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Retired NBME 20 Answers

nbme20/Block 3/Question#20 (reveal difficulty score)
A 67-year-old woman comes to the physician ...
Low sensitivity ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +18  upvote downvote
submitted by โˆ—hayayah(1212)
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itsnveSitiy tetss era euds orf gscneen.ir cepiticfSyi etsst ear udes rof miiocartnfno rftea isovtpie scsi.enrgne

nieisvyiStt tsste are dsue rfo gsniee owh aymn opeelp lruty vahe the diseae.s iSpcfeciyit sttse ear rof tseho who od nto have hte deis.sae

A iyhlhg ievstsnei test, when vn,eagtie uelrs TUO dae.seis A glhiyh esiccfpi stt,e ewnh top,vesii lseru IN esi.eads o,S a stte twhi thwi olw iesisytintv aoncnt rlue tou a esdis.ea A stte hwit owl pcyifcistei 'ctna uelr in aesised.

heT rdtoco nad teitapn atwn ot eesrnc rfo onocl nrccae adn elru it uto. hTe dotcro louwd want a etts with hihg isitvytsnei to be abel ot od atht. He nwkos htta nttesgi her ostol for lobdo wlli ont lreu uot the yiolitisbsp of lcnoo C.A

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sympathetikey  SeN uOt ouSn(t) >-- ievsistne e;tst - ttse ulesr e Pc touS nI cSnpi)e( >-- cpsicief etst; + tset srleu in +27
usmlecrasher  nac ynaeno spl plnxiae hyw ti si not ttl&;;&l lotnetiap f-elas oipvstei rlsestu ;g&tt;g& ??? +1
almondbreeze  roctcre me if mI' ,rngow btu gh'ih FP (eccioh Cwlo=) cpetfcyiiis (chceoi B).' Weheras ghih tpeicsficyi is erdrquie ot elru in zd +2
almondbreeze  edcikp tosiivpe rdeviptice avleu fsy.eml cna anenyo ipnlxae hyw otn ?PVP +1
williamfreakingosler  Teh ciliepprn aya@yhha is ktnliag uobat (a nagieevt etst biegn eedirl uonp ot beyalirl urel u)ot is tgvneaie itcdeevpir evual V(PN")." I 'dnot ese why eunn"artci "PVN tnis' het ctorecr arn,sew prylauarltic scbauee VPN is rietcpdade no teh siedesa ivanhg het sema bsea erat in eth en()srsop igben tedest sa ni teh aniuplotpo hatt asw tiarracczhede orf hte estt c.isitatts vinGe atht teh tpnteai has a rtgson layfmi syorith of loonc acn,cre eth VPN fo OFTB is aecn.tuirn aSid rtnaeoh ,wya teh yitsvienist fo a stte soed ont ceghna hwti eht np,ulioopat tub eth PVN dso.e eTh ewlho aernos teh otrcod si deygnni FBTO si aebcesu of eabsyani ntnkiihg (a rrpioi iotimrnafon eeltard ot yialfm o,yhtr)si nda rfmo my ponti fo iwve saniyabe gcilo si rome eaternlv to PVPPV/N tahn to tetiiivy,nss cehen my isufoocnn roev why VNP i'nts the tirgh wensr.a +4
ibestalkinyo  I hugotht gntveiea drticveeip eauvl fro teh easm ernsongia +
raga7  TEARF HET SRETLU OF TEST WE ANC ESUD PPV RO PN,P TBU FRO THE FTRSI ITME OOGLKNI YAN EDEEASS ESU EISSNYTITVI OR YEI.ISFCTPCI +2


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 +5  upvote downvote
submitted by aazib05(5)
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asceube yhte hvae dsake utaob HET TES,T adn pstei/siyiiensicfttyivc rae teh pesrietrpo of het e.tts wrsaeeh PVP p&am; PVN rea tandneepd opun eth lopiuonatp gnieb s,etted ti's not the incistnir oprtyrep of eth .ttes

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lovebug  0aab@5zi mepisl adn e.acrl kTahn uo!y +1


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 +3  upvote downvote
submitted by โˆ—bbr(58)
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nrheAto ayw ot nihtk fo h:sti Seh ash a gtonsr fiayml yohris,t os ew rea khnnigti ehs rpblbyoa sdoe idndee aveh shti inuttoma a(yrblobp a True sto)Pv.iei uOr efr,a luowd be ew od het gornw tets nad aynrebaltr lelt ehr atht seh si in eht calre esFal( it)Nevea.g Hvigan a high lFsae geeNatvi dwuol eb iouldtseree ot isht piae,ttn dna pulgggin tsih toni a x22 elatb ivseg a lwo nietiysstvi P/T( PT FN+).

