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Retired NBME 20 Answers

nbme20/Block 2/Question#17 (reveal difficulty score)
A 57-year old man has a hemoglobin ...
Chronic obstructive pulmonary disease ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: hemeonc polycythemia

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 +17  upvote downvote
submitted by โˆ—hayayah(1212)
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sihT si ieatevrc omeahltpcyyi re,av hwchi is due to ighh idtuetal or guln .dissaee SOa2 si w,lo dan OEP si eirsa.dcen

hrtnoAe way to ahpporac the qteuinos si ngoilok ta teh blood asmr.e I'st ttpyre oralmn no( cge,yksoeramyta no scdiearne rnbuem of lp,sttelae on dosr, gthnino ulbe, .)cet A odlbo reasm rmof a DCOP ipeattn ilwl eb rn.lamo stJu na ndraseeic bunrem of sCBR deu ot hte adercsnei OEP giedlan to esneiradc bH.g

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mbourne  oYu duol'nths allc it teacvrei lypiytmohaec a"v",er as ytmilcheyopa evra si a rptaeese eiaseds wthi rtlnyiee firdefetn iyotlgo.e hsTi is vecietRa ymaPi,ohlteyc ro sa ohnarte retspo sa,di epoppitarar bauletso thcieyymopla nydceasor ot icnchro a.hipxoy +24
j44n  i umdpej no ytsismcoleyadpl ngiitknh it aws VP eud to eht jka w itaunomt utb ouy llcyanhctei teg eeaeltdv hteynrvige in that ioattunm os ti olwud be mreo ntah jstu B'RCs +
beetbox  I olsa hhgttuo it swa .PV woH can ew ellt cerateiv iyhoaymcptel form cultaa P,V fi VP deso not ohws oehrt kisdn fo oldbo ellc ctnosu aiedsr ubt sujt na otlaesi fo CBR ire?s +1
l0ud_minority  I ogt itsh owrgn tub rhee ym dtlan aiBesaoer fof het mnoontfaiir ni het sgpaaes woh nca wHo acn uoy iatfetreeidnf this ofmr tnoiipapraper atoulbse yoyt?mhcealpi lia epraantPsco semonrdy si aodsictaes tiwh seanrcc scuh sa opllcHauleerat roCai.amnc iareyertdH mcmioosrashtoeh cna levae ot vreli ricsoisrh. tTsah' ywh I cheos .C But I swa gnrwo. +1
epiglotitties  'Im cnu,oesfd iayctPleyohm eVar wst'an in eht awsenr ccosh,ie )D saw tsoseicdplymyla mdonysre ihwhc I d'ton ithnk si hte esma sa elmerloifraeyvpoit os-rdrdeis hcwhi udeilcn PV, Enaslesti ammioTyhcrhtbeo nda iob.Msyi-rfsole rO rae yteh het smae tin??hg olAs tbe@oexb, hte awy to ltle cetrveia atcypmihoyel morf PV si yb ligonok at O.PE nI teirvcea ti si eevteald nad is wath is ailndge ot eht crniaees ni BR,Cs nda in VP teh aieescrn in BCRs is ude to plaiescnto aoasntormrfnti of CBR usrspoerc ONT csexse OEP. +



 +9  upvote downvote
submitted by โˆ—alexb(53)
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I dnsceouf ystadsyclpimeol yrnemods tihw pimrayr ebfiomrlysiso ubesaec I hogthtu 23- of tehos RCBs kldeoo liek aorreptd l.selc Jsut ikle ewnh ehty whos na aegmi fro ubulsol dhpemigiop adn tehesr' eoms ediwr cndeso ipr trhhuog the ueamralbd/erdmsl elary namgki me itknh s'it nto BP veen thguho I ntd'o wnko athw esle ti lodwu .eb mlf

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whoissaad  Mdae teh aems takisme +9
targetusmle  i thtghuo cyxltae hte sm!!ea 2 secll olodke ekil tare ordp eslcl :/ +2
ilovemypuppies2295  I htoutgh trehe reew eatr odpr lscle .oot Seemde kiel it souhld eb a apliatmeas hen.t hO lwle +
lynn  I ddi eth ams,e but goonlki at 9FA1 pg 243 it yssa tfic"eneevfi toshseaeopiim -tg-&; tfsdece ni clle rianmuttao fo ldymoohpinn g.el"eain ouY can egt lodebib suo,tlpenirh or if ti odsrpreegs ot AML y'duo see aeru os.dr hntoNgi tbuao tera odrp cll.se hTne on pg 406 aert rdpo csell wloud eb nsee in lso,sombyieirf dna lssibypo mtseasihalas +
waterloo  I uhgohtt eht msae, tbu I ihntk taht dlouw be f,beroiylomsis tno ly.taiosdcmyleps Hb is laeylr high eehr t.oo yPertt ykicrt orf ehtm ot upt htat rteeh, ysea keen .rejk +1
jawnmeechell  eyglsnrtnItie nghou,e cnagngeio ideoylm mspaaetail is het dlo aenm fro s,oiosbelfrimy tihw cnnggoi""ea nbgie smuoyonnys with hoatip"dii."c (ro did eyeonrve aledayr okwn )sthi +1
bfinard1  arrmPyi iibolysrmefos is a mvrryfapieeetlloio oseddrri nto a septldycimysalo soyedmrn +



 -6  upvote downvote
submitted by โˆ—strugglebus(189)
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tP sha ymealpcyohit avre erm(eiloarelfvtyiop drdso)rei ued to oncicrh hypoaix indeucd by C.DPO leMyiod aeaplaismt si xater ayldeulmr aemphoesoiist ued ot soboyfeslm.iir eayHdterir ihosamormohtsec dowul aveh eenb enrpvo yb a rinuasps uelb ntai.s epiHslysenmpr uldow veha seduca erdeadcse Cs,BR and aloypidslsycem ysrdomne duowl evah ohnws rAue osrd ro .aslsbt

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neonem  hRgti, I hntik isht wdluo be jtsu acdlle opri"rpatpae auobtsle ophetialc,"myy reswhea paiyletmyhco rvae is deu ot a mnnalgtai KJ2A aotmntui and lduow eb temred a ypte fo hrncoic rooytvaiiemlepeflr irsd.edor +14
utap2001  elacsMplsyoityd dsenosmry M()DS si aslo dlcela reakleu,iemP pssaoymilyadle. ni SDM, rouy oneb romarw otneds' eakm oeughn of seteh yhthlae olodb .ellsc nedasI,t ti ksmea namoalrb cesll htat rane't uyfll eepoddelv u)ie(arts mA.m het dcinionto dp,voeesl uroy eonb ormawr tseg lgudrlaya atkne roev by hte iearutmm odolb ,lcesl hihwc td'on work rloreeyThp.p oidtninco anc evdolpe lwylos tn)nle(odi or likcuyq ees),vigra(sg dna in mose oelepp ti nca eolevdp iton a ypte of meiaulkae lecdal aecut doimely elaekmaiu AL.(M) +



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