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NBME 16 Answers

nbme16/Block 4/Question#32 (8.2 difficulty score)
A 70-year-old woman is found to have ...
Candida albicans🔍
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Indwelling IV catheters is a common cause of disseminated candidiasis and it is due to adherence of the yeast to the catheters.

Remember that disseminated infection may also result in patients with neutropenia

CMI dysfunction (AIDS, SCID) predisposes to mucocutaneous NOT disseminated infections




Ugh this question. The Gram stain and purple made me thing Staph aureus, but it also mentions "budding" and "elliptical" (SA is a coccus). Additionally, SA is not a common UTI infection while Candida is.

Annoying because of the Gram stain and purple descriptor.

From quora: "when decolourizer is added, the crystal violet taken up by yeast cells is retained." https://www.quora.com/Why-does-a-yeast-cell-give-Gram-positive-reaction