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Retired NBME 20 Answers

nbme20/Block 3/Question#35 (reveal difficulty score)
A 51-year-old man has the acute onset of ...
Cytomegalovirus infection 🔍 / 📺 / 🌳 / 📖
tags: micro

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 +46  upvote downvote
submitted by amorah(115)
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evFre ;t-g& lrue otu ltef trearnivucl ruiafel M- MTXSP hpyrlxaiosp ;-tg& lure tou ycsunsometiP jKyinorcevidei napratnstl ubt on RBCBW/C in irneu tg-&; elur uot arntpastln eeontjrci

aiLnveg VMC and palyatci betumcyimaorc sa eth mnrngiiea otw ionps.to CVM si mero lykeli ni a tnplatrasn ntitae.p

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 +4  upvote downvote
submitted by hayayah(1212)
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VMC is aedsaiostc twhi eignticfn gnrao narstalptn .tsietanp CMV si rmstttnedia vai esxual aotncc,t roagn lnstpra,ant ro llicvatyer via pn.acltae aotcteiRvani of CVM orscuc ni het snsoe.emupdprmsiu

Ogrna nlaattrpsn apntitse era ta an eacriedns riks of CVM e.mnnpoaui

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 +2  upvote downvote
submitted by lifeisruff(3)
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eh asw neerv iegnv avigronlcic - i used ahtt as a lcue vore snptrtaanl jreieotcn

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 +1  upvote downvote
submitted by mrglass(47)
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hyW odwul isht ont eb tucea nasattlnrp eorjtneci nieladg to ?DRSA The riennictea is leete,vad dan I see ayn rosane yhw it lowud eb tleeaedv beyond cjetoreni

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sammyj98  I dtlcseee hte s.mea I itkhn patr fo het nqoietus edwant su ot ecigozrne thta het pt was tno cgvnieier CVM arypslhpxoi nht(edi atht yeth era tngegti -MSPMXT ubt on Gvlinyaccor) os y'rtehe ta aleyrl hihg ksri for MCV spfill.ieyacc lU :pta•nUrsveaToDei lixpspyoarh hitw alvvogcailrnci ro liriocnagcv is plyatlciy vgein to aniepstt ta rski fro vlytuoriscmgoea (CV)M tociveatrnai g,e( irepsviosote iteriscpen dna theos iwht eisopveiostr ).nordos heT auodrnti fo htrapey nftoe sddneep no teh pyte of rgnao at,rnlepastdn teh sikr uasstt of eht intaet,p and ndildivaiu ttnlnsiiaouti .iecptrca mSoe ralnptatsn nerscet pefrer to eus a e-rtempvipe arpopach (,eg oierutn VMC raivl ldoa tooiimngrn iihwtn aninoititi of tneaerttm nhew aiictavrnoet oeesmbc )eevnitd for esficpci taitpne aisp.untpool (See oy'ulomCasgeti'vr oebva.) +1
utap2001  I asw soal dfneuosc by acuet tcoeinjr.e CVM nancto eb tmlcyoleep DD/ ithw cirj.tnoee tuB eth gudr eusd si hnt.i hTe mtes ssya eyht euds yepor,sonccil ise.dnnpoer ahtT slhodu leru tuo ct.oinreje +

via @sammyj98 via UpToDate:

Universal prophylaxis with valganciclovir or ganciclovir is typically given to patients at risk for cytomegalovirus (CMV) reactivation (eg, seropositive recipients and those with seropositive donors). The duration of therapy often depends on the type of organ transplanted, the risk status of the patient, and individual institutional practice. Some transplant centers prefer to use a pre-emptive approach (eg, routine CMV viral load monitoring within initiation of treatment when reactivation becomes evident) for specific patient populations.

+5/- drdoom(1206)


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