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NBME 20 Answers

nbme20/Block 2/Question#29 (35.9 difficulty score)
A 25-year-old woman has a flu-like illness ...
Picornavirus🔍
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 +7 
submitted by hayayah(1076),
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 +1 
submitted by hello_planet(26),

I think one giveaway in this question for Adenovirus versus Coxsackie virus is the shortness of breath when lying down (orthopnea). That can be a sign of dilated cardiomyopathy, which is most common after viral myocarditis with Coxsackie B infection (as per Sketchy).




 +0 
submitted by luke.10(3),
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nparco(i xickcsaeo ) si mroe comonm anht osrnivedua tub thob cna aucsea alirv iitdoasrmyc

dulxy071  Yeah Adeno is what I went for unfortunately +  
divya  thank god for sketchy.. +3  



 +0 
submitted by ilovemypuppies2295(0),
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athW mekas ihst occaisexk usriv rveo ?Aeoudnvris tohB sucea aysicodmrit hwchi dluow eb enes no oapy?tsu Is it ustj omre ocmmon ot etg cxiasoce?k

drdoom  the general consensus appears to be that Coxsackie is more common than Adenovirus, but i haven’t come across any papers or textbooks that would agree (they only mention “Coxsackie” and “Adenovirus” as associations with myocarditis) +1  
bharatpillai  there specifically is a question on uworld in which a young woman gets viral myocarditis with sore throat and the answer to that is adenovirus. i think thats why many people (including me) got it wrong :( +