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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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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  

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  

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.

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

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.