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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 nto a fan fo orssg athp emisag adn eitqssnuo hatt ysa ol"o,k ahwt si tshi "?tnhig - atth disa ommsgniaine rae teh osmt mooncm raibn tourm nda isht reiupct is is a ogdo axelepm fo no.e I hda on idae hatw thsee thsign doleko eilk nda tgo it ,owgrn t.oo akeT a lkoo at shti neo

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johnthurtjr  eH'[esr moer wwaie.)uco/t(nhottgemnpua/:m.mfoenrolwp.gsilgetpanhot/nrintsmocy/hoimlocitl] +2
meningitis  I ogt it ngowr ecsaeub I tidnd' ees any arpntape uaDr trmea orn ehtro meesngni Teh( vnies a'entr bneig dcveeor yb nay h"syin y"erl),a os I ogthuth het mtuor aws cmniog fmor idiesn teh aibrn dan nto rsieonpgscm it liek sanigmomien uauslly od. +3
meningitis  uBt it ddi loofwl eht mncmoo pcstea ewehr ythe aer nofdu in netweeb dissivoin of rbina and rea rlcicura rohtgsw like a al.lb +9
nala_ula  Sneci ti wsa icbylsaal mliidep atth het neittap edid and "eehr lkoo at htaw htis is" I ouhhtgt ti swa a itamnnagl oumrt ai.al(l.m.soogtb) utb I seugs is't lal obtua nacmtlpee. +15
thelupuswolf  GMB uwdol be ni the rcyeap.henm Dieven pdoacts iads fi yhte hswo you a rosgs uerpcti fo the tobomt fo the arnib tneh sti' a lemotgnibsoamhaa bc t'is mots ofnet aeclrrb.eel uBt stih oen 'ntswa rreaecllbe so I netw aedah wiht mnaiemniog AF( sysa entrxale ot abrin pyarmecnha as llwe) +2
vivijujubebe  GBM udolw evha ecrossni dan nlgeibde aerewsh hte -slabelhpda umotr ni het tpcirue koslo smtoho adn evyr .ve.n.ennibeg oht I aevh no daie owh omesnoe nac edi os dseldyun mrof mmnanogeii +1
seba0039  nioMr t,reoocnric tbu I do tno thkni ttah aiseMinogmn rea eth tsom omcnmo brnai mot;ru hyet rea teh mtos momcno nbnige nbair mtrou of tdlsau mPta)(oa,h but mI' ont sreu fi tye'reh teh mtso oocmnm le.rvaol +
an1  hsTi mgeai gaev us all eth tlalsleet ofr amnomeii:gn an erldley wma,on lmeindi ,sasm .nurod I hkint etarohn htgin tath made em tpo fro gnnemaoimi was tath I hda to okol rof hte smsa and meak uers I tansw' lkoiong ta hte gnwro tghin. mroF tawh vI'e e,ens GBM nprtesse ihwt a aatn,uirell hgi,mrehcora ocirncte ssam atht lowdu ksitc ruo leik a eros muh.bt +



 +3  upvote downvote
submitted by โˆ—hgandler(4)
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Mieogiamnns tsmo oefnt cuocr nera eth crfauses fo eht arb,in clsyeealip the airsgalgapta g.noiers hyeT rea ontef patmctomy,asi and lrgoyss ti srapaep as a udorn smas dhtetaca ot adru. It will oessrcmp teh rceotx gpian(lxnei eht e,ecsdh)aha ubt it lwil otn d.aeinv ehyT rea loas the ostm monocm iparmry niebgn CNS .oumtr oenmW rae eomr moomynlc feaf,dcet cihwh si oueppdtsr by eth ne.vetgti

thrOe nssrw:ae

:A syratotoAcms rae lasuyul fnuod in teh oitesrpro ,safos and rae hte otsm mocmon miyrpra NSC rmuot in lidecnrh

B: albstoioGalm oimermtflu si aysulul esen wihnit hte lrcrebea ,prihmeehsse dna sohws snsgi of ocirsens dna rmehgeohra.

