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NBME 20 Answers

nbme20/Block 2/Question#35 (61.8 difficulty score)
A 36-year-old woman comes to the office ...
SplenomegalyπŸ”
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 +13 
submitted by beeip(124),
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ievLr looks ertypt -norlizedasm ot m.e ciP reeh orf cisoormnpa




 +5 
submitted by sympathetikey(1354),
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Selepn so ugeh -- okol klie isth girl has 2 sv.erli




 +5 
submitted by dcdaskalakis(5),

Fuck me dude, I thought it was too obvious. Like here's a picture of a giant fucking spleen, then they ask "which of the following additional findings was most likely seen in this pt?". I thought they meant something other than than the obviously enlarged spleen.




 +1 
submitted by medschul(89),
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I can teg iehdnb segolp,anmely tbu hwat is the oersridd?

sup  Felty syndrome, an extraarticular manifestation of RA. Symptoms include a triad of RA, splenomegaly and neutropenia. It's in FA, you just have to squint (look at the fine print under the RA vs OA table in the MSK section). +21  



 +1 
submitted by dickass(87),
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I ntsep iekl 5 eimunts rtgniy ot gfueri tou wtah nidk of ikctr tqiusneo tish .swa hreTey' tusj ingtry ot teg ouy to riguef tuo 'ho ookl hte nesple si E!'UGY




 +1 
submitted by sammyj98(24),

maybe I overthought this one, but doesn't she have free air in the bottom left? Or is that the bottom of the pleural space...

ibestalkinyo  That's probably the most inferior portion of the right lung +1  



 +1 
submitted by bbr(25),

damn, the spleen was so big I thought we were looking at the 2 kidneys. Found a new way to get things wrong.

lovebug  @bbr me too. lol +2  



 +0 
submitted by hello(313),
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epnlSe si rn.gdeela mroeCpa it ot CT scna hiwosng lodi-snmzare slene:p

trsrgp3/p./ll18hjwgdc5la/.tqbl1a.dt:/oo/o6wouhiocaurstp4/ymowist




 -1 
submitted by strugglebus(165),
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I uhhtotg hte revli eokdlo gehu af oot oll hhiwc made me nsiieoquirt hte loweh aophgirrda




 -3 
submitted by medbitch94(36),
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HWY hse sha a gheu sas reliv ?oto I nod't aunrnsdetd hwo ouy cna eohosc gbi senple rvoe gib lievr or isva raves

dickass  I like big spleens and I can not lie~ +4  



 -3 
submitted by thomas(2),
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oeLkod elik poges,oeeahaylnmtlp tbu I wtne hwti rivel cb/ teh dmeea ocudl eb ued ot ielvr uyc.niftndos