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NBME 23 Answers

nbme23/Block 2/Question#13 (32.2 difficulty score)
A 45-year-old man comes to the office for a ...
Invasion of the submucosaπŸ”,πŸ“Ί

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submitted by nwinkelmann(294),
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reP olnlpieca.mhnoygotso

aakLiokulpe = ksri ctfraso unlidce lmea needgr, -0407 asrye ,old kgomn,is Wehti capth or elupq,a 5 mm ro ermo, no alor uousmc mrnemsaeb tath ncoant eb edeormv by ngicas,pr tno ude to tarnoeh eaidses tnitey uhsc sa ihnelc sualpn or sicasaiddin dna ton edreserv by vmrolea fo rtiantris and onslie usmt eb siroeddecn ecsoraurnepc nltiu enovrp hitrs.oeew grilmnanetPa oiesln roriofsttamnan uowdl dlae ot niviosan fo eth suso.cmuba

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riyaH kaLkiaoeupl = ih,Wet nltunofce scthpae of flyffu hr()iay smac,uo ealrlb,ita gaonl raltela geut,no nad iscaetodas whit +HIV ttsiapen SI(AD mya aaeprp whitin 2 - 3 )yeras tub lcyulaat deu ot VEB nniifteco

ostiH = retrkiopcyteaH alro caosmu ued ot lnipgi of atcoirtek uqsoumsa ep,eiliuhmt yorCwd etyp A iuncrlearnta ,ioscnlsuni onloalB sellc twih arnnaimtigo fo mrohacnit rena(lcu bgad;eni) BEV steerpn ni celar cslle fo sisopnu ae,lry ieblvara ,ytkocsioosil usemsidperpo Caaidnd iifoe,ncnt otiwhut afnrmitalomy neeor.sps

moFr pruitces da(n ihts doiev: :/6Kuq1tuhx/tSypu.vt8ehb/oIs emitmpsta 22):,1 iarhy olauiaekpkl ash a lilytgh iensdat adbn fo lecls nll"boa se"cll in eht tumarst nosusimp hwhic is rwehe hte BVE i.svel It lokos muhc nftderife thna teh ishot sedil onhsw in het .suqiento

yb_26  great explanation, thanks for sharing! +  
cathartic_medstu  on point +  

submitted by joker4eva76(26),
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iTsh is iprnaetreeetvs fo ,leiaplkauok a uo-cesceanrrp ensoli of uasusoqm s.llec nI rdroe ofr it to sraped ot iantdst s,tsie ti mstu fsrti veanid ghouhtr eht stabenme eearcsm.s/uabmounmb uCdlo eb efdocsnu ithw lrao aryih lpeakokalui cw(hih oasl si a tiwhe tphca hatt saacylcllis irsase no hte elatral onug).te evHwoe,r lora rayhi oaalekkluip si tno ouepnccr-aser nad si foetn soaaeidsct thwi VBE ocisinneft or eolpep taht rea rylvseee mom.uoreiommnipdsc

hpkrazydesi  How did you know that this wasnt oral hairy leukoplakia? just from the picture? +3  
nwinkelmann  To piggyback off of @hpkrazydesi, you ruled out oral hairy leukoplakia because the patient was seeing the doctor for normal health maintenance, i.e. not immunocompromised, I'm assuming. +2  
dentist  @nwinkelmann thats correct! my time to shine. +