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Welcome to lilmonkey’s page.
Contributor score: 18


Comments ...

 +3  (nbme24#31)
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dTyoa I leendra ahtt rfefntied albrlie sseicpe fo aaribetc nac haev naicogntj.ou oS nayts.


 -5  (nbme24#30)
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eTh dkreowy is aoNPDE"aeTIsi(.LNEEct")NdYDs hciWh in nhuam alguagne maesn N"TO E"AADC.SOTIS


 +1  (nbme24#4)
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oT o)cd1le:u cn :AOB gMI &-t;g tmCmleeopn &tg-; ntl)raIvaa2rscu h:R gGI t-&;g ecinlpS gecrpaaMho t;g&- astuaErlcaxrv


 +2  (nbme24#49)
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alwsyA soech gmnoksi fi uyo ese ti. nI nay type fo iones.tuq 'ntoD evne erad ):


 -4  (nbme21#28)
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Gyl si arpol, nielnaA si raonopln and .ycdhorpiobh iseesMsn oaenveriovcntsn oauint.tm heesT AsA avhe rtfeinfed echlamic esprtpiroe ihcwh lead ot itesdprdu tnipore ogldfni nye(dcasro us.rt)etrcu lmiariS ot luG - aVl buttutsniois in cSkiel Clle i.easDse


 +5  (nbme21#32)
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oh-Cmotex amn etcrpui mfro eht FA a(slt aepg fo teh emh dan onoc stn)oeic rowks ellw for me in htese pyest of issu.entqo

lovebug  Bleomycin Induces free radical formation -> breaks in DNA strands.(Anti-tumor effect) FA19, pg431. and other tissues have Bleomycin Hydrolase. but Lung doesn't. So lead to Pulmonary fibrosis. +1

 -4  (nbme21#33)
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Anyone geirand iths nsoiuetq


 +11  (nbme21#47)
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heTre is tginhon gindiatcni ttha sith si a reamflo rae.inh It ucold be nya tepy fo hareni in eht iuglnani rigoen eof(mra,l ierctd of nriedict i.)igalnun oN ende ot i:vnthokre ommtpssy of ctiinar,eanorc cepei of deda leobw - srltngaoi,nuta ,enod peke io.gng


 +2  (nbme21#47)
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mrbeemeR HPT sa osPaptehh gnsrhTia om.nHero

sroop↑huPsh t;&-g P↑TH toniresec -gt&; ↑noeb otnrsoprie tg;-& L↑AP and eobn pina.





Subcomments ...

submitted by medstruggle(12),
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Wyh is it otn ronvaia coflllie ?lcels I huotthg teh alfeme alngoa of Sitlero adn Liedyg is rhlgsantae/ocua cells.

