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NBME 22 Answers

nbme22/Block 4/Question#26 (36.6 difficulty score)
A 60-year-old woman comes to the physician ...
MeningiomaπŸ”
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 +8 
submitted by fallenistand(23),
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siTh is eimgnaomni ecbuesa sit in het iteieiehmrprcsnh eusrisf tis ton lagirntitfin eth r.abin All teh ehrto nose rea nwihit the bnrai sseuti




 +2 
submitted by nor16(57),
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eon tpmrontia apecst tno midnoetn:e eth " goln " 1 raey gnn""eib htoirys fo eth mpsys.m.o.t not kieyll for ilnatmang hmpsy,maol asotsr or msateitass ot atsy ttah lcam

of corsue in atdoidni ot lal teohr mdnoeetin rehe tn"o inrab lnriifingtta e"c.t




 +1 
submitted by fallenistand(23),
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shTi si aimnegnimo sueecba its in eht ceinehhrmipister sufsrei its nto tgifirtnnail eth .banir All eth teohr nseo ear iwhtni teh brian esitsu




 +0 
submitted by natuwalrien(0),
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onmeigsmian ctuno as hincnaeng ?ionlsse st(hi mnmotec deesn to eb orem anth 05 astrrcecah aetrl)ypp.na

goldenwakosu  I think it’s because meningiomas are able to calcify (aka sometimes they have psamomma bodies). I got this question wrong too but I totally did not completely register that the tumor was in the dura (interhemispheric fissure + central sulcus). Hope that helps! +2  
pipter  the only reason I got this right was because they described the tumour as being near the falx cerebri. +2  
fcambridge  Other hints include being described as round and seen in a female. Both indicative of Meningioma +15  
niboonsh  also meningiomas typically present with seizures or focal neurological signs +  
suckitnbme  I thought enhancing meant it uptakes contrast. Meningiomas are commonly enhancing lesions per Radiopaedia. +  



 -1 
submitted by j000(5),

also according to pathoma: meningioma expresses estrogen receptor, which means more likely a female adult than male