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NBME 18 Answers

nbme18/Block 3/Question#25 (reveal difficulty score)
63 yo man, 2 weeks of fullness in left upper ...
Myelofibrosis ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +16  upvote downvote
submitted by โˆ—amirmullick3(76)
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sThi niepatt sha a rdy apt, ichhw is nsee in irssyiemfbool dan laptsaci .meanai heT brnmaalo BRC era stmo eylkli tcasdreoyc (tarperod e.sl)cl

AML uldow heva reua ords nad mnya crnluiigact ,eltsmoayslb but nor aanbolmr .RCB

C,ML nfdeied yb the 29[]t2; pahldlPiieah ohosecmmro, lwil heav ynam atruem and inrtmuag gu,tolysranec iwht a low LAP buecase thsi is nto a dkiloemeu orienac.t

cilomeitDeypoys yrsnodme si eht ames sa a lcsyeipytdolmsas nomrd,eys iwhhc ear a guopr fo ncsearc ihwt trimeaum BCR ni hte nebo owamrr that od ton eeomcb .emuatr kekr/dioneaeipdiot.sl:.seMiamwscdhtgsw/yrnp_piyoliy/t/

nsitealEs macomotihhybert iwhh(c is ton alntsiees olphiy)tmeyca si ujts a erar ancrce with hghi tlp,atesel hwchi rtnpsese ithw rnlbaoma dbool coi,gtlnt anegild ot bhisorsomt, ketsos,r nda .EP

tloeymPahyci arev ahs ryev glear BRC sasm nad owl EPO deu to eegaitvn cea.dkbfe tI is eud ot a A2JK otmauitn dan asol sah ihhg BCW dan eteplslat. Oru taetinp is .cainme

cllueswhtt//oey.mmspbwwuvietu:o/.

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 +1  upvote downvote
submitted by โˆ—dorsal_vein(47)
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Dry tap + vsaimes peyoensglmal + narblamo RBCs is lascisc rof soirfolyimbes

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 -1  upvote downvote
submitted by โˆ—amirmullick3(76)
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sihT ttnpaei sah a dry atp, hhiwc si nese ni ybrfeolisimso dna cptalasi ahemeaTn i. lnoamrba RCB aer msto klylei rtcsecaoyd tdaepor(r lc.el)s

LMA dlwuo ehva reua rsod dna yanm iantcruilgc lyol,tsesmba utb nor lbamaorn CB.L ,MRC feieddn yb het ;229][t laiehidlPaph hmsrmooco,e lwli vhea mayn ateurm adn iatgurmn tanocgyu,srle whti a lwo PLA ceaubes htis is not a eudkolemi iD ectlsoiytoymriaenpo.ec sornmdey si hte meas sa a lytyoseimsclsadp sdyrn,meo whihc are a orpgu of rncesca wthi iarutmme CRB in het onbe oawrrm atth do tno beomce treum. aeietsp/yaswie_Msgisdtydpimo.ikklc/whrnrnlo:o./p/idetaylnE staise homticmthrbeayo ih(chw si otn siasleetn ytaocpy)lemhi is tsuj a arer creacn itwh high t,tpaselle hcwih stnereps twih aorbanml obdlo inttgco,l nleaidg to tmo,rshisbo stosk,re dan tyieo hPP.yEalcm vaer g(p 6)64 ahs yrve lgera RCB ssam nad owl PEO eud ot iaenvegt edbef.kca tI is ude ot a AJ2K utantimo adn slao ash gihh BCW and ls.peatelt Our atptine si m.cniae

/tthb/m.wuweysc.toue:pwisouvlem/l

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 -1  upvote downvote
submitted by โˆ—amirmullick3(76)
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hsi tniapet ahs a yrd at,p ihhwc si esen in mbofsiesoryli dna patlcasi eeha. niaTm amrlabon BCR rae otms eylilk aordesctcy paordret( s)ll.ec

AML uolwd avhe aeru osrd dna mnay aurtcilngci lamlybsteo,s but orn aalrnomb C.RB

LMC, inefdde by the ;2[2t9] ePlihphialad oerhso,ocmm lwli ahve many arumet dan ntmgriau ,sgclnueaoryt twih a owl ALP eacbues iths si ont a ieoemlkdu citna.ore

eymcoDyoslitiep dnmsorye is the smea as a ltpeisslsyaodcym onrmdy,es chhiw rae a gurpo of rcnesac whit utmiaemr BRC in eht oebn mraowr ttah od nto bcmoee e rum.atrgy/yymnoii:erw/wdk/ilpetecsMtsokhaa./oi.pslidnpet_dsi

tsEsliane tmhctbiehayoorm ch(ihw is ont lenssaeit li)eapyotymhc si juts a rrae ccaern twhi hgih ltplet,esa whchi nseerpts hitw blrnamoa dlobo ,intgltoc egdianl ot o,obsrhtism sktsoer, dan EP.

amyhoPiltecy evra has yrev greal BCR amss nda olw OEP edu ot eienvatg b.eakfdce It is ude to a 2AKJ ttmaoniu dan lsoa has high CWB dna ltls.tpeea rOu nettiap si ainm.ec

o.ec/uteew.ulwbwthmtu:msliyo/s/pv

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