NBME 22 Metastatic carcinoma (NBME Answers)

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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:

+8 upvote downvote
submitted by ∗notadoctor(175)

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iMeatttcsa aseiesd is remo cmonom hatn mrpiyra ebno .tmsrou

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lba9587 higMt eb hfellup ot eiosdrnc .eg fo a ungl or.mtu oen nleso?i y’uroe ngelian nlug rpyri.am ueMtipll seolsin ni l?gnu ETSM. Q tmse eher lduie,ndc num“eruso cylit sosniel anogl eht evbtearlr ”uclnom. ,usTh STEM. +

jurrutia A,lso pnai that si eswor at isthgn dna prtssies egdlsreasr fo iyttciv.a tsPega' is ylpytical stiopmcatmya t(lahgohu napi is hte otms moncmo tpmym)so dan wldou eavh htreo nginfids (mestfedioir, VA nstshu, t.)ce +

jurrutia osA,l anip ttha si worse at nhisgt nda ertssspi ssrlegared fo ityc.avti saP 'gte is alcypylti aotyimampstc guht(hoal inpa is eht tsmo ocmmno sm)mptoy nad uwlod veah etohr sndfiing t(oifdersi,em AV us,hnts )ct.e +

umpalumpa nceaesrdi LAP si ,ewidr grecindsoni atth the nleios is lycit.. +1

l0ud_minority a@uammpupl I aeger yclti ssionle ndo't aekm eesns twih an eetlvaed A.LP Leki an odiit I thgthuo tasleodi ALP dan eshoc etPga sseeDia +

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+5 upvote downvote
submitted by ∗j000(17)

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mlleuitp emyloma is het somt mncoom PRIAMRY glacayinmn fo nbeo ap,)at(omh so s'it tno M.M

ist' otn tegpa alk(c htero ,xS woldu laso evah crseicotl ssln)eio

omytls kyliel elnar or unlg acenrc steatm ot the ebno

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+4 upvote downvote
submitted by ∗oznefu(22)

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mI’ haingv olutber rngdatenisund hwy thsi is a btetre iecoch nath gtePa ,seasedi escpyeiall ihwt hte raeesicdn ALP?

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zelderonmorningstar eagPst’ lduwo laso shwo meso scslseoir. +5

seagull ALK si aeedcsnir ni neob okwraenbd oo.t oretPtsa velso rsniagpde ot eth ulramb S.ienp t'Is elki cciacker-ncoa rfo ern.cac +32

aesalmon I hintk het "sreWo ta "ithng desln itsfle rmoe drsotaw ,emst dna the pt eachdogimpsr lean sraotwd oprtates necrca, hwhic vleos ot go to the rmaulb iespn vai eth sotBna el.spux I eikpdc Pateg utb i hktin thye lwduo hvea gvnie nshiotegm mero lgienlt fi ethy eanwtd astpeg, hgtyosiol ro htoeran luce +2

fcambridge lsgaul@e nad eal,onmas I tnikh y'ruoe a bti ffo e.erh eaotsrtP mets dulow be tisbosoec,atl ton sclytioteo as is ddceeisrb in hte vgeti.etn +17

sup aehY I hsoce e'tPsga oto zcb I uirefgd if it 'sawtn aerpotst cnreac chhiw( as bmdgf@ireca iasd dlowu resnpte w/ lcteobitoass sisl)one htey dlouw vgie su ateornh egtpesrinn sx of het itamttsace encarc g,un(l lrane, )nisk hatt gimth nitop us ni ahtt tinoi.rdec I ogt sdtercatdi by eth eraidencs ALP oto nad flel rof tePag :( +1

kernicterusthefrog ci@drefgba,m ont .axcelyt esY, potesatr tems edtsn ot eb sicoo,lttaseb but oaubt 3%0 aer oundf ot eb ,clity epr hsti yudst: nMeln/l//tmti/..vnC5s6t/higrah7swibcc8w./oPcmpw2p.:42 oyntlli,dAiad het nhitg beon ipasn ntoip ot e,smt adn se'gatP si uhmc oerm lconymmo dufon in the aiclnar senob dan dcrpulpnaaie ekoet,sln ntah ialax. hTis uocdl aols eb CRC s!met +

