need help with your account or subscription? click here to email us (or see the contact page)
join telegramNEW! discord
jump to exam page:
search for anything ⋅ score predictor (โ€œpredict me!โ€)

Retired NBME 20 Answers

nbme20/Block 4/Question#14 (reveal difficulty score)
A 60-year-old man has a round, ...
Basal cell carcinoma ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: skin_cancer

 Login (or register) to see more


 +7  upvote downvote
submitted by โˆ—sympathetikey(1600)
get full access to all contentpick a username

I believe the biopsy description of "small basophillic cells forming tumor islands" is describing the peripheral palisading that is classically seen in Basal cell carcinoma.

get full access to all contentpick a username



 +5  upvote downvote
submitted by โˆ—usmleuser007(464)
get full access to all contentpick a username

All other types are either pigmented or have scales. -- process of elimination

get full access to all contentpick a username



 +3  upvote downvote
submitted by โˆ—almondbreeze(110)
get full access to all contentpick a username

'round, semitransparent nodules'

FA2019 p.473 says BCCs are waxy, pink, pearly nodules

get full access to all contentpick a username



 +1  upvote downvote
submitted by blanee1380(4)
get full access to all contentpick a username

Basal cell carcinoma is characterized by nests of basal cells (tumor islands), surrounded by clear spaces (clefting, the white artifact) and extends across the BM (carcinoma)

http://www.pathologyoutlines.com/topic/skintumornonmelanocyticbcc.html

get full access to all contentpick a username
lovebug  thanks so much! +



 -12  upvote downvote
submitted by โˆ—step1soon(51)
get full access to all contentpick a username

Anything upper lip + above โ†’ basal cell carcinoma

Anything lower lip โ†’ Squamous cell carcinoma

FA 2019 -pg 473

get full access to all contentpick a username
adong  it's saying upper vs lower lip. this pt has it on the nose +4



Must-See Comments from nbme20

amorah on Cytomegalovirus infection
masonkingcobra on Contact with parakeets
hayayah on Capillary hydrostatic: increased; ...
hayayah on X chromosome-linked isoenzymes
medbitch94 on Mannose 6-phosphate
hello on Capillary hydrostatic: increased; ...
hayayah on Osteoblasts
imgdoc on Hypophosphatemia
hayayah on Missense
celeste on 50%
justgettinby on Omeprazole
andrewk1 on Cold, dry air
yotsubato on Jugular venous pressure of 12 mm Hg
strugglebus on Drug effect

search for anything NEW!