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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 afn fo rgoss ahpt imgesa adn iqsntsuoe ahtt yas ,o"kol thwa is isht ?hntig" - ttha disa imgomnasien rea hte sotm omnmoc irbna tourm nad hist urpteic si is a good pmelxae fo .oen I dha on deia hwta these snhitg dokelo ikel and got ti rn,wog oo.t keTa a kolo ta htis neo

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johnthurtjr  e[esH'r omre /hn]enaoi.:cyutnhienui/mmoaiep(otenfwr.mr.twpwltlgm/a)ih/ospcocsognttomtlogl +2
meningitis  I otg it rwgno eebacsu I tdid'n ees yan pratnape aurD mater nor orteh imsgneen he(T nesiv ta'ner beign oervecd by nya hniy"s era,")yl os I hthgtuo het umtro wsa migcon from seinid eth irnab nad tno mesosnpircg it keli nginiesammo uluysla o.d +3
meningitis  Btu ti did owfoll eth ocmomn acsept erweh hety rae ndofu in eebnwet idsnivsoi of rbain nad aer cluarrci htwgosr ielk a .ball +9
nala_ula  inSce it was scayllaib lpimied ttha the aptneit ddei dan rhee" kool at awht hits i"s I oghhttu it swa a gaainnltm tuomr .ao.)gt.(aibsllmo but I seugs sti' lal abtuo aelnet.mcp +15
thelupuswolf  GMB dwolu be in teh e.cpnamrhey ieeDnv acsopdt sadi fi hyte hswo uyo a sorgs ectrpiu fo eht mtboto of hte nibar nhte ti's a nolmtaoiaaehbgsm bc 'sit tmso fneto relrbeea.cl tuB tshi noe n'tasw cabelrrlee os I wetn aaehd twih imemnaogin FA( ssay lntrxaee to narib eaprhmancy as lel)w +2
vivijujubebe  BGM luwdo have iresnocs nad elngebdi wehsrae het dhaleaplbs- rumot ni het urepcit losok mostoh dan ervy neegi.n.bn.ve hot I heva on idea who seoonme cna ied so dselundy fmro mioieagnmn +1
seba0039  nriMo rioocce,rtn btu I od nto htkin that nMmesaongii rae het smot oocmnm aribn ro;mtu hety era hte toms moncom ebning nairb tromu of ltsuad mPa()ha,to but I'm otn urse if reyeh't the osmt ncmoom rol.eavl +
an1  hiTs aemig geav su lal the slteatlle rfo ionagemm:in an lleydre a,wonm iendmil a,sms rnuod. I tnihk ernoath nhigt that maed em pto fro egninaimmo saw ahtt I hda to lkoo fro hte smsa and mkae rues I nst'wa knoligo ta teh wonrg ihnt.g mFor ahtw 'evI ee,sn MBG tnpeesrs iwht a nreau,atlli ahcgrmrioe,h neccroit smas that wlduo stikc uor iekl a rseo bt.muh +


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 +3  upvote downvote
submitted by โˆ—hgandler(4)
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smnnigMeaoi omst nftoe ucocr enar eth efrsucas fo hte ,bniar cyelpiasle the altagsapgari sniegor. yheT rea fnoet ptocsam,yimat nda oysgrsl ti prpeasa as a duonr smsa dtchatea to u.rad It lwil rpomssce teh rxcteo (inpielnxga the hc,eahesad) but it wlli ton aie.vdn yehT are loas hte otsm oncmmo myripra niegnb CSN .tmrou Wmeon era meor mclynomo eate,dffc whihc is upoetrspd yb eth nttgv.eie

rOeht :rnwssae

:A astyosmrcotA aer llausyu unofd ni the iopsrreot asosf, dna are eht omst mmocon armpiyr NSC ourmt in ichnedlr

B: Gamlstolobia tmilerfoum si uyaulsl seen tiihnw teh abeelcrr herse,pmehsi and hssow nisgs fo rnsocies dna aorhemegh.r

C: aoeaMmln can amesattizse to eth brani, utb htsi ldouw iekyll fmor ni llmueitp spts,o dna htey dluow nto eb uoedist fo teh marphyeanc

E: amSsuuoq lahipelite uwold lasirmlyi be maettissas and rheforeet osla eb ulielmtp ssleion iiends hte pheaymnarc

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 +1  upvote downvote
submitted by smit 24(1)
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llaciinC tevneitg is iendlag to scGyMreatBot( inino..tgo.r.) erus oatbu hte gsors .cr.t.i.pue.

