need help with your account or subscription? click here to email us (or see the contact page)
join telegramNEW! discord
jump to exam page:
search for anything ⋅ score predictor (โ€œpredict me!โ€)

Retired NBME 15 Answers

nbme15/Block 3/Question#43 (reveal difficulty score)
An 18-year-old man is brought to the ...
Inquiry about a history of anabolic steroid use ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags:

 Login (or register) to see more


 +1  upvote downvote
submitted by โˆ—andro(269)
get full access to all contentpick a username

The question essentially wants you to make a distinction between Pubertal Gynecomastia and Pathological Gynecomastia

Pubertal gynecomastia

  1. may be unilateral or bilateral
  2. tender or nontender
  3. found in 50 % of adolescents and typically resolves by the age of 17 , and as such patients require little more than reassurance

This Patient however is already above the age of 17( rule out reassurance !) Of the possible causes of pathological gynecomastia , anabolic steroid use is a very likely option based on the description provided

get full access to all contentpick a username
trazobone  See i assumed this was a โ€œhow to be a more empathetic physicianโ€ question, so i said reassurance. But i guess not putting reassurance makes sense bc it implies everything is normal +6
cheesetouch  @Trazobone I think it's just one of those "suspect everyone until proven trustworthy/otherwise" questions :P +1



 +0  upvote downvote
submitted by โˆ—prostar(22)
get full access to all contentpick a username

The reason why it is pathological gynecomastia is he has obvious signs pointing to steroid abuse.

1.enlarged breast

2.extremely muscular

3.sports team(on Step 1 questions)

get full access to all contentpick a username



Must-See Comments from nbme15

cassdawg on Deoxyhemoglobin is a better buffer of ...
andro on T-lymphocyte thymocytes localized to the ...
cassdawg on Burning
cassdawg on 1000
cassdawg on Left ventricular pressure increased, right ...
cassdawg on Pancreatic enzymes
cassdawg on Decreased smoking
cassdawg on Low blood solubility
cassdawg on Glutamine
cassdawg on Prolonged fecal excretion of the organism
cassdawg on The neural plate is present, but the neural ...
cassdawg on Immunohistochemistry
cassdawg on epp Amplitude: 1; mepp Amplitude: 1; ...
cassdawg on Action of pancreatic enzymes on adipose

search for anything NEW!