colonelred_  Females can get sertoli-leydig cell tumors, which are notorious for producing lots of androgen. +9  
brethren_md  Females can get sertoli-leydig cell tumors, which are notorious for producing lots of androgen +4  
sympathetikey  Females can get sertoli-leydig cell tumors, which are notorious for producing lots of androgen +5  
s1q3t3  Females can get sertoli-leydig cell tumors, which are notorious for producing lots of androgen +11  
masonkingcobra  Females can get sertoli-leydig cell tumors, which are notorious for producing lots of androgen +3  
mcl  Wait, but did anyone mention that females can get sertoli-leydig cell tumors, which are notorious for producing lots of androgen??? +38  
mcl  But seriously though, pathology outlines says sertoli-leydig tumor "may be suspected clinically in a young patient presenting with a combination of virilization, elevated testosterone levels and ovarian / pelvic mass on imaging studies." As for follicle cell tumors, granulosa cell tumors usually occur in adults and would cause elevated levels of estrogens. Theca cell tumor would also primarily produce estrogens. Putting the links at the end since idk if they're gonna turn out right lol Link pathology outlines for sertoli leydig granulosa cell tumor theca cell tumor +12  
bigjimbo  LOL +  
fallenistand  Females can get sertoli-leydig cell tumors, which are notorious for producing lots of androgen. +5  
medpsychosis  So after doing some intense research, UPtoDate, PubMed, an intense literature review on the topic I have come to the final conclusion that...... ...... ...... ...... Wait for it.... ..... ..... Females can get sertoli-leydig cell tumors, which are notorious for producing lots of androgen. +9  
charcot_bouchard  Hello, i just want to add that Females can get sertoli-leydig cell tumors, which are notorious for producing lots of androgen +1  
giggidy  Hold up, so I'm confused - I read all the posts above but I still am unsure - are sertoli-leydig cells notorious for producing androgen? +4  
subclaviansteele  Hold the phone.....Females can get sertoli leydig cell tumors which are notorious for producing androgen? TIL TL;DR - Females can get sertoli leydig cell tumors = high androgens +  
cinnapie  I just found a recent study on PubMed saying "Females can get sertoli-leydig cell tumors, which are notorious for producing lots of androgen" +2  
youssefa  Hahahahaha ya'll just bored +9  
water  Bored? you wouldn't think so if you knew that females can get sertoli-leydig cell tumors, which are notorious for producing lots of androgen +5  
nbmehelp  I dont get it +  
redvelvet  how don't you get it that females can get Sertoli Leydig cell tumors, which are notorious for producing lots of androgen? +1  
drmomo  what if this means..... females can get Sertoli Leydig cell tumors, which are notorious for producing lots of androgen +  
sunshinesweetheart  hahahaha this made my day #futurephysicians #lowkeyidiots +  
sunshinesweetheart  @medstruggle look up placental aromatase deficiency (p. 625 FA 2019), it would have a different presentation +  
deathbystep1  i am sure i would ace STEP 1 if i only knew that females can get sertoli-leydig cell tumors, which are notorious for producing lots of androgen +2  
noplanb  Wait... I might actually never forget this now lol +3  
drmohandes  Females can get sertoli-leydig cell tumors, which are notorious for producing lots of androgen. +1  
lilmonkey  Don't forget that females can get Sertoli-Leydig cell tumors, which are notorious for producing lots of androgens! You're welcome! +  
drpatinoire  Now I get it that females can get Sertoli-Leydig cell tumors, which are notorious for producing lots of androgens. Thank you very much.. So why choose Sertoli-Leydig cell tumor again? +  
dr_ligma  The reason is because females can get Sertoli-Leydig cell tumors, which are notorious for producing lots of androgens! This is easy to remember, as you can remember it through the simple mnemonic "FCGSLCTWANFPLOA" which stands for "Females can get sertoli-leydig cell tumors, which are notorious for producing lots of androgen!" +18  
minion7  after receiving a f*king score..... this post made me smile and thanks to the statement-- females can get sertoli-leydig cell tumours, which are notorious for producing lots of androgen! +1  
djtallahassee  My worthless self put adrenal zona fasciculate but now I will never forget that females can get sertoli-leydig cell tumors, which are notorious for producing lots of androgen +1  
medguru2295  Wait..... so can females get Sertoli Leydig cells that produce androgens then?????? +  
peqmd  Going to snapshot this to my anki deck card: "females can get Sertoli-Leydig cell tumors, which are notorious for producing lots of {{c1::androgens}}" +1  
paperbackwriter  Watch me f*ck up the fact that females can get sertoli-leydig cell tumors, which are notorious for producing lots of androgens on the real deal. +2  
alexxxx30  just made sure to add to my notes "Females can get sertoli leydig cell tumors, which are notorious for producing lots of androgens" +2  
peridot  I also just wanna add that if you look on in FA on p.696969, you'll see that they'll mention "Females can get sertoli-leydig cell tumors, which are notorious for producing lots of androgen" +  
mbate4  According to the literature [lol] females can get sertoli-leydig cell tumors, which are notorious for producing lots of antigens +  
drdoom  the tradition lives on +1  
jamaicabliz  Wait... so for clarification, is it that females can get sertoli-leydig cell tumors, which are notorious for producing lots of androgen? Or that Females can get sertoli-leydig cell tumors, which are notorious for producing lots of androgen?? HELP +  
abkapoor  Females can get sertoli-leydig cell tumors, which are notorious for producing lots of androgen sorry for bad Englesh +  
faus305  Sertoli-leydig cells are notorious for producing lots of androgens, females can get these. +  
djeffs1  the fact that a bunch of medstudents can get so weird about how females can get sertoli-leydig cell tumors: notorious for producing lots of androgens- just made my week!! I love you guys +  


