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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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Im' not a anf fo ogrss tahp emgisa adn netiqssou ttha asy o"lo,k twha is tsih i"nt?hg - tath asid moinsgmaeni era het omst mncmoo naibr turom and hsit iecrutp is si a oogd pmeexla of neo. I had no idae atwh etseh sthing oekldo ekil nad otg ti ron,wg .oot Teak a oklo ta siht eno

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johnthurtjr  'rHe[es more mpcontepc./pitoe/om]gmtlflrocnoisna)uy.mttiwholentstmu:iow/gri(/lhghaeaon.nw +2
meningitis  I ogt ti ongwr eeuscab I ndti'd ees nya apapenrt uDra tmrea onr eothr nsimneeg Th(e vsien 'teran gebni ceovder by ayn syi"hn ra,l)ye" os I utohtgh teh urtmo aws cognmi fmor idnsie eth anibr and nto esisncmgpor it ekli gmenanoiism ulsulya do. +3
meningitis  uBt ti ddi ofowll teh nmmooc etpacs rewhe yteh era onfud ni nwteebe inivdsois of birna nda era cailurcr togshrw elik a lalb. +9
nala_ula  nScie it was yaabsclil iidemlp ttha eht tnitpea idde dna h"eer olko at wtha hits si" I thtguho it saw a anantilmg outmr as.ai..loltbg()mo tub I eguss t'si lal otaub ecteap.mln +15
thelupuswolf  BMG ouwld eb in eht nhepcerm.ya evneDi otpacsd sida if ythe whso ouy a rgsos utecirp of teh mtoobt fo the irabn enht tis' a thgmamenaoblasio bc it's stmo feton laeblrc.eer utB htsi oen ans'tw lbeercalre so I wten hedaa thwi inginmmoea A(F assy taxnleer ot nriba aerpcyhnma sa llwe) +2
vivijujubebe  MBG wlduo vahe oescisnr nda eniglebd ehearsw teh asehapd-llb orutm in the ertipcu soolk ohmost dna rvey nvbe.en.ei.gn oth I avhe on diea woh nesooem nca ide so nsduelyd fmro nginammoei +1
seba0039  Miorn ,rnreoccoti utb I do not hnikt tath mogieMasinn are hte somt omncmo abrin ut;orm eyht ear teh tmos mmocon nnbieg airbn omurt fo aulstd o,t)Pmah(a but 'Im tno esru fi hrt'eey eth tmso nocmom llrv.eao +
an1  siTh aigme eagv su lal hte esaeltltl rof miiaemngno: na edyerll ,onamw dmienil ma,ss .dourn I kntih taehrno ithgn hatt edma me pto fro nmigomenia asw ttah I dah ot ookl for eth smas and mkea rues I stna'w konilgo ta eth grnow ni.htg Fomr athw veI' ,seen BMG esrespnt itwh a l,aelruniat age,omrirhhc oeictnrc sams tath wodul stcik our lkei a eosr umhbt. +


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 +3  upvote downvote
submitted by โˆ—hgandler(4)
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aisMimonnge mtos fotne urcoc anre the ferscsau of teh narbi, lyiepsaecl eth gaaiagptslar s.igrone hyeT aer feotn p,saaticmoytm nad olsrsgy it aerppsa as a nudor msas etatacdh to rua.d It wlli sempsrco hte oetcrx i(pninexgla eth eehhac,)sad ubt it illw nto ven.dai heTy era saol the tmos comnom aiyrprm nbngie CSN tomr.u emonW rae omre moomclyn ,fcedeaft which si sdretoppu by eht et.ntievg

hOrte :swnersa

:A ottsAyamscor rae lulaysu dufno in teh oretprsoi fss,oa dan rae the otms cmoomn ipryram SNC troum in cdnlehri

:B obtolalmisaG ftemouriml si alusylu eesn ihtiwn the ebacerlr esiehpsemhr, adn shows ssgin fo osscinre adn omreagerhh.

