NBME Step 2 CK Form 8 Nothing here right now (NBME Answers)

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Retired NBME Step 2 CK Form 8 Answers

step2ck_form8/Block 1/Question#38 (reveal difficulty score)
A 42-year-old man comes to the physician ...
Nothing here right now 🔍 / 📺 / 🌳 / 📖
tags: pulm inc

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submitted by ∗step_prep(148)

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Patient with small cell lung cancer (uniform, small round cells with dark nuclei), which is often initially treated with chemotherapy followed by radiation and/or surgery
Patient is young and has no signs of metastasis so palliative care isn’t appropriate, hormone therapy most used for breast cancer and prostate cancer, and surgical resection is NOT used in small cell lung cancer specifically (“the cells are too small for the surgeon to see!”)

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killuashi initially treated with ...... and/or surgery .... surgical resection is NOT used. Very contradicting +1

wutuwantbruv Surgery can be considered in very small, resectable lesions. It is not incorrect to say this, but for the majority of SCLC, they are indeed unresectable. +2

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submitted by ∗lilmonkey(63)

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Nothing here right now = Chemotherapy (just to be more searchable).

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submitted by hemoglobin_(2)

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The patient has SCLC (histo description: uniform, small round cells w/darkly staining nuclei). This type is unresectable (only rare cases of small tumors w/o node involvement), responds to chemo and radiation initially, given more so as palliative care.

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