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Retired NBME 22 Answers

nbme22/Block 4/Question#27 (reveal difficulty score)
A 78-year-old man comes to the physician ...
Metastatic carcinoma 🔍 / 📺 / 🌳 / 📖
tags:

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 +8  upvote downvote
submitted by ∗notadoctor(175)
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iasMttacte eedssai si omre mmoonc nath aiprymr onbe tmos.ru

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lba9587  thMig be feplluh to oridncse .ge of a nlgu u.tmro one ?olisne oury’e eailngn glun .pmrryai liuelMpt loseisn ni lug?n ETM.S Q semt ereh idndlc,eu ruosem“un cityl seolnsi lgona teh vbleratre uml”.con sh,uT S.EMT +
jurrutia  Alos, apin atth is ersow at tishgn dan ssrsepti galrseedsr fo aiv.tytic tgPe' as is tlipalyyc mpmytoiaatcs u(athlgho ianp si eht smot mncomo ym)mtosp dan ulowd ehav hotre nsdiifgn rimteod,iesf( AV uhns,st cet.) +
jurrutia  Als,o aipn tath is swoer ta tsgnhi and steirpss easrrldges fo iattv.yci s gPtea' si lacyitypl tismapytmcao agh(hotul pina is eth ostm cmomno p)yomtms dna oduwl veah herto dsnfnigi omtesd(,ierif AV hnuss,t ct.)e +
umpalumpa  dcneraesi ALP is werdi, rnsnigodice atht eth silneo is tyl.i.c +1
l0ud_minority  pm@pamuaul I gerea cityl seisoln o'dnt emak snese tihw na tveladee PLA. keLi an tiodi I ghuthot eoltadsi LAP and oshce agetP aeissDe +



 +5  upvote downvote
submitted by ∗j000(17)
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lulmtpie maemloy si the ostm mconmo RRAIYPM cnmnlyaagi of enob mpaho()t,a so ti's ton MM.

i'st nto aeptg ak(cl hoter S,x owudl saol aevh itrcecols l)nioses

oyltsm llkyie ralen or gnul narecc atestm to hte eobn

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 +4  upvote downvote
submitted by ∗oznefu(22)
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mI’ vhiagn roeultb sgdenrndtniau hyw ihts is a etertb oiehcc tahn ePatg i,dseeas iealslpecy wthi hte nrsicadee A?LP

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zelderonmorningstar  age’Pst lodwu aols hsow osem ocrs.essli +5
seagull  AKL is eiardcnse ni nbeo oaedkrbwn .oto oestaPrt volse sapidnegr to hte bamrul inpe.S sIt' ilek kaairoccncec- for ca.cren +32
aesalmon  I itknh the "osrWe ta nit"gh nlesd ielfts roem raosdtw tsem, nda eht tp mdheirsgapco lnae rdowtas aptortse ercacn, cwhhi oelvs to go to teh lurbma einsp iva hte tnaoBs uxpesl. I dpiekc egtPa utb i inhtk yeth oduwl aveh niegv hgemnisot moer llnitge if heyt edtwan eptg,as oloiyshtg or naeorth eluc +2
fcambridge  usllag@e nda msenaal,o I ihknt y'uore a bti fof .here Pasrotte emts lduow eb tstsa,bcloeio not ceyoittslo as si ieedrcsbd in eth .gttveine +17
sup  ehaY I choes e'tgsaP oto zcb I eurgdif if ti t'awsn tprtoesa neacrc w(chhi as @fecdgmibra sadi uolwd rsneetp w/ bieocslaostt son)seil hety olwud gevi us nhertao ngtseeinrp xs fo teh caeitmtast anccer (u,gln len,ar ks)in thta imght ntiop us in atht iontid.erc I got rdtsdeaitc by hte siaredenc APL oot adn lfle orf atPeg (: +1
kernicterusthefrog  drac@fbg,iem not xcyel.ta esY, tseoptar etms sntde to eb csbttloaeois, but bauot %30 rae nuodf ot eb clti,y rpe isth :ytuds .6im.s/eaw//bc/rll2t85iwptCpPn4ncnogscw7.iMv:./2hhm/t tl,oiiddnAyla teh hgtin eonb apins niopt to te,ms and agPs'te si chmu oerm nclooymm foudn in the iracnal nbeos nad aeianplpdcur lkstoene, nhta l.axia sThi ucodl lsao be CRC e!mts +
sweetmed  I aminyl ruled tou atesgp beaeucs tehy iasd the paycslih xamtnaeiino aws ra.nlom eH udlwo def eahv orhte ymp.stsmo +4
cathartic_medstu  ormF htaw I erbmeemr ofmr ats:htamotaiMseaP s to oneb si uslyalu lystoieotc hwti ectpienox ot rtepa,sto ichwh is fteTeo.rlos,s becrhioaet mtse sasy MERUOSUN ictyl lesinos nda sdonsu roem ekil s.aesistmta +5
medguru2295  If ihts is ttistecMaa nccre,a ti si eykill M.M MM pesdsra to teh snplia ocdr dna auscse yitcL elI sitsno. is TNO tpstareo as dtaest .vabeo ihWel conarmadinceAo oeds daresp ot teh ePttrao,s ti cedsropu nyol BCSTLIA oeisnsl. +

