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Retired NBME 19 Answers

nbme19/Block 3/Question#50 (reveal difficulty score)
A 10-year-old girl is brought to the ...
Neutrophils ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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submitted by โˆ—surgerydoctorca_sgu(6)
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(FA 2021, Pg. 416)

This question is testing your knowledge on neutrophils.

In the stem patient has a right hand that is tender, erythematous, and edematous with an intact wooden splinter embedded in the soft tissue. Then the description of "white exudate" is given. This white exudate is pus and is generated by neutrophils. Additionally, neutrophils are the first responders to most insults to the skin.

Another very important thing to know is the neutrophil chemotactic agents: C5a, IL-8, LTB4, 5-HETE (leukotriene precursor), kallikrein, platelet-activating factor, N-formylmethionine (bacterial proteins). Make sure you know this, the test makers love to test this!

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