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NBME 24 Answers
A 40-year-old man comes to the physician because of ...
To make it even simpler, if you narrowed it down to FAP vs HNPCC and looked at the image provided in the question, you'd see it's less likely to be FAP due to absence of numerous polyps which would be expected. So HNPCC would be your best choice!
I always get Li-Fraumeni and Lynch syndromes confused :/