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Retired NBME 25 Answers

nbme25/Block 1/Question#25 (reveal difficulty score)
A 50-year-old woman comes to the physician ...
Meningioma ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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submitted by โˆ—shak360(19)
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Motor neuron signs

This question was testing the ability to know what upper motor and lower motor signs are. A Babinski sign (presence of the plantar reflex which is the dorsiflexion of the large toe and fanning or the other toes with plantar stimulation in an adult) is significant for an Upper motor neuron (UMN) lesion.

Recall that meningiomas can present with seizures or focal neurologic signs. They are malignant arachnoid cells and these tumors can present with psammoma bodies or laminated calcifications of spindle cells concentrically arranged in a whorled pattern.

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