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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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sMuecl napi + brieaptirlo meeda is a cclasis otnepnaseirt fro lehlcrtoain s.isiarlp Bste oaissgidn fro hsit si a lusmce o,sybpi as eht yrwmo klsie ot tohanug iihtnw eth ss.ucmle

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sympathetikey  Ttsa'h tawh uoy etg for lglinik oaprl ebas.r +98
dr.xx  ths'aT hwta ouy etg ofr not ocnikgo tmhe well. +8
charcot_bouchard  Theres ngotnhi ealcdl "elwl dockoe arplo bear ta"me +2
jbrito718  nfu tafc: Can teg nvitiam A otxicyti orfm aegitn lpora aebr aemt whhci selad to ltafa utifnmanl ttiapis!he +4
stresssweat  uyltlaac otg hsit qsoteuni rtihg sa a kluef bc i sgeseud niitvma A xtiiyoct eud ot rplao bear tema galiedn to ulecsm dgemaa +


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 +10  upvote downvote
submitted by โˆ—neonem(629)
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plrtAyepna ricnlatleih iesl oraund in seuclm of lal of eth dramno oetxci salnima htta mots pleepo o'dwltun anyllrmo ..tea. ghinst lkie a,ber wldi aorkpobrs/ e(ikl ni ehytckS ,i)crMo bgi ,acts ofsex, o,gsd ehsor,s ,sasle ssaulwre. In aesc oyu endeed hrtoaen noarse to otn htun adn oeunmcs seeth m?anlais

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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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s.v gges v)a(o ni tosol โ†’ omoos*r,wkH asAsrci

sv. aealrv ni oostl โ†’ ieynolorSdstg srosailetcr

s.v schtco aetp tste โ†’ E irmaurilcsve

hkooormsw โ†’ cNtoera esiu,Aanmcr omAlyscaton uelnaoded

er:sc(uo )eykcsht

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 +2  upvote downvote
submitted by jucapami(14)
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lsha/g.ygciti.:l/cscinho/itemolilrhst.tws/osdobtwep/vpwrat whro tiangk a l.oko

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 +0  upvote downvote
submitted by โˆ—bharatpillai(40)
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tsuJ ddigan -on rXay of regla uemcls pogrus ludwo eplh in sogiisdan fo sosrcsictyiec iescn sctys era f,edlcaiic ni alhlciirnet they era ont I. tinkh i'm teh lyno eno owh gto iths orgwn :/

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misterdoctor69  aMbey s,o but I itnkh htat fi we egt ayn uinseostq inocnrncge sicy,ceotsircs it owuld be scnscs,ioeoicrutrey so u'ydo do bnira nigmaig d sltoien,.y.litdaanA.di sa rpe het DC:C luescm ocseccrysitsi is yausllu n?nondtr:ee /ml.yshos.ieei:/tcosc/hctiwwtdnprwps_gafcqeagvtato/ssi.sf//rcn +
brs  I nikht eeoevnyr woh ahs wtdecha eHsuo .MD. S1 E1 estg a eccnha to meka it on.rwg +


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 +0  upvote downvote
submitted by โˆ—haozhier(23)
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How do oyu usgy wkon otbau is?th I sceoh lstoo apPd;.a.Om.n& eclsmu syopib si otn nediomnte yeha.erw..n

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misterdoctor69  thkySce omi!rc +


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 +0  upvote downvote
submitted by โˆ—madojo(212)
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aaa%g-Ussa.amiph2nQ=aQF-/;5ykctihFeesdcmrin3fuiMrp4osielpstjGim=ri;ro5K-lnmorsIdaokqusm=epowctt&tE4aoBas;wiEss;t6tle9ga79arpm-;wcr-wwcli;/20u-8ps2su;g2%c3nomtmcalp-==rua&Aw4s1JZcaUesdmsAr-a1vi2tgrYOlc01&emvhDa=/c-g%rMiup5tzts%uor0laie9c=21No7slatn5r.gbilbrRomtoHme-0-ra%not&AmsmgFs_mBXse%i-&8g;oa1embdo2i4-58lsioer1drnaDo&p.h17huemFestteiaAr=eEFrrcasl-VpaiFeiwicBpl?ssluiahNuxcpd-uyic:2u&mdpotW&a6aonrAtc-ede-ee--alnaenn1iaayjlYm=mdvQx

HCKTEYS hrilltcnea asipisrl pig nc(a be lapor arbe )o o*t ndoru esalssg g&-t-; irpoe batilor asme weedtaign and ngere o mtinoudrv hgtisn no lwals &t=g;= rmosf scyst in tasdrtei ucmsel so( ofr hist itsuneoq kamse eness atth uoy do scmeul yosbip) rfe i &-tg;- mnnloamaiitf fo ipnsluleco eimohs unslaerg ->- non esicicfp sa uoy can ese sti lla ovre tihs gemia so ist ofr myan ftirfeedn tysep of dteenmaos

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