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Retired NBME 20 Answers

nbme20/Block 4/Question#42 (reveal difficulty score)
A 65-year-old woman dies 6 months after the ...
Meningeal ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: neuro images gross repeat

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 +4  upvote downvote
submitted by โˆ—johnthurtjr(168)
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'Im otn a afn fo ssogr hatp agseim nda nsqsoiteu thta yas ,ool"k awht is hits thi?"ng - htta isda gneiiosmamn rae eht most comnom narib toumr nad tsih tuipecr is is a godo xemealp fo no.e I hda no iaed hwat htsee nghsti koeodl ielk dan gto ti ,gwrno oto. aTek a kool ta thsi one

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johnthurtjr  sH[e'er erom .ougenpatmrh(iio:gmepntth/cflwnsomltl/iie.t)noacomtson/prung]eo.ywcmo/ltiwah +2
meningitis  I tgo it owngr acesube I nddit' ese nya appnraet aDru tmear orn teroh esnmgein (eTh sevni an'ter benig edovrce yb ayn i"nhys lar"ey,) os I htouthg teh tuorm asw igonmc from ensiid het bnrai adn otn gsmsepcroni ti eilk gsnmioinmae alluuys .do +3
meningitis  uBt it did lowlfo the omncom psteac hewer tyeh rea nodfu in btenwee oidivnssi of aibnr adn rae ruccrial thwrgos iekl a bla.l +9
nala_ula  ieScn it saw ylacailsb midplei ahtt teh ntatepi iedd and her"e ookl at wtah htis "si I uthgoth it aws a mgatnanli ormtu o).lglam(bsioa..t utb I eussg sti' lal atoub m.cnetlaep +15
thelupuswolf  GMB lowdu be in the mrheyc.enpa nvDiee apdsoct adsi fi they shwo uyo a gsors epurcti of hte tombot fo teh ianbr nteh tsi' a ehmmilnbaoosgaat bc ti's tsom fteon lrr.ceablee Btu hsti one wstna' aeecrlrble so I enwt hedaa iwht naiimomnge AF( ysas telxnare to aribn parnehcamy sa wlel) +2
vivijujubebe  MBG would hvea oncrises adn ilebdgen haeesrw teh sdaphlebla- tmuro ni teh tipeucr ookls oshmto nda rvye n..e.eiengvnb toh I hvae on diae woh noomese acn ied os udysednl form nimgeaoinm +1
seba0039  nMroi r,ccoonerit utb I do nto kitnh atth nnmoiMageis ear hte toms monomc iabnr ;orumt htye rae eht msot momcno bnineg nriab ormut fo lasdtu a)maPoh(,t but 'mI tno sreu fi 'etryhe the otsm onomcm elovr.la +
an1  Tihs miaeg vaeg su all het ttelsalle fro :noimamengi na elylred omw,na imdinle mss,a .donur I hkitn otherna gnhit taht dmea me otp fro eommiaingn asw taht I ahd to ookl rof eht amss nda mkae erus I s'wnat likgoon ta eht wongr i.hntg mFor wtah Ive' es,en MGB seetrspn htwi a elailaur,nt mhir,rheoacg occterin mssa ahtt ouwdl isctk uro eikl a erso .hbtum +


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 +3  upvote downvote
submitted by โˆ—hgandler(4)
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gaenioisnMm mots ntfoe orucc aner het usafersc fo het b,inra leyilecpsa teh giplgaatsraa rise.ngo hTey rae foent sypmiamt,coat adn gyosrsl ti prsapae as a ordun ssma caathetd to .uadr It lliw mpeorscs the texocr xegplninia( hte ceh)adhea,s btu it iwll tno inedv.a yeTh ear aosl het tmso omcmno aiypmrr nbgine CNS uort.m emonW rea remo olcnmmoy ca,eetfdf chwhi is eptopdrsu by hte ev.tntieg

hrtOe a:nseswr

:A trosayostmcA rea luluysa fduon ni eth oeirotprs safo,s dna era het tosm ocmomn pirraym CNS outrm ni hdcenlir

:B ostmGlalaibo foeimmtulr is usylual enes nwitih hte eblrraec e,epeirhsmsh dan shwos nssig fo sonirsce and ahm.rgoerhe

C: aemlnMoa can tmtasasezei to eth r,nbai tbu thsi odluw eiklyl rfmo ni multilpe pt,oss dan tehy lwduo not eb tuioesd of eht hcaenyrapm

:E oasSuuqm ihtallepei lwoud silyirlma be sataitsesm and ortefereh lsao be iptelmlu sneoisl diesni the ecarhnmyap

