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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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'Im otn a anf fo sgors phta gsmaei nad uinteqsso taht yas ,ookl" hatw is itsh i"n?hgt - taht dsai nigaoemmins rae teh tmos ocmmno iarnb murto dna ihst trciuep is si a oodg apxemel fo one. I hda on eida htwa teshe inhstg keoodl lkie nda got it gn,wor too. Tkae a olok ta hsit eon

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johnthurtjr  es[He'r orem /onoh/l)nehnopnsigeftueto:mlp.o(noilw.gice/go.ta/m]aaormtyilmtwptucnmhcwstir +2
meningitis  I tgo it nworg esaebcu I 'ntddi ese any paetapnr arDu aertm nor reoht geenmsin (heT nevis er'ant geinb eroevdc by nya yhsni" l)ey",ra os I htotguh eth rumot wsa mginco rofm esidni teh brani nad nto omnriecpsgs ti lkie nmiemgsioan yuualsl .do +3
meningitis  tuB it ddi wlloof the monocm ptacse eerwh htye rae odfnu in nebwete iosdsivni fo iarbn adn rea lracruci ghrtows elki a a.bll +9
nala_ula  cniSe it saw sllabyica piideml that het eattpin idde and "eehr olok ta thwa isth i"s I hottghu ti asw a nilmagtan outrm oo)ail.bga.mlt(.s tub I suegs 'sti lal taubo empalcnt.e +15
thelupuswolf  GMB dlowu be ni eth eh.erapcymn eDnvie dpsatoc isad if eyht show oyu a srgso rtipecu of eth oottbm of hte brian tneh 'sit a hamloatgnebsmoai bc s'ti stmo fneto elrbec.lrae tuB shti eon awst'n eblcreaerl so I nwte dhaae hwit miongmeani (AF sasy xenrtlea to nraib ycmpharaen as w)lle +2
vivijujubebe  GMB lodwu evah srscnoie and bednlegi raheesw the phsldablae- mtruo ni het upiertc lsoko hotmos adn vrye venneg.b.in.e oht I have on diae how esmoneo anc ide os sddnluey omrf gmmnaioeni +1
seba0039  roinM or,otrneicc utb I od not tkhin htat Mioneagnism aer hte osmt mnmoco abnri oru;tm tyeh rea het smto mnomoc gnnbie anrbi ourtm fo sltuda hm(aa)to,P tbu 'Im ton uesr if 'eeytrh teh otsm mmoocn l.varloe +
an1  sTih gmiae vage su lal the slteellta ofr mga:nnomiie na yldeler ma,wno meilnid sa,sm r.doun I hntki trneaho hting ttha emad me opt for oganmmeiin swa taht I dha to lkoo fro eht msas dna eakm reus I tnswa' linkogo ta teh wnorg ghi.tn moFr htaw v'eI eesn, GBM sespentr whit a ,eniauratll hhea,mcigror iccntoer msas tath uwdol ckits oru kiel a oesr tbhmu. +



 +3  upvote downvote
submitted by โˆ—hgandler(4)
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ngiemiasMon omts foetn rcuoc arne hte ausscerf of the ba,rin ieselpaycl eth gsatrpaailga gs.oirne hyTe rae nofte i,mtosaymcpat nad ysoglsr ti peaarps as a durno sams cadethta to u.dra It ilwl omecspsr hte txorec nigxlpni(ea eht acaesed,h)h btu ti lilw nto in.dave Teyh aer losa eht osmt mnmoco iyarrmp nbgein NCS .umtor eWnom rea erom nmmoocly eefc,fdat hcwih is udsppoter yb teh nvteetgi.

rtheO rw:sasen

A: rsaAomcttyso rea yululsa dfuno in het roirtoeps sfsao, dan ear the tsmo oncmom riamrpy SCN mrotu in nrcelidh

:B iGmbolsaotla touelfrmim is sauyull esen niithw the ercalebr eh,himerseps and shwos sisng fo irosescn dna arrg.mheheo

C: eaomMlan acn zsaetmetsia to the n,arbi ubt sith dwolu iylkle ofmr in mliltupe st,osp dna they olwud nto eb eustiod fo the ynperhaamc

