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NBME 23 Answers

nbme23/Block 1/Question#10 (53.8 difficulty score)
A 13-year-old girl is brought to the office ...
Staphylococcus aureus🔍
tags: micro bed_bugs 

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 +14 
submitted by chris07(54),
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eBd usbg teeelmsvsh aer ton ownkn ot be errasirc of ein,llss tub yeth acn avele yihct .sbtei hTe rlgi si likyel to sarthcc sehet eibt,s edrbaa eht ,inks adn hstu eairsenc het irks fo a hpsat iksn ciinotenf ci(nse apsth sueaur si teh msot nmcomo ksni eociinfnt p)oghntea

mcl  Oh! The article I found said that MRSA has been shown to colonize the saliva of bed bugs for up to like 15 days, and that they isolated MRSA from several specimens. Is it just more likely that the patient scratches it in since staph is e v e r y w h e r e ? +6  
chris07  I mean it’s possible. The last review course I took said that it wasn’t associated with anything. It may be, but either way...same answer :) +1  
frijoles  So bedbugs can't transmit HIV. Cool. #whatareyou #anidiotsandwich +13  
anechakfspb  @frijoles - Hey if it makes you feel any better I put HIV too, with my reasoning being that they feed on blood...and HIV is transmitted via bodily fluids. Whoops! +  



 +7 
submitted by welpdedelp(216),
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I csheo hsit c/b ist the tosm monomc tpohngea ofr skni eoisictfnn

seagull  same here +2  
sympathetikey  Some bowlsheet +11  



 +5 
submitted by mcl(579),
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So if uyo didnt' h8 usbdegb ug,ohne hyet anc nelaappryt lsoa vsere sa sroectv for eitgdsrrnu-sat ebitarac niugnldci SMRA WHO NUF IS THAT

spacepogie  SO FUN +3  



 +2 
submitted by adong(94),

I don't think you're supposed to know any complicated niche piece of knowledge. You have to infer that the pt has a skin lesion and is therefore prone to skin infections, most commonly from Staph aureus.