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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 🔍 / 📺 / 🌳 / 📖
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 +8  upvote downvote
submitted by notadoctor(175)
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caaMtestit daessei si rmoe cmoomn tanh rimaryp oebn u.trmos

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lba9587  ithgM eb lehpluf ot osdincer eg. of a ulng mru.to noe iesoln? roye’u aenigln guln arirypm. uMepltli eslison in nlug? ST.ME Q estm heer ci,ndledu “oseunrmu tlyci ileonss algno the tbrareevl ”u.mnocl s,uTh METS. +
jurrutia  ,Alos nipa thta is swoer ta tginhs adn teisrpss eesrsldgar of ia.yvttci teaPg's is tlylcpiya pamyoascttim oagh(ulht pian is het mots mcmono tmyp)som nad owudl avhe erhto ifidngns mseiedtri(f,o VA ,htussn )te.c +
jurrutia  l,Aos napi ttah is sroew at nhgist nda serpstsi draeersslg fo ttyavci.i tgaPs e' is ilycaplty asmaytmtocpi gholahtu( npai si het smto ocommn ts)mymop dna udowl hvea heort idfinsgn mteio,(dsrefi VA n,sutsh .tce) +
umpalumpa  cieanrsed ALP si edi,wr drgeiconisn that the onlesi si cilyt.. +1
l0ud_minority  pumapamlu@ I rgeae lytic elinsso tn'do keam seens hwti an daeleetv .LPA Leki na itido I hhguott toisldea APL dan eohsc agetP eDseais +


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 +5  upvote downvote
submitted by j000(17)
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mtlepiul ymmeola is hte stom conmom RIMPRYA ymagannicl fo bone (mh)tapao, so 'sti ont MM.

ist' nto tapeg lak(c terho ,xS uodwl lsoa avhe olrictecs os)eisnl

symlot lyelik rnlea or ungl canrec asemtt ot eht boen

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 +4  upvote downvote
submitted by oznefu(22)
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’Im vngaih reutlob trgiasnednudn yhw hsit is a ttbeer eoihcc tanh Pgtea ,aseiesd llecepisya twih teh eancrdsei ?APL

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zelderonmorningstar  gaPste’ oldwu aols ohws oesm .ilsoercss +5
seagull  LAK is aeedsrcin in neob wdkoenbar .too tsPortae vesol sngdpirae ot eth ulbarm e.ipnS ts'I kiel -koacaneccrci fro nc.race +32
aesalmon  I khnti het Worse" at hingt" lndes sitfel rmeo rsadwot t,mse dan het pt irmcpaghedos aeln drsowta asreptot cenrc,a iwhch lsove ot og ot eth maulbr iepsn iva het tnaBso usxp.le I idkpce Pagte utb i knith hety lwdou avhe nvieg iensthmog orem tgnliel fi tehy aetndw ,taepsg ooitshygl or tonaher lceu +2
fcambridge  eulag@sl nad nmloseaa, I nkhti yr'oue a tbi ffo e.ehr earottPs stem doluw be tlcbastsi,eoo not oisoteclyt sa is sedibrced in het ietgenv.t +17
sup  ehaY I oches seaP'tg oot zbc I dfurieg if ti 'aswnt apesttor cecran hc(hwi as @bfemrgaicd asid uwdlo tnspree /w stailtobceos ssi)nelo htye uoldw vgie su nrtoeha gnteeniprs sx of eht smitatacte enccra lug,(n n,rlea ik)sn ttah tmghi piotn su ni htta ie.orctind I tog sreditdatc yb het rseaceidn PLA too adn ellf ofr atePg (: +1
kernicterusthefrog  @a,gfcdmirbe ton elt.ycxa s,eY eaorttsp estm nedst to be biltos,atcose tbu batou 0%3 rea ufdno to be ycl,it erp hist stuyd: wo57b2sl:rpminnw.h/6/tln.M2/Pcec4/vi/tg.csph8C./awitm ilAynta,ldido hte ntghi oenb nspia tonip to tmse, adn tsP'age si umch remo yolmomcn fduon in eth naairlc ensbo adn nacrpilpeadu tslnoe,ek ahtn a.alix hsiT uclod osla eb CCR est!m +
sweetmed  I yinmla dlreu tuo easpgt eucbase yeth dias hte ilcahysp mnaonxietia wsa oranml. He oldwu edf eavh hetor .psmotmys +4
cathartic_medstu  rmFo ahwt I eebremmr fmor taesat mstP:aoaMish ot enob is uauslly eyltocotis iwth tnxeiepco ot erpats,to cihwh is i ,Teehrtfsoatcrseobl.oe estm sysa UOUNMESR ytcil enislos adn dosnus mero keli sssa.ietamt +5
medguru2295  fI sith is tastiatMec ccaren, it si ielykl .MM MM esrdasp to hte sanlip dorc dan uacses icLyt os.nes ltiI si NTO arsepott sa aettsd evab.o Wlihe rnedocconAmiaa edso praeds ot hte sat,rotPe ti ouerspcd ylno BLCIAST o.nslsie +

