WBR0803

Author	[[PageAuthor::Gonzalo A. Romero, M.D. [1]]]
Exam Type	ExamType::USMLE Step 2 CK
Main Category	MainCategory::Surgery
Sub Category	SubCategory::Dermatology
Prompt	[[Prompt::A 55-year-old man is admitted to the hospital due to abdominal pain. The ER doctor orders lab tests and a CT scan, which shows multiple liver metastasis. On physical examination he does not have a toe; he says it was removed at the age of 20 for a tumor on the nail bed. The patient is admitted to the hospital. The internal medicine and oncology team tries to identify the primary tumor ordering a CXR and other diagnostic studies without any success. Which of the following is the most likely primary tumor?]]
Answer A	AnswerA::Osteosarcoma
Answer A Explanation	[[AnswerAExp::Incorrect.]]
Answer B	AnswerB::Rhabdomyosarcoma
Answer B Explanation	[[AnswerBExp::Incorrect.]]
Answer C	AnswerC::Angiosarcoma
Answer C Explanation	[[AnswerCExp::Incorrect.]]
Answer D	AnswerD::Melanoma
Answer D Explanation	[[AnswerDExp::Correct.]]
Answer E	AnswerE::Lymphoma
Answer E Explanation	[[AnswerEExp::Incorrect.]]
Right Answer	RightAnswer::D
Explanation	[[Explanation::Educational Objective: See also: Melanoma Educational Objective: References: ]]
Approved	Approved::No
Keyword	WBRKeyword::melanoma, WBRKeyword::metastasis, WBRKeyword::liver metastasis
Linked Question	Linked::
Order in Linked Questions	LinkedOrder::