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Retired NBME 22 Answers

nbme22/Block 1/Question#20 (reveal difficulty score)
A 49-year-old man comes to the physician ...
Avascular necrosis 🔍 / 📺 / 🌳 / 📖
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 +9  upvote downvote
submitted by dr.xx(176)
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RIM si glhyih ,evisestni ,pcicifes dna ecauctar in the cntietode of AVN.

teh-wiT1ged :aesigm AVN otms fento ssetnrpe htiw a tecinscce,r nkreii-lg or wlle ieedfnd ndab of low snalig whtini hte roprsuei notirpo of eht crudhblnsoa laorfme adeh obne arwrom. shTi dabn is thohtgu ot eenertpsr het iecetrav rentefaci neewbet teh tcrnoeci and teavpreria ,nosze and pycltlyai nsxdtee ot teh nbcduosrlah ept.la

uch:/n-u/sdasf/.-ttr-/ophrehtavpoei

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 +5  upvote downvote
submitted by paloma(10)
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iodgccAnr ot U,W clholao beaus is a isrk acfort rfo rluvaasca srisneoc. The smto cmnoom tise is hte refaoml ahd,e hhciw esrsnpet itwh npia thta is dxreeaabcte by hitgwe gibrena towhtui irnyotamamfl gnsis no cplsiyha inenia.otaxm

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cbreland  railmiS thhuogt crossep vreo ,ehre itdd'n egt a wlheo otl morf the IRM ertho athn aklc fo msryye,tm utb pt twih oolachl mplroseb was eht key rfo .em uJts eylpad hte sdod +1



 +2  upvote downvote
submitted by tiredofstudying(71)
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FA 022:0 436

sCause of lscaavaur cioenss:r SSTCA ndBe rGlooistsol+coi toScek ESldh++mrL.icC sAie ellc es S+ieaTL+aE urmasd

hte“+ n”sdBe caspr(icnoeo/oismnssed )Cs+sga-avl ég-LEiede setePhr sdaiese +ap)uedaGi(rcothi chi isaepdpeildse S+ alptica aflmroe iipehsyps

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drdoom  orf lblteued i,lsst eb seru to floolw teh pusl igns hwti a pe!sca :) +3



 +2  upvote downvote
submitted by almondbreeze(110)
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AF 2901 gp 545 on vrlaaasuc nrcisose of nioertIba noncf: fo oebn adn mrw,ora ulylaus yevr il.afnpu osMt conomm itse si lramfeo daeh hret(aweds zeon) ed(u to nynuicicsifef of aleidm uxfelmicrc marloef rtrey.a) essuaC nuecldi iotcioesotrsrdC, liAmsohloc, kSclie lcle ,idaeses ra,Tmau L,SE t"he dsB"en nocrsp(msaindeosi/eosc esdi,e)sa elva--ggCEL rhPseet dseaies )(,iicdptoiah Guhreca isdaes,e Sdlpiep ilcpata mlerfoa ispyspie-h SSTCA Bedn LGS.E

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 +1  upvote downvote
submitted by usmleuser007(463)
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(A) Rski safrotc orf deogvneipl svuaalrac incessro lcndi:eu

)1 uaaTrm = iI,sjrn eu hucs as pih asinoloctdi or ,ceturfar acn aemgda yrnbae olbod svleess nad ecedru lbodo olfw to one.sb

2) iodtreS s= ue eUs of seogdi-hh cdtterrosoci,osi such sa ip,sennroed is a ncommo asuce fo rvluacaas escros.in heT eonars si ,nkwnuno tub oen ishhytsoep is htta tsescrcdoriioot nac sacirnee dpiil sevlel in uyor ,ooldb redncigu oldbo lwo.f

)3 xiesvcEse ohalloc sue = nuCsniogm levaers aoclhciol dinkrs a yda ofr rlvsaee yraes oasl cna csaeu ftayt osedtips ot ormf ni uoyr dobol .sesevsl

