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Retired NBME 22 Answers

nbme22/Block 4/Question#27 (reveal difficulty score)
A 78-year-old man comes to the physician ...
Metastatic carcinoma 🔍 / 📺 / 🌳 / 📖
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 +8  upvote downvote
submitted by ∗notadoctor(175)
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tMeatstcai sasedie is ermo mcoomn tanh ampiryr neob rt.oums

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lba9587  gtihM be lplhuef to nirosdec g.e of a ugnl oumt.r eno ei?onls ’eoryu anigeln glun ay.irrpm lMpultei sloisen in ?unlg STEM. Q mset ehre dcind,uel “usnmroeu itylc sisloen aglno teh rvetlbrea .on”uclm uh,Ts TSEM. +
jurrutia  ,osAl inpa ttah si wsoer ta ntshig dna ssspeitr srreagleds fo ia.yctivt ' egsaPt is cpylaytil opiatatycsmm hlgoh(atu pnai is eht osmt omcomn )pymtoms nad odlwu veha ohrte dgisifnn ,oim(reseiftd VA stsnhu, ec.t) +
jurrutia  slAo, npia ttha is roswe at shgtin nad sepitsrs raglrdeses fo cyiva.itt 'stge aP is lptiyycla ampioyasmtct ohaht(lgu ianp is teh msto conmom )oymmpst nad luwdo have etrho ndsfigin omi(esdfrit,e AV s,ntush c.)et +
umpalumpa  iaecesrnd PAL si d,weri inidorsecgn atht het lisnoe si l.tyi.c +1
l0ud_minority  upmpl@amau I garee ciytl nessloi t'don mkae nsese twih an evdealet .LAP kieL an diito I hhtotgu edilotsa PLA nda cshoe ePagt aseieDs +



 +5  upvote downvote
submitted by ∗j000(17)
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mutlplie lyemaom is eth msto ommnoc IYPMRAR agmiaylncn of eonb )hoama(t,p os 'ist ton MM.

s'ti ont etgap (alkc trhoe ,Sx dlowu saol aveh clocetsir )losneis

lmsoyt likley nrlea or lgnu anccer tsetam to het oben

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 +4  upvote downvote
submitted by ∗oznefu(22)
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mI’ ighvan rotuelb inrdneuasgdnt hwy thsi si a ebertt chicoe ntha tgeaP dses,eai lyilcpease twih the ednrsaeci P?AL

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zelderonmorningstar  ts’geaP lowdu osal owsh eosm s.eorlicss +5
seagull  AKL si snreeacid ni nbeo kdbneowra .oot sotaePrt svloe apdnerigs ot the almbru ie.Spn 'stI ekil co-anarcecikc ofr renacc. +32
aesalmon  I knhti eht W"oesr at "inhtg nsdle fltesi omre drwsaot set,m nda eth pt peohcarsmgdi nlae rdastwo rttaoesp cecn,ra chwhi lsvoe ot og to the lraumb seinp iav het Botsna uplsex. I keicdp ePatg tbu i nihkt tyhe lowud hvae gvien msohgntei roem leilngt fi yeth wdeant stpgae, ogltoyhsi ro aerntoh lecu +2
fcambridge  a@glulse dna aose,nmal I khitn 'ourye a tbi off .hree treoaPst tesm ldouw be tsta,oelibocs ont tiyclosteo sa is diebdcers ni hte tgen.vtei +17
sup  aeYh I oshec e'gtaPs too zcb I iudrgef if it nwta's rsattope ncarce hic(hw as ce@fmagribd dsia lwuod peetnsr w/ osotaebstlic )esionsl tehy uowld vieg us roatehn ripesnngte sx fo eth atmaictste cnacer (g,nlu lra,ne kisn) tath igthm nitpo su ni htat i.rniotced I gto aidstdrtec by hte arcednsie LAP oto adn elfl rfo eatPg (: +1
kernicterusthefrog  beagfi,drcm@ not ecyxtla. sY,e eotrpsta etsm esdtn ot eb ctabssoetlo,i tbu otuab %30 are odnuf ot eb tlyc,i per thsi t:ysdu iC7s6//to/p.//cst.nwem.ci4pl/gabl5nwnmwvt:2cPrih28M.h lAnytidaio,ld teh hgnti neob piasn intop ot emt,s nda taegs'P si umch rmeo cloonmym nudof ni eth raicanl oesnb dan uaceplrnaidp onlkts,ee tanh .aalxi hsiT udclo salo eb RCC es!mt +
sweetmed  I ymlnai eudrl otu apegts escaueb ehyt iads het pacyshli niiemaaxton swa ranm.ol He dlwou edf ehav hreot sytm.mops +4
cathartic_medstu  omFr awht I rmemerbe form sa tssMiPtaa:ehmaot to ebno si auyllsu ttesicloyo ihtw nexiopetc to ,erttaosp chhwi is l,f.ebaehosircetorTo ste mset ayss SMONUUER ylict eilnsos nad usnosd eomr leik taiatmes.ss +5
medguru2295  fI tshi si atiteMtacs cearcn, it si kleyli .MM MM sadrsep to het plasni codr dan uassec tcyLi oeln s.tIis is ONT earstotp sa asdett vo.aeb hileW aiAnoncmerdoca edos sdrape to het ,Paerttso it dpreuosc ynlo IALSBTC lsneso.i +

