NBME 22 Metastatic carcinoma (NBME Answers)

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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 🔍 / 📺 / 🌳 / 📖
tags:

+8 upvote downvote
submitted by ∗notadoctor(175)

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cttaatMsie esaedis is moer mcnmoo ahnt riapmyr bone .orstum

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lba9587 tMihg be heplful ot inecsrdo .eg fo a lgun mtu.or oen lies?on our’ey ginnael lgun .mpyiarr Mlpluiet nesosil in ?lnug STME. Q setm hree de,nlduci euumo“nsr tclyi selinso galno the lerbartev lmuco”.n sh,uT .SMET +

jurrutia sAol, apin atht si owser ta tnhgsi nad ssirestp gserrdesla fo viti.aytc ags eP't si yytilpcal asttmaoymcpi ohhagul(t apin is teh msot moconm sytmpom) adn wudol eavh torhe nsdnfigi miisfr,edeot( VA snt,shu ec.t) +

jurrutia ,olAs inap thta is owesr at hgnsit dna itesspsr adrsegersl fo vytaciti. Pg'ea st si lpyyicalt taopmmastcyi hughoatl( pani is eth tmso oonmcm oy)mpmts nad lowud ahev toehr nfsgnidi ,orfiedm(iste AV stn,hus .et)c +

umpalumpa nieeasdcr LAP is eidrw, iesdicgnron htta teh oilsen si y.tic.l +1

l0ud_minority mppaaumul@ I geare cytli isneslo tdon' mkea nsees wthi an etvaeedl LPA. eiLk an iidto I outhght otsaleid APL and ohsce etaPg eiessaD +

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+5 upvote downvote
submitted by ∗j000(17)

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mpllietu lymamoe si the otms mocmno PARMRIY nycmigalan fo eonb (a)omt,hap so t'si otn .MM

ts'i ont pagte lck(a rohte ,Sx dluow sola ahev rtelciocs ensoi)sl

ymtols ellkyi rlane or lgnu rcncae stemat ot het onbe

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+4 upvote downvote
submitted by ∗oznefu(22)

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m’I ghianv olbertu nddriuntensag hwy ihst si a betert cceioh nhta eatgP i,eaessd pcaeilleys wtih hte erescinda PAL?

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zelderonmorningstar a’etPsg ouldw saol oshw eoms rsei.slcos +5

seagull AKL si endearsic in neob oaebrknwd .too toParest lsveo pdreagsni ot eth ablrmu pei.Sn Its' klie oacrneaccci-k for ccne.ra +32

aesalmon I nhtik het "erWos at nti"gh sedln seilft roem drawsto te,ms dan eth pt padmchoigsre lena aodsrtw rtasoetp c,ercan hhciw solve ot og ot het mulrab nipse iav eht Bstnao eulxsp. I dpiekc Ptgae tbu i nthki hyte oluwd vahe inevg smngothei emro igtlnle fi hety ewdant ,aetgps hiyogstol or eotnahr ulce +2

fcambridge elugals@ nad a,olansme I thikn yuer'o a itb off ree.h rtsPateo smte wolud be os,iacbotlste nto ycotliseto sa si discedbre in eth iettvegn. +17

sup heaY I scoeh 'tagsPe oto bcz I uidrgef if ti tnwa's eaptotsr rnacce ch(hwi as cirdeafb@mg aisd loduw sntrpee w/ satsibceoolt elss)oni htey udlow iveg us hoanert gtspnrniee xs fo hte acsiemttta acrenc (n,lgu arln,e ik)sn ttha tgmhi itopn su in tath irciednot. I ogt tdriecadts by eht iaserendc ALP oto adn lefl fro tgaPe :( +1

kernicterusthefrog c@reimgfba,d nto ecxl.tya ,seY atotpesr etms setnd to be lstaotoisc,be but ubtoa 03% rea ndouf ot eb ilytc, rpe stih uyds:t avhc/58.lwp76tpP/2lnncwcsrt4./m/:wgii2btMn./e.smC/ioh lidlt,dyionAa teh ghint eobn psina otnpi ot ,mets nad e'sgtPa is uchm omre moyocnlm nudof in the caianrl neobs nda ucldiearappn seoe,tlnk ntha iaxal. hiTs locud olas eb CCR t!mse +

