NBME Step 2 CK Form 7 Thymoma (NBME Answers)

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Retired NBME Step 2 CK Form 7 Answers

step2ck_form7/Block 1/Question#10 (reveal difficulty score)
A previously healthy 42-year-old woman has ...
Thymoma 🔍 / 📺 / 🌳 / 📖
tags: msk

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submitted by ∗russnels(20)

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This woman with fatigue, weakness, lethargy, and diplopia, likely has myasthenia gravis. Thymoma is present in 10-15% of MG patients, and thymectomy is often curative.

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submitted by ∗yb_26(316)

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Might be useful:

anterior mediastinal masses - terrible Ts

thymoma
teratoma
thyroid cancer (retrosternal thyroid)
(terrible) lymphoma

middle mediastinal masses

bronchogenic cyst
tracheal tumors
pericardial cysts
lymphoma
lymph node enlargement
aortic arch aneurysm

posterior mediastinal masses

neurogenic tumors

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submitted by ∗step_prep5(246)

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Young woman + weakness affecting the eyes + anterior mediastinal mass = myasthenia gravis secondary to thymoma
Key idea: Myasthenia gravis associated with thymoma, whereas Lambert-Eaton associated with small cell lung cancer

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