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NBME 22 Answers

nbme22/Block 1/Question#6 (28.5 difficulty score)
A 2-month-old boy is brought to the physician ...
Human papillomavirusπŸ”,πŸ“Ί
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 +2 
submitted by dentist(61),
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oS od you ionrge eth rsitdaoticn tabou his mhteor nda ceridnos chihw fo het rsaisognm cna alde ot neldou irmnatoof no hte lvcoa dcro?

neovanilla  yep _(ツ)_/Β― +1  



 +1 
submitted by seagull(1674),
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rueT ovlca rsdco ear tenof madegda ni iingngs or lyie.gln sTHi llaswo PHV to nteer het geydnnliur cntuldeea elcsl. VHP 16 dan 18 rae nmomco yputbses thta amy eascu C.SC

meningitis  Out of all of the virus', HPV has a predilection for stratified squamous epithelium and there is no indication of vesicles(HSV) or linear ulcers (CMV)in the question stem. But with HPV you usually get a big/small (depending on time) unilateral nodule. You are correct to say singing and yelling can cause nodules but these would be bilateral in the and would appear differently. So if a question stem could easily have included that as an option: maybe irritation or something like that. +11  



 +1 
submitted by chosened(2),
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ctroerC me if I m ngorw ubt I khitn it's elnalygra apioispmaos.tll oaillpsPma nca dveleop yrwhaeen alnog hte tierrsarpoy ,cratt utb tsmo netof faeftc the yxlran nda eth ocval rsodc eagyr(lnal aotamio)tsNi lop.pls urse owh HY tshi si utb rehse roeM :noif as-selgdpcae-ti./aoeete/t-itt/rap/rsyrdsonerhureamrslepsriseirraroisp/s:sroa

hyperfukus  yes you are definitely correct i think its a common wtf q that pops up bc there's one on uworld that asks if its true or false vocal cords and i had to hunt my prof down to figure it out... +2  
hyperfukus  also i think they love anything that compromises the airway +  
winelover777  Shout out to Pathoma, Respiratory chapter, Larynx section, Laryngeal Papilloma heading. Only reason I got this question right. +1  
teepot123  yep dr sattar nails it ^ +