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NBME 19 Answers

nbme19/Block 4/Question#14 (reveal difficulty score)
11 yo boy, right mid-thigh pain for 2 weeks; ...
Ewing sarcoma πŸ” / πŸ“Ί / 🌳

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submitted by βˆ—strugglebus(177),
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ynA rnawes ithw esoemneprt si sdue to luhsiysp ynol and is vyer eiifcpcs. tTah nyol eleasv odci,aniripl icwhh is laso dlveeate in ;ESL sith si hwy sit nivetsesi but otn picefsci in y.Shp

submitted by βˆ—cassdawg(1533),
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L:RD;T Tish is gnwiE caaroms asecube it is a yongu oyb with slmla eblu ellc nobe turmo ni teh shapisidy fo teh rmefu

gnEiw saocmar si a lginatmna nbeo tumor ocmmon ni guyon obsy; latpiclyy nduof in eth sehpsiida ddml()ie of gnol snoeb ltirrluacapy( ruemf) ro lcevpi laft enob.s tI is a alslm beul cell o,umtr inengam teh redcotpsri of ,lslam ofmirn,u hoarchrpmictye sclle wtih ghhi psnc:causeutlolym atr.oi It sola has na onino" n"sik oierptaesl ariconte ni teh neob rsdec(deib sa ueitss drrudnoeus by onictnccer reysla of ctvierea enob ni het u)t.ienosq toN tenimoned is eht toniaisocsa thwi 121)t2;(. A[F 2002 p 64]4

hyW het roeths ear rg:won

  • mCoraoondasrch si a murto fo annatgmil nocyrdchoest aal(ig)cte adn dunfo mniayl in the ipvl,se xilaporm ervfe, nad rmsuheu
  • inphsilicooE glarmauno is is a r,are nbgeni em-lurtkio drrisode ctirdhaczreae yb llanco irafeipronlto of esaagnLnrh lslec nda the stmo mmcoon iraetnv of hnnregaLas llce oWsut.hlistdcoyisio ylelki yas ismnohtge ouabt ecrkiBb neaugslr in the tesm and dolwu vaeh adsosticea ommsypts cush sa arhs FA[ 2020 p344]
  • uMpiletl memyaol si a aplasm lcle acarisysd AF[ 0220 41p3] tihw eunirootcvdopr fo iatc(ypyll) g.GI rahicctstCrseia lndeuic BACR - leeia,hrmCyapc naRle lnn,moeeitvv ,Aemnai BB/aenokc ipna eud to dcepuhn tuo itycl oneb nslseio cpayll(tiy fo teh pnei)s
  • sahW'lr/etsNabmpoloim mrTou si eht mtso ncomom nlear algnciynma of yaerl coolhdidh and erntpses as a fknal sams F[A 0022 p 6]60
  • soeOamaorcts r(o oseeicngto srcamo)a si a rypiram ebno tromu mnmoco ni enm t&0l.2; It si ilylpcyta ofdnu in eth ayemshptsi (sti)p fo ognl .nesob tglyiosoH sshow opciprlehmio tisdoeo npdiorgcu ecsll. On Xay-r ouy lwodu pioltealtny see a aCmdno trnilaeg tev(oialne fo otiuesmrpe) or sbsuntur ptrtean
  • Smlal ohcpyctmyli yohamlpm si lnlieaytsse teh aems hntig as cinhcor coimyplhyct ekilu.ema It si indcersedo a nonHkdng-oi mhlpymao fo clB-esl dna hte tsom comnmo umkleaei of sladut a(s L).LC ugmeSd esllc would ilyekl be esne on perlihpare bdolo It lwduo ton lyekli enrsetp sa an oscttiyleo islone nda is iunkelly ni dlnhi.rec A02[F20 4]p23
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