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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 ton a naf of sogsr thap agsemi adn sniqouste hatt asy ko",lo ahwt is isth nht?"ig - ttah sida isnemmonaig are het tmos noocmm brain roumt and tish uectpri is si a dogo lepxmea fo neo. I ahd on deai ahwt eesth snghit elkdoo kiel and gto it r,ogwn ot.o ekaT a oolk at ihst neo

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johnthurtjr  rs[ee'H emor inathpc.oswo/ctmiwywmrten/s(io)o/gilaltiompehtpecmnfnugh/tnrg.olno]alomut:e. +2
meningitis  I tgo it gwnro ecuaseb I itdd'n ese yna ernppaat aDru maetr ron ohetr gnmsieen The( envsi r'eant inebg ecedorv yb yan i"snyh lyre)"a, so I tohtugh teh omutr swa ngomci romf inedsi eht irbna adn ton sceimprosgn ti leki oammneigins ysllauu d.o +3
meningitis  But it did flolow hte nmoomc etscap ehwre eyht era fdoun in beentwe dosisnivi fo abirn and ear rirualcc rtwgohs leki a lbl.a +9
nala_ula  ecnSi ti asw lcbiylasa imiepld ahtt eht ineatpt ided dna "eehr lkoo ta awht hist si" I uhtgtho it saw a igatnmaln omurt b.a.o(os).atmigll utb I esgsu ts'i lla taubo ct.leempan +15
thelupuswolf  MBG loduw eb ni eht e.pcyahrnme iDevne csdtoap idsa if hety whos uoy a sgros icprute fo the bomott fo teh rbnai nhet s'ti a aatsloimoabenhgm cb i'ts somt tofne r.bclerleae utB shit neo n'wtas lrceeaberl so I etnw aahed wiht anigeimomn AF( says etnaxrle ot iarbn pahymenarc as well) +2
vivijujubebe  GBM odlwu eahv oseinrcs adn dienbgle ehrwase eht dab-ehaplsl romtu ni teh uripcte soolk ohsotm dna vyre vbneieg.n.e.n oht I ahve on aide hwo oomenes acn ide os sndeyudl mfro anminomegi +1
seba0039  Mnior nreroo,ccti tbu I od ton tnihk atht nemosngiaMi rae teh omst omoncm irnba umtro; yhte ear eht tsmo mmcono neginb narib tmoru of dltsau ah)o,a(Ptm ubt mI' nto uesr fi yerteh' teh tmso nmomoc o.rellva +
an1  isTh igaem vega us all teh lelltesat orf eioimangmn: an erlyedl ,awonm indlmie am,ss .onrdu I khint rtonahe itghn ttha emad em pot rfo mnemiionag saw htta I dah ot kool ofr teh smsa adn kame suer I nwas't iloknog ta het ngrwo .gtnih rFom htaw eI'v ,seen GMB trsepnse thwi a ual,lrnatie goa,rrciehhm teicrcno ssam ttha dwolu ctiks uro leki a ores m.tuhb +


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 +3  upvote downvote
submitted by โˆ—hgandler(4)
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asnioMmeign ostm efnot curoc nrea eht ssfcauer fo eht inb,ar yesclpelai eht glpsaaiatagr g.noiers They era ofent ypitocaam,stm adn sslyrog it paaespr as a orund sasm catadeth ot ud.ar It lwli pesocmrs het eoctrx ilnieagxp(n teh eshadhc)a,e but it llwi not .ndaive heTy rae osal the otsm mcnmoo mpariyr ngineb SCN .mrout oWmne rae rome coynomml ete,afcfd wchhi is ptseruodp by eht ei.tetnvg

htOer :aswensr

A: otorasmcAyts rea luausly noufd ni the ortrsipoe ,fosas nad are eth msto mmncoo rmypria SCN uomrt in rehicdln

:B olbiaGsmolta ilrmtoefum is uayulsl enes twnihi teh areblcer mseshiereh,p nad sshwo sgsni of oessrcin and ohhee.ragmr

C: aoealmnM nac etteizamssa ot eht bani,r btu isth luwdo keylli rmof ni tplelumi opsts, dan hyte wdoul not eb dseituo fo eht ncharmeypa

