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NBME 23 Answers

nbme23/Block 1/Question#43 (34.3 difficulty score)
A 65-year-old woman has the recent appearance ...

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submitted by cocoxaurus(53),
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rPe -LDORWU acrconnamiodAe is sciaetdsoa /w nlug gisrcran leretad to omrugaautnsol des,aesi lod CDOP i)ccorn(h nda amedag eud to cerreutrn uao.mpneni

arcanumm  Here i was thinking i was being clever by not being tricked by distractors when metastasis is more common... +6  

submitted by welpdedelp(200),
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tI aws het onyl heriapprle lgnu rneac,c ist aols moer ocomnm in siettaaMss dlwou vhea whson lpmluite eoslsin

sympathetikey  Also, lung adenocarcinoma is the most common lung cancer overall, most common in women, and most common in non-smokers. I know she smoked in the past, but that's what tipped me off to it. +5  
alexb  Yeah I literally picked SCC bc I knew she'd smoked in the past smh +  
maddy1994  20 years of non smoking history ,she wouldnt be at elevated risk for smoking related carcinoma. +2  

submitted by temmy(116),
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ngcAcdrio ot rD .t.rtSaa odoArmaeanncic is eht most ncomom sucae of ulgn narecc in emlafe non .osmkesr

drzed  Correction: he says it is the most common in NONSMOKERS and FEMALE SMOKERS. +7  

submitted by sweetmed(124),
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dgicnrocA ot the 'sNsreu elaHht utdy,S hte risk fo ayorpmnlu raconndcamoeai csnrseiea stuitnaablsyl ftera a nolg andtruio fo taoccob nsi:gomk eksosmr thiw a uisprvoe mksgion norituda fo 0–043 rseay aer roem ahtn teicw sa lilyke to dlovpee unlg ianamocnreacod mopeadcr ot semoesrrnek-v lve(itaer isrk of plarotyiaxpem 42.); a nutiorad fo omre ntha 40 aesry ansricees elevarti ksri ot ]5.[8

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peridot  This is super interesting, I was wondering wha the heck the scar had to do with anything! Thank you! +