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Retired NBME 24 Answers

nbme24/Block 4/Question#6 (reveal difficulty score)
A 68-year-old woman comes to the physician ...
Inferior mesenteric and superior mesenteric 🔍 / 📺 / 🌳 / 📖
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 +13  upvote downvote
submitted by cocoxaurus(59)
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heT oantsrinptee erhe msese to fit tath fo eeemnticrs sacaurvl occ-uloisn tiosralppnad ipan taht alsst 1 ,ruoh dfoo arv,senio hwiegt sso.l The ttpiaen olsa ash iskr fcaorst esasdctioa ithw emestnicer rsuavacl oo-icunlsc delor hant 60 years ,old emHypdliapriie, ,pyHitnenrseo HxMP.

"The tseemrcine ncirtciaolu tsscoins of reeth aprirmy evesssl thta slyupp oodlb to hte llsam dna agler :oblwe teh ecialc ,artrye eproisru tnieecrems aeryrt A)(,MS dna nifoierr mecesnreit ryreta A)(MI. oodBl lowf urhothg sehet rrasetei sreeainsc hitnwi na ohru etfar eignta due ot na caeenirs in ietcbomal damdne of het isaetntlni ousirnc.mhocaC licoocsun of a ilegsn slevse llaows clleoalart lodbo fwlo ot csnat,oepem usht tsompmys od tno ycytalpil erntsep tniul ta estla tow aimyrrp elsvsse era ceud l.doc"choiwKn3h.:wssw.B0oNvt/.7m//8p/i4.o4lbbnkn/tg

laCtesarllo tbnweee ASM dan AMI near het nlicpes lefrxeu n(raenMdieg iesneMctre )rr.taye ehrTe si laos atceaorlll ewtnbee elCcai Arreyt dan SMA ceoraddti(ucnneaolPa aa.dcre)

yLalt,s I wnok ttah three is a c3-m ticcaet taroa onufd no C,T tub na atrcoi emrayusn oduwl not orecupd ehste .stsmoymp nEve if you httgouh atth het mosympts eerw edu ot eht ,AAA oyu lcdou lslit tge to the ecrtorc nsrawe fi yuo esu fe41ashmd' ne.girnsoa

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honey-crusted lesion  eGrta peitanxlon!a sehreT' aols a ildse uboat thsi in eht 001 Anmytao tcsneopC pfd utb dn'oset go onti as hmuc aildet sa itsh xn.tapleaion !hasTkn +
djtallahassee  odGo pnaltoaneix btu I htnik an AAA wdluo eb eomr ekilyl pisreuro imerecnset dna ecipt.ha teh ASM dna IAM are reom tnah 3 mc tarpa (L1 to h,4L)is lTrepi A cfnfaetig hotb lowud be ryve egra.l I belw itsh qtsoenui becesua I saw 3cm nda udmjep to AA,A dtnid vene ese ti aws a lsrescois ghin.t uPt the wot leossct eareitrs dan vdmoe on +


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 +12  upvote downvote
submitted by deathbystep1(21)
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lla teh troeh vlese,ss etiher aehv caltlleoar esilspup or yeth ypslpu ot garosn twhi ullpemit ruossec fo dobol uplysp

AMI nad MSA ohtb vahe lseaolartlc tihw ahec rhtoe am(laring errtsaie dan genmaidner iert,)aser so seacin ehtre si tnnieevvmlo of eon fo hte rrsaeeit eth lobdo ypplsu from rtoeh nac etnrevp ei.asmhci

btu if thob SAM dan MIA aer nvovield ti douwl rsutle ni iemcihsa adn stmpsmoy cibserded in hte queot.sin

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paperbackwriter  Stpo n!o +


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 +5  upvote downvote
submitted by fahmed14(31)
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hTe mc3- ttcacie oarat amesn seh ahs an abadolimn ioctar rue.samny aGneyrle,l hyte dtne to urcco ebowl the enlar ancrhbes so I netw whti eht two setocls bes-rcanh MSA tlgly(shi aebov aln)re dna MIA o(bwle Ar,le).loan s cpnlsie xuflree is a mmocon erawhdets eara ppediusl by MAS adn MAI so tvneeolvmni fo tohb acn caues rhe sypmomts

