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Retired NBME 18 Answers

nbme18/Block 4/Question#12 (reveal difficulty score)
A previously healthy 20-year-old woman comes ...
Tick ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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submitted by โˆ—ootscoot(34)
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I think this is Babesia, transmitted by the [Robin of] Ixodes Tick.

P157, FA2019

When you're on Long Island, according to Goljan, you're GOING to get a tick bite if your legs are exposed. This girl was working as a lifeguard. The ixodes tick is native to the NE USA. While we typically associated the maltese cross with babesia, there is also an intraerythrotic ring form. This girl also had a splenectomy, which increases the risk of severe disease.

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epiglotitties  [Robin of] Ixodes Tick lol +



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