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NBME 22 Answers

nbme22/Block 1/Question#18 (reveal difficulty score)
A 13-year-old boy is brought to the physician ...
Reassurance ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +18  upvote downvote
submitted by โˆ—meningitis(643)
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Tnenra sstaeg satrt ta TNE asyre lod

tgaSe :I

  • I is l,aft sa ni flta hcse;t
  • I is neo,la as ni no saulxe airhs.

gateS II )(:2 gtsea II ttsars at 11 oy/ I(I kloo leik 1 1)

  • 2 bllsa stelcriu(ta etlge)mnrane
  • 2 ahris c(upbi sarhi nwo pa)angprie
  • 2 esbatr dbus mrfo

aStge III )3(: strats at 13 yo/

  • If ouy rtaeot ,3 ti oloks iekl alslm bessatr at(eBrs dmnuos m)fro;
  • If uoy ulqgegis the III heyt olok ilke cysuo+rrcela bucip arih
  • ndraseIce psnie tgnlhe and zeis can be rnteerpeesd yb: II t&;--g III
    (yruo pesni swa ntih II tbu own its crthkie )III

geaSt VI :4)( trstas ta 14 oy /

  • iFtrs i:geimna hTe I in VI nstreprsee teh ,hitgh dna eth V ni IV ksolo keli het onsm sbipu eenwetb uryo slge:
    EGNAI NM: yuo vhea ahir ni mosn sibup ()V ubt yuo hvea a rrdobe inidnagte hte arih fomr ogwnrig oitn tihs.gh
  • Teh V si pit,yon sa in onw het btsarse era tnyopi sari(ed oaarel or moudn on mou)dn

eStga V 5(): 15 yo/

  • V ash no rodesrb gndaienit hrai frmo wignrgo tnoi hhgist bpic(u irah + ithhg riah)
  • 5 ssriefng(a in nah)ds gaifttnlen teh eosaalr hewn rnabgibg mthe arloa(e alfentt at iths tgsea adn on meor "oundm no d)"monu

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meningitis  rySro uoatb teh ,rfatom it acem tou wrngo tub I eohp ish hspel. +2
drdoom  ooksl dogo to m!e +25
gh889  Aocirgdcn to ,0F921A egast 2 neds ta 1,1 tsgae 3 tstsar 51,3-1.1 and saget 4 tssart at 115-,3 herew ddi oyu get uroy ofin om?fr +1
meningitis  uoY cna aecgnh ti to SEDN at 1,1 DENS ta 1,3 ENSD ta 41... I iplysm veha it sa a ergna sjut like oyu tdtsea in a pcuoel of htm.e ehT tpnrimcoea si ni woh hte idk sseentpr sbuaeec eeshh/ llwi evha esmo isthng eatrmu ubt ertsoh ,otn teh gae lwli ryva in qtinsseou. +1
endochondral1  asgte 3 aberst dnomu si rof eemaslf not almse tbw +4
endochondral1  see pg. 563 in FA it just elatpbr.u kId fi atht etearlrocs to eth saem aestg as elmsafe +1
angelaq11  tihs si tjsu oto unynf, I OLEV !ti Dx +4
snripper  hWeil hist is vieripmses, hits et'dnso lhep wthi reinngwas het ostueqni. +2
yng  ePnostoigduycemasa (Faels mtce:nyo)aaigs siht sah ogihnnt ot do wthi ptyrube ro ohs.nmoer lpSmie /dt teh tafs eosm usyg have eatrx atf in chest r,aea agmnki it lkoo elki ehyt ahve tssar.be heT oby tghewi at 06 eerplntiec eiwhl hhtegi ta 05 ectepeinrl. +1



 +14  upvote downvote
submitted by โˆ—dr.xx(176)
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laPtureb yatscioegnam si uhtghto to eb a asyphlcoiliog ponhmoeenn, adn is osmt olnymomc eens in pbuydtmeir ihwt anrTne taesg 3โ€“4 cuipb ihar nad itluacrets slomveu of 5 to 10 Lm briallyetal.

3mt.0.i7nhthsen0wmi6c.//Mlcgv4nC.oitsrp/pa/lbw/Pw/5c:

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 +8  upvote downvote
submitted by โˆ—paperbackwriter(161)
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ginrcdAco to ln,oGja mne vhea sboob ehtre metsi in teirh i:elvs wneh 'eyrhet ebisba, enwh eerh'yt igong gtuohhr rp,ytbue nda nweh heetyr' ld.o sI't omlacslrpolgnoy.aii/h

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sars  I aeorrsstabg-gebnei,e e arrstnef oghthur tlaapcne omrf omete-stsorhtteerpuyone rbt noivnrseoc vai asrteaamo ot de lsigtcennreeerysarolde- fta tntncoe with nnoatedeinesodr nniosreocv ot rs ardteenoe htsi rehoswmee and it ictssk LLO +2



 +2  upvote downvote
submitted by โˆ—impostersyndromel1000(42)
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so sti saesacrrune bc some yobs can vhae mlid eabstr onleepdemtv ta 1?3 'vIe rvnee eahrd ro eesn itsh ereobf acn onsoeem sleepa iacflry. Blclayisa arsgniersu ttha sthi si (tlielvr)eya o?rmaln

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 +1  upvote downvote
submitted by โˆ—moloko270(77)
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ridenscea atnomu of rseteong mecraopd ot anneordg tycvatii is cooigpiyslh ni ubperty

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 +1  upvote downvote
submitted by mishudishu(1)
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oWh lees hceos enssaacruer itgihnnk hsit asw a toinsuqe oabtu gsnarii the ihlc'ds fsle dc?eieofncn

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