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 +5  upvote downvote
submitted by usmle11a(102)
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hte oyln itnhg emad em chsooe AIM dan AMS si teh tcaf yeth pulpys eht isittnene chwhi is eth nommco stei fro cehmciis reitecsenm eaiss.de

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 +1  upvote downvote
submitted by targetmle(10)
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if eht intpoo hda SMA nad eclcai un,rtk woldu atth be c?coetrr

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 +1  upvote downvote
submitted by brethren_md(105)
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crinCho ceiMrntsee caeismIh aak eaistitnln iaagn.n anMi uescl rae oarapngtpisl iacrtesigp nipa, hgietw ssl.o Uylslua eud to liecCa (a,) SA,M or MIA rcileo.ohresasst

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neonem  h'aWst thgou aubot tsehe nrwsea cioches tuoghh si tath yuo ehva 2 ffrdtenei abvile mos.obc +
codyluvr95  The tcicate rtoaa thigm asol mnae AAA ewlbo het arsn,el fcgfetnia eht ,IAM +2
sherry  slAo cnsie herte is htis ecttaci tao,ra het esrrtiea viovendl eend ot eb jdceatna ot eon .rtaeonh fI reeht si a ecoihc sa ni aicelc nad A,MS it cuodl aslo eb recoc.tr +


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 +0  upvote downvote
submitted by ankistruggles(18)
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yhW are het IMA nad AMS msto yiellk to eb ctdafefe ni reh ?dnniotcoi

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sattanki  inAag, ont oot urse, utb I inhkt teyh weer gdcnieisrb a anettpi itwh icrconh littiennsa anagn,i cwhhi is llsaiclsacy mfor csraieeltosohrs fo teh ASM./IMA +5
mcl  I wsa sola tiingknh uotab cwihh sraae evah praycp bdloo uysplp dae(tsehrw a,ares) cwhih I masseu uolwd be erswo ffo in teh ecas of nchcior sieeercmtn cies.hima If uoy kloo on geap 753 fo FA ,1092 MSA a∓ AIM at eht penslci efxrelu is a tdeewasrh a;rae teh hoter si siiegrdtoocm ntjcuion dmsio(gi brchan morf AMI and eprsiuro lt.c)rea +


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 +0  upvote downvote
submitted by bharatpillai(40)
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enO ywa ot ookl ta htsi dlowu eb ot go cbak to tasipsehgeon fo tatyf s.sakret yeTh ear stom ymmcnloo fodun ta het oiatrc c,bitfiornua so bcslaalyi het roewl ndow ouy go wnod hte aalmndoib a,rato more nterlbutu eth lwo,f gnucsai gihehr laiettopn rof rseohstscoairel dan ssteoins of nrhcab vsssAele. lo,s larne reayrt otsesnsi is lewl redsibced hwich si vigne fof rfeat eth ccalei kurnt so aefs to sya cecila tuknr is esprad ni nya dink fo acroecliretthos essni.ots

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 -1  upvote downvote
submitted by mousie(272)
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iolgkon back at siht Q I ietnco atth the aepnitt alos sha isonthypener .uo.ld.c taht evha been a eluc ot dnuilec het SMA cb ist os elosc ot teh anrle istrreea nlaRe( a nis?s)oset

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nwinkelmann  I tdin'd konw hwo ot arapohpc isth htie,re utb nwo sthi si my ughtoth re:cpsos inttPae ash pani terfa enit.ag If i'ts tno deu to an crlue (wchhi is eth olny nhigt I uodlc mceo pu htiw ecesbau I tdd'in ownk whta esle it asw altikng ),otuab ywh dulow negati acues ?inpa e.lW.l. iganet susace senidacre TGI viicaytt cwhhi emsan indacerse boldo ol.fw As you edtionp t,ou the iptetan sah HTN nda ACD, igdaintnci ekilyl vsnixetee tsloeiaesr.hoscr This is ptonmrati seeaubc ywh uwlod gieatn lnegida ot seinradce oldbo lwof sueac apn,i wneh lsluauy it se?ndt'o .Wle.l. etoeassclsrhrio in eth eathr elsda ot bsalte nagnai. isTh ernioeaptstn dssnou eilk a leta"sb ngai"an of eht m.aenobd +1


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