:E mqaouusS ilhaeietpl wduol mrsaiilly eb ttaamsessi nda etefreorh saol be illuetpm sloinse idsine het armhcyanep

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 +1  upvote downvote
submitted by smit 24(1)
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incCllai vgtteein si ailegnd to MacrBytoestG( o)rnii..on.g.t rseu tuabo hte sgors p.euc.rt...i

o'tnD wkno htaw fi shcu nesioqtsu araepp on elra ๐Ÿ˜‘am๐Ÿ˜‘x๐Ÿ˜‘e

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htballer55  I etfl hte aesm way. btu fi uyo loko ta uypoats psic on eoggol, yuo ees het migmenniao si ekil a albl ngcmoi tuo of hte segneinm. rpcma eo ttah ot gllsoaboitma hicwh si whntii het abinr in eelracrb p.mhs heeerossi is't ianlym eno tmour si ocmign tuo of the nbira adn het eothr si inides the cbealrre ae'ehrt hmspteshis. teh sebt i acn omce up iht.w tbu is't sugcinnof +5


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 +1  upvote downvote
submitted by โˆ—misterdoctor69(70)
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nI asce ennyoa wsa nei,wdrngo eiamgnimnos ear rome oocmnm in nemwo sppr(eah due ot an roeiscegtn f,teecf btu thsi is slitl oltyh ab).dedet

loA,s sGMB' uldow swoh up sa edaurf-tsetpylbh adn carirpte.nahaynml eThy evha a 60% reighh eiincdenc in mlsae ahtn esm.aefl tsaiHilocr eaisd - eTd Kednyne eddi mfro a MGB

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 -18  upvote downvote
submitted by thomas(3)
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nsAerw is yersAotc.t natPite has tmiloalbsoag mul.meitorf glthhouA omsniegnaim yam ocurc at icxseionv,et isngmoameni aer iegnbn nad often iamomtpsayct. They may aucse a/h rzesues,i btu ouwld be lnilykue ot aeusc dateh nwi/ 6m fo netso of ah./ eTh iesz of ruomt dna ucsero fo sneills si cotinsestn twhi het roesuc fo GBM

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masonkingcobra  eAvob is svlbuyioo ircntcreo buescea teh enawsr si elniMegna ol.l eH e r is a nkli ot a odog tip:creu hne/tcohiwolre rpm.aga .slM7ctn:tp/oltae7bhh pyr/go-st lp/aerhoutucfee +28
kernicterusthefrog  iyvsbOolu hmoast si naggisirede wthi teh serpianntoet of hte stquione, nad I grdaee htwi !mhi This luybtoaels udonss ekil M,BG twih ardpi eonts glednia ot eadht, adn eth otmms.pys ehT esonuqit tsme easdl uoy to BM,G adn het rogss egaim to monneagimi (I .su)sge +2
kernicterusthefrog  rthoemrreu,F wrehe aer teh nmeneisg on eht orsgs ieagm omrf hhwic this m)o(eimnigan grw!e? It ludsoh at ealst ohws het uetsis from enhecw ti acem! +1
nala_ula  daH eht same e,mlbopr gto oefcsudn nesic it papeadre thta the hrtwgo saw ingtnalma :( +
sugaplum  AF 2910 gp 4,51 aosl egare hwit ern.voeye iwred nnsrpatoeit.e sGiol ear ltniagnma dathe whtini 1 ay,er ioiagnmnme rea fenot ocpamaisytmt ro vhea oflac .sgnis tu sj a osgrs htgoaolpy otuenisq ta hsit oitnp +
garima  ฤฑ ithkn hes eidd cb of ererussp or tsmonihge gsy,u sti oslobvyiu drnuo dphase ginebn lsie,no its sola rteax aixal not eikl MBG. hse dah tish ybaem reasy efroeb tdhae +2
skonys  I tnkih hte tnpio si ttah GMB ueassc a idapr ecndlie nad hedta ta teeyrvalli allms ilsone size cabesue its' hwiint hte ymhcp.narea maseinMgnio aer eignbn and nac gwor yiealnns large eobref htey secua tmpos.mys +

  • 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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