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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' ont a anf fo gosrs ptha smeagi adn iqsntusoe thta asy ,kol"o hawt si hsti "g?nith - atht aids gomnmiineas ear the otsm conmom airbn otmur nad ihts ucieptr si si a godo laeepmx fo .eno I dah on deai hwat seeth singth olkoed leik and otg it r,gown to.o Tkea a look at stih noe

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johnthurtjr  es[eH'r meor nn(twe.:cgonnsui)oil.tmahl/w/oihnmorrttmen]climgoaeoowoutepfct./stlphay/ipgm +2
meningitis  I gto it rogwn csbeaue I 'iddnt ese yna arptepan Dura ertma onr ehotr ngmenies h(eT visen atrne' iebgn roceedv by ayn ih"syn ry,a"le) os I hothtug the ormut asw gocnim frmo sedini eth biran nad ont cgmsisorenp ti leki mmnogieanis ullyaus .od +3
meningitis  tBu ti idd oflwol the oocnmm sectap hrewe yteh era noufd ni bweetne insiviods fo nbria nad are lrrcacui ohwrstg ilek a blla. +9
nala_ula  Sicne ti wsa alsbylica dlimepi that eht nttaeip ddie and e"rhe olok ta wath iths i"s I otuthgh it asw a annmigatl tromu b(tli.s.lgoa)a.om tub I susge sti' lla atobu lcatnpeem. +15
thelupuswolf  MBG dwulo be ni eht yacrenh.pem eeDvni csdpoat adsi if etyh hswo ouy a gossr uiecrpt fo eht omttbo of eth inrba htne si't a aegamhotonabsmli cb is't smto tefon reel.arcbel utB hsit oen snaw't eerarlbcel os I newt adeha htiw aninigeomm AF( ysas rxaetlne to brani nmarahypec as )ellw +2
vivijujubebe  BMG udolw vhae osnrcesi and niglbdee ahweser eth plaeladbsh- trumo ni teh ceuiprt ksool mtsoho adn yvre ebenige..vn.n oth I evha no aeid woh moeseon nac eid so lnydsdue morf ianemongmi +1
seba0039  inMor tro,ncciore but I do ont tinhk that miniMsageon are the mots oonmmc bnira mt;rou hety rae hte osmt monmco bngnie abinr mrotu fo ldutas )P(m,ahtoa ubt m'I ont seru if hyteer' het most mnoomc e.rollav +
an1  hisT mgaie egva us all the eltatlsle rfo nniae:mgimo na erdlyel amo,nw nmlidie a,ssm o.nrdu I ihktn eortahn ngthi htta amde em pot orf mioginneam saw atht I had ot loko ofr hte assm nad kmae ruse I san'tw golkoni at eht gronw hgn.ti romF hwta ve'I esen, MBG srnepste tihw a u,eitnralal ,chrihmrgeoa trceicon mssa hatt wloud tksic uor klie a reos .tbhmu +


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 +3  upvote downvote
submitted by โˆ—hgandler(4)
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eoimagsinMn msto nofet rcuoc rean hte efusrsac fo het n,abri claspilyee het atsaarglagip nig.eosr eThy rae oftne ,asyiapmmtcot and oslgrys ti pspeaar sa a dnruo smas hedattca ot .adru tI wlil prmsecos eth xecort gnexpinli(a the ae)chheds,a ubt ti iwll otn .dainev ehyT rae saol eht stmo nmoocm yipmrar innebg CNS rut.om nWoem era moer ommoncyl acetf,efd wcihh si drsppueot yb het etnget.iv

rOthe se:rwasn

:A yAaosscmtort era alyulus ndufo in eth prooierts ,assfo dna rea eth omts commno iyrrmap CSN rumto in lhncired

B: labalstGomio imloumertf is slluyau eesn inwith het reblarce sehsmehpi,er adn whoss sgisn of snrocsei and he.marhoreg

C: lamoaenM can tzeeatmassi ot the inr,ab tbu ihts oludw lileyk ofrm ni utilplem oss,tp nad htye doulw not eb suetdoi fo teh raapcmhyne

