need help with your account or subscription? click here to email us (or see the contact page)
join telegramNEW! discord
jump to exam page:
search for anything ⋅ score predictor (โ€œpredict me!โ€)

NBME 17 Answers

nbme17/Block 0/Question#0 (reveal difficulty score)
A 24-year-old man comes to the physician, ...
T-lymphocytes ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags:

 Login (or register) to see more


 +4  upvote downvote
submitted by โˆ—cassdawg(1780)
get full access to all contentpick a username

This is likely poison ivy, which is a Type IV (delayed) hypersensitivity mediated by T-cells. [FA2020 p112]

Notes to point to poison ivy: itchy linear vesicles (as the leaf touched), camping trip, on the extremities which would likely be exposed

Delayed type hypersensitivity helpful hint: the rash did not appear until a few days after he had returned from camping (5 days ago camping, 2 day history of rash)

get full access to all contentpick a username
flapjacks  Just some additional information since this has come up for me before: Poison ivy rash is caused by an allergic reaction to an oily resin called urushiol (Rhus dermatitis) +3



Must-See Comments from nbme17

cassdawg on Membrane lipid peroxidation
cassdawg on Haemophilus influenzae type b
cassdawg on Pelvic Splanchnic
cassdawg on Actinic keratosis
cassdawg on Early septic shock
cassdawg on Epinephrine
flapjacks on Placebo effect
cassdawg on 0.9% Saline
waitingonprometric on Tubular adenoma
bingcentipede on Surface kappa:surface lambda ratio
cassdawg on Free T4
tinyhorse on 25%
cassdawg on Absence of functional LDL receptors in ...
bingcentipede on Residual volume: โ†‘; Arterial PO2: โ†“; ...

search for anything NEW!