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NBME 20 Answers

nbme20/Block 1/Question#38 (27.9 difficulty score)
A 9-year-old girl is brought to the physician ...
Diverticulum of the roof of the embryonic oral cavity🔍
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 +15 
submitted by hayayah(1056),
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tnPtaie sha a yropnrgamacoiainh. Msto ncmoom odldhhoci nsturpaiatorel motru. iDeverd rmfo rnemtsna fo heatRk ouphc la(or etedor).cm ctfaliiniCcoa si cmmn.oo etloeolhrCs cylstsar nfuod ni “oormt lkioil”-e lfuid tnihwi t.omru

A ctysic arelupsaslr smas tiwh ntisfioccailca dna cnhnenmaeet of het wlal ro lsiod otinpros ni a lihcd or nscoealetd is mtolsa yswlaa a nprymaacoga.iihron

aMy eb neudcsfo twih uyatirtip oemdnaa to(hb ceasu omerpliatb .iha)nipeamo

dickass  Cholesterol crystals in motor oil +  
passfail  I also just thoughtL: failure to secrete GH = tumor affecting anterior pituitary hormone --> anterior pituitary is derived from Rathke's pouch +  
ally123  "Due to the proximity of the tumor to the hormone-producing cells of the hypothalamus and the pituitary gland, there is significant endocrine dysfunction in most children and adolescents presenting with craniopharyngioma...Among the hormone deficiencies, growth hormone deficiency is the most common and is seen in approximately 75% of children with craniopharyngioma." Source: http://campus.neurochirurgie.fr/Programme_Enseignement/_art1030/endocrinManifest.pdf +  



 +1 
submitted by palib(1),

Most adult primary brain tumors are above the tentorium (Supratentorial) and most childhood tumors are below the tentorium (infratentorial).... Craniopharyngioma is an exceptional to this as it is a childhood tumor that is supratentorial... it presents with bilateral hemianopia