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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 🔍 / 📺 / 🌳 / 📖
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 +8  upvote downvote
submitted by ∗notadoctor(175)
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aMitcetats sseeiad is erom mmocno ntah armrpiy neob mt.usro

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lba9587  Mgtih be hpulfle ot ieornsdc ge. fo a gnul ot.mru eon ?nisloe ’eyour lgannie nugl irpry.ma tepMulil nloeiss in nug?l T.EMS Q tsme hree dle,ndiuc urmnoeus“ tyilc iosesnl lnoag teh vlrbateer oul.”cmn h,uTs SET.M +
jurrutia  Alos, apni hatt is swroe at thsnig nad sistespr rdsagelrse of .tiycvait g 'staeP si tlaciyply tisoacmmtpya oghltua(h naip si hte otsm mcnmoo opt)symm dna oudlw ahev rthoe nfiidgns rdtim,fse(ioe VA t,hssnu c)et. +
jurrutia  s,lAo pian ttha is wsoer ta ghtsni dan istsresp dgarrslees of ci.tiavty ea gst'P is ptyiyclla acimsptatoym hg(hltuoa iapn is hte mtso cmnoom mpytmos) nad wdulo aveh otehr diifnsgn oismereid,tf( VA uths,sn ec).t +
umpalumpa  cnisaeerd LPA is e,diwr dnncsegioir atth the eslnio is li.cty. +1
l0ud_minority  plmpmua@ua I eaegr cylti slsoine o'ndt kmea neess tiwh na vdateeel ALP. keLi na tdiio I htgutho loetisda PLA nad hcose etgaP eeassDi +



 +5  upvote downvote
submitted by ∗j000(17)
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emilutpl leamomy is the mots omcomn RAPRIYM agmcanniyl fo neob pa(a,othm) so ti's otn .MM

t'is not tagpe (lcak orhte x,S dwuol soal ahve toilrscce nlssieo)

tslymo lykile lnrea or lung arcnce astemt to eht oneb

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 +4  upvote downvote
submitted by ∗oznefu(22)
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’mI gahinv toeulrb ndusnirgndaet hwy tihs si a trbete icohce tnha aegPt ideas,se scaiylepel hiwt eht aeescdinr ?PLA

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zelderonmorningstar  stPg’ae louwd aslo wohs soem isc.lsesor +5
seagull  LAK is inaceesdr ni obne bdkraewon ot.o attsPoer lveso drgnaeips ot eth ramblu peS.ni stI' leki kiarcn-eocacc for .cacren +32
aesalmon  I kniht het eWosr" at hi"tgn lensd tslfie rmeo otrsawd e,mst nda the pt csrmpeoihdag anel wsadtro rtapetos ,accner hciwh lveos to og to hte arbmul ineps vai eht Btsaon ul.xpes I kcedpi gPeta utb i kithn ethy olwud heav iegvn megsithno moer nigetll fi heyt nwetad s,apgte lohsgtyoi or torhane elcu +2
fcambridge  sulga@el adn ,aenmoasl I ihktn r'youe a bit ffo e.erh tPtesoar mtse odluw be bosaesioct,tl nto ottyseilco sa si creidedbs ni hte vet.ntieg +17
sup  aYhe I secoh s'aetPg oto bzc I iedgrfu fi it wtas'n oeprtats ccraen hhw(ic sa cagridemfb@ dais udwlo enptesr w/ tcoebssiotla neo)sils tyeh duwlo give us notareh eingtrenps sx of the mitaaecstt ecancr ul(ng, lae,nr ns)ik htat gihtm niotp us in taht oniice.dtr I tgo asedtdctri by hte ineecrsda LPA oto dna lfle rfo egPat (: +1
kernicterusthefrog  r@icmegfd,ab ton etyaxlc. sY,e sprtteoa mest dnets to eb oba,etssctoli btu bauto 30% rea unofd ot be lic,yt epr tihs uytsd: n4sht8pvt//plri7m2oinPcw6lcg2mM..wh.sn/wa/.t:5iC/bce/ ildoniy,tAdal eht hgitn oben sinap tinop to mtes, nda gaPt'es si mhcu emro cnoomlmy ufndo ni the clnaira bnseo adn uaaipcdpnrel ensko,tle hnat alia.x Tish lcduo losa be CRC !emst +
sweetmed  I ylnaim uderl tou ptgaes ueceasb yteh dasi teh clasyhpi ientixamnoa saw ramln.o eH duolw efd vhea ehtor ymopms.st +4
cathartic_medstu  oFrm whta I meeremrb romf MthtPsasoet:s aaaim ot oneb si suylaul oyeoitctsl htiw pinexotce ot rpestato, ihcwh si ot,sfa.Trteoeeroechisbl smte ysas MURNOUSE ytlci sesioln adn usonsd orem elik .seistamast +5
medguru2295  fI ihts si eMcitattsa ,rcanec it is ylelik .MM MM rdsasep ot eht aspnli crdo nad ueassc ycitL toeisl .nsI is TON pstateor as esdtta vbeao. Weihl cmaodrnnAcioae odse speard ot het tsoPr,tea it sodreupc loyn BTASCLI liose.sn +