C: onaaeMml nca aemtzeaists to the nia,rb ubt itsh wdulo llkyei rmof in tuipllme os,tsp nad etyh uolwd tno be uoesitd of het pranychame

E: qsaSoumu haetleliip dluow lliaiymrs be teamtaisss dna referetoh losa be leilmptu snliseo dniise teh cymerpahna

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 +1  upvote downvote
submitted by smit 24(1)
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licniaCl igvneett si dainlge to BcaGre(Mottys oo.t.)i.g.nnri eusr ubota eth orssg ..e.ipu.t.rc

notD' nwko tawh if hucs tonqusies aarppe on lera ๐Ÿ˜‘a๐Ÿ˜‘๐Ÿ˜‘mex

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htballer55  I lfet the amse awy. ubt fi ouy kool ta usyotpa spic on og,eolg uyo see teh mmieaonign is ilek a llba nogmci uto fo teh nsi.egnem ormp cea atht ot agtollsiambo ihwhc si initwh eht aibnr ni rcberela iohphsr me.sese t'is mlnyia noe orumt si nicomg otu of eth ibrna dna eht othre si idenis teh raeblcre t hraemi.p'shstshee the tebs i anc moec up twhi. ubt 'its csnigfuno +5


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 +1  upvote downvote
submitted by โˆ—misterdoctor69(70)
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In easc eyanon wsa odeig,nwrn monagiemnsi era rmeo mnmoco in eomwn ephrpa(s ude ot an iergcentso f,fecte tbu hist is itsll lytho d.tbe)ead

lsoA, sG'MB wdluo hwos up sa sle-tyadupftbehr adn aenaytp.iarrmclnh ehTy ehva a 0%6 hrehgi cnidicnee in leams htan .aeefmsl orltsaciHi eidsa - Ted denyneK eidd mfro a MGB

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 -18  upvote downvote
submitted by thomas(3)
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sAewrn si tcrAyo.set nittaeP ahs lsloaoatibgm moufmletri. gltuohhA iismgnemoan mya urcco ta iet,cosneixv gonmseiamni aer nbgine dna nfeot stypmmatoi.ac Tyeh amy cseua a/h zeis,srue tub lwduo eb ieylnklu to ucesa athed nw/i 6m fo otsen of ha./ Teh zsei fo otumr nda ocurse of sslinle si oisscenntt twih het ocrues of MGB

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masonkingcobra  bevoA si oylsvubio rcrtcione euacseb eth esranw is neangMeil l.lo Hre e si a nkli ot a good iurpte:c taro7e.ptesilhyo /th.acpnrl- loreb/eentpl c:ahptMfusr o/7hggchotuw/ame +28
kernicterusthefrog  sbilvyuoO moahts si raiggeeidsn tihw teh pttesoernian of teh uoitnse,q adn I reegad thiw hmi! Tsih saotlylbeu snosud iekl GB,M wiht irpda oenst ealignd to daeh,t nad the ospymm.st The ieotnsqu mets selda uoy to ,GMB adn eth sgros emiga ot nngemoamii I( s)u.gse +2
kernicterusthefrog  uterrhm,eroF weher ear hte imnesgen no the sosrg gamie omfr hchiw sthi go(eniimn)am gw!er? tI ldhuso at satle wsoh teh tissue omfr hcenwe it cmae! +1
nala_ula  aHd het easm obemp,lr tgo dfcesonu icens it erpedaap ttah eth ghrotw swa tnmanigla :( +
sugaplum  AF 9201 pg 154, osal graee hwit nro.vyeee wedri iertstano.enp oGils era ntlmaanig edhta twiihn 1 y,aer iiaeomngnm era tfnoe tioaysctmpam ro veah ofacl sisg.n t suj a ossrg oploygtah noeusqti at ihts intpo +
garima  ฤฑ intkh seh ddei bc fo ruepessr ro otmnsiegh ,yugs tis buoisyovl dornu pesdha ignnbe noe,ils tis osla xtrae axial tno ielk BMG. she dha thsi ybmae rsaye oefreb tedha +2
skonys  I nikht eht nipot is tath MBG ecuass a dapri nlecdie dna hdtea at lerlaytevi mlasl lnesoi eisz bucseae 'its hitiwn the .pryhaemnca ienMnasmoig aer bineng dna nca gwro yinslnae grael rbfeeo tehy seauc msso.tpym +

  • 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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