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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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astaeittcM daeisse is emor coonmm nhat yramirp neob umr.tso

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lba9587  Mtgih eb fullehp to ionrsedc e.g of a unlg urmot. eon ?oniesl ore’uy lenaign ulng yr.impra lletipMu ilnosse ni ug?nl .SMET Q tsem rhee iudlc,end ur“mensuo ytlic nloessi onlga the rabrevtle ”coumn.l Th,su EM.ST +
jurrutia  ,Also aipn thta is orwes ta tgnsih dan tssrspie grssdelare fo tiy.icvta t 'geasP is yiptcylal cayamtiptosm u(glhaoht naip is eth smto mocmon )mtsopmy nad ulodw veah eothr siifdnng osifrteeim,(d AV utns,hs .t)ec +
jurrutia  lsA,o npia htta is wsore at hsngti nad stsipesr aerssgrlde fo tytiavc.i tg s'eaP is ltyyplcia miptymosaatc t(uoahhgl pnia is eht mots omnmco )otsmmyp dan ludwo aehv ehtro gisnifnd dmeefost,iri( VA stns,hu c.t)e +
umpalumpa  esenrcdai PAL si direw, criesnigond thta eht inseol si tyc.l.i +1
l0ud_minority  l@upmmaupa I earge ilytc eilsosn od'nt kame essne wthi na ldetevae PLA. ieLk na iotid I tgouhht isadotle PAL adn hoces atgeP iaeDess +


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 +5  upvote downvote
submitted by ∗j000(17)
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mllupeit elymoma si the mtos moncom YAMIRPR nygacnialm of oneb ta),a(pomh os its' ton .MM

'tis otn gpate aclk( trohe S,x ulwod saol eahv eccsioltr )elonssi

msytlo iyklle lrean or lgun earcnc tmtsae to het beon

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 +4  upvote downvote
submitted by ∗oznefu(22)
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m’I gahinv uoetlbr narnndigudste yhw this si a terebt eoihcc ntah gteaP eaedssi, iealsplyce tihw teh easnridec PAL?

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zelderonmorningstar  Paes’gt dwulo asol oswh mose sisrcol.se +5
seagull  KLA si sanridece ni bnoe bendowark ot.o sePtotar evsol prsgeaind ot eht umrbla n.Spei It's keil acceko-cairnc rfo cenr.ca +32
aesalmon  I khitn the "esroW ta ginth" nleds esiflt oemr stoawrd t,esm and het pt hmogrdcaiesp alen trwdsao ptoserta carnec, hhcwi ovels to og to hte lruabm npsie avi eth asBont xeslu.p I kiedcp tPaeg but i nitkh ythe lwduo vahe gvein snmhgoiet orme lintlge fi hety wdetan ,gtaspe thgiolsyo or htneoar luce +2
fcambridge  leag@lus dan leom,saan I tinkh eu'oyr a tbi fof ere.h rstoePat tmes duwol be bslaootcs,iet tno lcottoesiy as si sribeddce in eht i.tnetvge +17
sup  Yeah I cshoe gs'tPea oot cbz I fgdueri fi it atw'sn aptrseot canecr c(hiwh as gf@dmirabec said uolwd ersnpet /w caotstobiels enssoil) yhte olwdu igev us atrenoh pnigestrne xs fo eth ctsiaetamt nrecca n(ugl, e,rnla snik) thta tmigh inopt su ni ahtt ice.oirdtn I got deasrctdit by the nsedicera LAP oto nda lefl rof agteP :( +1
kernicterusthefrog  gbared,@ifcm tno lcetxay. esY, etospatr esmt ntsed to eb o,csbatoeilts tub bouat 3%0 era odfun to eb ci,lty per htis dt:yus wCwto.:bw/i/ll.ip8icnm6m/sc.2Pp5ne.n/gvMt4hr27/tsc/ah iylnit,dalAod eht hgnti bneo snpia niopt ot mest, adn Psteg'a is hmuc eomr conmoylm uofdn ni het raclnai sbnoe dan pncaurpadlie eenlko,ts atnh ixlaa. Tshi uldco aslo eb CRC me!st +
sweetmed  I inmayl udrle uot aegtps bcsuaee ythe isad eht slhipcya itonnmeaaxi aws rlo.anm eH lwoud dfe aveh rhote .msytsmpo +4
cathartic_medstu  oFrm hawt I beermmre rmfo Mtim: soassaeahtPat to oebn si yasuull tooslicety twih txeneiopc ot ,tostaerp cwhhi si trlsfo.obeaes Tcreio,eht esmt sasy RNUOSMUE ycitl snleois nda sdunso eorm lkei i.ttsamseas +5
medguru2295  fI hsti si ittsMcatea cra,cne ti si lkleyi MM. MM speadsr to eth ainspl odcr dan suseca tciLy olteIs.s in si NOT trtpesao sa tasdet bveoa. Wilhe eoaanccdArniom sode saprde ot hte e,sttraPo ti duoesrpc noyl TBILSAC sos.einl +

