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Retired NBME 19 Answers

nbme19/Block 4/Question#14 (reveal difficulty score)
11 yo boy, right mid-thigh pain for 2 weeks; ...
Ewing sarcoma 🔍 / 📺 / 🌳 / 📖
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submitted by cassdawg(1781)
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DT:LR; siTh si iwgnE rasomac bcsueae ti is a yongu boy with laslm lebu clle enob omrtu in hte dhiysasip fo het uemrf

igwnE rsaacom si a lnitaanmg ebon mtrou omnomc ni gnouy oybs .1l.&o5yt; tcypyilal dfonu in eht hsadieips )id(emld fo nolg ebnos rartlypcuila( rf)eum or icpvel falt bns.oe It is a smlla elub ellc omurt, amgienn hte iotepcsdrr fo l,smla n,uofrmi cicytmhorrheap lslec wiht ihgh aomyslup:cecltsun r.aito tI laos sha na oinon" knsi" eoaresiplt oiancetr ni het eonb ic(eersdbd as tiseus urodeurnds by ntnieccroc yserla of icaetrve nebo ni het otsi.nu)qe toN nntdmeioe is the ainosiotcsa ihwt 2)t;1(2.1 [AF 0202 p 446]

yhW the troehs ear gr:onw

  • aandCmcorsohor is a ourmt of alnaigmtn ooynhcdstcer )ea(gilatc adn dfuno aiylnm ni eth ivpsel, apxomrli r,efev dan uhrsmeu
  • ncoioisplhEi lmangurao is si a arer, negnib mkeurtoi-l iseddorr zeiehraccdart by nalclo fptoineiraorl of aegLhnrnas ecsll nad eht tmos onocmm rietvan of geshLrnnaa llec iuyisWoh.tdscitolos ykllie sya mhointsge tubao ieBckrb rgenulsa ni eth emst adn dwluo aevh ticosadase tsysmpom ucsh as hras [AF 0202 34]4p
  • tepMluli oeaymml si a aampsl lecl iarcayssd A[F 0202 p]413 twhi ucvtonioeprodr fo lacipy)t(yl gGI. tsrshreCaiaccti cidulne BRCA - eypiha,elracCm neaRl neevlnvt,iom anmAe,i aoBBkcn/e nipa ued ot dcnpuhe uto tlyic bneo soislne tylicp(ayl of eth einps)
  • lph'Wmebiroa/lNastoms ruomT is eht tsom momnco rlnea lmnayganic fo ryeal cddohlohi dan pntesers sa a lakfn mass AF[ 0202 p 60]6
  • ssoortaamcOe r(o eioesotcgn )acrmosa is a irmpray enob routm cmmono in emn lt2&0;. tI si clptayliy ofndu ni eth pymistaehs it)s(p fo olgn eonb.s losHogyti ohsws ppirocelomhi teoiods nuigrodpc scll.e nO yraX- uyo wodul ialleptytno ese a naodmC liretgna avl(tenioe fo tsu)miperoe ro tbsrsunu tnptear
  • Small hcpmoytylci ophlmmya si sllaseentyi teh esam itgnh sa rcnioch yhtmcplcoiy .eukamlei It si edednorcis a gnnidooHk-n ylmmapoh fo eB-sllc and eth otsm ocmomn ileukeam of tsadul as( C.LL) ugemdS lscle dolwu lkelyi be snee on prleearphi dlboo .easmr tI lwoud ont llyike etspnre sa na csitleytoo nloeis nda is yunkleli in ceihdnl.r [0F22A0 2]p43
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cbay0509  kathn uyo +1



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