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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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eMatctatsi siaesed is omre omoncm ntha airrpym bone u.orsmt

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lba9587  Mhigt eb uflpelh to ednciors eg. fo a lung rmtu.o eno ei?slon r’oyeu nelgian nlgu ypr.mair lplMetiu sieolns ni nlg?u MTE.S Q tsem ereh cnidlu,ed n“moesuru lyitc leisson onlga the revrtbela .cmonl”u h,suT SET.M +
jurrutia  sAol, pnia hatt is oresw at hgtisn and ssesrtip gadrelessr of iatcvi.ty tas eg'P si typiaycll cattypmisaom uoahglt(h pina si het mots conmmo mmy)pots nad woldu veah oehtr nnifgisd ,(mirisefoedt VA tns,ush .et)c +
jurrutia  As,ol ainp taht is ewors at insght nda reiptsss rgssdeealr of vyattci.i 'tasPg e is plialctyy pymtasiocmta t(holgauh napi si hte toms oncmom s)tymomp nad wolud ehva etorh dnisnfig ,omfdi(reseit VA shutn,s te.c) +
umpalumpa  nedrscaei LAP is drwie, oncgneirsdi ttah the niosel is .ic.lyt +1
l0ud_minority  lumpa@mupa I geaer cltyi snoelsi dot'n mkea sesne with na avdelete LAP. iekL na tiido I httgouh ietlasod LPA nda hosec egPat seieasD +


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 +5  upvote downvote
submitted by ∗j000(17)
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ieptmlul mlayoem si hte tmos oomcnm PRMYARI alnicygamn fo ebon a,tma(op)h os it's ton MM.

sti' ont tgaep lakc( thoer S,x udolw saol vhea crstcoeil sleino)s

mysotl lykile eraln ro nlgu ncarec taestm to het boen

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 +4  upvote downvote
submitted by ∗oznefu(22)
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mI’ nvhaig btruelo eusdtdrinngan ywh isht si a ertebt ccehio ntah ePagt isedsa,e casyipelle thiw hte dserenaci ?APL

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zelderonmorningstar  ’egstPa lwodu aslo wsoh oems oierlc.sss +5
seagull  LAK si nsdreeaci ni nebo rdobwneak ot.o trtPaeos volse pndeasgir to eht mbural .piSen stI' ikel -caeoikanccrc rof ncrace. +32
aesalmon  I nkith hte "orsWe ta tng"hi lesdn ftsiel rome dartwos t,sme and the pt dmhgisaproce nlae tawsord etartsop c,naerc hwhic eovls to go ot hte labumr isnpe vai the osanBt pelx.us I pckdie tageP btu i htikn htey loudw veha egnvi tnhmeiosg meor elniglt if tyhe twedna egapst, ytogilhos or ohtrane ceul +2
fcambridge  lgulsa@e nad aas,olmne I htnki yor'ue a itb off .ereh rtaoePst mtse doulw eb atsslcobe,tio nto tcotsieloy sa is sibddecre ni eht etve.gint +17
sup  heYa I chsoe sPateg' too zbc I rdeiugf if ti sanwt' prtatose rccnea hhcwi( sa i@ermdbacgf asdi would ensretp w/ slesabotitco n)sslioe htye ldowu vige su nohaetr tennpsrgei xs of eht staeticmat cnarce glnu,( nerl,a )knis that hmtgi onipt su ni thta .ortceiind I gto estdtadcri yb eth nircadsee LAP oto nad ellf for Pegat (: +1
kernicterusthefrog  a,mcrgib@edf otn tx.ylaec sY,e tsropaet tsme sdtne ot eb sba,ttiocelso btu otbau %30 era nfudo ot eb ly,cit pre hist sy:tud c6wppewn:oti.2cs7/bi//../tl48g/a.lcmhvnCPt2mrihwMs5/n A,liyldinotad het tgnhi oneb ainsp tpoin to sem,t dan gtse'Pa is much reom mmyonclo onudf in eth rnailca esbno nad arpculdapine lseto,ken hnat ax.ail Tish uoldc soal eb CRC sm!te +
sweetmed  I ialymn lreud out eapgst ubaeecs eyht dasi the ilshapyc xaioamtnine wsa rlano.m eH uoldw dfe eahv ohert .opmmstys +4
cathartic_medstu  rmoF what I mrbeerme ofmr tssaoMhtm:P ataasie to oenb si yusalul istlcotoey thiw pexeitonc to to,atspre hhwci is scr,f aoe.eoisetbeortlhT etsm assy USOUERMN cilty ssnolie dan unodss omer ekil sasst.imtae +5
medguru2295  If shit is atcistMtea rcncae, it si ilklye M.M MM rdspase to teh aspiln rcdo dna asuecs Lytic isto I.nlse is ONT atspetor sa aedtst baveo. hWeil onmAceoiacdarn sedo desarp ot teh tPaos,ret it copseurd loyn CILTSAB o.siesnl +

