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Retired NBME Step 2 CK Form 8 Answers

step2ck_form8/Block 2/Question#9 (reveal difficulty score)
A 52-year-old man who is HIV positive comes ...
Squamous cell carcinoma ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: GI

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submitted by โˆ—step_prep(148)
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  • Middle-aged man with HIV presents with progressive pain and difficulty with bowel movements with a DRE showing a palpable mass in the anal canal with central ulceration most consistent with a squamous cell carcinoma
  • Key idea: HPV-related squamous cell carcinomas of the cervix, anus and penis are more commonly seen in HIV patients, which is why female patients with HIV should receive annual pap smears (rather than every 3-5 years)

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tinylilron  why is anal fissure incorrect? +
osler_weber_rendu  "1.5 cm palpable mass". Fissure will be described as an erosion in a patient with chronic constipation. +2



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