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dndaaiC is a tapr fo teh lmraon frloa fo i,skn lodcu eusca toicntmaniaon of a ratecnl uevosn tr.ehteac Teh uinoteqs ssatet hatt the rganmios is uep,prl bgnud,di idd ont pnesrdo to ardob usempcrt icbstoaiitn aak( htye idn'td esu lnzoecalouf or nhrcieomapti B). ly,stLa eyth hewsod it patlde on bdloo gaar and ehetr swa on yiolemhss hicwh elsaeimtni thaps ht(e ynol orhte ieslobps ncroeednt eer).h

potycruccosC allsyuu vlisnvoe ensingimti ni nuooopemimmsimcdr s.pt E . iclo is mrag gsoihvrreanett ixpo si suyallu smrettadtni yb a orhnt on a esro or nseeoom twhi a ihotrsy fo erngdagni

hungrybox  Also, the yeast form of Candida is gram (+) +30  
dr_jan_itor  I got thrown off by the part where they said "ovoid" and thought they were implying a cigar shape. I chose sporothrix for the morphology in spite of knowing that it clincally made no sense. +1  
lilmonkey  I chose S. aureus before reading the question (looks like b-hemolysis). Then I saw "budding organisms" and picked the correct one. +  
the_enigma28  I think, elliptical budding yeast forms kind of excluded cryptococcus since its almost round -_- +  
the_enigma28  I think, elliptical budding yeast forms kind of excluded cryptococcus since its almost round -_- +  
lowyield  cryptococcus also doesn't take up gram stain because the shell is too thiqq +2  


submitted by kentuckyfan(43),
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A elelbad aimge

/BA oolk elik yegr tetmra to em

C solko ikle cteduaa usunlec

D kosol iekl otarenir ternalin pcuesal

E lokos leki almhtaus

lilmonkey  yep, I also chose C. Relatively easy question, but a bit misleading picture. +1  


submitted by hayayah(1076),
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KaifcfsW-kekroonre symorde.n t'Don eahv ot eb na olhaiclco ot get ,hits tsju luulyas is aeertdl to mscolaholi / anhitmie e.iicdfyecn

d_holles  Yeah the negative EtOH screen threw me off +3  
dr_jan_itor  Why cant it be early alzheimers and hippocampus? She could easily have been a former prominent physician and member of city council. Am i supposed to assume that simply because shes disheveled and poor hygeine that she must be an alcoholic homeless person? It also mentions no symptoms of nystagmus, ataxia, etc. +2  
kimcharito  it said broad based gait and nystagmus +9  
lilmonkey  She is/was an alcoholic and appears pretty much homeless, just not drunk at this moment. +  
fatboyslim  @ dr janitor. The question says "physical exam shows a broad-based gait and nystagmus." +  
suckitnbme  NBME questions also stereotype the shit out of their patients +5  


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phSliiys tneahsegipso si the nlmamtiinoaf adn treblitianoo of teh avsa suamorv al(lsm loobd lsves)es ttha efeds rigebg dbolo lvesses leik oatar, eia,setrr resolri.eta It soed not raemtt what the setag is, T. lpmildau etsncfi het asva mousvar n,da in the psrsec,o ibelasteort het rensve dan lbood evlses.s hiTs kslli ooldb plpusy ot tsohe seara = csihmeia btu no anpi sinp(elas nccha)er. Moer doieczlla ni ilareer tg,ssae and in atelr gtsae, the siestheocpr sietaedsinm, so oyu hvae hte raota nda niaslp drco nvvolimnete ubt msea gh.ptenaisseo :tiEd( olnjGa apeleidxn tihs se.omhr)wee

privatejoker  So is the heavily implied step-wise formation of Syphilis symptoms as presented in FA complete BS then? Why break it down into stages and have us learn it as such if this is not the case in real practice? +5  
lilmonkey  Exactly, Goljan mentioned this in one of his audio lectures. All kinds of lesions in syphilis caused by vasculitis. +3  
lovebug  I know it's silly question. but Could anyone give an why answer is lymphocyte and plasma cell not neutorphiles.? bc syphilis is a bacteria, not virus. +  
trazobone  @lovebug my guess is bc its a spirochete, so it doesn’t act like a normal bacteria. One of the screening test for syphilis is FTA Abs, so a proliferation in plasma cells makes sense. Then by deduction, if its able to affect plasma cells, it can do the same with lymphocytes. But this is me trying to logic everything together so. +  


