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NBME 20 Answers

nbme20/Block 2/Question#14 (reveal difficulty score)
A 23-year-old woman has had fever, ...
Streptococcus pneumoniae ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: micro

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 +7  upvote downvote
submitted by โˆ—chandlerbas(118)
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oHeew",rv in the e,yars teh raciblate prtenat of ptmyoecnsle isesps hvae enbe .nhigngac heT mtso aprnimott tadeulpsca hnpotgae is pcScortouesct uiepnmnaeo .rt(S )Poe,ennauim utb alpsHoeihum nlnfziuae z)Ie(nlanH.ufe dna aiersiesN ngseditimnii (.N dtsig)inniime aer olsa tsa.gcnfiiin In a yusdt fo 639119, ngorperti 934 dsiesoep of ipsess in eatnstip whit i,nlapaes 75% of esfnitcoin and 59% fo ehsadt eerw aesucd by .trS iopa.ume"nne t.:ihginh//wp//mlmP.oi6ttaswp1cn.rcbnCc/0/vels7M.4w21

ehlnstyo i ertid ot nfdi daat to tsruopp liEC.o ro ayn gheirh irks fo grma - p,ssesi utb uonpme si still emnruo nuo

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fatboyslim  AF 2200 geap 681: scAnepil petiastn (.S ;otpuneiaengtg&&m; H. ailfnnezu ;&tg .N desin)tinimig +2
utap2001  aybMe (raGm)- caiartbe rea mroe ysae to ducnie .sipses tuB iccnergnno of ru,qfceyen .Stepr inaonempu si mots omnocm ni nelaapsi rntsteiaiorertpp(ay i.onasitmrssn) +



 +5  upvote downvote
submitted by โˆ—yotsubato(1208)
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hsiT unteiosq is thlil.sbu hTe anomw ludwo tsom lkilye be vctendicaa to rtSep epmuon, asleilpyec fi hse dha a enepymo.lstc

E oicl is laso an etenudcsplaa crbtaueim ahtt ssauec a,nnemipuo os tath is moer kyllei IMO.

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sugaplum  I raeeg whit ,yuo only ospslebi olgci rof ither newsr:a h et fruaiiqel iscnaepl saemk eht h"S"NI eahtosnpg eomr eklyi,l neve gohuth Elioc nac sucea magr nteegavi sesips nad DC.I AF 1902 gp 712 s oAl it ssay s peuomn sucaes sspsei siclpyfilcea in eclnispa tenpitas Pg 361 +1
lmfaoayeitslit  To eb eotn,hs eth loyn noreas I got iths htrgi eebau(cs I eyllar asw nhikingt E.ioCl sa l,e)lw is ttah I dndee pu gmbenmeerri het PMSO tarp fo het ckhtey,S dan I co'tuldn memrreeb fi he isda tath ti asw eht rnbmue 1 aseuc of all fo mhte ro ,tno adn eednd pu gnlkciic ti. 'tsI tytrpe sityth thye tdo'n forfe posxninltaae fro .eshte +
merpaperple  I gtthhuo sthi oto tbu it essme elki ptSer emunpo si tusj oemr alcyscpiielf atasidsoec whit etoifnicn ni eaienip/lsksclc llce ipatsten athn .E oCli is. tJsu oen of tsohe lsicsca ainistscoo.as ehrseT' a ecsikl ni eht ychktSe trSep nmuepo sh,kect vs. on lescki ni teh iCE.lo esk.htc +1
drzed  E. coli uescsa inanuopme by snipa,riaot fro hiwhc hist tepanti dha no skri acsof.rt oFr ULMSE, if yhte 'dnto yas hte ttpniae is cvcetaa,din ouy acn meuass hety are .NOT utsJ suecabe hse has a osriyht of lepyesnomtc olliwnfog muaatr sedo TNO eamn seh had ot eenb davto-anciendt-c' llfi in eht ristyho for the piatnt,e onyl eus hte oifntiaornm hyet eivg yuo. +1
vivijujubebe  slao CID mreo nfoet enes hwit -G aecbirta gt?ri??h? sTt'ah hyw I schoe i.Eclo adsietn fo uS.minaopen +3



 +2  upvote downvote
submitted by โˆ—monoloco(155)
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cEatsdenalpu rmgsniaos nur prnamta in nttipsea who aevh on eslp,en werhteh ypclhlysai or liul.onaytfcn l(eRacl het ara-weydri of eqsaulea ecslik elcl enastpti ereeeipcxn stakhn to eihtr ufioltancn ym)naepo.stectulo

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sympathetikey  dgAere -- twne wthi E. iCol leki a d,isugn tusj escebua I dnd'ti aeosatisc ICD hiwt .S unm.ePo ouTthhg ti saw oto ye.as +
chillqd  'ntsI .E liCo aslo an eaaunsdtclep gsan?rmoi tWah smake eSptr peounm emro ekllyi in htsi oisuntqe jtus escabeu sit het mroe mncomo e?ascu +28
studentdo  Psoamuedons arieunogas si dutelanescap as lew.l I kithn eth ihrgt wesran has ot do thiw DIC but hwy? +1
mgoyo89  The lony ansoer i noudf was .S epumon is remo nmm,coo I wten hwti sonueadsomP ubeacse of teh gliohwvnree"m "sisesp :( +2
kard  eenyorvE is rcrceot uabot hte aauspcneEdlt iercmsob, tub hsti si oen of oshet fo TM"SO "YLLIE,K d na yb raf teh mtso iyekll si u;ing;gm&g&M.&nfiNePo..;tetnStlHn.g toiintm(g htta ttianeps itwh soyhrti fo setenplmyoc utms be cavtdanei.c +2
djinn  amGr teivgaen era ermo mcmnoo ni CID ym neifrds +2
drzed  erotCrc me if I ma ngow,r but I am eypttr user taht .E oicl si ONT a nocmmo acuse of penmuinao cebusae it mstu eb iedaasrpt to netre teh g.lnu T,ush ylno nsttaeip tiwh niritpaosa irsk .g(e. s,ortek uecoegninr inoitdcnos) wulod eb at a nchcae fo ngtegit .E iloc aennu.ipmo +2



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