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htballer55  I fetl eht asem ayw. btu if you okol ta yspatou spci on g,ogeol you see the iimmnogaen is klie a llab igncmo uot fo teh gneim.esn aer cmpo atth ot lgabasmloiot hwcih is wtiinh hte inabr in baelrerc omphe sereshi.s ti's alnymi eno ortmu is gconim otu of hte iabnr nda het eorth si disien teh cablrree sheemts st.'iprehah eth etbs i nac emoc up i.twh utb s'it incsgnouf +5


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 +1  upvote downvote
submitted by โˆ—misterdoctor69(70)
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nI asec eyanno swa i,genondwr maeingionsm aer emro nmmoco in omenw arps(phe edu to na rienstoceg ,ftfeec tbu sith is ilstl yholt daed.b)te

olsA, 'sGMB odlwu sowh pu as ulty-sthrdbeafep and atnmaraichel.nypr Thye ahev a %06 ehhgir neecdiinc in semal tahn famslee. iltoisraHc esiad - Ted ndyKene eidd rmfo a MBG

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 -18  upvote downvote
submitted by thomas(3)
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Awnesr si seyc.ortAt titanPe ash gisaobmllato ulrtmiof.em hhlgtuAo innegmisoam yma coruc at tonesixive,c mniomagisen rae bninge nad fonet tt.opmiacysma eThy may uaecs h/a ,szserieu tub dolwu be iyeklnlu ot aesuc daeht nwi/ m6 of setno of a/.h hTe sezi fo omrut dan crusoe fo nsislle si tstencinso htwi hte orcesu of GBM

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masonkingcobra  obAve is yuosvloib crecrtoni aeecsbu the rnwesa si ilangMnee llo. eHe r si a kinl ot a dgoo i:euprtc ilr7srgeplnyos7te/uaelc.no/rphc.pe ap/ahth/Mmgttbtc ehw:-oeuoolhftr a +28
kernicterusthefrog  syOlvbuoi ohstam si nedargeiigs hiwt teh neiotentsapr of het seint,quo dan I areegd ihtw hi!m hiTs asoetublyl nsdosu lkei BM,G ithw ipdar onset lgianed ot dhat,e nda eht optmsy.ms ehT toeusniq stme dsale yuo ot ,BMG and eht rssog agmei ot aimengimno (I ug)ss.e +2
kernicterusthefrog  uor,etmrrheF rehwe aer eht mnneiges no teh gsors mieag mofr whhic isth neg(omniima) r?!wge tI luhdso at lates swho eth tusise ofrm cneweh ti !cema +1
nala_ula  dHa teh emas leomrbp, got odfnsceu icsne ti epdpraea htta het togwhr swa anilmngat :( +
sugaplum  FA 9102 gp 45,1 soal areeg hwti n.vyeeore iwedr nn.aeproittes lGios rea nmtlanagi hedat nwihti 1 ra,ye mimangeoni era ftnoe isomaycmttap or evah aoflc ssn.ig tsju a ssrog ypgtooahl seiqtuon ta hist topin +
garima  ฤฑ nkith hse iedd bc fo ereupsrs ro eignmhost ,ygus sti byuvoiols oudnr hsapde nebgni ,iesoln sti sola xtera aaixl ont keil .MGB seh ahd siht emyba ysare roeefb edath +2
drdoom  nlikfiy gehcgaesMaepi.lueu:/ctaro/-rsothtpopeatl7/ptrltey7on.wbhhofh/rmlcn +
skonys  I ithkn eth npito is ttah MBG acssue a dapri elndcie dna hdaet at tyeilvrale samll nlesoi ezis aebcesu 'tis htiinw the harc.enmyap iigonasnMme are nengbi nad acn wgor lanynise rgael berfeo teyh aucse oms.mtpsy +
drdoom  e.:reaiog/prlyrptwstat/.noptheutbgsuealophn-chfct7lro/7ceom/Mhahle +

  • 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.

+/- namesthegame22(13)

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