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Retired NBME 15 Answers

nbme15/Block 3/Question#24 (reveal difficulty score)
A 28-year-old African American man comes to ...
Ethnicity ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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submitted by โˆ—cassdawg(1781)
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I don't like this question for many reasons, but basically he has sarcoidosis (noncaseating granulomas with no pathogen found on biopsy) which according to First Aid is more common in African-American females. Since he is African-American that is his risk factor (FA2020 p676).

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cheesetouch  FA2018 p658 +
i_hate_it_here  Questions like this let me know that the ideals of racism have never left the medical system. Ok, so he's "African-American", is he of actual African descent? Is sarcoidosis just increased in american found black people, or is it black people of African descent, what about Jamaican? Afro-Latino, Europeans?? I hate that they teach us things like this and we're suppose to take it at face value. +2
kaf  agree...medicine is full of racism, sexism and so on. Some meds work differently and diseases present differently etc...for ex., ACE inhibs in AA vs white...or MI presentation in women vs men. +1



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