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NBME 22 Answers

nbme22/Block 1/Question#31 (reveal difficulty score)
A 60-year-old woman comes to the physician ...
Lung cancer ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ
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 +14 
submitted by โˆ—famylife(109),
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Ivstrnna"ee the sclusme fo hte milaed mcmtartpoen fo het hhtgi ttaboro(ur ruee,xnst arcodutd ul,onsg tuddoarc esbriv, tddoaurc asumng dna c.agilr")si

o-/fheerolmlth/sreca-vvb/mwmonbtt/eaetytrpn//eor.iaotuisra:nen


 +5 
submitted by โˆ—atstillisafraud(219),
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tiehgW sosl - tnkhi pctHocrnrnmaeiaay e - DIHSA frmo alslm elcl glnu mceEcradaen + VDJ - VSC sdrenyom

peridot  I wsa nitnihkg gnlu acrenc riescentg HSDA,I tnegluisr in amnhiera.tpyo tuB usbeeac het oineustq keasd lycilsefiacp uboat eth easuc of teh ialfac dmea,e I ptu inamhpteyroa e(nwasr eohcic )C. I wsa egnrwndio how you sgyu weer able to tiafefidetern eeebnwt C. haeimnpaytro adn E. lgnu ercac?n kaThn uo!y +2  
mannan  The rtfsi thgni ttha cdosser ym nmdi swa VCS onymdesr rmfo het accern totiguncrsb the R cbacphialohceir evni evnprneitg suonve loodb romf tirgnunre ot the rheat (adn tsngaiy in eht aacfil a)era. oAls I semusa ryiHamtoapen ldowu eb ueeilnvaqt to eeeaddcrs yobd louemv os ehetr n'lwtudo eb mdee.a AF nelaR lgooiysyph cstoein ahs a ogod crath no athw ehpspan rinudg yttolcelere scleinmaba hpy(o nda her)yp +2  
mannan  prtdi@oe +2  
peridot  I asw ikignnht hatt thaympanoeir duwlo be reom osls fo otmoisc pssurree -;-t&g dem,ae but I deieyftnli see the untemgar fro a smsa atsht' ilspym bokclign olbod .folw nkaTh yuo! +1  
jaramaiha  nylo ngthi ifgcaentf ooctims sereusrp is bmaln,ui hciwh oduwl eb moer asdtrow vrlei orhcii.ssr ehT yobd wlli pmeattt ot iannmiat a aN+ of 104 ihtw voriuas ,msenhiascm btu ntdo'es iuorctnbet ot stmooci eusrr.pse +1  



 +5 
submitted by โˆ—thirdaid(10),
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Teh laintii onsaernpitte lokso keil aecrnc: etihgw sols dan eseviorrpsg aydepns vroe het eosrcu fo mtsonh ni a avehy skrmeo. hen,T teh tsequoin eesibsrdc ntaayxmoeul-rpr ptsmsyom adn a aealnsrptoapic dremos.yn

reMo yatle,cu rehet is onetlvdpeme of dmeae of hte cefa adn lrauugj esnouv doitnsneit. asceBue shit is leailczdo ot puerp bd,yo ew hsould ithnk fo a hmnaiecalc unctbrtoosi to vseoun folw as popdeos to smeo airgciodecn oa.nesr ishT si na -auoynxpltearrm tymomsp of lugn ccern.a

[ poSurier eVan aCav onmyedSr uasecd yb hte mieadl gdrnisaep of teh otrm.u nCa eb dctaaebxree in eht slphaicy axme yb gsknai naiptte ot aresi tbho rs.am ]

Fani,lly ehetr si a gesiln lghtiehdhgi bal aluve t-g&; eniraaptomhy. Sllam ellc nglu ncearc anc lsraeee napraripieopt elvsle of ntdutiaiecri honrmeo t&g;- AIDSH. DAH wlil ietnra awert nda aeecrsed dumsoi nrenictnoacto ypbossil ieagnld ot rrbelcea eaemd nad .irszeues

[ ydemSorn of aeaIpnorrpipt DHA (due ot allsm lecl namcc,ario a ocnenrdonureie mtruo of eth lg)un eessradce msioud nent.otraonicc eiPaarsaltponc rdsoe.ynm ]

nI yPkthcaeth:S SVC eodmnyrs is het rde onloabl nrae eht mesidanmtui hspi dna IHADS is hte yug ntgyir ot crary eht ertwa reloco and gigntte etwar lla erov mslfi.eh

makinallkindzofgainz  I reg!ea rieSourp cssulu utmros si a gunl craoacimn thta corusc in the apex of eht lung nda can eausc SVC oremsn.yd +2  



 +1 
submitted by โˆ—agraham416(5),
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ma i hte noly ubdm eon how ogtthhu it swa eodgamanie scaeu of the ACE ?itinrboih ottalyl elteendgc all teohr omntroaif.ni

dwdelva8  I did hte aesm ihngt, but seh adh nebe on taht AEC oibrithni for 51 sarye os I ssuge it ulwdo be gtasner rfo it to all of snedud acues osmytspm +  



 +0 
submitted by โˆ—ekraymer(1),
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aWs it gnrow ot ese lodob eindtg uumt,sp dna oaymtltlcaaui smsaue sti ncac?re isnec onen of the htosre lwdou heva ucdeas odblo inetgd tpmuu?s




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