but prostate cancer is not lytic as blastic lesions

+5/- titanesxvi(106)


 +1  upvote downvote
submitted by amphotericin(11)
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I uerdl uto tgsaeP' eacsbue g'easPt si yullsau zolldiaec, per ,FA ,aPhtaom p&B;mBa. Augtolhh iths ipnteta ifyieeltdn ftis eht oiepmgdrhca pe,itucr astopert ecnacr si idyelietfn otn teh olyn nrcace hatt nac estiaesatzm ot het nob.es eBucsae ehset rae lcity le,nisso 'its plroabby soem toreh cnreac shta't rasped to the noseb

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medguru2295  ysPboils liueplMt lMa.eyom tTah si alccsis rof na ldroe senrop iwth ckba ipan nad clyti esionls in het .bkca +
asharm10  iltty-socoe pemlltiu om,elaym icalest-osObt rosteP;ta dtno ntkih nbeydo hist fro ihts am,xe i aehv enver nese a ientsuqo in MNEB or owurld ehty tdrie to ofol us ffo on ihst ontcecp so .fra +2
euchromatin69  u owrdl 431 aesm peonctc +
skuutnasty  'dI klie to tieraetre 'wahts dtsaet vboa..e. dx ONT MM ni ihst etnosiuq buecase MM si IYMRPAR tno IATSTTCMEA @ neob rswe(an are:sd mtsacttiae ) &cirot;mn3caal +



 +1  upvote downvote
submitted by ∗imgdoc(183)
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caohdamnrsrooC uorccs in het ihp or alxia k.oetlens dI' gimeina htat ti is alisfcpyceil octdlea ni neo gioner rthera than meuiptll lsneiso hhgtutouro hte rvtereba. hastT yhw I lredu htis out.

I ulrde uto tsmcraseooao nda eigwn rocsmaa adseb on age laeo.n hseeT mrouts rea ense ni 52-51 eayr odls, dan het anclcili niistanmfstoae t'ndo cathm up.

eg'tsPa saseeid ash an dvleeate Akllinea ssapeahhtpo lvlee, but eterh dwolu ntledyeifi be a oletsicrc espha of oenb ,tsiiponeod aretrh thna ilpltume clsitteooy .sslioen ied,Bses on a anillcic tgeventi hyet dwoul katl abtou alngrnegi dhae eis,z CN 8 gpmenin,mite arrtcusf,e tce. vEen if yuo idd go htsi tuo,re aspet'g eeaisds sceasu amrsosoae,otc not teullpim lyict oensl.is

iTsh tlfe me tihw etatmaitcs cacoimr.na

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imgdoc  I nyoehlts tothuhg this swa litmlpue mamyleo eoberf I etnw het tmctsaaite arcacnmoi rteuo llo +



 +0  upvote downvote
submitted by ∗paperbackwriter(161)
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I oals sehoc taePg /: but iezrleda hist ichwh I t'dndi :ofbeer

The sagste aer tno noifurm rasocs feretifdn snb,oe so uoy cdlou eavh emso eonsb atth era in eth tliotsoasebc ,aetsg hiwle ehostr ear ni teh lyitc satge ect.

teogo2c.ojhp2t.%m8ua00gti'aoa/mi/cse0/en4srt/sclnog%ppbsble0

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paperbackwriter  osop: /g.shi:2pr'oubbtgtom2tumcot/04o%dtsse/po%clco/0/ae0easgesln../taaipln8pjh0p +



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