'Dotn okwn tawh if shcu qitssoenu arppea on ealr aex๐Ÿ˜‘๐Ÿ˜‘๐Ÿ˜‘m

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htballer55  I lfet the eams .ywa btu fi ouy ookl ta pausyto cspi no leog,go uyo see hte naeiimgomn si keli a lbla comngi uot fo het n.sneimge caprome ahtt to ltalmiasgboo cwhih is intihw the biarn ni acleerrb pshseee.hs roim sit' myalin eno omrtu is ngicmo uot of het bainr dna hte ehrot si eiisdn teh lraceber thss ee.'eshmhpirat eht bets i can emco up ith.w utb t'is osunfngic +5


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 +1  upvote downvote
submitted by โˆ—misterdoctor69(70)
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In eacs ayenon was gndoinr,ew oeiamsnmign aer reom conomm in woenm shepp(ra edu to an ogiernsetc ,tffcee ubt iths is llsti hytol d.d)tbaee

Als,o 'BGMs douwl whso pu sa tsaetdylpbfhu-re nda inh.aatprmlecaynr ehTy have a 6%0 hergih dcinincee ni emsla tahn .efemals lsoacritHi saeid - dTe neyKnde edid rofm a BMG

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 -18  upvote downvote
submitted by thomas(3)
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srwenA is .sycAteotr tntePai hsa lisoatolabmg flmuie.mrot hAoguhlt gmniiasomen yma uccor ta osinc,vexite agnmisineom rae enngbi adn fntoe cpasmat.moyti yheT aym ceasu a/h e,eisszur but luodw eb ilnkyeul ot csuea htdae n/wi 6m fo soten of ha./ heT size of morut and eocurs fo snelisl is sostncneti iwth eth urceos fo BGM

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masonkingcobra  Aveob si iylbuosvo enrroictc ubcsaee the esarwn is eeMlgnian llo. r eHe is a knil ot a oogd pc:uiret /:Mehhelt7uf bothr/giahsohoa a.ye/pna/eclp.poroet ntglcr7meturs tl-pcw +28
kernicterusthefrog  obviysluO mshtao is eragisgdeni wiht eht iertensaonpt of eth uesqtnio, and I eegadr hitw !mhi shTi sotbeaylul uonsds elik GBM, thwi pdiar tonse galnedi to ,htaed nda teh yosmpstm. hTe oqnsetiu tsem sdael oyu to MBG, dan eth gsrso maeig to iinmgnemoa I( gsu.)es +2
kernicterusthefrog  erFutor,ermh hwere aer het enisgenm no the osgsr mgiae fomr hhciw ihts nmai(oge)min r?weg! It lushdo ta slate swoh hte ssutie ofrm cewnhe ti acm!e +1
nala_ula  adH hte ames morpebl, ogt fcoensud scien it rpedaeap ahtt the ghtrwo was anmilgtan :( +
sugaplum  AF 2901 pg ,514 asol agere thiw r.eneoyve irdwe tae.enrtnpiso lGsio rae niaangltm adthe niithw 1 e,ayr mmongiaeni aer tonfe matpciyasmot ro evha cfloa sgn.si js tu a rgsos yglaoopht osnuiqte at iths inpot +
garima  ฤฑ hknit hes eddi bc fo surepsre ro gmeoisnth ,ygsu its vslouoiby nrodu hdpsea einnbg i,onles tis salo extra xilaa otn liek GMB. seh adh iths embya rasey brfoee dateh +2
skonys  I hintk eth tinpo si taht GBM sausce a prdia idclene and tadhe ta eltryvaeil llsam nlsioe size esbuaec 'tis hnitwi hte .yaepahncrm Mamieisnnog rea bgneni dna cna wgro ninsaely lgrea bfeoer eyth asecu pmoss.mty +

  • 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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