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NBME 24 Answers

nbme24/Block 4/Question#21 (reveal difficulty score)
An otherwise healthy 45-year-old man comes to ...
Aphthous ulcers 🔍 / 📺 / 🌳
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 +12 
submitted by neonem(621),
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I khnti teh eida reeh is ttah if uyo take nsoomee off a PI,P if sreeth' on penaslom ro yna lrobpme htwi ritsang rudoinpoct hten oyu hudosl see ti go wnod fomr leibaens due to orme nategvei eecakdbf fo cgtiars tii.cday fI ,nto you opbraylb eavh a eoampnls st'tah just ngmkai onst of sti,ngar csuh as in hte acse fo sllliigloZenrE-on ynsrem.do


 +3 
submitted by thisshouldbefree(44),
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I teg ehset YERV t.nofe I emes to teg tehm onyl etraf agneti oihsetnmg hatt anc deagma hte aosmcu in ym uhtom cshu as dhra hpcsi oTis,tt(so ryve gedjga ervy pan.i) heseT are ONT olcd roses (S.H)V sThi si mlipys a suhhotpa ;leucr ehyt acn eb rsesst udnceid (sigytndu for hadr .)stet tyeh era eyrv piufnla and do roe.rcuc ereht era on oatsdiscea sx whit thm.e

j44n  tyrhe'e olsa cedaus yb srts.se I gto 3 in my humot het ady eratf remoiPctr cdcnleea ym stet ofr hte 3dr teim! +15  
ih8payingfordis  In amayln trsm,e sehet ingths rea claeld necrak rs.eos I salo egt hmte on my ugoten mmostiese - prsue ipulfna ecpeilylsa wnhe ti asemk ttcnoac hwti gannhiyt as.ytl tsJu elik heuloet@r,eifbdshs t'is slyulua erpcdede by masuco deaagm (ei ibigtn ym tnogeu cdyntllaecia ihewl ting)ea +2  
xmen  tste ni 2 e.ksew i vhea emth own +1  
drdoom  eTh olaicoyglsihp rlacooryl of lyccoogpalsih “setssr” is ootscril dna sit amny cusison ie,troticdr(scsoo et e)cat.er lsoCtori upssrsspee the mrnl“”ao but gcalytieleenr sloytc spcsreo of dralme taenaienncm adn ogwthr (aalsb stme lelc iiv,siodn kins + dpelemria trvnue,or lgiicdunn in the um)cs.oa o,S in the enreecsp fo hgih set”r,“ss mraonl oulmsca naencmteani si af.cciiedrs siTh is aebcues smoe oret,h rome nmraioptt extsaietinl rtteha is eanhpnipg ni het bod.y Teh surelt si fsuft elki shouhtap sur,cle siecn uyor odby is lyaitllre egenitgncl oyur ,cosmua llgniwao ti to nht“i o”tu to rsprveee nryege ot dsardes eoms rtheo ormja ctiesysm suse.i +  
drdoom  rFmo cnich5e/nlwmpetssac4/taiPcpMslCc.1own?gl./.rbp:im8t6h5//o=rts/r.w1iv: Teh igccuodcroitlo repoctre (GR) is lgyihh dspxeeers ni het aabls lsecl but it si earbly bdeteltcea in eht trhoe yelras fo the mpeisedir 2()2. heT ocnaaiolilzt of the GR ni ablas censtrye,coo as llwe as het eevigant estffec of rdoooicguiltscc no enaekotrctyi orwthg catrfo nad teIyp- InadI-I gacoelnl eegn xonspsreie )263(2– gseusgt ttha nongdeueso osrtiloc ni SC sspesrupes ont lnyo wdoun nagehli utb aslo armnlo isnk trowgh nad roervn.tu +  
drdoom  ^ bw,t SC = hugsCni ednomSry irltcpyorioss)(hem +  
jbrito718  reganHpai uwlod ucorc ni the teporsori -rhtgy&oon-;apxr casedu by xCiseako A OTN HVS +  
meryen13  I haev mose ni my outhm ...nr 2 skwee ot ym p...set htye acn eb oofd ro esrsst ecdunid dna its rome onmcmo in osem rogsine meor anth hs.teor in dlMide atsE and asAi ti semes to be mnoo.mc +  



 +0 
submitted by medstruggle(20),
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Why is it hsuapoht clrsue if hreet rea no IG moysstmp? yhW ’tcan it eb rheesp re?sotz

colonelred_  ’Its tjsu rceank eor,ss yteh ocme adn o.g I tikhn in hseper the itiosvitsmggontia eyarll noyl hneapsp enhw yuo siftr gte eenfi.dct rfetA atht ouy tusj etg ceturnrer odcl os.rse +4  
hyoid  pserHe tszreo si otn the aesm sa prhees ipexlms .risvu +30  
bigjimbo  you owdlu ese moamdrtee ashr ni tsoerz +3  
kateinwonderland  f)c suJt in asec esoenom ndtawe to wokn eht atiasvuce miogasnr fo asthpouh ueTe rsl:ch prieecs seacu of necrak sroes rnmieas unclrea, uhtogh eeresrschar csstpeu ttah a bmiinaontco of toarsfc nuocbittres to b,taeurkos enev in eht easm o eknUirepnsl. dolc re,sos rcnake ersos rae otn tssiocaeda iwht esephr virus iscfnitneo. +9  
charcot_bouchard  rspHee ertoZs senotd cueas gimsvnito.staitoig eangrpnieH cna cusae svlceriua losine ni hotum btu nphpesa to rldheicn ni memurs osanes by nteero isruv +  
drdeeznuts1  'Im ngdnroiew fi htsi oulcd be a lmdi csae fo eBcthe eornsymd uithwot itnlgae ennviomelvt +  
sherry  tI usre can eb ehBetc or pigshuemP if teh q epidrvos us iwth orme fnoi. ernakC serso jtus mceo adn og rfo ayesr tihw eanrclu smaih.emnc olAs eephrs srztoe is gsnlsihe by V,ZV tno 1.VSH +2  
avocadotoast  tMso uicrtpes no oggelo wohs irnaganeph engbi sprtnee on hte ardh lopattara,/the lwehi hoapusth crlesu era ynolomcm no eht reolw p.il I thnik shi alkc fo ianglet lssinoe aer poniingt us yawa mofr iah.agpnnre +  
drdoom  enAnoy itlls iosuruc ouatb teh shpoapthy fo ahthospu cluesr can ckhec uot the hetrad obe:va a44ea2/mxhntes8n3:n.t//r9/mbpwmocebe654sm/#s +  



 +0 
submitted by madamestep(12),
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enoynA lese egt tihs higtr secubea yteh etg tmeh so otfne frmo asotullyeb oedctnlrulno ssrs?te




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