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NBME 20 Answers

nbme20/Block 1/Question#48 (29.1 difficulty score)
An otherwise healthy 4-month-old girl is ...
Spontaneous involution🔍
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 +5 
submitted by kernicterusthefrog(85),
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I osla ahd uiefdifltics whit i,tsh lasypleice A/wF gnbie os beeat.bravid Teher si neo odwr ni FA ttah phes,l dan nhet I vaeh a klni ofr rome ifno: "orswg ypidalr dna esreresgs slnaoteyspoun yb 5-8 yraes ."dlo hWich nasem ist' dneo with tsi oinntvuilo eshap by t.hen ihsT BCIN eiacrtl ep:hsl Teh sssLeno I nLreaed rmfo a gemmiHonaa licniC R:LTD ipard gotwrh oscucr ofr eth trisf few omnh,t ofledowl yb a efw smntho fo ert,s nda then areys of nv.luotnioi Scnie eht teiqnuso si sngika wath napheps vore 5 eas,yr eth jiyomtra of atht tmei is ptsne ni nlooivunti hs.pea Hoep shti .shple

whossayin  totally not NBME related, but I think you username is brilliant lol +3  



 +4 
submitted by strugglebus(153),
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Teh ysarerwtrb oamshigemna tnde ot orwg nad hten nroamdyl ilun.oevt

medschul  My problem with this question is that a strawberry hemangioma should continue to grow until 5-8 yrs old so I did not see the answer choice "Continued enlargement as the child grows" would not be an acceptable answer as well. +8  
merpaperple  I still don't get that. Over the course of the next 5 years, it will 1. continue to enlarge as the child grows, and also 2. spontaneously involute. Both answers are literally correct. +  
fatboyslim  "Continued enlargement as the child grows" implies that the strawberry hemangioma will continue to grow and will not regress with time. That's why it's wrong I think +1  



 +2 
submitted by usmleboy(9),

I just want to add that I hate this question and I am not sure why the NBME loves to use the worst grammar imaginable.

We all know strawberry hemangiomas spontaneously involute after 5-8 years... why don't they just ask this? Why do they insist on ambiguity of phrases? Why are my board exams trying to trick me with poor english?

Rant over.




 +1 
submitted by humble_station(64),
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nI 1209 AF wrtrbSeray aniaehgmmo -- it eapsrap ealry in fle,i orgsw apliydr dna ereessrgs peoynostsnlua by 8-5 rsaey odl

oS in 5 ysare hist ohiaamenmg liwl pouesasntnlyo nuteoliv




 +0 
submitted by emh(7),

"..expected over the next 5 years" = it will grow just like it's doing now! It will spontaneously involute but not over the next 5 years - maybe in 5 years.