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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 ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +13  upvote downvote
submitted by โˆ—cocoxaurus(59)
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ehT renioatntspe rehe eessm to fit htat fo sneeirmetc lvusaacr nccso-ouli ilpotdnarspa ainp hatt sltas 1 r,ohu dfoo snor,veia ewgiht .ssol The ateitpn osla ahs isrk fcoatrs edsatcisao tihw rsecmienet lasruvac -scioucnlo relod tnha 06 easyr dol, ryaiieipd,pHlme ,yseeoinHpnrt .HMPx

eh"T nmcreesiet luicintorca sscoisnt of ereht irymapr sesesvl ttah ppluys loobd to hte slmal adn gelar wleob: het lcieca ,rtarye ersupior cenmsireet aetryr ,AS(M) and oerinirf csemetnire areryt .A)(IM oBodl lofw rthhogu eseth reatreis aeenscris wihtni na ruho raetf itgane ude to na esiearnc in bmaitolec dmeadn fo teh lntesatiin maonsc.hCcouri cicoulnso of a neilgs eslsve soalwl ltllcoreaa oblod lwfo to ep,msceanto htsu ytmmsspo od ont ipyctllay pnetsre utnil ta aelst two parrymi lssevse aer u"eddo .ccl4bo/0NKsitpw4v8n./.ng.sh.lw/m:b/wc3noB7ki/tho

aoelCaltsrl bneetwe MSA dna MAI near the iseplcn rluexfe reMagndnei( isMrecntee a)ytr.er Teher si loas otarlllcea eweenbt cleaCi retrAy adn AMS i(oecaadadPcnnrtouel .)raecad

a,syltL I wkno htat eerth is a cm-3 tticeca traoa ufnod no C,T utb na toicra mnseyrua wduol nto perodcu seeht yms.ostpm evnE fi oyu ohhtutg htta eht mtssoymp erwe due to het A,AA you ldcou still etg ot het eotrrcc swaenr fi you esu desafh41'm iseno.ngar

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honey-crusted lesion  eGtar iaxnaontpe!l 'eerThs olsa a idels btauo thsi ni the 001 Ayomtan sotcnpCe pfd ubt ts'ndoe go iton as cmhu taidel as sith pitaeo.anlnx sTn!hka +
djtallahassee  odGo alteoianxpn tub I nhtik na AAA owldu eb rmoe elkily usrpoeir steemnirec and a.chepti teh SAM dna AMI are reom hnat 3 cm aatrp (L1 to ,i4Lhs) rTelip A fifegtanc tobh wlduo eb eyrv .alger I blew sthi notiuesq buseeca I swa mc3 nad edujpm to ,AAA nidtd neve ese it swa a islrcosse ni.hgt uPt the tow tlcoses aereisrt adn dmoev no +



 +12  upvote downvote
submitted by โˆ—deathbystep1(21)
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lla het tehro e,slssev ehiret eahv raltaclole uelipssp or ythe lpuspy ot osgrna twhi lipmtuel euoscrs of odobl upslpy

AMI nda AMS othb heva atlroslecla whti ache trhoe n(amailrg seiretar adn marnegedni et,)iraers so iscena erhet si mvneeovltin of eno fo eth sairtere eht dbloo plpsuy from herot cna pnteerv chas.emii

but if tboh SAM dan IMA are dlovvine ti lwuod lerstu in eacsmhii dna oymptmss dedsriceb ni the qstuen.oi

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paperbackwriter  tSpo no! +



 +5  upvote downvote
submitted by โˆ—fahmed14(31)
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The -mc3 cteiact troaa asmen she sah na bnamadoli riacto ms.nyraue rlenylaeG, hyet ednt ot orccu weolb eth ealrn nhsabcer so I ewnt wthi teh two teslocs ranh-besc MAS islhg(ylt avoeb a)nerl dan MAI blweo( lsAleon.r,a) ilnscpe exeulfr is a nmomco tdwhseera arae uesipdpl by SMA dan MAI os vveoenltnim fo hobt nac seauc rhe tsyompsm

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 +5  upvote downvote
submitted by โˆ—usmle11a(102)
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the yonl nthgi dmea me ocheso IMA nda AMS is teh acft hyet pylups eht intetsein ihcwh si het mconom tise for ichecsim nresemteic assi.ede

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 +1  upvote downvote
submitted by targetmle(10)
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if teh itopon hda SAM nda cicale urnkt, dlowu thta be torcerc?

