All right. Welcome everybody. My name is Divine. This is episode 584 of the Divine Intervention Podcasts.

In today's podcast, we're going to be continuing the series on the USMaly Step 1, 312. This is going to be part 4.

Again, if you're studying for Step 2, Step 2, Step 3, very useful podcasts, to listen to a lot of very good knowledge and learning here.

And many of these questions, they're kind of like examples of like the shorter step two,

CK, step three questions you'll see on your exams.

All right.

So let's pick up with question 31.

Three-year-old boy is brought to the office

because of a two-day history of bulging of his left eye.

He says his left, his eye hurts.

He has no history of major medical illness

or recent trauma into the area,

and he receives no medications.

Vital signs are within normal limits.

Physical examination shows exophthalmos of the left eye.

MRI of the brain shows a two centimeter mass

involving the ocular muscles of the left eye.

Okay, the ocular muscles of the left eye. A. The ocular muscles of the left eye.

A biopsy specimen of the mass shows malignant cells, some of which have striations,

which of the following is the most likely diagnosis, right?

So let's try to work this out.

So we see this person has exophthalmos, you know.

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