but prostate cancer is not lytic as blastic lesions

+5/- titanesxvi(106)


 +1  upvote downvote
submitted by amphotericin(11)
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I dulre otu astPge' aeebscu s'atePg si uuslyal oazcie,ldl erp AF, a,oahtPm .;mpa&BB ohhugtlA tsih etpinat etyfelinid ftis the dmiphogeacr ,itrcpue tostepra rncace is iinelteyfd not eth only ncreac that cna eezasatistm ot het .boens eecaBsu eehts rea licty neloi,ss ts'i yrobblap omes teroh cercna ash'tt reasdp to eth benos

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medguru2295  bisysoPl tMluepli eMolmay. thTa si laccssi orf na eorld rsnpeo wthi kcba napi nad lctiy eislson ni eth .kacb +
asharm10  ctstoeliy-o lmitlpue m,olaemy lab-sttsOeoic tsePrat;o odnt intkh odeybn hsti fro stih ae,mx i eavh nvere enes a ioqutens in EBNM ro dlowru heyt tdire ot oolf us ffo on stih pecocnt so .fra +2
euchromatin69  u wolrd 431 smae nectcop +
skuutnasty  Id' ekli ot irttaeeer aw'sth tesatd ..aeo.bv xd TON MM ni tsih qiestonu eucsbea MM is IRMYRPA otn IETCTMASAT @ ebno nrasw(e der:as mitstteaca 3rcaatn)limoc;& +



 +1  upvote downvote
submitted by ∗imgdoc(183)
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rrscmonhCdaooa rcucos in hte iph or ixaal kesln.eot d'I aniimeg ahtt it is liyacipflsce ecaotdl in oen rogeni taerhr nath lmutiepl eilnsso htoogrhutu eht tbavrr.ee tsahT yhw I rdule isht t.ou

I druel tuo aasertcsooom nda negiw marasoc bedsa no age .lnaeo ehesT romtsu ear nsee in 5-152 eary d,los and eht ilcilnac emosstfntaniia dno't tmcah .pu

egstaP' seedasi ahs na leateedv kAailnel apthaeohssp lel,ve tub terhe dwluo nidylftiee eb a rctceslio seaph of nbeo niidtpso,eo errtha hnta pemliult tetlsyiooc seilns.o s,iBesde no a nllicica tinetevg eyth lwoud atkl taoub ggnelrani hdae iz,se NC 8 eingitpm,nem t,erfasurc ec.t nveE fi oyu ddi og tsih etruo, tgpa'se diesesa uscaes rooose,tascam not mltiupel yitcl slnis.eo

hsTi tfle me htwi aiactttesm i.oanmccra

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imgdoc  I yoestlnh uhgttho htis saw mlieulpt memoyla eboefr I twen het isaetcmtta icmnaorca roteu lol +



 +0  upvote downvote
submitted by ∗paperbackwriter(161)
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I laso soech tePga /: tub lieazred tshi cihwh I ddt'in rfoeeb:

hTe gasste rea otn fmrunoi aocssr nerifetdf sbne,o os uoy loduc avhe emos nsboe tath aer in hte aotistbloesc e,astg ihlew orseth ear ni eht ycitl estga tec.

s../jpna0aeaobc/sgc8lmi2e4s%t0'eohml%/tboe0p2utrincg0gost/po

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paperbackwriter  sp:oo s0utr%chcb8gesttoldh/paog4smjct0p/ts.ua2m%eepnonibo/'o./ilo/etp0a:ga02/pls. +



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