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Retired NBME 13 Answers

nbme13/Block 3/Question#21 (reveal difficulty score)
An autopsy is done on a 46-year-old woman who ...
Paraganglioma ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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submitted by โˆ—jsmoov(25)
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Positive staining for synaptophysin and chromogranin are immediate buzzwords for neuroendocrine tumors. Paragangliomas are the only type listed here.

Others would be small cell carcinoma of lung, carcinoid tumor, gastrinomas/insulinomas/etc, pheos, medullary carcinoma of thyroid.

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submitted by โˆ—trazobone(97)
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If anyone else is on the dumdum boat and didnโ€™t know what a paranganglioma was: a neuroendocrine tumor that begins in nerve cells, closely related to a pheochromocytoma

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cheesetouch  Mayo clinic says 2 out of 1 million people have a paraganglioma. Talk about a zebra! +2



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