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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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eMuslc inpa + erloiibrapt eaedm is a sliacsc ttsneroeanip for ohcanleirtl ilpa.sisr seBt gnosiidas ofr tish is a eucsml yio,bps as hte oywmr esilk ot ugotanh withni the .lsmscue

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sympathetikey  'atTsh hawt uoy tge ofr kgiilnl olapr e.sbar +98
dr.xx  'aTtsh htwa oyu egt for nto okgionc emht l.elw +8
charcot_bouchard  hreesT hionntg cellad lwel" ocdoek opalr aebr t"ema +2
jbrito718  ufn f:act Cna egt vtinima A ciixttoy fmro intega laopr eabr taem whchi lsead to lfata nifmnaltu septt!iaih +4
stresssweat  uyllacta ogt tihs queonist griht as a eulkf cb i desgeus nitamiv A ctioxiyt ued ot lrapo aerb tame dnlieag to esumlc gmadea +


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 +10  upvote downvote
submitted by โˆ—neonem(630)
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trnpaApyel cliahrltine iles rnauod ni cmleus fo all fo teh nmrdao ictxeo ainlsma hatt tmso opelpe dwloun't mylornla e..a.t igsthn iekl ,arbe dlwi proork/abs (elki ni Sykchte icM,r)o gbi acs,t ex,ofs dosg, rshso,e sa,sle rsswla.ue In caes uoy edende neoahrt snerao to ton uhtn nda sonmceu ehtes alminas?

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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


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 +3  upvote downvote
submitted by โˆ—hungrybox(1277)
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.vs eggs )a(vo in sotlo โ†’ so*o,orwHkm racAsis

vs. aerlva in ootsl โ†’ lSgsotdyoneri sscirarlote

s.v hoccst eapt estt โ†’ E rlaecmrsiviu

mowshkoro โ†’ tNacero ucnireA,sam acoAmonltys eduaeodnl

uoce(rs: hkt)yces

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 +2  upvote downvote
submitted by jucapami(14)
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ibclilw//oit//g:ittlsict/hsoh.pnorssschgv.mydetla.aorpwew hrtow nkaigt a oo.lk

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 +0  upvote downvote
submitted by โˆ—bharatpillai(40)
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Jtus ddgian n-o aryX fo eralg msclue gposur uwlod plhe ni iasiognds of scoicsyistcre icsen tscys ear ,ciicfdeal in htlaiinelrc ehyt aer .tIon nitkh i'm het oynl eon how gto sith orwgn /:

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misterdoctor69  bMyea ,so ubt I khint thta if we etg yan qsnuotise nocgnicren scot,siicsecry it louwd be sycsren,seooriuictc os duy'o od ibrna igimnga .dsle.,nydatan. iiotAild sa rpe the DCC: sumcle riscyccoessti is yaulusl ?rdennne:to ayfte/.n/owesdtawgwosgch.t/es/p/aicirnccs_srqtfhsi/io.vtpscl:m +
brs  I hknti ervoynee how hsa ehwdcat seoHu D..M S1 E1 gtse a eahccn to kaem ti onrw.g +


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 +0  upvote downvote
submitted by โˆ—haozhier(23)
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wHo do ouy gsuy onkw auotb shit? I sohce ootsl Pmn..d&O;aa.p lsmuce bposiy is ont noendietm .w.reynha.e

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misterdoctor69  Shytcke imroc! +


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 +0  upvote downvote
submitted by โˆ—madojo(212)
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FH&oapp&sca44osrtsdQ5ttuir:misxUe.um/noFieadecos29=maoeltiYfdmtp-3p_1%h;ldasteh26-mr-2i-rl;-uE/&-Amu=pmQdh4am27sUuln8muygpo0sum/aa-iiwityecc8bNlF-pecsorsrpaaotWiuv9rtrieaa;s-rnv-0;Fa2latoutngostmisgptwe9gb-M2npZlt-cwos%o;12ccMiAK%&n=NIicnaodaeaesrBr%m5locgmm&5usm;dgamudire7i1sXxrd3z%el=slac1y0la&aarkcs;noi.esA4gh-t=2=rErJ1hri&--jDslipOo;-%FRpe5vreaicwlEBGq11wesQioewprn?.hmtie-FnsiAra5a=awiA8-sam=naVja1tea0Dlcmcg=Y&r-7mocsaeBtb6elku

CTHSEYK tlrienhcal isslrpai gip (nca be rpalo earb ot)* o oudrn alsssge tg;-&- eprio btaoirl deseimnegaw at dan egern invuroom td ngshit on swall t;=&=g sfrmo tycss ni adrtesti ulscem os( ofr sthi oinsqtue sakme esnse taht you od ulscme )opiysb eirf ;&t--g imnnliaofatm fo hcieimsol enlupso unlresag --t;g& non ecpsiicf sa oyu can ese ist lla ervo isht eagmi os tis ofr nmya dneeifrft ytsep fo odatnseem

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