but prostate cancer is not lytic as blastic lesions

+5/- titanesxvi(106)


 +1  upvote downvote
submitted by amphotericin(11)
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I dlrue tou e'agPts scbauee 'Ptegas si yauslul aodleil,cz rep FA, amP,atho ;&.paBmB lguAohht htis tiapnet ydftiilene istf the admoipcregh pteu,irc tetospra caercn si fyitdeneil nto het yoln arccen thta anc sistmeetaza to teh nbos.e usceeaB thsee rae licty ,losisne sit' orybpbla eoms treoh ecranc 'tstah asdpre ot hte sneob

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medguru2295  obsPsyli pilltMue Mmlao.ye Ttah si ascscil rfo an dolre snerop twih ackb apin nda lyict ieossln ni the ab.ck +
asharm10  oeoctis-lyt lplumiet ,maomyel ettlssOoi-cba eoPra;stt ondt ntikh bonyde sith rfo tish emx,a i haev evern eesn a oentisuq in ENMB or orlwdu they rdtie to floo us ffo on iths tponcce so afr. +2
euchromatin69  u rodwl 341 amse nectcop +
skuutnasty  'dI leik ot tereitrae tashw' aedstt ob.ae.v. dx OTN MM in hist tioseuqn cubaees MM si PRRIAYM tno TTISMEACAT @ onbe ars(new dra:se taceitstma &nacciolmr 3);at +



 +1  upvote downvote
submitted by ∗imgdoc(183)
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oorCmsrcoanhda ourccs in teh phi or iaxla nseelok.t dI' nmiiaeg that it si eplcaisifylc tdlcoea ni eon gernoi tharer hnat etlmuipl nolesis orhughtotu eht erretbva. ahTst wyh I eludr ihst .uot

I lerud uto soscamoatreo adn igwne crmasoa baeds on ega nela.o eeshT tuomrs are eesn ni 2551- yaer d,ols nad hte inlccial tsaminsnaoifet od'nt achtm .up

te'agPs deaiess ash an deeaeltv eaiAlnkl sptaseoaphh level, tub eterh wloud tfeyiidnle be a eciltscor eashp fo ebon n,siepdoiot haerrt anht ptlleumi ysloicotet s.selion dies,seB no a clclniai ietvngte yhet ulowd ktal ubaot garenlgni edha s,ize NC 8 eenmpnmgit,i tearsfurc, cte. nevE if yuo ddi og htsi rt,uoe g'atesp sesaeid csaesu mo,sctoaearos not ipmutlel tclyi oein.sls

hTis etlf em iwth timtsecaat mracn.aoic

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imgdoc  I yotenhsl thtouhg siht aws umieltpl molayme eoefrb I ewtn eht ttstiamaec ncriomaca turoe lol +



 +0  upvote downvote
submitted by ∗paperbackwriter(161)
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I also hcoes Peagt /: tbu edrlazie thsi wcihh I n'tddi obee:rf

Teh asstge aer ton ofmrnui asocrs dfrfienet nebos, os ouy duclo ehav meso enbos ttah era in hte olsbtaciotse ,taseg iewlh hortes era ni teh lyict tagse cet.

a/o0spg04pmgeu80b/n%bro.st.gei0aln%ome2o/'c2tcohetjpsclaits/

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paperbackwriter  op:so lpctbeghtlngsm.seo24sploaatoi/dac.ps'a:igc/0.t/et2run0%e0p/0%8hju//pstoobom +



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