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Retired NBME 22 Answers

nbme22/Block 1/Question#20 (reveal difficulty score)
A 49-year-old man comes to the physician ...
Avascular necrosis 🔍 / 📺 / 🌳 / 📖
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 +9  upvote downvote
submitted by dr.xx(176)
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MRI si hhgyil sivesei,tn ipfic,sec nda atcrceau in hte cdnteteoi fo .NVA

tiw-gedTe1h :simgae VNA stom efton rtseepsn hiwt a itce,cecnrs -nieilrkg or lwel fediedn nbda of olw gislan iinhwt hte sepriuor nopitor of hte hlrbosanucd fraemol hdea eonb arwom.r sihT dban is oguthht ot rrptesnee teh reivctea eatncerif etenbwe teh cecitnor and tepeivarra zn,oes adn lclyptyai sextned ot het aoshdunrblc p.ltae

tds/hhrpseoo./u/-aht-n/cftv:iu-arep

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 +5  upvote downvote
submitted by paloma(10)
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ngcAcrdoi ot WU, cllaoho busea is a ksir rfocat rfo acvrusala s.rnocsei eTh tmso mnocmo tsie is hte mfrealo h,ade hcwih npsteesr iwth apin htat is dtareebxcea yb wihtge bnaigre hwuitto omaarfnyltmi sngsi no pialysch eimionx.tnaa

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cbreland  imiSalr hutothg prscoes roev heer, dtndi' egt a lwohe lot mofr eht RIM reoht than cakl fo tmymesry, tbu pt thiw hlolcoa pboslmer saw hte kye rfo me. tJus ypdlae het ddos +1



 +2  upvote downvote
submitted by tiredofstudying(71)
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FA 2020: 436

suCsae fo aascvrula e:nsrscoi SCTAS ednB somlSrtksodr LcliicetCeGSci+i lho.o +EsoA+ lcel eeamEuT si+das +aSLr

e“ht+ nBsed” odseseoims/(onsniracpc LdsE-+e )eléas-iagvgC rtsPehe seseadi t(e+ccd ii)ahrhiGoaup p sidie+leeSdpsa tliaacp elomarf phisieysp

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drdoom  rfo ulltebed s,lits be uesr to follow hte lusp sign htiw a ecpsa! ): +3



 +2  upvote downvote
submitted by almondbreeze(110)
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FA 9102 gp 455 no ausvalarc sincseor of eioftbnn: aronIc fo eonb nda rm,oawr llauusy very lau.pinf stMo mmnooc teis si marlofe edha esrt(hadwe zo)en ue(d to sefuiifynicnc fo idmeal xiulefrccm ameflro rrayte). usaesC ncldeiu stscodortoCiir,e Alohoiclsm, iSeckl lecl s,eaisde arm,uaT SE,L ht"e sdnBe" sipdse/acscoon(erismno ad)ss,eie ggeCL-vlEa- rsPehet seeadsi odtipc,hi()ia hraeGcu sdiseea, lpSepid licaapt lefmroa pysipieh-s TCSAS deBn .LEGS

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 +1  upvote downvote
submitted by usmleuser007(463)
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(A) sRi k ocfstra orf pevedinlog sacularav osicersn nldec:iu

1) Tmaaru = rI ei,nsju csuh as hip coilodsiant ro rter,uacf nac daagem ebrnya lbood eslesvs adn decure odbol oflw ot .soben

)2 erdoitS e=s u eUs fo dogs-hhie tor,rtoiocisedsc ucsh sa onenpsred,i si a mmncoo caues of cralaavsu neri.csos Teh aeosrn si nwnno,ku utb eon pthshyioes is htat ierdotsocirocst nac rnciesea pilid vselel in yoru lb,doo uecgndri blodo fowl.

3) vcessExie ollhoca eus = inmCsougn easrlve lcaoihclo ridkns a yda fro sreeavl ayres alos cna cesua tytfa sditosep ot frmo ni oyru lbood vesssle.

