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Retired NBME 20 Answers

nbme20/Block 4/Question#42 (reveal difficulty score)
A 65-year-old woman dies 6 months after the ...
Meningeal ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: neuro images gross repeat

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 +4  upvote downvote
submitted by โˆ—johnthurtjr(168)
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m'I tno a anf of orssg apth gsemai and ossuenqti that sya look," waht is isht ?gniht" - hatt isda nmnmsiioega rae the msot ocmomn riabn tmruo dna tihs rtpicue si is a oodg pexelam of ne.o I hda on edai hawt teesh nthisg lkdoeo klie adn otg it ,grwno .too kTea a kolo at htis neo

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johnthurtjr  'Hsr[ee roem omwlfpoi.:api/hnhoingg]rew.ou(oehs/nemoplmmntrtcl/tcaltutynmntoii).woseag/ct +2
meningitis  I otg ti rnwog uebaces I 'itddn ees yna retpanpa uaDr ematr ron othre meneinsg heT( nvsie nte'ar bneig dvecreo yb any "hsyin ryae",l) os I htogthu teh umrto asw cgoinm rmof sidien hte bainr nad ton mrisnpgosce ti keli imgasinmnoe lsualyu d.o +3
meningitis  tuB it ddi oflowl the ncmoom tespca weerh tyhe ear dufno ni eeetbwn disivinos of nibra nda are iaclucrr wtosghr keil a bl.al +9
nala_ula  neiSc it swa iysaballc idempli atth het ttienap deid dan hee"r look ta twah ihts "si I uhghtot ti aws a gnmaanitl uomrt gi).lo(ts.m.loaba tbu I gsesu i'st all ouabt nmle.pteca +15
thelupuswolf  MGB lduow be in eht .mhypecnrea enivDe dctsaop adis fi ythe owhs oyu a srsog euirctp of eth obmtot fo teh nriab hetn i'st a iblasamnhogteoam cb i'st tmos eotfn ebe.clraerl But shti neo t'nwas leebrrcela os I tewn daaeh ithw eamnimngoi FA( assy etexanrl ot ianbr ceyanphram sa e)wll +2
vivijujubebe  GBM wodlu veha ircnesos dna neldgbei haesrwe teh l-blashdaep ourtm ni teh ptriuec koosl ohmsot and yvre vbeinn.gee.n. oth I veah on edia woh ooemens nca edi so sluddeny rofm nmnaegomii +1
seba0039  oMnri noci,rtcreo btu I od not tnihk tath miiMnoesgan era hte otsm mcnmoo ianbr urot;m yeth rea het toms ocmomn begnni irban mtuor of dultas ),hotamPa( utb I'm not resu if eyerth' teh somt nomcom evrall.o +
an1  This amgie aveg su lla het tlltselae rof mnena:iiomg an dyeellr ,mwaon dniieml ms,as uondr. I thikn rehtaon nitgh htta edma me top ofr mgoinniema saw atth I adh ot kloo rfo eht mass dan mkea urse I an'swt goonilk at the nrgwo ig.hnt From atwh e'Iv ense, BMG etrspsen twhi a auel,ntrlia gceoimra,hrh oreicntc amss that lwuod istkc rou iekl a rose umhb.t +



 +3  upvote downvote
submitted by โˆ—hgandler(4)
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gsnMamiinoe omst nefto crocu raen hte asscuref fo het aibn,r lacpeyeils hte ilagatrpagas eo.sgnir yheT aer oentf aoticmysam,pt nda sgolrys ti sprapae sa a nduro mssa hctdetaa to urda. It lliw srmpoces hte cxoter gnxplne(iai teh cdsehha,)ae tbu it lliw tno e.dainv yehT aer soal eht mtso cnmoom apymirr inbnge NSC t.roum mnWeo rae eomr nmloycom t,efefdac ichhw is opursdtpe yb het t.enteigv

hOert w:rasnes

A: sAomtrcatsyo era layuslu udfno in teh ooiprters fasos, and rae teh otsm mnmooc ryapmri CNS utorm ni ilrechdn

B: ltoilobmasaG imroulmetf is lasuuyl eens ntiihw teh ralcereb ehesmrspehi, nad howss inssg fo eissronc adn m.gaeehhror

C: elnmaoaM nac atmsztsaeei to eht irnba, tub tsih dulwo ykelil form in luetmilp sotps, and ehty dowul not be sediotu of het yaamphrnec

:E uoamusSq iatphelile lwoud llsmiariy eb stsiemsata and oeefrhetr osal be utellpim oelniss inides the eaharpymcn

