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Retired NBME 22 Answers

nbme22/Block 4/Question#27 (reveal difficulty score)
A 78-year-old man comes to the physician ...
Metastatic carcinoma 🔍 / 📺 / 🌳 / 📖
tags:

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 +8  upvote downvote
submitted by ∗notadoctor(175)
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Matiatctse esdasei si emro mcoomn naht ypaimrr beon urosmt.

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lba9587  ihgMt eb ueplfhl ot csonredi g.e fo a lngu tmor.u oen ?oiensl oru’ye ilganne gunl .ripyarm illeuptM sonseil ni ?guln ET.SM Q tsme eerh udnlice,d mou“nesru liytc oesslni nglao eht tereralvb ”.colmnu Tsu,h .ETSM +
jurrutia  ,lAso npia htat si wreos ta hgnist dna srpsiest ealersdsgr fo atytv.iic s'etgP a is itpyyclla atmoaicympts uh(olgath npai si eth msot mcnomo sommyp)t nad dwulo have teroh infdigns ir(em,tidfsoe VA hstn,us ct).e +
jurrutia  osA,l nipa taht is rosew at itnhsg nad ressipts rrldeesgas of ttaiviyc. as'etPg si ciylyptla ammisaottypc a(gthhluo pnia si teh stmo mmcnoo pmsm)toy dna lowud eahv ehotr nsfigndi emi(r,esdtifo AV nssuht, )t.ce +
umpalumpa  acrieensd LPA is wred,i gnocriiensd thta hte lneois si i.lcty. +1
l0ud_minority  plmuuapam@ I eaegr liyct slosine t'ond meak senes tihw an laetvede .LAP eiLk an dioti I thuhtog otsdalei PLA dna hcseo gaetP siseaDe +


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 +5  upvote downvote
submitted by ∗j000(17)
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timepull myoealm is het otsm mmcono IRPYMAR licgayamnn of ebon matah)(,op os ti's otn M.M

i'ts not etgap lc(ak treoh S,x uwdol osal ehav slcieroct s)soeinl

somlty ylkeli aenrl ro lnug ccrean amttes ot het onbe

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 +4  upvote downvote
submitted by ∗oznefu(22)
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I’m anghvi troblue gnriteudnadsn hyw stih is a trebte ohccie ahtn aetgP eid,esas elecspilay tiwh hte encisreda ?LPA

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zelderonmorningstar  taPsg’e odluw lsao ohsw msoe soc.esirls +5
seagull  KAL si isdnecear in eonb rwnbakeod oo.t trtPosae levso psganrdie ot het abrulm pneS.i Ist' leik cka-eccncirao rfo c.enacr +32
aesalmon  I ntihk the "oeWsr at ti"hng ndsle fiselt emro awdostr e,tms nda teh pt dhisarmegpco enal dwroats sreatpto r,cncae ihhwc oevsl ot go to teh amurlb einps aiv eht osnatB euspx.l I pikdec agteP tbu i tihkn yeth woudl evah vnieg eogmtinsh mreo tglnlei fi yeth dneawt gpaets, ogiysltoh or nrtaeoh cleu +2
fcambridge  eg@slaul dan sma,laneo I tkhni eruy'o a ibt ffo r.ehe stroPeat tesm wduol eb sosttaiceob,l nto oteistyolc as si iedserbcd in the .engitvet +17
sup  eahY I sehco 'Pegsta oot zbc I uefrdig if it awnst' ttoreaps ecrcan i(hwhc sa cdemb@fragi sdia oldwu reestnp w/ eilcbotsatos esni)sol thye wodul vegi us tohrean stiernnepg sx fo eth mtctsteaia craecn n(,ulg ln,aer )sink ttha thmgi inpto us in ttah cidore.nti I tgo sdatredcit by eht diaesnecr APL oto dna ellf rof geatP (: +1
kernicterusthefrog  dmbraf@iecg, nto xatc.lye esY, rsattpeo tmes ensdt to eb laseoctoib,ts tub baotu 0%3 rea fdnou to eb citly, per hits :ytsud 2l6oe7in.Pvcn.tm5hs/w//2wsi:pbrtl.gcMpm.i//4aw/ct8hCn d,ytoainldiAl eht nhtgi eobn saipn oitpn to setm, and egt'sPa si chum eorm nlcmmyoo duonf ni eth araincl onsbe and euipacrlpadn ,tekeonsl hnat il.aax Tihs olcdu aosl be RCC em!st +
sweetmed  I nmlyia erudl tou tgspae eucseab ethy dsia eht lpsyaihc eonmtinxiaa saw olanm.r eH ldwuo def aevh reoth tmsmsy.op +4
cathartic_medstu  omFr awth I brermeme romf PatetasssiaomtMah: ot enob si ulyulsa solceyotti hwit ocxeipent ot posra,tte hihcw si o.se,Trfb lsiehterotaceo smte asys ESNURMOU cliyt seosinl dan dounss erom ilek .tsitasmesa +5
medguru2295  If hist is Mcsettaati crn,aec ti is kyelil M.M MM spadsre to het isnlpa docr and suseca yLitc e lstsIon.i si TNO pstearto sa daetts eb.aov Wehli onmorneaAcacid dseo dpesar ot the rPs,atteo it rpducoes loyn ASICTLB .nsoseli +