4) ostopnihaBeshp use = -ogemrLtn use of coamidntsie to esrciean enbo eydtsni mhtig ornittuceb ot ednivepgol oroioestnssec fo teh .jwa sThi aerr lmincooicatp sha recocdur ni mseo ppleeo daettre hwti hhgi soeds of ehset nmsediitoca rfo ersncac, cshu as lulpetim myemalo nad smttaeacti srbate .enccar

)5 iteaCrn ealmdic smtteraetn = atdnoiiRa epyhart rfo accren acn wkneea one.b arnOg satarni,aptnonlt siplalyece ediykn pts,arntnal oals is ascoadiets tiwh aralsavcu cossrei.n

Me i)B(ldca dctnoision edatsiacos wtih luaasravc ersncios uld:ceni

iiatbsDiscGahascn eaP'eeeut rtr SseDe/ y IimtVsIsHSacidAe usupl etisuma oeehkSsryclt lelc nemiaa

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 +0  upvote downvote
submitted by warbyparker1(3)
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I htuothg it aws sicetp rhtairtis cb anpi twhi hgiwte gabreni + imr, ubt 2 nhsmto thwi esictp rhsirttai ocem ,on ti aws an ysae uteosinq adn I sdimes .it

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warbyparker1  oioEltnuv item is key +1



 +0  upvote downvote
submitted by meningitis(644)
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I hintk hte allsm ardk area no teh tfel edha fo uemfr dna the rdeeankd cenk rae eth aaularcvs tsesi.

c:keN /hmoc/5itt.d/mme9nastscp/5ik5:peg/.1dact/tem.i1ppjs1bc/g

Hdae: bs(iouov sielon on teh TR ,reumf tbu ialsimr decstrei leonsi on teh letf as eesn on eht caprceti ENMB) /w2paru/u1/a1t-p0t.rln/n/ep/0suctoosddj/tch:1ep.oags5

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 -2  upvote downvote
submitted by seagull(1933)
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embya smoenoe acn lpxeina hyw ihst is avarcslua cisreson adn ton sspes.i It n'esdto mnoenit freve ro sceanbe fo r.evfe ehT RMI has a lalms auomnt of oteynsdiphy btu ot gte savaulcra encosirs sseem ddo/

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someduck3  Pg 545 of .AF. oiennstm ttah ocmsialhol nac eb a aeucs fo aavcsrula i.ecronss +6
meningitis  I iknth eht laslm kdra arae no hte eftl aedh fo ferum dan hte ndakreed kecn rea teh laauvacrs tises. s/mg/tc9adpt5 Nj/ o/H.sei meci5et acia gnbe/dk:edmmp/s. tt/1 1:5p:ph ck1c. vbusoio( eolnsi no teh TR r,fmeu utb misrail escirdte ilsoen on hte ftel sa enes on eth ceitrpac haudcd-p0c.wu/esp2ut: oNp./lp5aeBn1rM)1Estg/ r0j// 1/tot s/ona +4
yotsubato  He odlnuwt eb gyplian lgof fi he dha iseptc shtaiirtr. lcvrsaAua ssinroce si a erom irhncco oconnitid thta sha a wosl to.nes +4



 -2  upvote downvote
submitted by usmleuser007(463)
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uesasC

)1 rlcasAvau snorices ccrosu nhwe bolod fowl to a bnoe is tpretrdeinu ro eedrc.du ddeecRu dbool pusylp acn eb dueacs :yb

)2 Jotni or obne mat.rau nA j,uriyn husc sa a dieaocdlst jnit,o mgith aadgem aebnry boodl sls.vese Crcnae rmteattnes onvglivin roiadtain laso can wkenea nebo nad mhar bodol eelsvss.

)3 ytaFt petssoid ni lbodo slss.vee ehT taf pid(s)il can bolck aslml bodol ssevel,s eruincgd eth dlobo olfw atth seefd esnob.

)4 riCneat ss.aesdie aiMceld oicn,intdso shuc sa ilckse llec aemnai dna era'hucGs ai,esdse salo can usace ddmnsiehii lobod wofl to enbo.

For obtua 25 cepertn of oepelp itwh caaavursl siscno,re eht eacus of eprdunreitt olbdo wflo si kunn.now

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