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Retired NBME 24 Answers

nbme24/Block 3/Question#22 (reveal difficulty score)
A 32-year-old woman recently diagnosed with ...
Epstein-Barr virus-induced brain lymphoma ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: neuro repeat AIDS

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 +7  upvote downvote
submitted by โˆ—lsmarshall(465)
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I thgtouh hsti asw a icktr enqtiuos ensic ikns ansecrc rea teh tosm ocnmmo yetp of cnsreac areovl.l Btu aaclytul gmoan HIV psti,aetn HdVIrtelea- ncasrec era uhcm eorm oomncm than enonI-dre-tHlVa eacrcns ev(en ikns )rcane.cs icVuddBEn-e airrmyp CNS mpaymolh si het nloy ntipoo ahtt is sinIDenifg-Ad /c.cnnlilersase

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medskool123  yhw nto phe B? i uegss ranohet tawhs the etterb sweran .on.s.e Jtsu emr neiradg hatt ti saw rmoe nmmooc itwh sdia ts.p. nnyaoe have na aeid uabto s?hti +1
haliburton  Y,se I itnhk CSN hymlpamo as an SDAI ienifdng lnslsei swin het yd.a M y ouhtthg asw seinc ESH sah IDAS ti is mots yilelk mrfo V,IAD ichwh sha a ihgh skri fo VBH htat lucdo go oanusenigdd orf a olng meti. ta 23, atht gmtih ont be nlgo ohgune to vahe BHV adn gte CHC but( iwht on imumne t?y.s.m.e)s +3
yotsubato  God andm shit si shuc BLL.HSTI.U. +15
trichotillomaniac  hyW oyu tgoat od em idyrt liek this EBNM +2
sars  My ghtuhto ssepocr, lsyualu grwon all teh m,tei was hatt VHB VDIU)( nac ocurc to nnoyea. cueAt siteiahpt ot iChocnr rocusc enwh VBH eoacniosptrr sti NDA oitn htos and slerasee actmuigne i.ptsnroe siTh si rgasesedrl fo rsueuisnmoo.pimnp yrmaiPr NCS hapmoLmy prsrpaeae rayriimlp wnhe ouy ear susimmrsppeondue a(rngo aln,asrnptt mmcyfeiiceni,nudo .SI/VAIDH) +2
syoung07  peH C is afr meor ykeill to bemcoe CHC hnat hpe B +2
jurrutia  vEen if yuo weer knginhti knis raeccn is omer comm,on tsah't onyl retu fro sbaal lcel dan qusua.mos lnemaMao si earr. EVB hcum rmeo kielly ni siad .antipet Eenv H olyrpi wsa a ettrbe ewans.r +

  • Lymphoma in patients with AIDS can take on many forms, but primary CNS lymphoma is common.

  • It often presents with seizures, lethargy, subacute memory loss, and headache. Physical examination may show neurologic deficits stemming from structural disruption caused by the location of the mass.

  • MRI will usually show a dominant cortical mass.

DDX * Multiple lesions distributed throughout the cortex would be atypical! --> HSV enceph or Toxo


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 +2  upvote downvote
submitted by โˆ—krewfoo99(116)
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VEB srivu fcnioinest B sl.cle As a esesoprn eetrh si treaivec pscioshmyyotl (ioneporifltra of 8DC+ ociytoxtc T Lyemtpyh.osc) nI HV,I oyu ilwl haev a aeerceds in HT eclls inegdal to ceseerda in DC8 T ec.sll hTsu BVE will irerapfetlo rmoe erefly sa eht eimnum prseneos wadsrot ti C(8D ell)sc rea nbld.tue hsTi is who i ogt ot hte rwans.e

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