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NBME 24 Answers

nbme24/Block 4/Question#47 (reveal difficulty score)
A 40-year-old man comes to the physician ...
HNPCC syndrome ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: oncology oncogenes

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 +11  upvote downvote
submitted by charlie(11)
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I tikhn seehr't a topy no tath t.qsnueoi SMH2 egne muttoina si hte ucpilrt rof NCHCP. orF HMS2 gn,ee rccigoand to wtha I stuj cdeseh,ra cuseas Miglannta Hitrreehpaym Scspbueliytiti.

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noplanb  hYea I hknti ti shdlou be MHS +2
suckitnbme  odoG ot wonk I twna's ritpipgn tou wenh I idd sthi qseutoin +3
thisshouldbefree  $06 +20
teetotaller  olud ceher fomr a bkoer IMG +



 +5  upvote downvote
submitted by โˆ—neonem(629)
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hiTs petitna aces ossudn klie he sah iorn ycdceiienf nimeaa (eianm,a wol tircotmah,e )ictorimycc ofmr a IG e.lbde oT etg tsih insutoqe tg,rih ouy had ot eemrrebm ttah eht tow amjro hiiernted GI accrne esmyosdnr are FAP d(eu ot minttauo in CAP gene, cwhih si a urtmo pspruroess eg)ne nad hcyLn syeorndm AAK ihyerdtrea soiny-loopsnp otollaccre amcoiacrn C)H(,PNC csaude yb a uttnomai in a bnuerm ADN cmimtsah rierap eg,sne of thiw MH2S is a mero mocmno o.en

hTe shaneimscm of htire rcnomacai meldtenpvoe are nffr;ietde in FPA, usrmto seria ofmr a omarnl t-&;g- andoeam g&--t; caamrnico sucqenee elhwi in NCCHP, smuotr eairs rofm twa'sh nkonw sa a silercaimtoelt ytsitianilb ahawtpy, idlngea ot noossnupaet aotomfrin of a acoimncra (otn pedrecde yb a nigenb ienlso kiel an e.)anm..oda uoY idt'nd eend to kwno tish ot tge tish sqeinotu r,htig but elinyftied oogd ot k.own

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medpsychosis  To mkea ti enve ,mlrspie if you draornwe ti wdon to AFP vs HCCNP dna koelod at hte iegam doivderp ni the o,itnsequ uoy'd ees ist' less liykle to eb FPA ued ot aecesbn of nsouuerm yspolp hicwh dlwou eb xetcee.dp So NHCCP uwlod eb uroy sbte !oecihc +7
yb_26  I yawsla get LiiaFemnru- nad yhLcn snsmodrey dousfnce /: +1



 +3  upvote downvote
submitted by โˆ—thotcandy(131)
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I think tersh'e motginhes ahtt snt'ah nbee nnemeitdo dna poeelp ear evor loogn:ik

eitPtna si nigtrepnse thiw CRC + iamnae ihwch tosm loonmcym corcsu wiht RGHTI didse ea.nccr ndA who osed ttha neccra eodep?lv aerllMeotts-iic ailtsibynti v(s lfet ideds = obcniurstot dna lympoap-endoa neecu.e)sq

itMas tibnsa tysmlo mnmooylc ouscrc in HCPNC deu ot cimmasht prreai tfdce.e

Tuhs, even htgouh htrs'ee a pety ni hte eegn, ro veen fi uoy do'tn okwn the ,eeng esrht'e ohngeu fnoi ot eirgfu uot tis' .PHCCN

APF ten'sod mchta hte rtp,ieuc dan is a alooneyapdm-p qsceneeu nea.crc emiaiLfurn- is tfeecd in 5p3 (hwhci is eth lats stgea fo anmldpyepo-ao ceqseneu os I masuse it fwoolls that o?.)ot

The sciotnopniat si nakid kcriyt ecuebas oyd'u tknhi botsnritcuo but eth gib yke eehr is MEANAI edu ot OCHINCR DEIN.BLGE

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 +1  upvote downvote
submitted by โˆ—misterdoctor69(70)
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neynoA esle got wothrn fof by thire sue of NPCCH terrha ahtn ychnL roy?esdmn

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ineedhelpwitmed  on, we yulcatal .tudsy +2
neilfespiritu  only .you kJ +1
peteralamir  ldtC'oun eb em +



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