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Retired NBME 24 Answers

nbme24/Block 4/Question#5 (reveal difficulty score)
A 45-year-old man comes to the physician ...
Muscle biopsy ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +20  upvote downvote
submitted by โˆ—sattanki(82)
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cMsuel anpi + lrapeitrbio maede si a iaccsls esaonetinptr ofr olhcalrtein .sasiiprl Best dsagiinso for iths si a csuelm bs,oypi sa het worym sekli ot uhnotga wiithn eht smescl.u

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sympathetikey  as'htT thwa uyo gte rfo klngili ralop abrse. +98
dr.xx  ahtTs' twha uyo etg rfo nto okingoc hmet .lelw +8
charcot_bouchard  rTeesh onnthgi lecdla "wlel ocdoek poalr arbe "amte +2
jbrito718  ufn :atfc anC gte mviniat A totxciiy mrfo giante lpoar raeb mtea hichw alsde ot falat umilnanft ihat!teisp +4
stresssweat  lyaltacu gto hsti tsnouiqe hgrti as a klfue bc i dgusees tamviin A iiyxttco ued ot prloa areb meat dealign ot melcsu aegmda +



 +10  upvote downvote
submitted by โˆ—neonem(629)
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peptAlrnya eilalrcnhit elis audonr ni esculm fo lal fo the dmnoar oixect mnislaa ahtt msot leppeo luodwtn' onalylmr e.at.. ntsgih eilk b,are iwld orsobrpa/k ile(k in hyktceS )oM,rci bgi sa,tc se,fox d,osg sroseh, eas,sl suar.eslw In ecsa yuo eedden ntoahre enosar ot nto tuhn and cusemno tshee sama?lin

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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



 +3  upvote downvote
submitted by โˆ—hungrybox(1277)
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s.v egsg ov)a( ni tolso โ†’ okro*,smowH iaAscsr

.vs alvrae in olots โ†’ glytoSidreons loasreticrs

.sv octhcs etpa stet โ†’ E vreluiscrami

mwoskrooh โ†’ ecrotNa ncseiamu,rA ocstAaoymnl dneouadel

so(eurc: syhctke)

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 +2  upvote downvote
submitted by jucapami(14)
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stlsewe.risd/w.ocati/olhgoo/rhyn.lcipttamhiwpgtc/bisvl:/srtohw kntagi a ol.ko

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 +0  upvote downvote
submitted by โˆ—bharatpillai(40)
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tsJu dnigda o-n Xyar of elrga lcmseu suogrp odlwu help ni snsdgoiia of iytcscoesrsic nesci scyts ear ce,fiaildc ni lnhiiaetrlc tyhe aer tI. no nthki im' eht lnyo eon how tgo shit wgrno /:

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misterdoctor69  yaebM os, btu I thnik that fi ew egt yna tesonqisu nineogccrn crtiosec,yiscs it dluwo eb cyrsiursces,ncooeit so ud'oy do abinr agigmin .tey nondatidl,alAii.sd. as rpe het CC:D smucle sccoyitrsecis si slulayu eorn:nt?dne :/cfvilq/sys_ts/sh/on./aoimsnwcwr/teh.dcpiptcctawsgoaersgf.ite +
brs  I intkh reeeonvy woh sah chdawet eousH DM.. S1 1E gset a chcean to kaem it r.wnog +



 +0  upvote downvote
submitted by โˆ—haozhier(23)
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woH od you gsyu okwn uabot ihts? I oesch oslot .an.a&.;OmPdp emlcsu yobisp is ont otnenemdi .w.hnee.ayr

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misterdoctor69  hyetcSk ocm!ir +



 +0  upvote downvote
submitted by โˆ—madojo(212)
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io=o4t;&iastw5HlEslifbimet=m7wgg&lmecnmt=haoXmsFs=i;t%losuis4&g1a7epDdi-caap.c?ulyyuIwgs2hesearldtoaUioianv%3v-rdsrFt-p/RidptY%=bMcecdi-ild0;rwnsanoiarOaehiuare/;pm-cq1Aceumm%-e9=assz/Viu-eoFmhl=8cukZaBc82eaa7E-w11na6t9rxtt2-m-l%ag1s-o-c=w-nrmoaonAvjmaomo5ra24acoGh0tnl1roirciiiF%omitl.tri;_=a-sKQpmtsyQall5reJeeaoeBNstbnl-s.&2;ka;dgr&uraamdN&rsiBA49rtdsAhF8Q-p2uesoFg;nm:agce5rieA&epjpms-E-esme0c-tus652pp1maassl1D20wUrc3ppW&ucYxuMnrr

ECYTHSK antihlrlce siplrias igp nca( eb orpal earb ot)* o ndruo esgssla --tg&; eriop birtaol eeasentia gwdm dan nrgee ndromtivo u gntihs on awlsl t=;&=g fsrmo ystcs in etsaditr celsmu s(o for htsi itsoquen ksame neses ttah ouy do uslmce iybos)p reif g-t-;& amilifmoantn of iimsloocunlehes p aunlrsge -g-t&; onn icpfcise sa oyu can see tis lal vroe hsti iagem so sti fro nyma tfdnieerf yspet fo sdnmteaoe

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