sweetmed I nmylia rudel uto stegpa aescbue hyte sdai hte saypihlc intmxeaaoni swa lnmoar. eH lduow def vhae htore sposymtm. +4

cathartic_medstu romF ahtw I bmerreme mrof ttaihMsea: asostmPa ot noeb si uayulsl seloocttyi ithw penotxcie ot e,oattpsr hihwc si Ti,etco esofrto.srehleab emts assy RUSENMUO tiylc eisnosl nad nosdus oemr eilk tea.stssiam +5

medguru2295 fI iths is attMsitcea cenrac, ti si llieky .MM MM pssader ot teh napils rodc nda uacess yiLct Io isnsel.t si OTN tsoeaptr sa dttsae .bevoa hileW oaomnneirdcacA eods asrpde to eth asPrttoe, it eospucdr oyln ISTLACB .eilsnso +

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 elrud out ts'gaeP euaebsc sPegta' is lyulasu oze,lialcd per ,FA aaPoh,mt pBB.m;a& lhoAtghu itsh itepatn ntdeiilyef stif hte adgmhcipreo tecupri, tsotprea cenarc is etlyinifde ont teh noyl ccnrea htat acn stsiameteza to eht ne.osb Beuesac eetsh aer lcyti sosle,in is't byrolbpa emso ehrto cernac tsa'th rseapd to the nebso

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medguru2295 ioyPslbs Muleilpt lo.aeMmy taTh si lcasics rof an delro oepsnr htwi kcba ipan nda iyctl ilnosse in hte kcba. +

asharm10 tycoiole-ts plelumti omla,emy Ocssietbtoa-l eoPt;atsr dnto kinht ydeonb isht ofr itsh xema, i avhe vnree esen a iqonsute ni MBNE or rudwlo thye ridet to lfoo us off no sith eptoccn os afr. +2

euchromatin69 u rwdlo 134 saem opnetcc +

skuutnasty dI' leik ot atrrieeet swath' dstate ae.bo..v dx ONT MM ni iths uietsqno csubeae MM is AMPRIRY nto ISTAMTATEC @ onbe wsaen(r resa:d tatsceatmi oicn3tca&)la;m r +

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+1 upvote downvote
submitted by ∗imgdoc(183)

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aCoroadmonsrch occrus in eth hpi ro axlia k.elnoset 'dI ieiangm hatt it is pcaeyfislcli cdaetol in oen reogin harert athn lutmiple enoslis uuthohogtr the rebv.trae aTsth yhw I rdule hsti uo.t

I derul otu oosctaasrmeo adn nigwe cosrama sdbea on eag ol.ane heTse sorumt era enes ni 125-5 eyar sdl,o nad hte nciclail assametionfnit t'ndo acthm u.p

tagPs'e eedsisa sah an ltvdeeae nikAllae eaatshphpos ellv,e tub hreet wluod tenyifedil be a iotcslerc eaphs of enbo o,ionepdtis hreatr tahn eillpmut ilcysotteo l.nsosie eeissd,B no a allcnici gievtten hyet udlwo atlk uboat ragnigenl ahde z,ise CN 8 mntepnmig,ei uefar,ctsr tce. neEv fi ouy ddi og ihts uer,to gap'ets eadeiss cseusa ,aaecotsrsoom ont pimleltu ltiyc oisn.sel

hTis tlfe em thwi estmciaatt cm.cinaoar

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imgdoc I nehsolyt uhtohgt sthi aws emlptiul mmayole befeor I wetn het asttaemict ocnacimar uroet lol +

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+0 upvote downvote
submitted by ∗paperbackwriter(161)

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I lsoa escho Pateg :/ btu lzieaerd hsti hciwh I ddtni' b:roefe

hTe gtesas are nto fmurnoi orascs fidetfnre esnob, so you loucd avhe oesm nebso that ear in the otilabssoetc t,gesa liehw tresoh are in eht cyilt tgase .ect

s0j0oec%/caab/hgot8n.mopg.s2tgo0'2omeulcp%iei4/sbts/l0enatrp

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paperbackwriter ps:oo tla2//pshuso0tpep/anjot.do/gpst'gcoc2/sepr:oege.acbmu0aimslbo%.hl0t8i/0n4%t +

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