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NBME 20 Answers

nbme20/Block 3/Question#9

A 62-year-old man comes to the physician because of ...

Prostate

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 +1  upvote downvote
submitted by celeste(34),

If prostate cancer spreads to other parts of the body, it nearly always goes to the bones first (cancer.org/cancer/prostate-cancer/treating/treating-pain.html)





 +1  upvote downvote
submitted by medschoollovin(6),

Osteoblastic lesions are associated with prostatic adenocarcinoma mets.

Most other cancer mets to the bone are osteolytic lesions.





 +0  upvote downvote
submitted by chandlerbas(11),

Legend:

OB = osteoblastic

OC = osteoclastic/osteolytic

P=prostate, B=breast, K=kidney, T=thyroid, L=lung

my mneumonic: Lead Kettle

P------------B-------------K--------------T------------L

OB-------OB/OC------OC------------OC--------OC/OB

lilyo  @chandlerbas is this pneumonic in order of most common to least common, as in is prostate cancer the most common cause of metastasis to the bone regardless of wether the patient presents with osteoclastic or osteoblastic lesions? +  




one does not simply “walk into morder”