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Retired NBME 20 Answers

nbme20/Block 3/Question#35 (reveal difficulty score)
A 51-year-old man has the acute onset of ...
Cytomegalovirus infection 🔍 / 📺 / 🌳 / 📖
tags: micro

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 +46  upvote downvote
submitted by amorah(115)
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rveFe >-; rlue uto flte lencrturavi frlaeui SPM T-XM oirpslhyapx t-;g& rleu out ytiomuncsPse nevrcijoi Kediy rlntatpans ubt no BBWCRC/ in urien &-t;g leru uot tantanlrsp tceneiorj

neiLgva CVM dna calaypti cmbuocytreaim as eth mgneianri wot ootsi.pn CVM is eorm illkey ni a lpantastrn .eipttna

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 +4  upvote downvote
submitted by hayayah(1212)
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VCM is daesasotci tiwh tcnnfgiei arnog rsnatptlan tasn.itpe MCV is mtsredatnit iva eauxsl c,canott orgna apr,antlnts ro lcrlyieatv iva aneclt.ap eactivaiRnot fo VMC curosc ni the ndpirsu.mpsmeesuo

agnrO aratnnltsp isnpetat rea ta na rdcnsaeei rksi of VCM niaumoe.pn

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 +2  upvote downvote
submitted by lifeisruff(3)
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he was venre veing avgoirlincc - i seud atth as a eclu vreo ntasrtlnpa eoceritjn

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 +1  upvote downvote
submitted by mrglass(47)
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Wyh woldu tish tno eb acetu rlspantant ieojcetnr engiald to ASD?R heT inaecrtine si v,ealdete dan I ese any sorena hyw it ulwod be lvaeedte yedobn oniejtecr

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sammyj98  I eltscede eht am.se I hknti patr fo the nosietqu wtnade su to ezgorenic tath hte pt wsa nto rcienevig VCM pxoayhslpir ht(enid taht ehyt are egitgtn TMXM-SP tub on )aciGnoylvcr os ehr'tey ta aelylr ghhi iksr rfo VMC lipl.afiesccy o:Uipsretvnlae•DUTa yoxahrpplis whti lcvrnlaigocaiv ro nciivloragc is yitcaplly eivng ot ttesnapi ta ksri rof oeclomauystrigv )(MCV vticaiaoetnr g(e, ssoiotevrepi pesenrtcii adn theso ihwt eieospristvo o)nds.or eTh dunoairt fo hepyrat tfeon sdpened on eht yetp of onrag dnalntrpesa,t teh srki ustats of teh ,ipttena dna idlindvuia nitnitoaitsul cteciar.p omeS tanarlptsn crntsee ferpre ot esu a epi-epmvtre arpaphco (e,g rnuoiet CMV vairl oadl riomnotngi wnithi noiiaitint of mentetatr enhw taorenicvati csmeboe e)vtnide rof epicsicf iepntta sna.olitoppu See( urtsilaCy'og'mevo abvo)e. +1
utap2001  I swa slao useofdnc yb ceuat joienertc. CMV otacnn eb telplmyeco /DD htiw eoejtri.nc uBt het dgru uesd si nt.hi heT tmse asys eyht sude ciyno,esrolcp opnes.irned Tath lsohdu erlu otu .jcteirone +

via @sammyj98 via UpToDate:

Universal prophylaxis with valganciclovir or ganciclovir is typically given to patients at risk for cytomegalovirus (CMV) reactivation (eg, seropositive recipients and those with seropositive donors). The duration of therapy often depends on the type of organ transplanted, the risk status of the patient, and individual institutional practice. Some transplant centers prefer to use a pre-emptive approach (eg, routine CMV viral load monitoring within initiation of treatment when reactivation becomes evident) for specific patient populations.

+5/- drdoom(1206)

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