NBME 18 Antineoplastic (NBME Answers)

NBME 18 Answers

nbme18/Block 3/Question#45 (reveal difficulty score)
A 34 yo man 3 month history of progressive ...
Antineoplastic 🔍 / 📺 / 🌳
tags:

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+17
submitted by ∗apurva(94),

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ITHS SI s'IAPSOK AACORMS =g;&=t evig itosplectniana

ISH"T IS UJTS OT GLHEENTN IHST REN,SAW VEERN REEV YAP HTSI E,ITS TAIUNOEDC UHSLOD BE FREE ROF AL!"L

michaelshain2 It's unfortunate that I had to pay in order to get these answer explanations. They aren't as informative/thorough on freenbme :/ +5

jamaicabliz So annoyed, I thought it was asking us to recognize that it could also be Bacillary Angiomatosis from Bartonella, which also presents in the immunocompromised... So any different study materials stress the importance of differentiating them, given they look very similar. +2

drdoom @apurva tell that to my loan officer!😝😂😂 +

cbreland Between this and bacillary angiomatosis, I think it came down to Kaposi being more likely with a HIV patient and also the lesions being purple +

jsanmiguel415 It says that "in addition to treatment with highly active antiretroviral therapy" which makes me think this is HHV-8 -> Kaposi sarcoma. Bartonella is bacterial and would be treated with azithro + doxy +

ih8payingfordis The reason why this isn't Bacillary Angiomatosis is because the stem states that the rash is NOT painful. In BA, the rash is painful! +2

+2
submitted by ∗chediakhigashi(3),

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lkIE Fi YreU rfM I,OhO lLonIceTgC stsaT N sufFT

+0
submitted by ∗motherhen(55),

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reA tshee tosgrton' lsaeupp ormf ysam?oorisdettmi ePptceonalsaari neosrmyd rofm niarce,dmncaooa esp ranaiov?

j44n it is not. The pt has a history of being immunocompromised. Also, gottron's are over the hands and dermatomysitis can present with a rash over the eyelid as well! There is also no history muscle weakness at the proximal muscles (shoudler/ hip area) and no mention of an elevated creatine kinase! - hope this helps :) +2

+0
submitted by ∗an1(93),

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