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Retired NBME Step 2 CK Free 120 Answers

step2ck_free120/Block 2/Question#61 (reveal difficulty score)
An 87-year-old woman, gravida 2, para 2, is ...
Vulvar carcinoma ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: obgyn

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submitted by โˆ—notyasupreme(48)
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I'm sorry but how the hell are you supposed to know it's vulvar when it says nothing about the vulva. I was between that and polyps, but put polyps because it was on the perineum? Like how the hell is that the vulva?

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notyasupreme  lol jk, just looked it up and apparently I know shit about the female anatomy! +
jj375  I was quite confused by this too, especially since it said vulva but then said anal verge, but then also said vaginal bleeding. Here is a photo in case anyone else needs it: https://healthcare.utah.edu/huntsmancancerinstitute/gynecologic-cancer/images/vulvar-anatomy-image.jpg +



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submitted by โˆ—bwdc(697)
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Vulvar cancer is rarer than cervical cancer but has many of the same risk factors including HPV. Another risk factor worth knowing is lichen sclerosis, which results in thin itchy vulvar skin.

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