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 +1  upvote downvote
submitted by smit 24(1)
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Clilaicn itnevgte is ginelda ot Grsott(eacByM .n..tiir)nog.o ruse autbo the ossrg .cpu.it..er.

tDno' wkon awht if suhc soieuqnst preapa no rale e๐Ÿ˜‘๐Ÿ˜‘ax๐Ÿ˜‘m

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htballer55  I eflt the smea wa.y utb fi yuo okol ta apyuots csip no goleog, uyo ese teh oeiigmnamn si klie a labl ogcmin tou of eht geeinns.m p rceoam htta ot atsolgblmoia hchiw is itwnih eth nirab ni cerlrbea sheepiso. mrehs si't lamyin eon ortum si miocng uot fo het barin dna eht htero si idines hte aecerbrl t'.mthehrasip shese hte esbt i nac emoc pu w.hti tbu is't oufinncgs +5



 +1  upvote downvote
submitted by โˆ—misterdoctor69(70)
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nI scae naoney asw nwigoernd, ionnseagmim aer orem ocmmno ni mnewo shpepar( ued ot na oegcirenst ,ecefft but ihst is sitll oltyh )ed.abdte

s,olA GMB's uwldo hosw up as ttepblayrehd-suf dna lrmrinan.yptaaceh Teyh vhea a %06 rieghh cendnciie in esmal nhta selaef.m aictrilHso adies - edT nndKeey ddie fmro a MBG

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 -18  upvote downvote
submitted by thomas(3)
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Aensrw is tAsc.etyor atPeitn sah ombgtlsaloai euor.lmmfti olhhgtuA iesnmgoainm amy urocc at iie,voctnesx miisngemnoa aer einbng dan enfot y.mptsmcoaati yTeh amy escau a/h ze,ssuier ubt dowlu be ynklilue to ueacs tdeah nw/i 6m fo otsne of /ah. Teh ezsi fo turom adn ucoers fo lnsseli si setntcniso iwth eth sucroe fo GMB

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masonkingcobra  vobeA is bislovuoy oreitcnrc esucbea het arnews is elenagiMn lo.l erH e is a knil ot a oodg ituper:c rlgecoahnep/pnht.uaro sf.a7e eh/hltot:eMmh co-eu7tytsio/wagpllbr/ctrp +28
kernicterusthefrog  uybloOvsi msthoa si adneeigrgis hwti eht innereottaps of het nusotqe,i and I ergdea iwht im!h This eblaoultys uodssn eikl GB,M wthi pdair netos eglndia ot ehtad, nad hte pmsto.sym heT osetiunq estm delsa yuo to MBG, nda hte gsros aeimg ot neniomgmai I( uges).s +2
kernicterusthefrog  hrrtmoFeeru, ewerh are eth nsmgenei no eth rssog migea mfor ichhw tihs aei)gnom(imn gwr?!e tI odulhs ta lsate ohws eth teuiss rmof necehw ti c!ema +1
nala_ula  dHa hte aesm mbr,elop tog csnoufed icens it apdeaper that the wthogr wsa gnatmailn :( +
sugaplum  AF 0192 pg 154, osla eegar tihw nvoyere.e edwir topa.ieersntn Goils era mnalantgi ehdat wnhiti 1 r,aye ienomnimga rea neoft aomtpyscmait ro avhe floac sg.isn uj st a rgsos othgalopy ntqusoei ta hsit ptnoi +
garima  ฤฑ tkihn hse deid bc of supreser ro oingmshet g,suy tis oovlsbyiu oundr ashdpe nigbne ,niolse tis laos trexa axlai otn ielk BG.M seh dha tish abemy aryes ebfeor hdtae +2
skonys  I ihtkn het topin is that MGB usseca a irpda clndiee dna dhtea at rtleelaviy lamsl seoiln zeis ecsbeua i'ts tinwhi eth npyh.aarmec enonMsgimia rea egnibn adn anc rowg einlnysa eagrl efreob hety ucsea mstmyp.so +

  • Astrocytes proliferate to form glial tumors in adults, for example, glioblastoma. These highly malignant tumors appear as intra-axial masses in the cerebral hemispheres, which typically demonstrate areas of necrosis and can spread to the opposite hemisphere across the corpus callosum.

  • Meningiomas are the most common primary brain tumors in adults. Malignant meningiomas may grow rapidly and cause symptoms of increased intracranial pressure such as headache. Meningiomas appear as well-circumscribed, extraaxial masses that compress the adjacent brain parenchyma.***Parasaggital regions.



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