NBME Answers : skuutnasty's page

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+2 visit this page (nbme22#11)

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after rabbit-holing this one for a bit.... this is the photo that demonstrates it best (to me, anyway). must be ilioinguinal n.

enjoy

https://d1yboe6750e2cu.cloudfront.net/i/5e43dd40330f1cd702313cf56b29b8b3f793b00b

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drjo Ilioinguinal n. derived from L1 is mostly sensory supplying skin of upper and medial thigh root of penis & upper scrotum (males) **mons pubis & labia majora (females) it accompanies spermatic cord through superficial inguinal ring, great pic of this ^ @skuutnasty +

ankigravity Why is this not at the top.. It's the best image by far. +

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submitted by amphotericin(11), visit this page

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I ruled out Paget's because Paget's is usually localized, per FA, Pathoma, B&B. Although this patient definitely fits the demographic picture, prostate cancer is definitely not the only cancer that can metastasize to the bones. Because these are lytic lesions, it's probably some other cancer that's spread to the bones

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medguru2295 Possibly Multiple Myeloma. That is classic for an older person with back pain and lytic lesions in the back. +

asharm10 osteolytic- multiple myeloma, Osteoblastic- Prostate; dont think beyond this for this exam, i have never seen a question in NBME or uworld they tried to fool us off on this concept so far. +2

euchromatin69 u world 341 same concept +

skuutnasty I'd like to reiterate what's stated above... dx NOT MM in this question because MM is PRIMARY not METASTATIC @ bone (answer reads: metastatic carcinoma) <3 +

submitted by rogeliogs(12), visit this page

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My approach to this question was more just focusing in the info they are giving. None of the other option makes sense because there is not evidence to talk about them. I was very tempted to pick the "decrease leptin production" but I remembered Dr Goljan saying "Think simple, think cheap, they are not trying to trick you." So, chubby parents = chubby kids.

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almondbreeze thought his words on "think cheap" had to do with treatments - i.e. exercise +

alimd Yes they are. There are so many trick questions +1

skuutnasty I chose leptin deficiency cuz I was tryna get fancy with it. For anyone who is interested, however... according to UpToDate: "Most people with obesity do not have any abnormalities in the leptin gene, their serum leptin concentrations are high reflecting their increased fat mass..." Peace +6

sunnyside @skuutnasty should've just let me feel fancy, now i feel stupid :( +