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NBME 24 Answers

nbme24/Block 1/Question#4 (31.8 difficulty score)
A 28-year-old man with AIDS has fever, ...
LungsπŸ”
tags: micro cryptococcus 

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 +11 
submitted by welpdedelp(219),
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ctayCrolpcco egmnsiitin ttah is asnrfdetrre urohhtg retorysiapr tlsodper

ytnlullttc.t/ggv/alalp-n/mohgh:b.sw.ccdos/gwctniimepafc/oowcri




 -7 
submitted by seagull(1437),
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d.mcme#i:Geisresj/SitBrngy.o/g:ae_M/lt_itF/dpBiwiiiwededc.ikms/itoaasalskipto/oashselmpyt

I ebvieel isth is uaylactl aesmneiidsdt yslotaesmBc deu to eth ar"Bod Beads "gBddnui as enes ni hte rupcite.

seagull  However, given the stain and some of the features I now see that this is most likely Crypto. THey like similar. my bad +15  
mjmejora  oh what a catch! I also thought this was Blasto until you explained otherwise +  
drmohandes  Blasto = broad-based budding, the two 'circles' look equal in size. Crypto = narrow-based -unequal- budding. +6  
paperbackwriter  ^ I would disagree a little bit. "Broad based" and "narrow based" refer to how smushed the circles are. So narrow based is when the membrane bit they're sharing is small, and broad based is when they share a lot of membrane. So if just pinching off --> crypto, if they look stuck/have a flat membrane between them --> blasto +1