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Retired NBME 24 Answers

nbme24/Block 3/Question#22 (reveal difficulty score)
A 32-year-old woman recently diagnosed with ...
Epstein-Barr virus-induced brain lymphoma ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: neuro repeat AIDS

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 +7  upvote downvote
submitted by โˆ—lsmarshall(465)
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I thohtgu hsit was a ctikr enustiqo csein isnk csrcena are eth osmt monomc ypte of narcces .rllveoa tBu aatlycul nagom IVH nstt,piae rdaI-eelVHt rscacne rae mhuc mero ocmnmo hnat VetnaneIlro-dH- arcsecn (eevn kins )cca.snre -ceVEddiunB yrrapim CSN mmalhyop is teh yonl iptono taht si iDnefnIA-gsid is/ceae.lnrnslc

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jurrutia  evEn if uoy wree hntkiing ksni eaccnr is mero oonmm,c 'sahtt lyon treu rfo balsa clle adn s.souqamu mnMalaoe is .earr BVE umhc emor lyliek in asdi t.etpina nEev H rliypo was a ebtret srawn.e +

  • Lymphoma in patients with AIDS can take on many forms, but primary CNS lymphoma is common.

  • It often presents with seizures, lethargy, subacute memory loss, and headache. Physical examination may show neurologic deficits stemming from structural disruption caused by the location of the mass.

  • MRI will usually show a dominant cortical mass.

DDX * Multiple lesions distributed throughout the cortex would be atypical! --> HSV enceph or Toxo



 +2  upvote downvote
submitted by โˆ—krewfoo99(115)
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VBE irvus ntiscefnio B sell.c As a snreespo terhe is arcevtie tmlopcyisoysh frlpni(teaorio fo 8+DC tctcioyxo T m.opyhsytecL) nI IVH, uoy lwli avhe a eaercdes ni TH slcle inedgal to edscreea ni 8CD T es.llc shuT BEV will eaortielrfp ermo flerye as eth miumen psnsroee tadrwos ti 8(DC )celsl era eud.lbnt hTis is hwo i got ot eth rn.awse

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