:E quaousSm aletlpehii uldow mlsyilair be aesasstmit and heetfroer sloa be lltmeupi sieonsl inides the ahyenparmc

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 +1  upvote downvote
submitted by smit 24(1)
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liacilnC vtentige is neidlag to tByscatM(Goer o.ii.)trn.o.gn ersu tuoba eth sgosr rcu.i..p.t.e

n'Dto wkno htaw fi schu otnuqseis raapep no rael ๐Ÿ˜‘๐Ÿ˜‘exma๐Ÿ˜‘

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htballer55  I tlef hte maes y.wa utb if you kool ta ysotaup cpis on olg,oeg you see teh noenmmiagi is kiel a allb ngomic tou of the iese.mngn c eopamr atht to ogiablomtsla hichw is wnhiit eht bnria ni bcrlreea prsm.sheh ioees sti' malyni eno mourt si ogcimn uot of eht inbra and het ehort is eidsin eth elrarceb e.mt eerhtpaishsh's het tsbe i acn cmeo pu htiw. tub s'ti gncsfuino +5



 +1  upvote downvote
submitted by โˆ—misterdoctor69(70)
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nI ecas nanoye asw e,nnwogdri oeinminmasg ear erom ocomnm ni onwme (psrapeh due ot an esnticerog tc,feef utb this is isllt yothl dtbae)ed.

olAs, 'BMGs uwdlo wsho up as fyp-brhuledatste adn enacntlmrahy.pair Tyeh aehv a 0%6 rhhgei neinceidc ni lseam anht ee.malfs trsoliicHa iaeds - Tde nendeKy ddie rofm a GMB

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 -18  upvote downvote
submitted by thomas(3)
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sreAnw si yrttc.eosA Ptteani has aabosgomtlli .rommltueif tolhuAgh niogniamsem mya ucocr ta sxteoevnc,ii msangemnioi are inbneg adn fteno mict.moyatpsa yehT aym acsue h/a szr,uiees but owlud eb lliueynk to cuase aehtd in/w 6m fo tosen of /.ah heT szei of rmtou and resouc fo liessnl si cnsinotest itwh eht uorces fo MGB

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masonkingcobra  Aboev si ysoilovub ericntorc saeuceb het arewns si eilaMngen .lol er H e is a klni to a oodg p:rciteu Mhuaeelytgl-nehplbts ho7o phpmhet/afwa/e rinrpuoroct:o/.tt7/r e.sglcca +28
kernicterusthefrog  olsuvOiyb somhat si igansegider ithw teh rniestateonp fo teh ,tqensoiu and I rgeeda ihtw him! siTh btelsalyuo ssound ikel GM,B wiht paird eonts agdnile ot ha,dte nad teh smpy.stom eTh ostuqein stme alsde ouy ot GMB, dan hte rsosg miage ot aogimeinmn (I su.)esg +2
kernicterusthefrog  Fe,rrehtumro eewrh era teh neneismg no eth ogsrs imega frmo hciwh hsti ie)(nminamgo grew!? It uohsld ta aslet ohws hte uisets fmro hnwece it !maec +1
nala_ula  daH the esma be,rolpm gto fscnodeu cnies it eeadprpa atth teh gwrtho swa agliatnnm (: +
sugaplum  AF 9201 gp 145, laso eegra whit .nvoeerye irdew tn.teproeains lioGs ear tainganml etdha nhiwti 1 re,ya eoianmingm rae teofn ommtscyptiaa ro heav lfoac .gssni jsut a gorss gohyotlpa qustonei ta isht tipno +
garima  ฤฑ hkint hes eidd cb fo ersuerps or hmtesgnoi sguy, its vsyoilubo ourdn dsheap gnibne ,nieosl sit aosl etxra iaalx not iekl .GMB esh ahd tshi eymab rysae freoeb etdha +2
skonys  I khnit the inopt si htta MBG cusase a iarpd nidcele dan ahted at llirvytaee lslma osinel zesi ceuseba s'it iwhtni eth aaenmchrpy. oinseMgnima ear nebing nad nca rwog ysielnna rlgae fboeer yhte uaesc ytms.sopm +

  • 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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