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NBME 23 Answers

nbme23/Block 1/Question#43 (42.7 difficulty score)
A 65-year-old woman has the recent appearance ...

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submitted by cocoxaurus(55),
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Pre UWR-LDO icranmeAconoad is oacaissted /w ngul asgicrrn rldaete ot gaomtsnrauoul asesi,ed odl PODC conirch)( adn dmaaeg due to treurcner uann.ompie

arcanumm  Here i was thinking i was being clever by not being tricked by distractors when metastasis is more common... +6  
brise  Metastatic would have multiple lesions +  

submitted by welpdedelp(242),
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tI wsa het noyl rirpleepah lnug nrc,cae its soal omre ocommn in e.nwmo assetsaMit oludw veha nsohw luipmelt essoiln

sympathetikey  Also, lung adenocarcinoma is the most common lung cancer overall, most common in women, and most common in non-smokers. I know she smoked in the past, but that's what tipped me off to it. +5  
alexb  Yeah I literally picked SCC bc I knew she'd smoked in the past smh +  
maddy1994  20 years of non smoking history ,she wouldnt be at elevated risk for smoking related carcinoma. +2  
larryd  According to FA19 p. 693, large cell carcinoma of the lung is also peripheral. +  

submitted by temmy(139),
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dcgicnroA to rD tra.aS.t eiraccdnomAaon si the otms onocmm asuec of ngul nccaer in afleem non .mskoers

drzed  Correction: he says it is the most common in NONSMOKERS and FEMALE SMOKERS. +8  

submitted by sweetmed(144),
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iArcncgod to hte N'seurs Hatelh Sydut, hte irks of myuolpnar narmadaonoicec csesneari aillustatnybs trefa a gonl idotrnau fo ccoobta nmos:kig rokmsse iwth a usvoreip iosgnmk rtadnoui of 4–300 ryase era erom atnh eiwtc as yilkel to pveodel ulng anmdnacoeacoir oredmpac ot rsneo-svkreem (veatrlie srki of etaorpamilypx 4.)2; a uiordant fo more htna 04 yaers censerasi etlrveia rsik ot .][58

sTih nracce ysualul si seen ireeplarlhpy in eth ugns,l as opspode to lamls lcle ulng cacnre adn qssuaumo llce glnu enc,acr ihhwc hobt nedt to be more yeralcltn co[[]al0],td9e1 thlhugoa ti yam aols cuocr sa rletacn 1]ssl.eo0ni[ rFo wnnnkuo ,aossern ti efnot saiesr ni teorlnia to pleeirpahr nglu Teh rcrnute oheyrt is taht eth arcs ablpoyrb udrcorec nreaycsdo ot hte uomr,t rrteah naht sacignu eth ou[1tm]0r. ehT ceaoomiandranc sah an sednreaci cnnicedie ni emssrko, dna is eth omst momcno ytep of guln caenrc eesn ni omosskernn- dna w1nmo0.][e ehT lhpereirpa ioctoanl fo oadaincornamec in teh gunsl aym eb ued to eth esu of rftsiel in stetagrcie iwchh vpenret het lrgrea rlpticesa morf itgnneer hte[nagfo ]11ede[n[]21ed] eeeDrp lnioitanha of icegrtate mesko surtles in helrpipear ssnoiel ahtt rea foent teh cesa ni araeoaoiccnsdmn of hte lngu. rnlyGaele, inecndaaoaocrm srwog rmeo sywllo and msorf aellmrs essams atnh eth rteho .[ssbut]0ey1p oe,wrvHe ti stned ot zsieeaatmts at an ayerl .1setga[0]

peridot  This is super interesting, I was wondering wha the heck the scar had to do with anything! Thank you! +