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 +1  upvote downvote
submitted by โˆ—brethren_md(105)
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Ciohnrc cnMiteseer Imcehasi kaa nstinaeitl nga.ina niMa uslce era rpanlsaogpit rpeistcgia n,aip iwgthe ls.os sauUlly deu ot ilacCe (,a) SMA, or IAM oshreairc.oslset

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neonem  sha'Wt ogtuh uatbo tshee seanrw shicceo uhtgoh is hatt uoy veha 2 reietffnd iaeblv bm.soco +
codyluvr95  hTe tietacc oaart tmgih laso eanm AAA eolbw the lra,esn fceitfagn teh IMA, +2
sherry  lsAo ensic trehe is ihts tcactie r,aoat the aeritesr nodlvvei eedn to be aacjendt ot one thnao.er If etrhe si a ociehc sa ni eaiccl nda ,ASM ti oludc asol eb erort.cc +



 +0  upvote downvote
submitted by โˆ—ankistruggles(18)
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hyW rea het IAM nad SAM msto yelkil to eb faefcted ni her ?tdncniioo

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sattanki  ain,gA tno oot sue,r tub I hinkt hyet erwe beinrgsidc a paettin iwth cnricho iittesnlna ,gainan iwhhc si slclalsaiyc mfro eroosclhseirast fo teh AI/MMA.S +5
mcl  I swa lsoa itnnhgik autbo ciwhh areas eavh yrcppa boold plsyup esdrhteaw( saear), hwhci I sameus ldowu be rewso fof ni eth saec of hocrcin reetcmensi ehsi.maic fI uoy kloo on gpae 735 of AF 9210, SMA apm;& IAM at het cnselip fuexler si a hdrtaewse ea;ra teh rthoe si mordigteoisc ntuniojc migid(os nrbhca frmo IAM dan orrsuepi te.cla)r +



 +0  upvote downvote
submitted by โˆ—bharatpillai(40)
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enO yaw ot oklo at shit uoldw be to go abck to niposgesehat fo yftat .skteras yhTe rae ostm lomymcon uofnd ta eht ocairt btfinco,irua so aiblsycal eht lwoer odnw ouy go wdon het imbonalda toa,ra eorm tenbulurt teh owlf, uicsgan iehghr oealtnpti rof elorsestoriahcs nda istnseos fo narhcb s.lAseolesv,s anler tryare inssesot is well ebciedsdr hwihc si nvgie off atfre teh eacicl rknut so safe to yas ccliea nturk si dpsaer ni nay nidk of erhoseolrcicatt tsiness.o

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 -1  upvote downvote
submitted by โˆ—mousie(272)
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longiok cbka ta tish Q I ntieco htat hte ntteapi loas sha eihnpyosnert .u.c.dol ttha veha enbe a eulc to liecnud hte SMA bc ist os oselc ot het lnaer sertiaer (aneRl a )siseot?sn

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nwinkelmann  I niddt' wonk hwo ot paprocha sith tr,eihe utb onw shti is ym tghhotu prso:esc etPitna ahs pnia taerf gaine.t fI 'sti not deu ot an eurlc (hhciw si teh lnyo thgin I oludc cemo up with scbeuea I nd'tdi okwn atwh lees ti aws anlkigt uoba,t) ywh uwdol neatig scuea iap?n e..l.lW egiant acsesu eneasdirc TIG yattiicv chihw emsan rsneacide bldoo f.olw As ouy tdeopin to,u teh tiaeptn ahs NHT and ,CDA gidintiacn eillky seixeevnt srrso.tolcisehea ihsT si maiottprn euscbea hyw lwoud iegnat lnidaeg ot cisedearn bdolo lofw useac ,pina when saluluy ti otnd?s'e l.le..W loirteocaehssrs in eth hrtea seald to saletb .nagani ihTs nrtiaoepntse ousnds kiel a lsb"tae ani"agn fo eht oban.med +1



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