but prostate cancer is not lytic as blastic lesions

+5/- titanesxvi(106)

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 +1  upvote downvote
submitted by amphotericin(11)
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I rleud uto ga'tPse ceuaseb etgasP' si lsualyu lcolidzae, rep ,FA tahoaPm, Ba;Bpm&. loAhutgh ihst apnitte einiyftdel stif het grmpicdeaoh repi,tuc srttoepa acecrn is yilnfeietd not het oynl erncca ttha nca amezttseais ot teh en.osb ceBesau heets rea yctil nsielo,s it's ryaobpbl meos reoht cacren t'tahs aedspr ot the seonb

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medguru2295  Pysiosbl lliMeptu Moml.eya thTa si icslasc rof na lored soenpr tiwh kacb ipna dna ticyl inosles ni hte c.bka +
asharm10  etictolosy- ltemliup ,omaemyl -stlOiceasobt toePs;atr ntdo knthi dbonye tshi rfo sthi am,ex i aehv nevre nees a etnoiqsu ni NBEM ro wdluro tyhe ritde ot floo su ffo on this opncect so .arf +2
euchromatin69  u rowdl 134 ames nptceco +
skuutnasty  'Id keli to iaeettrre wats'h datest be.v..ao xd TON MM in hist qotenusi suebeac MM si RPRYAMI not MSTIAETATC @ enob ar(news sea:dr caitttmeas arit&;mcn3lo) ac +


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 +1  upvote downvote
submitted by ∗imgdoc(183)
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rCaodooarhnsmc osuccr in the hip ro laaix onlet.kse 'Id eigmina ttah it is lelayiscpifc aeodtcl in eon neirog aetrhr ntha lpumliet lseonis ruhgtohout the e.rbvtaer tashT hyw I lurde sith uto.

I euldr tuo oaoormstaesc adn wenig ocrsmaa badse on aeg eonl.a eTshe otsurm era enes ni -1525 yare ,sodl dan hte lalciicn nfonsitmsiaeta n'odt athmc .up

Pase'tg ieaesds ahs an teeeadlv laAkeinl ahteppsahos lleev, btu rhtee dolwu iflynedtie eb a olsctirec ashep fo oenb idpieoto,ns trhare htna ietlplum tcyolestoi sneiol.s ieBsesd, on a iilcancl teevting htye odluw katl touab nlaerngig haed izes, NC 8 e,inmgpeinmt urac,estfr .tce nveE if oyu did go siht ,uetor pgsat'e ssdaiee seacus ,acotoessroam ont mtepllui ctily sn.iselo

shiT ftel em itwh tatetsamic a.crnmaoci

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imgdoc  I ltsnohey hgothut sthi asw pmitulel eolmamy erobfe I wten the mitatetcsa maaorccni uorte oll +


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 +0  upvote downvote
submitted by ∗paperbackwriter(161)
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I aosl hesoc ePgta :/ tub erezladi hist whchi I ddit'n eobfe:r

ehT aegtss era nto omnifur aorscs ifrneefdt ,obsne so uyo uoldc ehav osme sneob ahtt rae in eth socitolbetas e,tags lwihe shotre ear ni eth cilyt aesgt .cte

/up0ahmbocnsea/tg/i8e/.jspo.e02gcett%o00psoo2cta%4gllbn'mrsi

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paperbackwriter  opso: bna2od/.e0psli80cj4osust:lpmosgsttpapeho2%c/hbt0/r/a/ul.t.otm0iaeg%gocep'/n +


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