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NBME 23 Answers

nbme23/Block 1/Question#1 (54.0 difficulty score)
An asymptomatic 30-year-old woman comes to ...
tags: FA19p634 reproductive repro 

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submitted by welpdedelp(229),
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when a oleiflcl entdo's pruretu aak( annvotlo)iua neht ti lwil rmfo a cys.t

uslme123  n premenopausal women, simple adnexal cysts (image 1) that are <3 cm in diameter typically represent normal follicles or may be a corpus luteal cyst (these may appear simple or complex) and may be considered a normal finding. Even when up to 5 cm in diameter, these simple cysts are so commonly due to normal menstrual physiology that the Society of Radiologists in Ultrasound (SRU) does not recommend follow-up when asymptomatic +8  

submitted by ber1ber1(2),
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fro nyeano owh thhougt it asw rtsodsomineie sit nto sacbeue etnodeoiimsrs fo eht ryoav uwdlo vhae illmteup bldoo leildf otlach"eco tys"sc nda sntperes tllaaibyrel nda neatitp oulwd tillycpya avhe vceilp npai as ewll FA p63420:91

submitted by osgoodschlatter10(31),
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ehT otms momnoc ystc in a oyung mfleea si urlollFiac cyts; itsh si a yitcsc anloiadtit fo na dptnuerruu raaiGffn .clleolif

ueilraF fo Gnraiaff llfceoli ot uupretr -;-tg& luotoinnaAv

Ref 2A901F Pg 312366-

submitted by diabetes(28),
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teh kye here si )tip(tmscoyama eth olny rwasme si laiounantov

submitted by pk33(5),

Why i think this is a bullshit question. Asymptomatic, so it rules out Endometriosis because there will be pain every menstrual cycle because endometrium in ovaries also bleeds. Also rules out PID because no Sx such as fever and vaginal discharge. Also rules out ectopic pregnancy No unilateral pain, and other sign and Sx of pregnancy Now stuck with 2 Malignancy and Anovulation cyst. so They say patient is asymptomatic and in case of anovulation cyst there will be prolong abscence of menses and then massive bleeding so that is a symptom and it must be present if anovulation because there will be prolong follicular phase and unopposed estrogen release. so i picked ovarian neoplasm which is usually asymptomatic over long period of time but it does not fit with the age. So you have to chose between age demography and ignoring irregular menses as a symptom.

submitted by charcot_bouchard(436),
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tefrA eeirhgtyvn its sutjj an ipdeem uqe.s weolB 55 vs ebAov 55 ayers

ls3076  can you elaborate please? +