:E qaumosSu ieetplhial oldwu lamsliyir be itsatamses nda rftehreoe lsoa eb utelmpli sneliso denisi the rancpaeymh

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 +1  upvote downvote
submitted by smit 24(1)
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liaCcinl nvettegi si negdila ot tya(MtsceoGBr r.i.otg.nn.o)i ures oabut eth rgsos t.rc.pu.ie..

ntoD' wkno ahtw if ushc osstuieqn perapa no earl m๐Ÿ˜‘๐Ÿ˜‘๐Ÿ˜‘xae

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htballer55  I ftel teh smae yaw. tbu fi uoy olko ta tpasuoy ipsc on oolegg, uoy see the ioimgeannm si ilke a llab cgionm tuo fo eth em.nsgein pamcer o thta to blosalgtmaio whhic si winiht hte biran in ebcrarel sse m.shrhoeepi st'i anmlyi neo mtruo is omcnig out fo the aibrn nda het trohe si iesndi het ecbaerlr ie e'.tahhmtsserhps the setb i nac meco up .ithw utb st'i fsouingnc +5


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 +1  upvote downvote
submitted by โˆ—misterdoctor69(70)
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In seac oynean asw wr,dignoen nmmingoisea ear oemr nmocmo in mewno eps(hpar ude to na gertconesi fec,fte but iths is tlisl tolhy da)be.tde

,sAlo 'MsBG woudl whso up sa hef-lrteypdatubs nad ilrahnerynpata.mc yThe ehva a 6%0 gheihr nceieidcn in lemas hant s.mlfeae oiltcarHsi aidse - deT deeKynn dedi omfr a MBG

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 -18  upvote downvote
submitted by thomas(3)
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rnAsew si coeysA.ttr ainetPt sah msaoioatglbl imluoret.mf ogAlhthu giasmonmnie mya ucroc ta ieiv,tnxesoc anesngimmoi ear ngeinb dna efotn sattmmyoapic. ehyT aym saecu ha/ zseuiser, utb wldou be kylleniu ot uecsa dtaeh i/nw 6m of nsoet fo a./h eTh zies of mtour dan ocersu of lnlesis is ontsntices htiw the roscue fo MBG

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masonkingcobra  eovbA is ubyoolvsi rcnreicto eeasbuc teh seranw is neniegalM .oll ee r H si a lkin ot a dgoo trpcei:u hhphh/7.eaooncopeo l.lcrpb//lat-7egtrtts:nsuigraep/cly ate huwmMortef +28
kernicterusthefrog  uoblysviO mtasoh si idinaeggesr hitw teh tnpraseotnei of eth quoen,ist dan I eeagdr tiwh !ihm ihTs lbyltaoues dsusno iekl MBG, with pdira tnoes andglei to ead,th dan hte omps.tmys ehT nieuotqs mest leads uyo to ,MGB nad hte sgsor eiamg to nmimaoigne (I ).essgu +2
kernicterusthefrog  oerhtruF,rme rheew rae hte nisegemn no the gross miage rmof ihwhc tshi anmgieoin(m) ?rweg! It lohuds at saelt owhs the ssutie mrfo ewhnec it !aecm +1
nala_ula  aHd the sema rb,elmpo otg cdnousfe sneci it paepdare atth eht thgrow asw anmagnlti :( +
sugaplum  AF 9210 pg ,154 osla argee tiwh rove.enye dwire s.eiatrpetonn liosG rea tmgnaanil ehtad iwnith 1 eya,r meainmnoig rea tfone yamsiptctoma ro evha acflo sgisn. sutj a ogsrs oaohltygp suonqiet ta tshi tpnio +
garima  ฤฑ khnit she eidd cb fo ruepsres ro gohentsim ygu,s tsi bysvilouo rdoun apeshd nbneig l,eonis ist olsa taerx xlaai ton keil .BMG seh dha isth yeamb reysa erbfoe dhtea +2
skonys  I intkh het ipnto is atth GBM sacsue a pdria eildenc and heatd ta arvleeytil slmla inoles zsei scueaeb s'ti intwhi het phe.rmcaany aienngsmMio aer nnigbe dna anc gorw yinaesnl elrag efroeb hyet usace sys.motpm +

  • 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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