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trazobone  hWat a etuilfbau exonlapnait KTNHA YUO +


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 +2  upvote downvote
submitted by โˆ—l0ud_minority(15)
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I ckdiep hte wnrgo eno uesbaec lacFe Occutl dBolo sgeTtni B(TF)O is ihtiyehi.t-ngissv My tutgohh corspes si evne fi ti si vtsieipo ti nt'ow lelt eus ygnthina cpicfsie lliw dnee ot soepc .nsayawy

Bcinciannplpsoia/tashden/r-/lnFec/ensn:u.wpilf.RgFfcOtrtee/dtTtooprcC

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divinedomain  tihs si exycalt my ioneasgnr +
abhishek021196  nveE i ogt ti gno,wr nhet ahderesc gologe dna otg siht ormf rinrHsoa (BOTF has lwo sttinesiiyv dna teterb tmosdeh ear own elaalibva fro sgecnen)ri : Ar_dsesaaE-Carnsse/dsas/ctcREmMto6ib:8o3n/iunLeimrrs2niOLueHoCoC/hn-onCpv.ATo.ia/N/i/hlfhRr9lwli/-rMae6ndOnuic EyI OEaRrTNENVlP onttcieed of oncol cmarnaoic yam eb icfttleadia by toureni necinergs fo otols orf tucloc bdolo locH(euctm II, oeroCCn,al H)eoumrse; e,woevhr teniitssvyi ylon 50%โˆผ fro arcoima;nc itcpfiesicy ofr umotr ro ployp โ€“โˆผ0%.524 reeNw tstes ,e.(.g ordlCa)og poronnirticag cetoetind fo odbol dan metdtua ngese rae more visieesnt nda iefcic.sp Fsale otviepssi for clcotu o:obdl nigtosnie of dre atem, niro, i;siparn rppeu GI lebe.nidg Fslae eevni:gats aintmiv C nit,sogine nntiettiermt bgd.ielne Gceitne iettngs is dafeufntec yb sheet .acfotrs +


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 +0  upvote downvote
submitted by โˆ—abhishek021196(120)
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envE i got ti ,ogrwn etnh eshardec eggloo adn tog isht rmof aiHronsr (FOBT ahs low yittnsvsiei adn trtebe hdmtoes rae nwo iaaaeblvl for cnsgrin)ee : LnEsR2uphtosraOnoear//iNAc6t-slm/rneue6.CnhdM/i.irebld8ECn/Aaieridh9LRsananis:oHcvCTfowC/uai-ilMm_r/ooss/Onc3- - OVEPIRNNTE : aElyr edcteiotn fo locon ncmrocaai yam eb liaafteticd by iernuto genicresn of stloo fro cotclu bodlo cmc(otHlue II, rCoolane,C euroH;)ems eowh,rve tiyntisvsie ylno โˆผ%05 orf canocma;ir iptcescfiiy fro motru ro pylpo .โˆผ04โ€“%52 rNewe stset .eg,(. Crga)dloo iogrpontairnc codietent fo lodbo adn temdtua eegns era remo tsieivsen dan icc.feips aFels sevsptoii orf clotuc b:ldoo iisgonnte fo dre ,etma inr,o snaipri; eppru GI lenbegid. aseFl ateeg:vnsi ivmtain C on,inetgsi mnitreetttin egdlbnie. ntecieG tsnitge si tnfcuefdea yb hsete saoftrc.

S,o to rleu UTO a eesdsia e-uutnOst)/oS(,n enirnesgc tets lduosh ahve hhig etiviissnyt. iecV rae,sv to eulr IN a dieases (pe)I,Sise/nccn-p oriamcnotyfr test dslhou vhea hhgi eticycpisf.i

I ilstl ot'nd sddrneaunt hwo ew rleu uto VPN dan PPV omfr teh weranss sniec 'eewr ielscfpaciyl gknalti taobu the t-ikas''r ontplupoai uorpg ylno dan esthe alusve aer desu rfo ahtt itle.fs

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