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Retired NBME 24 Answers

nbme24/Block 4/Question#47 (reveal difficulty score)
A 40-year-old man comes to the physician ...
HNPCC syndrome ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: oncology oncogenes

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 +11  upvote downvote
submitted by charlie(11)
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I itknh h'etser a ytop on htta qost.uien HM2S ngee ttiounma si teh ltcpriu rof HC.PNC orF 2MSH nge,e icracnodg to twha I sjtu rdhsce,ae aucses Matilnagn Hyitearrhepm S.yuliitcbeistp

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noplanb  eYha I kihnt ti ldouhs eb MHS +2
suckitnbme  dooG to ownk I as'wnt irpnpigt uot ehwn I ddi tihs qsnieout +3
thisshouldbefree  $60 +20
teetotaller  ludo eherc frmo a kbeor GMI +



 +5  upvote downvote
submitted by โˆ—neonem(629)
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Tsih etatipn asce onssud leik eh hsa orni dieciefync nameia ea,mian( wol hetcom,rati irtmcccyo)i mfor a GI dee.bl oT get shti stoqiuen ,rtihg uyo had to ererembm atth eth tow aorjm ehiiterdn GI crnaec osyemdsnr era FPA eu(d ot uaittomn ni APC enge, iwhhc is a mrtuo rpsssuroep )enge dan hynLc ynmeords AAK eytrraideh ypoo-ninospls corloetacl acnrmoica CHPNC,() sducea by a taunitmo in a ebmunr NDA saimctmh perira ,gesne fo tiwh SH2M is a orme oomcmn .noe

hTe icsnammhes of eihrt amccaoirn doepnevmtel rea eed;itfnrf ni F,PA moturs ersai from a lnarom ;g-&t- deamona -;tg&- aamcocirn sueqence lhiew in CCH,PN rmusot irsea rfmo sh'wat nnwok as a rlmtteicoaseli nstiyiabilt a,thwayp ignalde to oonsntuepsa maorftnoi fo a rmacainco ot(n ddpeeerc yb a inenbg solien ilke na naa.emo.d.) uoY 'ndidt dene to nwok hsti to etg ihst uqtonesi ,gtrhi but dniyfeliet oodg to okn.w

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medpsychosis  oT aemk ti nvee lsp,imre fi yuo adrrwnoe it dnwo to FAP sv CCNHP nad keldoo at eth iaegm edopvrid in teh ti,eoqnsu y'odu ees i'ts esls illkey ot be AFP due ot neeabsc fo mnrsueou pysplo hichw dwluo eb dxtep.cee So HCPCN duolw be ruyo tsbe !iocech +7
yb_26  I wayals teg unriLieamF- adn cLynh nsosmyrde cuoenfds /: +1



 +3  upvote downvote
submitted by โˆ—thotcandy(131)
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I hitnk htes'er otimsngeh taht ahnt's enbe metnidneo dan peolep are orve n:koolig

aPinett si intgrpsene htwi CCR + aienma ihhcw omts nmyomcol ccusor twhi HGTRI sidde c.eacrn Adn who deso thta recnca evle?dpo Mlterliae-isotc slyiibttain (sv ftle ddsei = tubcrisnoot dan odlappamyoen- eqcen).seu

tsiaM ainbst mylost omlomnyc urcsco in PHCNC ude ot tammhcis rerapi eceft.d

hsuT, eenv ouhght e'rshet a yetp ni eth e,gne or veen if uoy td'on kown eth n,ege erehst' eghoun onfi ot irfgeu out s'it CNP.HC

FAP otsdn'e mhcta hte eu,ptcri nda is a -oldyamaeopnp nueecesq ec.cnra rfeniuiL-ma si cdfete ni p35 wihc(h si hte atls tasge fo plande-oampoy eeucsnqe os I eausms ti losflow that ?).too

ehT nncsattpioio is nikda rkyict sabueec d'uyo nikth turcioostnb ubt eht bgi kye ereh si NAEAIM ued to NOCHIRC GBED.INLE

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 +1  upvote downvote
submitted by โˆ—misterdoctor69(70)
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Anneyo lees tgo ontwhr off by ither use of NCPHC rtrhae naht cnLhy mn?oeryds

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ineedhelpwitmed  ,on we acallytu sudyt. +2
neilfespiritu  oyln u.yo kJ +1
peteralamir  tlo'udCn be em +



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