NBME 3 question: Colon adenoma

[ambiguous]

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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?

 

[DragonWell]

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.

 

[docmd2010]

can someone post the link to where i can the answer for nbme 3 to the guy who got an 800? Thanks in advance.

 

[SaoTo]

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?

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?

 

[MSKalltheway]

Definitely tubular adenoma.

+1

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

 

[JustBreathe]

Had the exact picture on my Step and adenocarcinoma wasn't even a choice...

 

[sanche60]

mods requested we dont talk about nbmes anymore.

 

[BrisketAttack]

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.

 

[luhando]

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?

NaCl dissociates so 75 mM NaCl = 150 mOsm NaCl