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NBME 24 Answers

nbme24/Block 3/Question#43 (33.0 difficulty score)
A 35-year-old woman with a long-standing ...
Infiltration of lymphocytes and monocytes🔍

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submitted by neonem(527),
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baja_blast  Asthma history got me and I put Eosinophils.... but in hindsight I should have noticed that the biopsy is specifically of the nodules. RIP. +  

submitted by yex(72),
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submitted by dragon3(10),
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lolmedlol  i think neutrophils (in addition to lacking granzymes and perforins which are used to kill viruses and fungi) dont recognize intracellular things; viral antigens needs to be processed and presented on an MHC for the lymphocytes to recognize +6  
usmile1  also neutrophils are only seen in acute inflammation. This pt has longstanding inflammation which is associated with monocytes, lymphocytes, macrophages, plasma cells. +4  
usmlecrasherss  Neutrophil come and goes quick like day or two , after that rest of immune cells take care +