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 +1  upvote downvote
submitted by smit 24(1)
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clnCalii vteteign si gidlean to toecBt(aryMGs rog...it.onin) rseu utoab hte gssor tec.i.p...ur

'tnDo wnok hatw fi hsuc iteuqonss rapeap no lare e๐Ÿ˜‘m๐Ÿ˜‘๐Ÿ˜‘ax

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htballer55  I tfel eth msae yw.a tbu if uoy ookl ta stupyao icsp no el,gogo ouy see eht ogmmiannie si lkei a lalb mngioc out of het .nmisgeen cmaroep atth ot igooalmlsbta hhicw si twihin eth nbari in errecalb sossh mreehepi. 'sti nimyla neo outrm is mcgnoi uot of eht rniba nda het thoer si iendis teh errlecab esmihht st.'hesraep eth tbes i acn emco up it.wh tbu i'st gfncisuon +5


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 +1  upvote downvote
submitted by โˆ—misterdoctor69(70)
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nI acse nnaeoy saw rown,neigd imainonegms aer mreo oncmmo ni omwne preha(ps ude ot na gotsreneic ,feetfc tbu hits is ilslt tloyh bdt).deea

olAs, GM'sB wludo whos pu as fsutdythplebea-r nad marnaha.cpryntiel Thye vhae a 06% hrgehi neeicncdi in aelms hant msfal.ee ocHriitsla idsea - Ted yeednnK eddi mrfo a GMB

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 -18  upvote downvote
submitted by thomas(3)
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snrewA is oty.Asrtec tPieant sha mstiaolloabg eltrmmu.ifo thAouhgl nemmsaginio yam uccro at ee,cionsitvx nimemigason aer nenbig dan nftoe otmisymacatp. Teyh yam escua h/a srusei,ze but olwdu be ulynlike to ecsua htade /nwi 6m of sento fo h.a/ heT size fo uomrt and ocsrue of lsnlise si onettnsisc twhi eht rceous of MBG

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masonkingcobra  ovbeA si isybuoolv rteiccron aebescu eht aenrws si aeningleM lo.l Hre e si a iknl to a godo ptuicr:e l lietetfo 7/e/h-tctyoh .esamg hspu7/euohbhMnapercprlpatn:orrlcta/w.og +28
kernicterusthefrog  sobiyOulv smaoth is igreasgneid twhi eth iotrnteeapns of eht u,tiseonq dan I dgaere twhi mhi! shTi sluyealbot nssduo ielk ,BGM itwh priad oesnt edinalg ot ,dhaet dan teh styms.mpo eTh ueostiqn mset selda oyu ot ,MGB adn hte ssogr megai to iionmnegam I( )su.egs +2
kernicterusthefrog  moFhture,rer hwere era eht inneesgm no hte gssor maeig morf wchhi siht n(imgoeainm) wreg!? It dhoslu ta salet hows eht tsiuse orfm weechn ti !emca +1
nala_ula  daH the eams emo,lbpr tgo dufncsoe seinc ti epraedpa that teh rgothw asw mgnitlnaa (: +
sugaplum  AF 9102 pg ,451 alos eaerg ihwt ovee.nrye eirwd nn.ptatieroes oilGs aer igntalamn dehat tnihwi 1 ae,yr oeinmmaing aer fnoet maatiyctomsp ro heav cfola nigss. jtus a ogsrs ytahgolop tunieoqs ta sith pniot +
garima  ฤฑ ihntk seh died bc fo sseurrep ro eonithgms su,gy sit sloovubyi nudor pdsahe ngnieb osnl,ie its olsa aretx iaxla nto ekli G.BM esh adh itsh bayme yreas eobfer tdhea +2
skonys  I nhkti the noipt is ahtt BMG assuce a drpai dcelnie and htaed ta aevtilelry alsml neilso esiz easubec is't thiwni eth hrp.caanmey nemoginMisa rea ienngb and cna orwg ynnlasei agerl eborfe htye escua pymot.ssm +

  • Astrocytes proliferate to form glial tumors in adults, for example, glioblastoma. These highly malignant tumors appear as intra-axial masses in the cerebral hemispheres, which typically demonstrate areas of necrosis and can spread to the opposite hemisphere across the corpus callosum.

  • Meningiomas are the most common primary brain tumors in adults. Malignant meningiomas may grow rapidly and cause symptoms of increased intracranial pressure such as headache. Meningiomas appear as well-circumscribed, extraaxial masses that compress the adjacent brain parenchyma.***Parasaggital regions.


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