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Retired NBME Free 120 Answers

free120/Block 1/Question#3 (reveal difficulty score)
A 24-year-old man comes to the office because ...
Hair follicle ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +6  upvote downvote
submitted by โˆ—bwdc(697)
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Hot tub folliculitis, itโ€™s a thing. Classically pseudomonas.

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medguru2295  I hate myself for overthinking this one. The first thought in my head was "hot tub folliculitis" but my dumbass didn't pick follicle. +17
hungrybox  @medguru2295 same bro same +1
yousif7000  wow, I thought this was scabies! +1
chaosawaits  @medguru2295 same bro. knew it was Pseudomonas, panicked after that and chose eccrine glands +1
an1  my head started spinning thinking of hot tubs and pseudomonas, and that folliculitis is often staph aureus so it cant be that... dumbs moment +1



 +5  upvote downvote
submitted by โˆ—hungrybox(1277)
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Other answers:

sebaceous gland โ†’ acne, Cutibacterium acnes (formerly Propionibacterium acnes)

apocrine gland (aka sweat gland) โ†’ The substance secreted is thicker than eccrine sweat and provides nutrients for bacteria on the skin: the bacteria's decomposition of sweat is what creates the acrid odor.

eccrine gland โ†’ used to secrete stuff inside the body (ie salivary glands, pancreatic glands)

dermis โ†’ middle layer of skin.

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melchior  To tweak the above a little, eccrine glands are more commonly known as "sweat glands," although sweat glands that are apocrine do exist in the armpits and perineal area, though they do not contribute to cooling. +5
acidfastboi  Per what @melchior said: "Eccrine glands are the major sweat glands of the human body, found in virtually all skin, with the highest density in palm and soles, then on the head, but much less on the trunk and the extremities" - Wiki +2



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