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NBME 20 Answers

nbme20/Block 1/Question#48

An otherwise healthy 4-month-old girl is brought to ...

Spontaneous involution

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 +2  upvote downvote
submitted by strugglebus(69),

The strawberry hemangiomas tend to grow and then randomly involute.

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. +3  




 +1  upvote downvote
submitted by kernicterusthefrog(18),

I also had difficulties with this, especially w/FA being so abbreviated. There is one word in FA that helps, and then I have a link for more info: "grows rapidly and regresses spontaneously by 5-8 years old." Which means it's done with its involution phase by then. This NCBI article helps: The Lessons I Learned from a Hemangioma Clinic TLDR: rapid growth occurs for the first few month, followed by a few months of rest, and then years of involution. Since the question is asking what happens over 5 years, the majority of that time is spent in involution phase. Hope this helps.

whossayin  totally not NBME related, but I think you username is brilliant lol +1  




 +0  upvote downvote
submitted by humble_station(6),

In 2019 FA Strawberry hemangioma -- it appears early in life, grows rapidly and regresses spontaneously by 5-8 years old

So in 5 years this hemangioma will spontaneously involute





 +0  upvote downvote
submitted by emh(2),

"..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.