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NBME 22 Answers

nbme22/Block 3/Question#40 (reveal difficulty score)
A 49-year-old man has had the gradual onset ...
Essential thrombocythemia ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ
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 +22 
submitted by โˆ—yotsubato(1174),
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nia"ihyspsc ouhdsl walsay eanuroegc eyhthal irrgainu-adnmo .tai"ncmiuonomc

Asol 'oeryu gngoi to do msoe sriseou intsgh to ecur ihts 'rsigl idesa,es ealidgn up to .tmpnaatiuo ouY tnac iedh ahtt frmo .reh


 +13 
submitted by โˆ—link981(206),
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rPe rsitF iAd 2180 p(g 41)2 ;m&ap Merkc ulnaaM

a) CLM is tno teh srawen sucbaee ni CML you eavh GHIH sWBC &a;pm etalseP.lt In eht mest reeht si lyno hgih lal.tb)tsp ee sI eht nweasr eesacbu ni ilEssaent htbeommcoayirhT ew veah olmnar BWsC nad BCRs, ustj ighh at e)le.pstcl eModiyl iamsapatel eefsrr to llew a easlaitpma in yeomild elcsl whcih rae oa,lbpsish ,onslhpoiesi )dc. et nI cioPaeyyhmlt Vrea ew vhea IHHG s,BCR BsCW, nad tle)t Pls.eea Reiaevtc omsoitrb-ychtos si a vdtleeea eeptatll uotnc that suorcc dcrnsaoye to renaoth sddiorre like:

nC-cihro ymloairnatfm esrosddri e(,g miohtadure rttaiihsr, lamrnmifatyo ewobl seea,ids srsotueuibc,l csidosira,so laasognsturmio hitw nl ygitiosutpaAe)ci- itnonfeci

gemorar-eHh

nIo-r ifceindecy

eismyoHs-l

rC-ecna

-ycelmoeSptn ro himysepoplsn

impostersyndromel1000  pfcrtee npeesosr ghrti ereh +  
paloma  ssleEtian eohyhramttibmoc eerptssn wthi plsaletet &;gt 1 lil,mnio ont vcreiate orsotmbhcyosit +1  



 +5 
submitted by โˆ—lola915(55),
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utJs atnw to dda ttah hte alp,e beul otdlmet erfing is a pomystm of esentiasl mbcootatyhehirm lacedl o.eratargelmihyl oAls a myoptsm ni ahoyPeitmlcy reaV utb this dsdue ythcoetyrre cutno si ralo.mn

madamestep  lhoiamergleryat is red nllgi,swe ,ianp nad etha ense ihtw cmepahytilyo tmso nmmoycol adn eemmtsosi wiht E.T nA ixdne feinrg ngibe moedltt uleb nda alpe si sdbcigrnie y,dnaRaus hwhci yuo acn olas ees iwth TE. +1  
drdoom  smpaem@dtea sI ereht a eorscu ofr ryuo cdeosn temta?estn aseelP dad if i!seplobs xh!t +  
madamestep  argmroal"iyEleth si oudfn ni 6% of scs,ae nad ideolv tuia,erslric ronim neig,bdle yscosc,rnioaa nda 'Ruydnasa nehnopmone ear rear issaei.afnnot"mt 5n0e.:8tbp22tlgnm/vc.h3b4hmio/i6p/./snud.I m' iknihtng slao ttha yhte lcuod olas eb sribgnedic ipealerprh snsocyai cosao(i)nascr.y tuB feniliydet ton rrto.aieleamylgh +  



 +3 
submitted by โˆ—bubbles(78),
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eakT a kloo at that iavmess aellptte cotun -- ovre a omililn rep m3!m atTh hsudlo pniot uoy atowrsd a iepvotierlofrealmy deodsrri fo oems orts enics hist fllea sit'n eibegdnl tou sa fra as we acn lelt rmof het olobd anepl ihw(ch oudlw put teicvrae ottibyorscohsm no hte d.)dx

woN et'ls oolk ta shtoe yyrhtetose.cr mlroaN -- so t'si ont yyclahmitoep rave, adn dsieogirncn eth clka fo ol,isskceotyu lbbrpayo not LMC or odymeli ipsleaa.tma

So uor eswanr ustm eb ntiseelas tehrobhacommyt!i




 +2 
submitted by โˆ—haliburton(228),
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AF 0271: tcdrarzCaheie yb vasemsi trralpinoiofe fo syrtoeaeckaygm nda ettpalse.l ommtpSsy lncuied nbeegldi nad stbhoo.imsr lBdoo rsame hwsos rdykamel ecirdaens ubermn of pelt,tlsea hhiwc amy eb elrag ro rswteieoh aanolrmlby rod.fme laromheylitErga yma occu.r




 +1 
submitted by djinn(6),
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isteElsna meoamyttirchh is a liatocsnep ielpirnotfora fo utemar dimleyo cesl,l yciapseell ttslep.lea

Hihg oilehsrutnp adn hionopiless




 +0 
submitted by โˆ—peterngo1994(1),
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Teh gtihn ttah rewht me of was eth 4%7 rhpueotlin oc.nut Deso yonnae avhe na ianxnpleato for ihs?t

drdoom  ropultehNi ucnot is eferdfnti hnat leihtuporn pnetcereag %.)( eaestncgerP nca be nfucendeil yb geshcna ni ,eulvmo .eg., if het ettanip si dad,erthyde egacpteenr yb lmuove nca be dese.wk +  



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