NBME 24 Muscle biopsy (NBME Answers)

NBME 24 Answers

nbme24/Block 4/Question#5 (reveal difficulty score)
A 45-year-old man comes to the physician ...
Muscle biopsy 🔍 / 📺 / 🌳 / 📖
tags:

+20 upvote downvote
submitted by ∗sattanki(82)

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csMule pani + lptriabiore adeem is a lsciacs sneanoipertt rof lhiacnlrteo .lasipisr sBet sidgasoni rof shit is a lsmceu obipys, as hte oyrwm sleki ot ahtnuog ihntiw eht lecsms.u

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sympathetikey t'Tsha wtah oyu tge rfo kinlilg lpora .arsbe +98

dr.xx a'hTst htwa you tge orf ton nckgoio hmet .wlle +8

charcot_bouchard Tseher gnhtino cldlea lwl"e cdkeoo apolr aerb "tame +2

jbrito718 ufn act:f Can get aitmnvi A ttocixiy mfor aitgne polar eabr atme ihcwh lsead ot aftla ltuinanmf !htaiesitp +4

stresssweat alycautl gto sthi esuqtion ighrt as a kfelu bc i gesdeus itnvmai A ityoicxt ued ot rlapo bera eatm nageidl to elcmus gaemda +

+10 upvote downvote
submitted by ∗neonem(629)

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Apaprltney ahiintlercl elis nurado in sueclm fo all of eth rdonam extoci lmianas that msto eeoppl wlundot' lmyolnar .at.e. inghst like ,reab dwli op/roasbkr ie(kl in ekShyct oMi,r)c big c,tas sx,efo dsgo, ,soresh sa,sle w.lrsasue In cesa uoy eneedd naertho sanore ot not tunh nad eomunsc seteh ?lanasim

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how to rule out the others:

we would see eosinophilia, but obvi this wouldnt tell us which helminth is involved

Trichinella larvae bury themselves inside muscle tissue rather than remain in the intestine as in other roundworm infections, so stool sample tests don't often show evidence of the parasite

gram stain of stool is a pretty nonspecific test used for campylobacter enteritis; this dude doesnt have diarrhea...and lastly, xray of muscle aint gonna tell u a thang lolz

+6/- sunshinesweetheart(112)

+3 upvote downvote
submitted by ∗hungrybox(1277)

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vs. gesg o(a)v in losot → ,krmso*oHow sAcsair

vs. lavrea ni oolts → eoirnSlyosdgt riatoslcrse

.sv scchto pate tste → E rcarvsemliiu

rookohwsm → acrNote resAimn,cau cnoolaytmAs duonldeae

uo:(ecrs heytsc)k

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+2 upvote downvote
submitted by jucapami(14)

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i.tb/oli/otlscgasot/sdt:hvipn.ire.lgws/hccorsmhpewywtil/awt ohr gtinak a olo.k

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+0 upvote downvote
submitted by ∗bharatpillai(40)

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sutJ nadgdi n-o Xray of legar ucslem ruopsg uowld help in siaisndgo of iotsyreccssci neisc sscyt aer l,deciciaf in lhatelicnir tehy aer n Ito. itknh 'mi eth loyn eon hwo otg this rowgn /:

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misterdoctor69 eyabM o,s but I hnikt taht if we get any uotqeinss engnnccroi rsy,cssteicico it luwod be nsesucoerts,iccroyi os oydu' do irban ngmiagi sAdila..t .ay,dneniitodl sa rep het CD:C slceum iicyscseortsc si yalluus td?:ennoern socmigtpaswtac/rd_wit//ts.nr:f./setpefoighcinssq/svaywco/chle. +

brs I hntki nyreoeve owh sha cadthew suHeo D.M. 1S 1E tseg a nhccea to aemk it rwgno. +

+0 upvote downvote
submitted by ∗haozhier(23)

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oHw do uoy suyg owkn ubtoa hsit? I hocse sootl Pp..a.ndOm&;a ecmslu ypsoib si ont mdtioeenn .aw..ehrney

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misterdoctor69 thycSke oicrm! +

+0 upvote downvote
submitted by ∗madojo(212)

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/cnuIei.D&-d.oo6so--salot=baumF;;-i-dr6senllNf3pcgdrmwtr&Brtasr-Eeam_s.%0;F-lMl9Fwolclo4irm-uoo2-egiUpramu0wt&hpciacaap4nugpc;vK7ay4en7Emhssdmaa&i=sVQie;phAaAets:e&lsor%i4s/;nopajd5r;gn2i7k-mri=soxa-taumrei2gmlyasls-etna-pytHclnYe9-apsxEb-i%swQBrao=dcRna%i3kGauB/lta11mi-oFn=-giet;gmawc&vzsdn8litsD1tQ1-oc2rcatr1tiocrMtr2aosvrm0eumjJeFgrlYtAc5hZo1UNsAa&aeeiFWiubi=w%e&emrea2st80-dXeee=cd5cqila1s=9mhpmi=cpriaphmAtmma?5uu2ws8up2s%ro51Os

KSTCEHY ielrlnacht slripsia gip ac(n eb laopr rbea *oto ) rnoud slgesas ;t--&g oirpe aotbilr ednagewaismet adn neegr ivrnm outod ghntis no laslw g;t&== ofrms ssytc in sdatetri suclme (os rfo iths usoteinq masek neess atth oyu do mlcuse yo)bspi e rif -t;&-g mmialfitanno fo n mssuiielolhceop gulserna t;--g& onn icefsicp as yuo anc see sti lla ovre hist eiamg os its fro ymna ednrtieff pseyt fo daensmtoe

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