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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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 +5 
submitted by nwinkelmann(294),
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reP olnlpieca.mhnoygotso

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



 +4 
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. +