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NBME 3 question: Colon adenoma

Discussion in 'Step I' started by ambiguous, May 15, 2008.

  1. ambiguous

    ambiguous Junior Member 10+ Year Member

    Jan 18, 2006
    What did you guys put? I put tubular adenoma simply because it looks like theres a stalk and it looks very similar to the picture in goljan. But the answer from the guy who scored an 800 said its adenocarcinoma. Other than the fact that the thing is HUGE, is there anything else that might lead to choosing that answer above the rest?
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  3. DragonWell

    DragonWell Moderator Emeritus 10+ Year Member

    Nov 20, 2004
    This the strawberry on a stick? I think you're right, it's a tubular adenoma, but there have been a lot of different opinions. There was a thread on this sometime back.
  4. docmd2010

    docmd2010 Senior Member 7+ Year Member

    Apr 17, 2005
    can someone post the link to where i can the answer for nbme 3 to the guy who got an 800? Thanks in advance.
  5. SaoTo

    SaoTo 2+ Year Member

    May 2, 2008
    Definitely tubular adenoma. What about the RBC question? isn't a RBC roughly 300mM? Why would it swell to 2.0 of the original volume if the NaCl solution was 75; shouldn't it do that only if the solution was 150 mM?
  6. MSKalltheway

    MSKalltheway I got the magic stick 7+ Year Member

    Jan 16, 2007

    There was a very similar pic of a tubular adenoma in Rapid Review path. This is why most agree that Goljan is the truth.
  7. JustBreathe

    JustBreathe Senior Member 5+ Year Member

    Jun 15, 2005
    Had the exact picture on my Step and adenocarcinoma wasn't even a choice...
  8. sanche60

    sanche60 Senior Member 5+ Year Member

    Jul 21, 2005
    mods requested we dont talk about nbmes anymore.
    Last edited: Jun 14, 2008
  9. BrisketAttack

    BrisketAttack 2+ Year Member

    Jun 1, 2008
    i got 770 on NBME 3 and recall putting tubular adenoma. as for the rbc question, I remember being stumped by it. i can't recall what i put.
  10. luhando

    luhando Senior Member 7+ Year Member

    Apr 26, 2006
    NaCl dissociates so 75 mM NaCl = 150 mOsm NaCl

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