WBR0939

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Author PageAuthor::William J Gibson
Exam Type ExamType::USMLE Step 1
Main Category MainCategory::Anatomy
Sub Category SubCategory::Genitourinary
Prompt [[Prompt::A 25 year-old male presents to his primary care physician after he noticed an irregular lump in his right testicle. Serum placental alkaline phosphatase and lactate dehydrogenase are elevated. A biopsy of the primary lesion demonstrates large cells with a “fried egg” appearance. Which of the following sites would be the most likely next step in metastatic spread of this tumor?]]
Answer A AnswerA::Internal iliac lymph nodes
Answer A Explanation AnswerAExp::
Answer B AnswerB::Superficial inguinal lymph nodes
Answer B Explanation AnswerBExp::
Answer C AnswerC::Mediastinal lymph nodes
Answer C Explanation AnswerCExp::
Answer D AnswerD::Mesenteric lymph nodes
Answer D Explanation AnswerDExp::
Answer E AnswerE::Para-aortic lymph nodes
Answer E Explanation AnswerEExp::
Right Answer RightAnswer::E
Explanation [[Explanation::

Educational Objective:
References: ]]

Approved Approved::No
Keyword WBRKeyword::Testicle, WBRKeyword::Testicular, WBRKeyword::Cancer, WBRKeyword::Lymph node, WBRKeyword::Lymph, WBRKeyword::Metastasis
Linked Question Linked::
Order in Linked Questions LinkedOrder::