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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 kinth ets'her a typo no taht esto.nuiq MHS2 nege itnaumot is teh litcupr fro PH.CNC rFo 2HMS neeg, rndccgiao to thwa I jtus eeahrcds, seuasc Mntlgaain Hmrtreiaephy Suetiiylitsp.cb

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noplanb  Yhae I kihnt it slhoud eb SMH +2
suckitnbme  oGod ot konw I tawn's ptgnripi uot newh I idd itsh qoneusit +3
thisshouldbefree  $06 +20
teetotaller  dlou cerhe from a rekbo IMG +



 +5  upvote downvote
submitted by โˆ—neonem(630)
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sihT ptietna ceas suonsd iekl he sah onir ynciieefdc aenmia aa(m,eni lwo mrihtaeto,c crmciiytoc) fmor a GI lbede. To etg thsi nuosteiq ,hgrti oyu adh ot rrebmeme ahtt the tow mjroa deirtneih GI rcnaec soyrdmnse ear AFP ude( ot iaoutntm ni APC ege,n wichh si a omtur sorsseppru )ngee nad hLcyn rdnmseyo AKA yrtdieareh pon-oospylnsi lotaorccle ocicanram )N,PCHC( scedau by a tmoinaut ni a nrmeub NDA tacmmshi aeprir egn,es of wthi S2MH si a mero ommocn eon.

Teh emhcsmisna fo eihrt oraamccin tempeenvold are freftedn;i ni ,PFA otsrum eisra rofm a nmrola &t--;g enoamad -t-;g& naicmacor esencqeu iwehl in HPC,NC oumrst resai form waths' nknwo as a rocltlitaeesim tilsniyiabt ahayt,wp ilanedg to eountpssnoa fnoatirom fo a armcnocai ton( dcperede yb a engnbi neslio elki an .).ema.anod oYu i'dntd dnee to nkow htis to tge ihst suneiotq ,ghrti utb ifyeleindt odgo to no.kw

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medpsychosis  To amek it evne r,slempi if ouy adrnwoer it nwod to AFP vs CHPNC adn ldoeko at eht maeig vddpoire in eth nios,euqt y'odu see s'ti esls eklyli to be AFP eud ot csabene fo uesrmuno osplpy wichh would be epdecext. oS HPNCC dlouw eb oyur tesb ceo!chi +7
yb_26  I syawla egt ruiamneFiL- adn Lynhc oysenrsdm ndfsceuo /: +1



 +3  upvote downvote
submitted by โˆ—thotcandy(131)
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I kniht teehr's omtehinsg htat hn'tsa eebn emedonnti dna eplpoe era orev oko:giln

antePti si iretpsgnne wthi CCR + emaain hcihw tmso nomcyolm cscuro tiwh HIGTR dedsi cre.anc dAn ohw odes that nccaer ld?eevop ra-eMitltclioes itlatnbsyii (vs elft deisd = rbontcusito dna dmn-yapooelpa scqne.eu)e

Msait ibnast ltosym oymolcmn oscruc ni CHPCN due to ctsmimha eriapr ef.edtc

s,uTh neev tghohu seehrt' a pyet ni the en,ge ro neev if uoy 'ontd kwon hte ,egen trh'ese guheno info ot uiergf uto 'sti PCCN.H

FPA dets'on mhact eht reu,ctpi dna is a loop-panademy esqceuen rcae.cn meuf-aiLrni si ftceed in 53p cw(ihh is the atls estga fo npoyae-pldaom eqeucsen os I sseuma it wosofll thta ?.o)to

hTe pnontocitsia si dikna ickytr ubsceae yu'od nhikt oocsnutitbr ubt het ibg eyk here is MIEAAN ude to RHCCION .NLEDEIGB

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 +1  upvote downvote
submitted by โˆ—misterdoctor69(70)
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noAeyn eles got ortwhn ffo yb their esu fo HCPNC rareth thna yLcnh remysdo?n

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ineedhelpwitmed  on, ew llaytcau sutd.y +2
neilfespiritu  nloy .uyo Jk +1
peteralamir  ltndouC' be me +



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