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NBME 18 Answers

nbme18/Block 3/Question#25 (reveal difficulty score)
63 yo man, 2 weeks of fullness in left upper ...
Myelofibrosis πŸ” / πŸ“Ί / 🌳

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submitted by nuts4med(7),
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I aws kniginth ’onsChr eeabcsu fo the nwirnroga fo het nulme nda eht tiurcep meeesd ikle tehre saw nrecpgei t.fa oNw tath I tkihn ubota it htuhog, eht QLL and castnopinoit oushld avhe eld sawrdto dtcitiesivlriu reyttp qc.ulkyi

submitted by βˆ—amirmullick3(68),
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Tshi peattni hsa a dry tap, hicwh si seen in mboliisosefry nad csitapla eim.ana hTe nlbaamro RBC era msto ikelly eycdrtosca tae(prord ce)ll.s

LAM dolwu have uear rods and yman curilcntiga l,esasmytbol utb ron mborlaan .BRC

MC,L ifdnede by hte ;[2]92t eiiahhapPdll c,oeomosrhm wlli aehv nyam atrmeu nad atmunirg caty,nugslreo htwi a wol PAL saueebc ihst si ont a emoeudilk e.ntciaor

oytDmcleoiiespy ynsredmo is eth maes sa a oiladslytpysmsce ,mserdoyn hciwh rea a opurg of csnecar wtih eamtrium BRC ni teh ebno orwmar thta od otn meoceb emu.rta it/esdrM/io_ilirtlyetgi.k/pihyocskesw.aend:woydns/mpap

salnsiteE ietrmtaochhmyob ci(hhw si tno nseslitea eycliomhytap) is ujst a rear eccarn hiwt ihhg e,lasttelp iwchh eerpssnt ihwt mabaroln dbolo t,otlgicn laedign to rs,bthsmooi orks,tes and EP.

yltcyoeiPahm evra sha ervy lgrae RCB assm nad lwo EPO deu ot eeintagv eck.fabde It is due to a JK2A oaunttmi and lsao ash ihgh CBW dna e.ltatlpse urO tpietna is ecnim.a


submitted by βˆ—dorsal_vein(41),
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Dry pta + simvesa melealpsynog + mabaonrl BCsR is sasclic fro oisyeflmoibrs

submitted by βˆ—amirmullick3(68),
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shTi aietntp ahs a dry pat, hhwci si seen ni lrbmfiyissoeo adn asclapti na.hieTmae aarblnmo BCR era stmo ekilyl ytoercdsca rdaor(pte sl.cel)

MAL wodul aveh areu rods nda amyn ctglinuarci mosa,ystellb tub nro raamobln MR.CCB L, difdeen by eth ;]2t92[ lPldaaipiheh r,escmmooho lliw vhea anym ematru dan giranmtu ,cnyselrutgao whit a wlo PAL ecubesa hsti is ton a oeuekldim mcipcaly.nitetsDeoio oery nomrydes is teh meas as a asyldpsotmlecyis eo,rdsnym hwich ear a rgopu fo sancrec wtih rmtmauei RCB in eht obne rromaw htta od tno eemcbo eutheiaoiselrsstdtiosewd/.p_l/i.kcpamyyinid/wkroge:tnM/ypaetiEls ns mbhoirhemtcyota iwc(hh si not lstaenesi )yloithyecamp si utjs a raer rcecan iwth ghih tp,tlleeas ihwch snesrept twih aaonmlbr lodob ln,itcgto nligeda to morotssb,hi erst,kso nda Pithme PlEayco.y avre p(g 64)6 sah vrey rgale RCB ssma dna wol OEP ued to intvegea feebcdka. It is deu to a AJ2K mtaotuni and saol sah ighh WBC adn tl.aeletsp ruO tetaipn si .miecna


submitted by βˆ—amirmullick3(68),
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ish tepanit hsa a dyr pt,a wihhc is snee in sleosorfiiybm nda isaapclt ma eihneT.a brlaoanm BCR rea omst elkily soecatrydc raepr(dto .ll)esc

MAL ludow eahv reau sord adn naym alitgcrnuic bam,ssoltyle tbu orn bmnlaoar BCR.

LMC, eefiddn by teh t2][29; elliapaPdhhi mo,hroseomc llwi ehav nmya umtrea nda urmnitag caysol,tunerg hiwt a lwo ALP caeebus ihts is ton a dlmkeieuo .aectrnoi

mioyseopeyicltD eyrnmdos is the easm sa a ateslymscspyoidl my,eodsnr hiwhc are a gpruo of escacrn hwti ramimetu RCB in eht noeb wamrro htta do tno ecbmoe rmaeut. ypegnlda_M:eworthyyosktseidoii/alndprsi/t/smwcpie/i..k

Eelnsitas hittmamyhcbeoro hchi(w si ont nsltaeies ilaomec)hyypt si ujts a erar eanrcc wthi ghih a,eelltspt hicwh pstersen thiw manlrbao boold nogt,ilct lidegan ot troohsmib,s ss,otekr nad .EP

toyicmhaPyle erva ash eyvr alreg BRC smsa dna wlo OEP edu ot eignavte ecfda.ebk tI is ude to a 2JKA intoaumt dna osal sha ghhi WCB dan a.tplteles ruO eitnatp is m.aecni


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