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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 ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: micro

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 +46  upvote downvote
submitted by โˆ—amorah(115)
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eervF ;g&-t erul out tlfe rtunlvaiecr rafiuel SM-M PXT ishrpaopxly ;t-&g leur tou mntPyciseuos y riKcinvodieje rttanaspln btu on RCB/WBC in nuire ;g&-t rleu uto rtaslaptnn ntijeerco

iagnvLe VMC dna aciatylp cromicuybtmae sa the einrginam tow .spioton VMC si mroe keylli in a sanlprtnat pit.ntae

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 +4  upvote downvote
submitted by โˆ—hayayah(1212)
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VCM si ssaeatidco hwit netigicnf arnog nlapnrsatt net.ptisa VCM si ttrensamdit iva alseux tnccaot, angro rltpt,anans or lalcveyrti avi .clatepna teavincRoait of CVM uorcsc in eht miersppdunmeo.uss

agrnO anstprltna atneptis aer at an aerdncesi ksir of VMC euanmoni.p

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 +2  upvote downvote
submitted by โˆ—lifeisruff(3)
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eh asw eenvr engiv cvngriaciol - i usde tath sa a lceu reov tpaarntnls ocetrenji

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 +1  upvote downvote
submitted by โˆ—mrglass(47)
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Wyh uowdl isth ton be uaetc artntpnsla eitecrojn ileadgn to A?RSD Teh necraeitni is vedlet,ea dna I ese yan oerans ywh it luwdo be ledaevte ebynod jcteinoer

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sammyj98  I ecedlset eth .esam I khnti atrp of hte uontieqs ndwaet su to gnzcioere taht eth pt wsa tno nigceevir CMV ipxyhlrpaos (hdntie htta heyt ear inttegg -PTMXSM utb no lycraovG)inc so ery'teh ta arlely hghi rkis rfo MVC cl.syciiafpel iUD:Treso tvnaaUโ€ขple asrhploxypi whti ivocaricanvlgl or aicriglcnov si lyyapclit ngevi ot tsnitpae at ksri ofr uyocstermgilaov C)M(V ciivranoetta (ge, etrssipeoovi rsinpiecet dna sheto htwi oteosiivspre ord.sno) Teh touranid fo apyethr oetnf sdpeend no het tpye fo argno pastrlnndt,ea het kisr susatt of hte epnatit, nad idndavulii oaniittltinsu i.ateccrp Smeo ptnaantlrs certnse refepr ot sue a ep-irtevpme acrhpoap ,(ge rientou MVC varil ldao tmoriionng tiwnhi tainntoiii of amrteentt enhw etorvtiacina esomebc ntive)ed rfo fipeccis inpaett lipp.onautos (eeS ooCumyvl'e'grtais a.b)ove +1
utap2001  I swa sola dsunfoec by tacue c.ijentero VCM ocnnat be otyeemclpl /DD twhi eieorjtn.c Btu hte udrg usde is .htin The tsem sasy teyh udes oslyorcce,nip osdi.npreen aTth louhsd elur tuo jte.orncie +

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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