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Retired NBME 18 Answers

nbme18/Block 1/Question#2 (reveal difficulty score)
A 72-year-old woman comes to the physician because
Extensive solar elastosis ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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submitted by โˆ—anechakfspb(77)
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According to Wikipedia, "Actinic elastosis, also known as solar elastosis, is an accumulation of abnormal elastin (elastic tissue) in the dermis of the skin, or in the conjunctiva of the eye, which occurs as a result of the cumulative effects of prolonged and excessive sun exposure, a process known as photoaging."

Source: https://en.wikipedia.org/wiki/Actinic_elastosis#:~:text=Actinic%20elastosis%2C%20also%20known%20as,a%20process%20known%20as%20photoaging.

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jaramaiha  Some food for thought, she's an elderly patient that probably doesn't drive much anymore who more than likely sits in the passenger seat. Hence there's more lesions on the right hand side. If you ever wonder why truckers are more likely to get skin cancer on their left side, same reason why. +6



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