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 eludr out astPg'e abueesc Pt'esga is ulyslau le,oczidal erp AF, omtaPah, m.Bp;&Ba gothAulh tshi iatpnet dyeiietlfn fits hte aphegmicdro e,rptuic eropatst acecrn is fitelnieyd otn hte lyno narcce that acn imzsseatate ot the obs.ne ucaeBes tsehe era tycil loneis,s 'ist lpybbaro some rteoh ncacer atts'h dpaesr ot teh nbeso

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medguru2295  Piyssbol eMultlpi oyMlema. aTth is icsslca for an olerd oesprn whti acbk pani dan ytlci sesnoli in hte ka.cb +
asharm10  tolotcie-ys limltepu yalmme,o leioabst-cstO a;esrttoP dtno kthin ebynod isht for this ,xmea i eavh eenvr nese a eqtounis ni MNBE ro orwuld they drtie to olof su fof on hsti cteocpn os raf. +2
euchromatin69  u odrlw 314 esam ccotenp +
skuutnasty  dI' lkei to eerteairt 'atwhs settad e.bva.o. dx ONT MM ni isht uiqonets buescae MM is IRAYPRM ton AETITCTSMA @ beno sanwre( rdae:s semtcaatit tmala 3ic)o;c&rn +


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 +1  upvote downvote
submitted by imgdoc(183)
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mdoaoarnrsChco usccro in eht iph ro xaali ln.tekeos I'd gainemi thta ti si lclsaipyecfi dcotlae in neo rngieo rhrate naht mueillpt lnossei urohthguto hte trav.erbe Tthas hwy I rueld thsi .tuo

I durel uto ootomcersaas nda gienw ocamrsa bdsae on gae .noael sTehe omusrt ear enes ni -5152 reay do,ls dna hte aiillccn atoftisnaesmin n'tdo match .pu

'aestgP asdiese ash na deateevl anAlklie hptshasepoa llee,v utb htree owldu iflindyeet eb a tocisclre heaps of noeb d,opestinio aerhrt ntha liputmel yeloctitso so.ilnse eieB,sds no a claicnil eitvngte ehyt udlow aktl otaub eainrlgng haed z,ise CN 8 gmmenin,eipt trrcfs,eua .etc Enev fi oyu did og shti oerut, sept'ag sesiade susace oecsomars,ato ton lltepmui clity .lsienos

hsiT telf me whit eacimtastt coacinarm.

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imgdoc  I eylosnht gtothhu hsit was uliemltp melaomy oefbre I enwt hte mtscatieta cimaranoc terou lol +


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 +0  upvote downvote
submitted by paperbackwriter(161)
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I aosl hocse taePg :/ tub izrdelea itsh chihw I itddn' e:brefo

ehT eatgss aer ont riunmof oscrsa ditrfneef ,obnes os ouy cudol evah esmo nesob tath rea ni eth eotstlcoisba asg,et hielw tesorh are ni het itcly stega .tce

r'8t0ct.eshan/n%sje2m.pse/iggmup/a0%so4boeoil0t/gbo2cocatlp0

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