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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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scMeul pain + tpaloirrbei aemde is a assilcc eprtnasitneo fro tircahlleno lr.sispai seBt dosisgain fro hsti is a scemlu ypbsi,o sa hte orymw sekil ot gonthua ihintw teh sse.lcmu

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sympathetikey  atT'hs hwat oyu etg for ligiknl lrapo rbe.sa +98
dr.xx  t'Tahs wtah you teg for tno oigcnko htem e.llw +8
charcot_bouchard  sheeTr tnoingh lclaed ll"we dokceo roapl bear e"tma +2
jbrito718  nfu :tafc Can etg taiimvn A ttcioxyi orfm etnaig palor erba amte hiwch lesad ot atfal afnlnimtu ishtiapet! +4
stresssweat  tculyaal got sith tuisoenq trgih sa a ueklf bc i dsgesue aviitnm A oxyittci ude ot oparl rbea mate lnaidge to lmcues edgama +


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 +10  upvote downvote
submitted by โˆ—neonem(630)
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Anyepatrpl icilnheratl slei raodun in eumscl of lla of eth mdarno oxetic slaimna taht otms leppeo 'wutolnd mnolryal a..te. istnhg liek b,aer ildw o/prsakrbo ik(le in khSecyt r,)Mcoi big s,tca e,xofs ogsd, hr,ssoe ,saesl aules.rsw nI sace uoy neddee rtaenoh snoare ot nto htnu adn mesunco ehset il?ansam

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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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v.s sgeg aov)( in oostl โ†’ ,skoowor*mH sacsiAr

s.v lraave ni oltos โ†’ rlyetognsoSdi olaertsrisc

v.s oshtcc apet test โ†’ E vmiseiralucr

moowkhsro โ†’ rNcateo uAncmisaer, mnooyalAsct laoedendu

r(ous:ce eh)tycsk

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 +2  upvote downvote
submitted by jucapami(14)
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.tisrpa/tcediwce:i/ln.tlo/hh/pob.illsmvttoigacr/hsyswgsowotrh w inagtk a klo.o

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 +0  upvote downvote
submitted by โˆ—bharatpillai(40)
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tJsu idagnd no- Xyra of rlega mesclu sgopur wdlou plhe ni ianoigdss of tsicceoysrisc seinc sycts era ifdi,ccela in acrltnheili teyh rea n.I to tnkhi i'm het oynl noe owh got thsi norgw :/

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misterdoctor69  Mbyae o,s utb I htnik ahtt if ew get yna ossueintq nonccgienr sciyso,setcrci ti uwldo eb trysscecieui,rcosno so 'ydou do ranib gmaigni ,ait..adeidl lntsynA.oid as rep eht :DCC cmusel ecstyisrscico si sayullu otd?nenenr: dw.shgtrwnc.t_yasccnofwit:ssei/scgls/esrav/feichm/.toto/apq/pi +
brs  I khtni neoveery who ahs chtwead uHoes DM.. S1 1E segt a ecahnc to keam ti n.ogwr +


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 +0  upvote downvote
submitted by โˆ—haozhier(23)
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How od you ygus wkon uabto ih?ts I eohcs oolts OPa.a&;dm..np emculs iyposb is nto mtoiedenn eyn.ar.w.he

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misterdoctor69  yekhtcS m!crio +


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 +0  upvote downvote
submitted by โˆ—madojo(212)
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sareca/tetlUEm-=;ylmwe=c&aFr;%-mxsloimcaN;uzpdQ0wwr=12-cZe&egdoloimcc-tou7gats5dr-3=le2iis6ipatFaosFt&dpoam&8;rdi4e=olgcb-ath-suam-m-?mpu%ha96t.uoe-Beos5tmi-cu-rir2arawVun4arlstp&c1iei&Ugc&urpiha0nneY4D-smsKmao2slvMrX;ui%pjo8stp/iilfneIa1;sa:vAeE&5p;a=tmxy1rmiFBsto4YsD2e.gltdcmb1o_Aima1-/wNeh1raquu9r=yeoimnAsseas%raisncBolhl-dMnkj2-nbe0ahRtri5wpmr=aiau;rslA-oa3JpkentgGc7crod8s%5AlQggWwcpFmr%FEmeH=7s-9coQ1stsdr0nnaa2.e-il2iepasitOva

YSTHKEC lachrletin sirliasp gpi c(an eb oarpl eabr *oot) onrdu gsasels --tg;& orpei lrbiota geaedteni msaw dna nrege oinvmrudo t itshgn on lalws &=;g=t sofrm ctsys ni etsdiatr elcsum (so ofr hits qesouitn semak snese taht uoy do eluscm ibo)psy fire ;&-g-t mofimnainlat fo nol lioispsucehem elurasgn --g;t& nno cpfcisie sa ouy nca ees sit all revo htsi ieagm os ist orf naym endifetrf eptys fo nmodtease

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