)4 sBaitpsohopehn eus = trLmneg-o esu fo smactneoidi ot nresceia boen dsnyeit hmgit etourbnitc ot lingepdevo ocsooeeissnrt of teh aw.j hTis rear iicntcoomlap ash ocrucdre in osme eppoel treaetd htwi high dsseo fo hetse osieamdtnic fro ercac,sn chus as epmlltiu mmyoale dna atetmctsai baetrs rce.can

)5 triCaen aemcild ettatsermn = Rtaaoinid yrpteha ofr ccnera nac kweean n.ebo Oargn lt,aoratspnnitna leipecylsa kndiey ,alsnratntp aslo is sdseiatoac htwi cuavsaral irsnceso.

id)(M leBac oiistdnonc dsaotsciae hwti alauacsvr oecissnr culdie:n

anicrGDihrba'tecasusit sPeeta e ySii es/SmetDdssaHc VIeIA plsuu ecik esrmysuSltaehot lcle nemaia

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 +0  upvote downvote
submitted by warbyparker1(3)
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I goutthh ti swa cepsit ittiashrr cb anip wtih wtegih anbiegr + rm,i tub 2 mhosnt whti ctpise htratirsi come on, ti was na yeas oqisunet nad I dsmesi ti.

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warbyparker1  tnEuoovil eimt si yek +1



 +0  upvote downvote
submitted by meningitis(644)
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I tiknh teh small adrk aera on teh lfet adhe fo mrufe and het kdeedran cnek rea hte aclvuaasr .sseti

Ncek: n1tk/pjdctstiio/api../b1e5gctsh//mcd1/:m/spg.met5m95paec

de:Ha oivs(bou nsioel on hte TR furme, tbu masliri cdetisre ioelns no hte ltef sa eesn no eht epriccat BME)N nnj2t1tg0au.1cosdp:c/1aeputhp./a//stw/r/o0re-5oup/sld

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 -2  upvote downvote
submitted by seagull(1933)
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ayemb eomneos nac pilnexa hwy shti si alcasuvra incssreo dna otn sesp.is It eostdn' ienmton fveer ro sebcnae of vf.ree hTe MIR sah a llsam umanto fo ethypnidsoy tub to egt ralasavcu nirsesoc seesm /odd

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someduck3  Pg 455 of ..AF nomisnet atht iahsllcoom anc be a csuea of uaralscva s.isconre +6
meningitis  I ikhnt teh lslam arkd aare no teh tefl ehda fo mfrue nad hte eakerddn enkc rea the vrcuslaaa eitss. eg/t .. cma i g aoi5ctt bmtn:/5ks1/dep 5pHNe//d kmm/:cp.i:hdt/spja1ee1 s9cc (ovibsou ienslo no the RT ru,efm but iamsril ciesterd olensi on eht flte as nees no hte pciecart h/E5tuct/ ae/de.1po d/ot-rj/p1srs:wpg/sBoM0un2pu 01c)n./altaN +4
yotsubato  He wnultdo eb ilnygpa glof fi eh dha ispect ittarh.rsi casurvaAl srneoisc is a orem cnihocr cidtnnoio ttha ash a owsl oestn. +4



 -2  upvote downvote
submitted by usmleuser007(463)
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seCaus

)1 aasAuvcrl eisrscno oscucr nhew dolbo lwfo ot a noeb si repdnrutiet or de.cdure uRecded dloob slpyup can eb adsecu yb:

2) inJot or beno tmaar.u An ij,runy scuh sa a ilatdeosdc tonij, htmig dgeaam bynare blood .vsseels aercCn rmsetnttea lvvgonnii noaidriat sola nca ewkane beon and hmra oldbo sele.svs

3) tFayt dietspos in oldbo .svlsees heT aft dliip(s) cna bolck slmal lodbo esvle,ss geunicrd hte lodob olfw ttah sedfe .bsone

4) rnaCeit deessia.s liacedM ,octnnsdoii scuh as ikslce llce animae dan sGr'hcuea isda,ees losa can uasec diindsemhi ldoob ofwl to ebno.

roF btaou 25 teecnpr fo pleeop htiw cavaulrsa re,onciss teh eusac of ieettudrnpr doobl wfol is kn.nonuw

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