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Retired NBME 18 Answers

nbme18/Block 3/Question#25 (reveal difficulty score)
63 yo man, 2 weeks of fullness in left upper ...
Myelofibrosis ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +16  upvote downvote
submitted by โˆ—amirmullick3(76)
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Tish eptnati sah a rdy ap,t hchiw is enes in msiyblfroeiso dan atslciap .maniea heT nabmolar RCB era somt lyklie stroyecacd rdaoper(t )cells.

ALM dluow vaeh ruea osrd dan amny lgaciutricn stbm,eyasllo btu orn naraobml CBR.

,MCL enddife by teh 2;2t9][ lliiaPephdah omocesom,hr lwil ahve myan rmtaeu and niratgmu ae,unocyrglts ithw a owl LAP uebeasc sith is ton a mdokieuel aict.oner

coeyslDopmyitie soednrym is the mesa as a seotypimcdslaysl dmyenros, which rea a rupgo fo rncacse twih tuaiemrm RCB ni eht nobe ramwor htta do tno eeobcm uta.mre ayrdstiolhtiiet/sdi/renpkiwdea:/ynmpcyo_Mos.kieg.w/lps

isElasetn hoeyttabmrohimc hcih(w is ont laetsesni opyia)hytlmec is utsj a rear ccnear hwti hghi pt,seteall cihwh pensrtse hwti borlaamn ooldb ,coitlngt aedgiln ot tsoirob,smh rso,kset nda E.P

ylioPyacemht reva has yvre ergal BCR ssam adn owl OPE ued ot evnegtia dbck.eefa tI si due to a AKJ2 tuioatmn nda olsa sah ihhg BCW and ettl.epsal Oru itnepta is naci.me

svyiuue/lb//tmcslpwwo.:thote.ewmu

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 +1  upvote downvote
submitted by โˆ—dorsal_vein(47)
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Dry pta + eviassm oaspelelgnym + loabnmra sRBC si ccsials fro isylmsobirfeo

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 -1  upvote downvote
submitted by โˆ—amirmullick3(76)
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hTsi entapti ash a ryd ap,t cwihh is ense in feomyslisbior dna clapitas .Thenaa mie aalbrnom RCB aer stom klliey corcsaydte rerpdoat( csl.)el

ALM dlwou hvae eura rdso adn mayn taclnircugi ,tysebasmllo but nro omnlabra CL. MRB,C defenid yb the t2;][92 lpaiealhihPd ,hsmooeomrc will haev anmy atmeur and gnmuiatr atlgor,yuecsn thwi a wol LAP cbaeuse hits is not a deoieukml aiotmelcpe.ctiryeioosD yn yodsmnre si the saem as a eslalysimcypotsd mreondsy, cwhhi ear a uorpg of snrcaec ihwt urtemmia BRC ni teh oenb mrarwo that do not oecemb era.u mtwyki/elpail.sttprtisdsne/yhg_cdiewyda:i//ok.rMnopimoesnE stliaes ohhoetbicmyarmt ihhc(w is nto tseinelsa eliyptyh)coam si usjt a rrae caecrn wiht ihhg patleeslt, hwhci eenprsts hwti mrnoblaa odolb ont,gclti nidaegl ot bssio,morht e,ksotrs and yiyacEotP m.Pleh aevr p(g 646) ash vrey aelrg CRB msas dna low POE deu to evenagit d.efeckba tI is ude ot a 2AJK otantumi adn sola ahs hghi BWC nad p.alelstet ruO ateitpn si .icname

em/luyvuwbsolohepuectwis/:ttmw./.

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 -1  upvote downvote
submitted by โˆ—amirmullick3(76)
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ish tnpatei sah a dry pt,a iwhhc si nsee ni yoerfsbomliis and alasctpi ia.en mehaT ornlbama BRC aer mots ylklei dyeoscrtac etaor(rpd )l.scel

ALM uowdl vahe arue drso dan many gctniulicra lmasse,lytbo tbu rno aboamnrl C.BR

LC,M fddieen yb teh 29]t[;2 aiadlipePhhl hceommro,so lwli vaeh nmya mertau nda inarmtug anyloue,cstrg tiwh a wlo PLA asubeec htis is ton a omeeuldik eicn.troa

ypimoysecilDtoe onyrdmse is teh eams sa a ycysdalpmseiostl ,nrodymse hciwh rae a ugrop fo aercscn twhi taumiemr CBR in eth boen ramrwo ttha od not mcboee etmr.uae/aownoti./n:iripitsgddyky/sieedwrta/k.polcMlsiyesp_hm

tisseEaln chohryetmbiamto chi(hw si ont selinsate oymiaplch)yte is sujt a erra eccrna hwit hihg at,sllteep chhiw retsspen thwi anbmrlao bdolo i,tncltog gdneial to horiss,tobm tso,resk and E.P

yPemohiytlca eavr hsa reyv algre CRB smas nad lwo EOP eud ot aenetvig ake.cedfb tI si ued to a 2AKJ naouitmt nad losa hsa gihh WBC dna atlstlpe.e Our etniapt is ai.enmc

temtue/ty/ws/upw..il:evmsuwolhboc

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