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 ulred uot ge'taPs ueecasb Ptgae's is ulasyul lc,ezaodil pre A,F tmo,Paah m&.p;aBB uhhoAltg isht apneitt tyfeldinie ftis teh digpeohamcr i,urtcep eratopst erncca si einlityfed ont eth ynol crcane atth cna zteieasstma to hte sbnoe. sauBcee stehe aer tyilc loenssi, its' brlpaoby emso roteh ceacrn ttash' darspe to the nsbeo

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medguru2295  lysboisP Mllpiute Mmlo.eay aTth si cilcass orf na lored srnpeo wtih abkc npai and lcyit inseols ni eth bc.ka +
asharm10  yistc-loote lutimlpe eamlm,yo tsitblc-aeOso srottP;ae ondt khnit yondbe tshi ofr tshi exma, i vhae evnre sene a qneutios in NBEM ro durwlo thye erdti to folo su ffo on hits epotccn os rf.a +2
euchromatin69  u rodwl 341 smea otencpc +
skuutnasty  dI' elki ot eeitrtare hawts' teatds be.av.o. dx OTN MM in itsh tosinuqe easeubc MM is PYIAMRR ton MASACTITTE @ eonb (wrasen r:easd eamtatisct m3aoni)ctalr;c& +


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 +1  upvote downvote
submitted by ∗imgdoc(183)
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ohranoomracdCs croucs in the hip or lxaai steo.kenl I'd gimniea ahtt ti is eplilscyfiac leodcta in noe igerno rterha hnat tmupleli issoeln oouhtuhtgr the v.ebtrrae thTas wyh I drleu shit uot.

I uedrl otu esasmrcooaot nda eigwn ascomar dsabe no gae anoe.l ehseT soumrt rae nees ni 25-51 arye sod,l nad eth aiclincl aiosinfamestnt 'nodt mahtc up.

'egatPs edseisa sha an eaeldetv nlAeikla eohtssahapp lv,ele ubt heetr ludwo leiefdinyt eb a ostcercli shepa of nboe eotndoiips, rretha ntha imtleulp ctlioyeost eolsi.sn ,isesdeB no a inliaclc vtgteien eyth loudw ktla buota negrngial heda e,isz NC 8 pn,nmigmeite tsrrcef,ua te.c Even if uoy ddi go hsti out,re aptgs'e esiadse acesus ,emsarotsooca otn peliltum ltciy i.soelsn

isTh etlf em htiw eaatttsicm co.mrnacia

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imgdoc  I soltyneh ohgtthu tsih was ltlmipeu mleymoa reefob I etnw eth eatctaistm cicanroma etruo oll +


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 +0  upvote downvote
submitted by ∗paperbackwriter(161)
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I aslo coseh eatgP :/ ubt eiazdlre tish hhiwc I di'dnt :fbeore

eTh satges rea tno moufnir scsoar etndrffei sboe,n os uoy oldcu aevh emso obsen ttha aer in teh soatcbolsiet te,gsa lewih tseroh rae ni the tyilc gaste .tce

c%gpnb'imgemn0/tcoppg%/sa.0o2alsio4rao2schjs8t//teleu.to0b0e

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paperbackwriter  ospo: prsoomusgct/l/%%boojus/canpp00nlb8asep2iathsg.0a.ecte/2.e'0tp:d4tml/oi/goht +


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