sweetmed I amlniy edlru uto gpstae ucesbea ehyt isad the spilhayc xiaemntanoi wsa mla.rno He uoldw efd avhe ertoh tmysm.ops +4

cathartic_medstu morF athw I rrebmeem ormf mssaihPaotse :Mtaat ot nebo is llyuuas ltteosycio ithw nicpeexto ot ,esortpta whhic si treto a.eh,ecoleTssfoirb tems sysa RUNEOMSU licyt iesonls dna ndosus orme keil aiatsssmte. +5

medguru2295 If itsh si astitatMec arccn,e ti is ieklyl M.M MM pdesasr to eht ipnsla cord and aeucss iycLt eisoslI .tn si NTO oatpesrt sa dttesa .aboev Wihle aomaAncdrinceo oeds dpaser to hte ot,etrPsa ti pdersouc nloy IABTSCL .liosens +

but prostate cancer is not lytic as blastic lesions

+5/- titanesxvi(106)

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+1 upvote downvote
submitted by amphotericin(11)

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I eurld uto sgtaP'e bscauee gP'esta si yluslau icodazlle, epr F,A Ptmo,aha &.apBBm; Athhgoul isht tetniap lyneefditi ftis eth ragdpmocihe ,ucperit totaresp aenccr is efneyilitd not the olny nercac thta anc zamtsieesta to eht .nsbeo Beaecsu esteh rae iltyc oi,lenss 'tsi poyarblb msoe rthoe cnrace 'htast asdepr ot teh bsone

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medguru2295 sPsbioly Mtleulpi Mlyo.ema Ttah is iacsscl for an elord ernpso whti cabk pina nad lyitc lnioess in hte cakb. +

asharm10 ol-toytscei meplltiu ema,yolm cOitto-ablsse eta;ostPr dnot thkni oyndbe hsit orf hits ,xaem i heav nerve nese a etqsionu ni ENBM ro lroudw yhet tider to olof us ffo no ihts pncetco os .raf +2

euchromatin69 u lrwdo 431 easm econcpt +

skuutnasty 'Id klei to aeitrreet shwat' tdseat o.e.av.b dx ONT MM ni iths euinotsq aceuebs MM is RYIRMPA ont AMIAETTCST @ bone s(rnaew ared:s etiacttasm )a&a rionmc3l;tc +

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+1 upvote downvote
submitted by ∗imgdoc(183)

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oronaCodmrsahc srucco ni teh hpi or ailax knlsoe.et 'Id ameingi atht ti is ecpfialscyil ldacote ni eno genior thrrea hnta puimlelt leoniss ougohhurtt eth eevbrtr.a hTsta hyw I redul shit uto.

I ruedl tou aaroosctosem dan wgnei sramcao beads on eag e.aoln Tseeh outmsr rae nees ni 251-5 eayr ,sdlo nda het inclalci nasftaimstoeni t'dno mtach .pu

'taPgse essidea ahs an veetaedl Aalkienl soaspephath llv,ee utb tehre odwul eneifyiltd eb a oilsertcc aehps fo obne ,tpeoionisd thraer nhat tuipllem eocyostitl .sslnioe issde,eB no a lcainicl tteingev ethy lwuod ktla obtau geninglar eahd szie, NC 8 iteemngi,pnm r,scuatfer .cet Enev fi ouy ddi og tihs rtoe,u 'psgtae eiasesd easucs ,esoatrsaocom not uplitmel clyti eos.snil

shTi telf em tiwh tmiaattces cnaimo.arc

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imgdoc I hsnyleto ouhhttg sith saw impelutl emlymao eorbfe I etwn het iaeasmtttc anrmiccao rutoe lol +

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+0 upvote downvote
submitted by ∗paperbackwriter(161)

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I also ohcse Peatg /: but redeialz shit hiwch I di'tnd efor:be

hTe seagst rea ont iuromnf cosras dentiffre ebsno, os uyo oulcd hvea emos sebno taht era ni hte tblooicsates s,eatg liwhe rsehto aer ni het ctily teasg cte.

ugpo04n/anjc2poo.eista/oh/lts0%milbm/e0abte%'0c8gptgscor2.es

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paperbackwriter so:op nopop20nea.%um/tc0p.4gc/m/eotptsoss/hd0ao/atpert0l:l'asocsi.u/ggbithb%jl82e +

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