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Retired NBME 17 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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elscuM ainp + ireiaptolbr aeedm si a sccasil serattnieonp ofr teihcallrno .spiaislr steB ssanoidig rof htis si a elscmu s,ipoby sa eht owymr ksiel ot hnugtao tiniwh teh cms.elsu

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sympathetikey  Ttsha' awht uoy get rof linkigl lraop a.rseb +98
dr.xx  'Tasht thwa you get ofr ton nogciko hmet .ellw +8
charcot_bouchard  ereTsh onhting lclaed lewl" oekcod raplo bera "emta +2
jbrito718  fun :cfat Cna teg vnitaim A xotitcyi rfmo niaegt lrapo eabr atem hhwci aldes ot aftal muanflitn tpht!siiae +4
stresssweat  tallcuay tgo thsi qstoeiun tgrih sa a uflek bc i gsudese mavitni A ioytxict ude ot plroa bare emta legadin ot mecslu mdgeaa +


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 +10  upvote downvote
submitted by โˆ—neonem(630)
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rpnleaApyt rlhliaeintc esli naudor ni lsmcue fo lal fo teh ranmod xceiot lnaiasm atth tsom epoepl 'lduowtn lymanlor a.e..t ishntg ielk ,aebr wlid srpkaoro/b ei(lk in kScyhet coMi),r big csat, ,esoxf o,dgs soehsr, ,aless .euraslsw In aesc uyo eeddne oanterh nesaro ot nto tnuh nda emsocnu ehest mnsliaa?

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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)

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 +3  upvote downvote
submitted by โˆ—hungrybox(1277)
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.vs segg o)v(a in soolt โ†’ Ho*wsm,roko Asscair

s.v avrlae ni olsto โ†’ iroslyetngSod sreaoslticr

.sv thsocc aetp etst โ†’ E rcmvleiuasri

hrmooowsk โ†’ caoNrte mcun,sraeiA amtnyoAoscl eanlueodd

u:coes(r kystc)he

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 +2  upvote downvote
submitted by jucapami(14)
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irhlt.lps//irbh.:omgio/wll/g.nsaehwpetc/owcsciydvosaittsth otwr gankit a l.ook

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 +0  upvote downvote
submitted by โˆ—bharatpillai(40)
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stJu dadign -on aXry fo elgar mescul gopurs udwlo lphe ni sndogisia fo scicerisoysct sicen stysc are cidlcf,iae in lctiniheral hety era .toI n inkth im' hte ylno eno owh ogt thsi worng /:

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misterdoctor69  eybaM so, ubt I ihktn atht fi ew etg nya tqoueissn encoirngnc esycctisir,cso ti ouldw eb inccyretoeisusos,rc os dyo'u do ainbr gamingi dndi iattaA.o.snyeild,.l as rep the CC:D escmlu cysirscoetsci is auyluls ndoe:tennr? teht.a.s/atlr_vpcgs/wsh/q.timfpnfyciadsegio:t/snwcro//swecisoc +
brs  I hitnk eeevyrno hwo sah dethawc sHueo .MD. S1 E1 etsg a cnaehc ot mkae it .rwnog +


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 +0  upvote downvote
submitted by โˆ—haozhier(23)
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How do uoy gyus know obuat thsi? I soceh otslo aa.;O.P.dnmp& emculs ypiosb is ont nnitdomee rhwa..eyne.

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misterdoctor69  yhckSte or!mic +


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 +0  upvote downvote
submitted by โˆ—madojo(212)
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mq&as;tYse;osaXsolehh-ausi-iri;a-eMap7aplriMmouwo1dng5n4gsmro1oAfa1w-Amc2atHmmemak-.oatd%ala00raFle7l.ts=licegu-aswmdoddigirm3/e6t_srci2Uscose2emeo6ckultw-Qa;leimVsyc-tZmpun=mp7r-F9dK25s3&j52-eFoinrt1pnuhpe-sal%tlvmixpBdemat&laa=/t1hAegv;i=a=8?sgcpiit5BYr/u0mnQc4ermo-9Uiweuut5;enu-c;-&2&aiotE8c&a%=za-FsesDca9.vOIrotm-iDbleprpbripsByr8N=&u=icWc%wrsc1mihrdgnyrF&Ns;ju1a%cpaA=cGle-magQ21sFaw%ai-E42ltreo:Aorpls-sinRshbstnro0xJtiar4Enoda

EHYSKTC aeclhritnl sslpairi pig (nca be raopl bare oto )* uornd asselsg g--t;& piore boartil ewtig aadmesne nda gnere turoovmnid gtshin on llaws t==&;g mrofs tcsys in dtaietrs ecsuml so( ofr iths nuqoetis akmse enses tath you do mcslue )piyosb i ref --&;tg liomafninatm of nemololsiehu spci erusangl --&t;g onn ifpciesc sa uoy can ese tis lla rvoe tihs maige os sti ofr anmy nfifrdete eytsp fo eanetsdmo

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