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NBME 24 Answers

nbme24/Block 1/Question#36 (17.0 difficulty score)
A 4-year-old girl is brought to the physician ...
Villous atrophyπŸ”
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 +8 
submitted by neonem(570),
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-soendiymAnliat nda steiaut-nsi lutgimesaan dsienitabo rae phioonmcgtona ofr Ciclae e,essaid a sierniepthtivyys to the aiidlgn einatng fo tw.ahe It ilynma neastmsif ni hte uunemjj adn il.ume nI sd,tlau it nserptes as chroicn sarorthetae nda naloitg,b lihwe ni iclhednr it seod teh meas ubt sloa seusca ruelifa ot ih.tevr cil,toylHoasilg ti is ntiediiefd by crtpy esplaiyharp nda isovull agtinnlfet. If ouy geaamd uoyr vlli,i oyu ncta' boabrs atf oghutrh het easlclat of hte mslal einitstne &-g-;t osoliarmntpa.b

Pieov-tsiSpA glsnerau ni prchsaemaog in inlama praropi = plehpiW iaes,sde na citiennfo tihw Typohrrmea ppwhliei, an rrilcalnleuta ivgempt-rosai roinmas.g This oluwd laiimsylr ecaus a rvoabptisealm satet ubt si ton csadoasite iwht uatpcirlra dsnoeitbia, and itgmh olas nfsetmai sa ,lratarhigsa ,crdiaac dna uolniregoc topsmm.ys

ugly_but_my_hoes_not  Damage is most prominent in the distal duodenum +3  
ruready4this  where would you see eosinophilic infiltration of the mucosa of the small intestine? +  



 +0 
submitted by abkapoor(13),

This is a horrendously worded question.

Villous atrophy is not the CAUSE of celiac's disease, its a manifestation

beeseltz  I think they meant what's the cause of the foul smelling stools ie malabsorption due to villous atrophy as a result of celiac. I agree not great wording though. +