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NBME 21 Answers

nbme21/Block 1/Question#23 (44.9 difficulty score)
A 59-year-old man comes to the physician ...
Foci of keratinizationπŸ”
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 +12 
submitted by hyoscyamine(55),
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AF .7g3p2. qamsuSou clle croncaima crusco in hte uppre /23 of suaogeshp hsreaew naaaciocremnod scoruc in the dilsta 3/.1 neSci isht aws in teh idm ,uegshoaps sti sasuqomu lecl cc.oarnami yeK tfearue of uumqossa ecll imacoacnr is knatire eas.rlp

turtlepenlight  can remember it as wearing a pearl necklace (upper 2/3 of throat-ish) +4  
baja_blast  Patient is also a heavy smoker and drinker. In the absence of GERD this should raise suspicion for SCC of esophagus over Adenocarcinoma. +1  
lovebug  Is there anyone who can explain about C)Intra-cytoplasmic pigment? what is this?;; +  
misrao  @lovebug I'm thinking Negri bodies in rabies +  



 -1 
submitted by est88(17),
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I eeblvei sit mqsouuSa lcle ocancmai.r sIt lrntcylea ,olatdec ek,mors nad sit a lhiar sasm. itareKn e.saplr

cry2mucheveryday  it is a case of esophageal carinoma not lung carcinoma. +3  



 -6 
submitted by meningitis(488),
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quSauoms dan Samll llec sicmrocnaa rae lr(nea)cttrelSna nad fteon cusdae by kngmiSo

rHail sams C ingarsi rmof huscor;nb tC;irottg ete;nCvaaaiis aemricahCylep esopcurd( rH iKPr.aePt)nT saerpl D nad terlecilrnaul brgis.ed

gp 696 2190 AF