submitted by tamey(-1),
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mi a etillt dfucnseo itns gibkcnol alapmul fo pntvicoathec(rtearaepa au)mlap ldwou usaec uosnttocbri of bhto aaptericnc duct nad mocomn ibel tcdu dan ni itsh aecs teh eptatin olduw heav sichoagnlt o,to tno nylo iirpa!c!stnt!ae

divya  true but none of the other options cause pancreatic duct dilation. options a, b and c would cause obstruction above the level of pancreas. +1  
lilmonkey  It doesn't say ONLY pancreatitis, but just enough information to choose the correct answer. Maybe, in the test writers mind if they mention cholangitis and jaundice that would be too much hints :). +2  


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'dotn be a ?ckid not lrylea rsue waht meor heert is ot it. heT etntipa 'eosntd aveh nya hreto yflmia os tshi wmoan sohdlu be isndrocede layfim

aesalmon  Questions like this usually hinge on asking if you're going to follow the rules or not though, obviously the one asking her to lie and say she was her sister is wrong, but the correct answer is obviously breaking the hospice center's "policy" - presumably if the physician is sending her to hospice then they don't work there so why would the Dr. be able to just tell her its fine? +5  
hungrybox  Yeah, I got this one wrong with the same logic as you, aesalmon. +1  
emmy2k21  I genuinely interpreted this question as though the two women were in a relationship because of the quotes "my close friend". I figured significant others would be allowed to visit simply. Ha seems like I'm the only one who read too far in between the lines! +8  
dr_jan_itor  @emmy2k21 I also thought the quotes implied a lesbian relationship and that the patient was afraid to share this (they grew up at a time when it was heavily stigmatized). So i was thinking, of course you and your "special friend" can stay together. I know this is not just a phase +8  
et-tu-bromocriptine  Anything particularly wrong with A (Don't worry. I'll call you right away...")? It seemed like the most professional yet considerate answer choice. Are we supposed to imply that they're partners based on those quotation marks around "close friend"? Because otherwise it seems like too casual and less professional than A, almost as if it's breaking policy. +5  
lilmonkey  I can swear that I saw this exact same question in UWORLD before. The only reason I got it right this time. +1  
docshrek  @lilmonkey can you please give the QID for the UWorld question? +2  
jakeperalta  Can someone explain to me why following hospital policy is the wrong answer? I'm so lost.And essentially how is this option any different from the last option where he asks her to say its her sister? Both go against hospital policy. Would greatly appreciate some insight yall. +  
jakeperalta  Can someone explain to me why following hospital policy is the wrong answer? I'm so lost.And essentially how is this option any different from the last option where he asks her to say its her sister? Both go against hospital policy. Would greatly appreciate some insight yall. P.s:it struck me as a romantic relationship as well, but it doesn't clear my doubt😓😭 +1  
drschmoctor  @jakeperalta Following the hospital policy is wrong because it would be cruel and unnecessarily rigid to deny a dying woman the comfort of her closest companion. Also, It would be inappropriate to ask the Pt to lie. What's the point of becoming a doctor if you have to follow some BS corporate policy instead of calling the shots and doing right by your patients? +1  
peridot  Ya kinda dumb that usually NBME usually tells us to never break the rules, yet here it's suddenly ok. But here the reason for this exception is that while only "family" is allowed, a lesbian relationship qualifies the "friend" as family (they just were never officially acknowledged as family/married due to stigma or state laws, which society recognizes today is dumb and outdated). It's a stupid technicality that her significant other isn't allowed to visit as a family member, so while we usually never want to break rules, this scenario follows the "spirit" of the rule. Plus it's a really extreme scenario where the woman is dying and just wants to spend her last moments with her loved one and it would be too cruel to deny someone that. There is no lie involved, which kinda leaves open the chance for the situation to be cleared up if worse comes to worst. This is different from E which is a straight up lie. Hope that helped. +