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 durle out 'estgaP seabuec 'tgsePa si ayusull illedzaoc, epr FA, th,oamPa .;BB&apm oAulhtgh hsit ntetpia deifnetyli sitf hte hmoaeigcpdr cutipr,e tseparto cnarec is yneetdiilf not hte loyn acenrc that anc etamteasszi ot the .bnsoe ceuBsae steeh ear lityc l,eosnsi 'sit arlbobpy seom hotre ceracn tt'ash sarpde to the nsboe

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medguru2295  lssboiyP lutipMel ale.Moym atTh is asslicc rfo na eldor esronp ihwt kcab aipn nad ictly slenios in eht ba.ck +
asharm10  ltot-cieyso mpeulitl m,olmeay -isbastcoeltO taoerPs;t nodt hntki oyebdn tsih rof hist e,axm i eavh nveer esen a iqtounes ni BEMN ro owrldu ethy eidtr to olfo us off on tihs npcotce os fr.a +2
euchromatin69  u wdrlo 314 esam oencptc +
skuutnasty  'Id kile to itterreea sha'tw steadt .eo.bva. dx TON MM ni htsi uqentsoi beuaces MM si RMIARPY otn TTCMIAESTA @ oben eanw(sr dsre:a aitcstaetm olct aarm3)nc&i; +


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 +1  upvote downvote
submitted by ∗imgdoc(183)
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oacCrmnhaodrso roscuc in hte pih ro ixlaa stele.nko 'dI mneiiga that it si ifesaiycpcll tdcolea ni oen iogner ethrar htan letpmuil snosile hrtotuhogu eth tabr.eevr satTh wyh I eldur htsi tu.o

I uerdl otu etosmorsaoca dna ngiew saraomc sbaed no age e.onla heeTs umtrso ear eesn in 515-2 erya ,ldso adn eth aciilnlc sieaoismnnfatt 'dnot thcma .pu

esa'tgP eaedssi hsa an edleatev linkleaA tsppahseoha lee,vl but htere lowud leyitndeif be a rioetcscl esahp fo ebno spt,ieondoi rehtra hnta ellutpmi oocylstiet l.ioenss id,seeBs no a aicnllic venettgi tyhe uwdol tlka uobta ngeinlrag ahde zs,ie NC 8 me,ginntmpie reufarstc, tc.e neEv fi uoy did og hits rtou,e egatp's aeedssi uecass oasecmrtoo,sa tno tllupiem lctyi ols.isen

hisT tfle em itwh ttasaeimtc c.mrocnaai

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imgdoc  I lsehnoty touhgth thsi saw ieltumlp yemomal berfeo I enwt the ttesiaamct iaormncac eutor lol +


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 +0  upvote downvote
submitted by ∗paperbackwriter(161)
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I salo coseh taPge :/ ubt ieazdlre hits hihwc I n'dtdi f:eoebr

hTe atsseg are not ufmoinr ocrssa ftendreif e,onbs os uoy luodc have smoe sbneo tath aer ni eth iosctaelbsot seatg, ilwhe terosh aer in eht ciytl etgsa t.ec

gpas/ge00notopco0sae22ercba.i%ohit8tm'btls./o//e%m4cljug0pns

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paperbackwriter  oo:ps pc8%0comta4isa0.0jms/s.i/orpnge2tsaohhebtplo/tn%pdlua/og/.pb'egu/o:lce0s2tt +


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