:C amnolaMe acn saemzetitas ot the rb,nia but iths wldou lyiekl fmro ni imluetlp sst,op dna heyt wuodl not eb iotsdue fo the mcarpenhay

E: qouumsaS eaeipthlil owudl lisalyimr eb seaissattm adn ohreeetrf osla eb lmipleut enssiol isdnie eth cpmahanyer

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 +1  upvote downvote
submitted by smit 24(1)
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niilClac ttenvgie is neldgai to oGtrBste(aMcy .ot..ng.)inoir seur tbauo eht orsgs .ur..p..teci

tDo'n konw tahw fi hcsu setsqunio paaper on aelr ๐Ÿ˜‘m๐Ÿ˜‘eax๐Ÿ˜‘

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htballer55  I telf eth maes awy. utb fi you oklo at uopsaty psci no ,eoggol oyu ese hte nnmieogiam si leik a lalb ognmic otu fo hte gne.mesin opr ceam taht ot ogbmsoaiallt icwhh si hntiiw the rbnai ni lrreecba mrhihespos. ees 'ist lyanim neo mutor is nomicg uot fo teh rabin nad hte oreth si sinide het beealrrc rsem.hetsha spte'hi the estb i anc emco pu .itwh tbu its' nginfsocu +5



 +1  upvote downvote
submitted by โˆ—misterdoctor69(70)
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In case ynaeno wsa ind,oregnw nimimasoeng rea mroe ommcon in ewomn eppra(hs eud to na ieeocnstgr ,cftfee but hsit si itsll lhyot ed.dbtae)

sol,A MsGB' woldu ohws pu sa sebfrue-ttadhylp dan talmpanryec.nairh eyhT heva a 06% hiergh enccidnei in alesm tanh easmf.el rclasoitiH sieda - Ted endKeny ided mfor a MGB

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 -18  upvote downvote
submitted by thomas(3)
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Awensr si rtotys.cAe entatiP hsa lmolaagitsob muoftmleir. lhgotAhu ameiismngno amy ccoru at ixie,oentcvs oneasnigmim are nnibge dna tfneo oi.yatapsmtmc yheT mya esauc h/a iszesu,er tub wuodl be uleyklin to acseu ahedt /nwi m6 fo tones of .ah/ The siez fo uortm adn uecors fo ilesnls is stotscinen htwi hte uroces fo MBG

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masonkingcobra  oebvA si voblsoiuy rotcrniec acsueeb eht arwnes is geMienaln .llo e erH si a nilk to a ogod crue:pti thugoaphrport r /teprncomyc. llwn:l7csbteuh/pa/thoh o-eiag.f/seltaeMe7 +28
kernicterusthefrog  blyuiovOs toamsh si resgeiiagdn twih teh tpetinsnraeo fo hte qt,iuenso dan I reaedg htwi !hmi Tish ybsolatuel osnsud lkie M,BG iwth dpria eosnt eindlag to ad,teh dna teh ymp.osstm eTh noiqsetu mtes alsed uyo to GB,M nda teh orssg agmei to iinmmnageo (I )ug.sse +2
kernicterusthefrog  uo,herreFtrm hewre era het mngeinse no hte orsgs imaeg ofmr hwihc htis ie)no(mamgni g!e?wr It sldhou at ltase ohsw hte estsiu rfom hwneec it acme! +1
nala_ula  aHd teh same rebp,oml gto fsocudne cinse it dpeaepra atth the hgrwot swa ningaltma (: +
sugaplum  AF 0192 pg ,514 olsa aeger twhi eryeovn.e rweid otnaensepi.rt lGios rea nantlgmia htead inithw 1 arey, migneimoan ear efont oypmcimastta or ehav faocl sigsn. s tju a rsogs yohpgoatl ouitnesq at sthi notip +
garima  ฤฑ khtin hse idde cb fo espsreru ro onhmigest ugsy, sti uyovobisl dorun padehs nengib oinel,s ist laso arxte lixaa ton elki BM.G esh dah hist bymea aseyr efrobe dehta +2
skonys  I thikn teh iontp si taht MBG secaus a iprad dneelic nad edhta at valriytlee sllam loisen isze beuasec ti's ntihwi eht hceryn.mpaa eMisimaognn are ngbein dan cna gorw aynenlis eagrl eorbef eyht usaec mstpyo.sm +

  • 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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