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Retired NBME 20 Answers

nbme20/Block 3/Question#3 (reveal difficulty score)
A 45-year-old woman has a thyroidectomy ...
Calcitonin ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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submitted by โˆ—hayayah(1212)
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Patient has medullary carcinoma. Malignant proliferation of parafollicular "C" cells that produce calcitonin and have sheets of cells in an amyloid stroma.

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xxabi  Just to add - patient likely has MEN 2A or 2B with the presence of medullary thyroid cancer and pheochromocytoma +14
sympathetikey  @xxabi Was going to say the same thing. +
dermgirl  The patient have MEN 2B (Medullary thyroid carcinoma + Pheochromocytoma) Page 351 FA. +



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