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Retired NBME 25 Answers

nbme25/Block 1/Question#18 (reveal difficulty score)
A 77-year-old woman dies in the hospital ...
Interleukin-1 (IL-1) ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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submitted by โˆ—shak360(19)
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Important cytokines

The picture shown in the question is a classical description of a mild compression fracture seen in osteoporosis (see pp462 in FA2020). IL-1 is also known as an osteoclast activating factor and leads to an increase in RANK- ligand (RANK-L) signaling and subsequent osteoclast-mediated bone resorption. Recall that this can be treated by denosumab (a monoclonal antibody against RANKL).

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submitted by โˆ—jc123456(1)
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Why couldn't this be multiple myeloma, they look fairly similar and the patient had a long illness, leading me to multiple myeloma. I see how its osteoporosis, but how would you distinguish the two.

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