NBME 24 Muscle biopsy (NBME Answers)

Retired NBME 24 Answers

nbme24/Block 4/Question#5 (reveal difficulty score)
A 45-year-old man comes to the physician ...
Muscle biopsy 🔍 / 📺 / 🌳 / 📖
tags:

+20 upvote downvote
submitted by ∗sattanki(82)

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uceslM pian + oetrpraliib mdeae is a acscisl iartepnneots fro nhloiceatrl assrlip.i Bste sngosiadi ofr sthi si a elumcs ,ospyib sa eht oyrwm lieks ot tauhnog iitwhn hte uelsm.cs

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sympathetikey 'asTth hwat ouy gte for glklini olrpa .saebr +98

dr.xx T'thsa waht uoy tge orf tno okiocgn htem ew.ll +8

charcot_bouchard heTrse innotgh adellc l"lwe doekoc plaor bear mtae" +2

jbrito718 unf tc:fa Can teg vitanim A xiocttyi form eantig lroap rbea emta hcwhi adsel to alatf innfmluta thte!piias +4

stresssweat yalualct tgo thsi snetqoiu trgih sa a fekul cb i ussdege iiantmv A ittoycxi eud ot plroa brae team lnedagi to smelcu edaagm +

+10 upvote downvote
submitted by ∗neonem(630)

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epayptrAnl intalircleh isel aoundr in selcum of all of hte rdmoan xtecoi nlsmaia that mtso ppeeol n'dwoult lloyranm .a..et nigsth ilke rb,ea lwid aksorrpb/o il(ke in hyctSek M,r)coi igb ,atsc es,ofx o,gsd herss,o slae,s es.rulswa nI seac uoy edeedn rohtnea soraen ot not nuht nda ocusmne eseth lmia?sna

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how to rule out the others:

we would see eosinophilia, but obvi this wouldnt tell us which helminth is involved

Trichinella larvae bury themselves inside muscle tissue rather than remain in the intestine as in other roundworm infections, so stool sample tests don't often show evidence of the parasite

gram stain of stool is a pretty nonspecific test used for campylobacter enteritis; this dude doesnt have diarrhea...and lastly, xray of muscle aint gonna tell u a thang lolz

+6/- sunshinesweetheart(112)

+3 upvote downvote
submitted by ∗hungrybox(1277)

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.vs sgeg )(avo ni solot → ,wkomo*sHor acssAir

.vs vaeral ni oolst → todsSlgireoyn acriostsrle

.vs ctcohs apte stte → E cialvrremsui

rmwshooko → actNoer ,eaAsiunmcr Acoanomystl duleaodne

:ur(osce eth)kcys

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+2 upvote downvote
submitted by jucapami(14)

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onwt.ie:/trsldag.as.ilwbislrv/ihlchhttyoeop/wsccpgiot/ms/whr ot tgaink a loo.k

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+0 upvote downvote
submitted by ∗bharatpillai(40)

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tuJs idgand -on yaXr of glera cesuml ogrpus lowdu hple ni sdaoiigns of issicrseyctoc siecn sstcy rae cical,dfie in nrheitalilc yeth aer n.I to tknhi im' teh yonl eno owh gto sthi rwogn /:

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misterdoctor69 eMbay os, utb I htikn ttha fi ew tge yan usoqestni nincognerc se,isyctoscrci it loduw be ssryori,cucnoctisee so 'duyo od abinr gnaimig ynidaaddi.tt.nA lse.li,o as per het CDC: emlscu scsicoytecsri is lulyuas ?oen:tenndr .:tylmos/pniv_scscr/tcignwh/rtf.s//eqhiac/easgadcwfo.spwietots +

brs I nktih veyoerne how ahs adehtcw Hsueo .DM. 1S E1 gtse a neacch ot mkae it g.ornw +

+0 upvote downvote
submitted by ∗haozhier(23)

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woH od oyu ugsy konw bauto hs?it I ohsec sootl adap.&.O.;mPn cmleus bopsiy is ont etmidnoen hwe..areyn.

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misterdoctor69 heckytS o!imrc +

+0 upvote downvote
submitted by ∗madojo(212)

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cu;tsr-K7bl;1iudaa12yeiapOhdlr/su-s5rorobnss-8haio1-tBu&angai1&yso2wme6aenmu.st;_=XeeM4eilrlt9e2silro6svrwa%n7auvtamlicAotmFoJ.&mrds=-asip;&su=9p2Ftatarm2;altvAa=dfc.caeFwianwDaMtdt/-FszAop4=e;cretcoeieipipcENeAes5ra8m%tDpco%5m--a9orste4Yeucdgxogwl0rms;hAissc-?k-i5Egrs-Haao=%a3catct%0QQem20=ieomyUlc&imr1=m7adEFgs5-t0nn1jkWhgliFln%eirb&;ZrmpxRmroQ-al&scc&qm-wUue2--raeBarur8g=:phtimwpdn3sm-1p/soiiiapNu-4am1BssGiIVhp2uodcgmlollneYja-n

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