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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 oguhhtt hsti wsa a ikcrt uteisqon seicn iskn cnasecr rae hte smot cmmnoo teyp fo asnrecc er.lavol But llcuyata omgna VHI ,iaeptsnt r-leItVeHad cencras are chmu rmoe oocnmm thna ledneI-ntVora-H escnarc vne(e insk sc)ncear. -diEBducenV yirarpm NSC mhomapyl si hte ylno ipnoot atth si gsiDnnIfiA-de nnseci/cs.relal

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medskool123  hyw tno hpe B? i usges enrtaoh stawh eht tebret aswnre .e.nso. tuJs mer gaienrd atth it was ermo momcon ihwt dasi .p.ts anoeyn vhea na daei tbuoa ?sith +1
haliburton  sYe, I ktnih NSC pyoalhmm as an DIAS eigfnind islensl sinw het da.y My ouhgtht saw neisc EHS hsa DSAI ti si smto kilely ormf IVA,D chhiw sha a ighh iskr of HVB hatt ocldu go signadnudoe fro a lgon eitm. ta 23, atth mgith nto be glno gneouh to eahv HVB nad teg CHC tu(b with no iumnme ssm?.y)t.e. +3
yotsubato  odG mdna siht is cush S.LLHTI..BU +15
trichotillomaniac  hyW you otagt od em tryid ielk htis MNEB +2
sars  My ohghttu cs,rspeo lyslauu norwg lal the i,met saw hatt BHV (IU)DV acn orccu ot nay.eon utcAe pteiitsah to croiChn orcusc nehw BHV torepioasrcn tis DNA onti htso adn aseeselr mgitacnue .eptnoris Tsih is asdeseglrr of nnsoiuemmirpusp.o iyarmPr CNS yLmpahmo psrpeaare rrpmliaiy henw uyo aer dnoupiesrspsemmu o(narg srtnalan,pt u,eidinymicfonmce AV/.DSI)HI +2
syoung07  peH C is far oemr lkyeil to meoebc HCC hatn eph B +2
jurrutia  Enve if uyo were niknhitg kins ccnrae si eomr m,mcoon a'ttsh onyl urte ofr alabs clle dan sqou.samu laMemona is r.ear EVB umch more lkyeli ni iads .tpanite nveE H oriylp swa a ertetb wresna. +

  • 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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EBV vusri iennstcfio B ec.lls As a sspenero eehrt is teveiarc pscloohtiyysm oofeitplnrira( fo 8DC+ ocotixcty T )osLphy.temyc nI VH,I yuo lwil aehv a rdecesea in HT eslcl egladni ot eareescd in DC8 T lle.cs hsTu VBE lwli epaotreiflr mroe elfyer as eht umnemi rsonpese ardwtso ti 8(CD llec)s ear denblt.u This si woh i got to eht ew.snar

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