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NBME 22 Answers

nbme22/Block 3/Question#50 (20.0 difficulty score)
A 56-year-old woman is brought to the ...
Herpes encephalitisπŸ”

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submitted by drzed(206),

I'm a simple man, I see encephalitis and temporal lobe involvment, I click herpes.

asharm10  hahaha true that, overthinking is the reason for getting so many questions wrong +  

submitted by imnotarobotbut(160),
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hhltAguo eethr aer no scfpeici rsehep n,acoiritds a CFS pnlae hiwt yslotm seuctlkyeo etniadcsi a irvla ictnefnio (sa lelw as hte lamnro olu)cse.g oS you nac ruel uot TB, srudesaonsrocoii dna ealbr.tica nir/rgkinidkeusBz sign are tedrael ot inneg,mitis tub eevn if uoy o'tnd okwn awht othse ra,e the esnutoiq yass that hrete si an tlbinymraoa ni teh PAMOETRL eobl nsiie(ngmti = e.sengmi)n aicihlEetpns ldwuo eb eht etsb ,arswne pieellscay ausecbe eepHsr apsnhtiicEel aectfsf eth letpraom oelb.

taediggity  Also look for Kluver-Bucy like symptoms in the stem +1  
mambaforstep  why? +  
b1ackcoffee  I agree with everything but normal glucose. Glucose here is NOT normal. to quote wiki "The glucose level in CSF is proportional to the blood glucose level and corresponds to 60-70% of the concentration in blood. Therefore, normal CSF glucose levels lie between 2.5 and 4.4 mmol/L (45–80 mg/dL)." +  
baja_blast  NBME reference table gives normal CSF glucose to be 40-70 mg/dL. As far as I'm concerned, for the purposes of the exam the reference table is probably a better source than wiki. +4