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Retired NBME 20 Answers

nbme20/Block 3/Question#36 (reveal difficulty score)
A 4-year-old boy has had fever, abdominal ...
Shigella sonnei 🔍 / 📺 / 🌳 / 📖
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 +14  upvote downvote
submitted by louisville(12)
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yenetMeb-uellh inedsat clafe erams lveeder uumoners enurpitohsl u(bt ont any mnir)ao.sgs eilSgalh si srlcleoso nehw tsiande hwti leeheytmn lu;be E loic tsains uebl twih lymtneeeh bleu cesbeau it emnresft easlco.t

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sympathetikey  E. lcoi sntias geern sut(j fyi) hst,rweeio petrfce. +14
chandlerbas  ynlo E icol nastsi rne,ge all hreto aectslo rteeefnmsr stnai lkceprbuap/l uj(st if)y ehwesior,t ft.repce ); 41 F4A totmbo +5
dmotav  I kthni ihst si cyalutal a eatrpaes noepcct – E. olci satnis lticme"la erne"g on neiso nleteyemh ulbe ,arag which si ni eht E. lico yechtsk nad ftsir a.di voeewrH sthi ineusoqt si eigfrenrr ot the yeelthemn bule etts no a claef ms.ear oFrm wtah I acn aht,reg itsh tset wlli be vpoiiset t(neddciia by rpeeecns of elnhrisotup) ni seasc fo sianvevi ediharar ..(ei lealgi,hs olae,amnlsl tahcohrigoemerner E. c)io.l eTh tste llwi eb eniteagv n(o lhi)uesotpnr ni secsa of eirdhara cdsuea by iosxtn haclor,e( gtitrniceooexen E. lci,o gradii,a iarvl e.ra)aihrd So neev hgthuo E. loci cna rseeptn wthi elafc NPsM fi( 'sit het tnerrhaeeoicmhrog )t,epy I ussge tsath' esls llikey nhta ue?roc:ageilslhs unh4wg/b/t//4hem15vi.:5woln..pdt.ws4inbcm2p +8
srmtn  eoccrtr dotmv@a, Eonsi heeneytml bule aarg is neftdeirf rofm nMelyeht lBeu satni hhwci sutj ohws neecserp ro tno of ue..sejstluc t.yoc dera ae c:Fislht uocskleeyt can be edsvrboe in htsoe iwth teh nwgoiollf ndocosniti • llnmlaeaSo •ofe stiinnc lilhgSae •oneisfic nt lUeacviert tol•i csi ’onCshr eLudetkoeeicasssy wlil be ntseab in falce almssep frmo ehtos iwht Gadi,rai .Eoicl or ivarl nnsoeitifc dna asol ni aessc of odof igpsninoo. +



 +8  upvote downvote
submitted by ∗monoloco(155)
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I hintk ilagSehl si the msot apar,orptepi sa ti is auyllcat edradreg sa lghihy rayotmmai.lnf ,esY .E coli cna eb fo het T/ECCSEEH aeritvy, tub E. lioc ludoc lsoa be fo eth ETCE iaevrty or teverwha ohret strsnai ti ha.s ,Eogr E. olic yma eb llusabep,i ubt ti is not eth os'tm k'y.elil lhBe to seteh kdsin of ntioes.qsu

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jcmed  hTis is why I kdiecp sthi eno eeucasb fo het ucoimd sloryot/sinaftlmmao unrate :) +



 +8  upvote downvote
submitted by ∗neonem(630)
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lhilgeSa scusea na lifotraamymn aedir;har it oupsdrec a tnxio nda can avedni ituess cytlri.ed In i,dtidaon ti si intarstes ot cda,i os it ahs a rlcyaelhicctaiarts wlo fivcetnei esod ~0(1 sognasrm,i) wchhi ltaisctfiea tsi ala-cfloer op-ooe(prrt-s)enns rseadp llyecseipa in gstestni hweer ehyigne yma eb sriemm,odpoc usch as in crayaed or isttiilnoanut nu.isgho It nac eb edefifnadtetir frmo .E loCi HEE)(C sabceue E Coli tos'den eavh as hmuc seosn-rtro-eoppn rsedpa nda lnyo essacu GI agedma by hte kseil-iagh tnx,io tno citerd sonavnii. Teoeehfr,r EEHC du'wnotl teaiaiclft as rosgnt fo a cphrliteuion srspe.eno

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yotsubato  I dassemu all het sdik ni eht ardycae adh the amse ncuhl, tshu otg food ooigp,insn hsut all ogt HCE.E +5



 +7  upvote downvote
submitted by ∗beeip(141)
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Aarpt fomr hte nlei ni AF ncnrreefige MPN iftaeitrnl in laleSgih, terhe si no awy to reeatfnifdtei erhe etewbne ti dna E. Coil. ahpeC .hots

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merpaperple  sA bets I nca dr,uandsent ahtw htey rea girnyt ot get ta is ttah EM"B tnisa onhiwgs nlpiuteros"h g-&;t EMB" tnais NOT oinsghw ns"sogmira &;-gt orme llyeki ehaillgS htna E .loCi If a escipla uecultr fro na aisomngr (e..g EBM rfo .E Cil)o oshsw on rnigmsosa tbu nloy rafmnamtlioy se,cll e..i hlrponuitse, that nsema atth niogsram is nto enpstr.e If 'thsta teh itnpo here 'its dkni of a ckitr t,seqniuo as ew all odulw ahve otegnt it ihtrg fi tehy had jtus sida "MEB dohwse no imongs.s"ar I gesus het tayeaakw is taht teh pinto fo a lasicep ectuulr is yrianb - ouy are oiglonk fro a ccipefis ngiasm,or nda ti si eethri hteer or ti is'tn. +1



 +6  upvote downvote
submitted by ∗groovygrinch(39)
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eikL aymn r,eeh I aws enebtew .E loCi and Slegahil utb wnet hitw lleahSgi seeaucb of het aayedrc cnrtee tr.isohy I aaiecosst HEEC E. oCil thwi abd gruber meta nad it eesemd klileuyn ot me that hety oldwu be ngipwiph pu buegrrs at het yceraad Ulusa(yl yvoeneer igsnbr eihrt nwo nuhcl to eyrd)aca .

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 +2  upvote downvote
submitted by ∗feralbaskin(2)
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Sahilegl is eht otms illyke aclaus garmniso vore .E olci eud ot eht evnegtit piscleacflyi iatgnts eht tiantep sah adh blod"yo DOMIUC osolts iwht sne".muset

Page 144 FA 9120 IG foeits:tmiannas rFv,ee mypcar onabliadm iapn -;&tg ,ussteenm loodb dimuoc osltso rca(lialyb )trd.eyynes

elaePs rtocerc em if m'I gn,wor but I 'dnto eebrrmme ehkcSyt intmigonne lyoobd duoicm olosst for .E iloc dan that eitdla es'ondt eems ot aeppra in FA.

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meja2  nhTak uy!o I tdi'dn cahtc teh oobly"d iumdco sl"tsoo feer,ernce dan eys yre'uo r-gthi .E oicl uwl'dtno aevh hsti serttpnie!noa +



 +2  upvote downvote
submitted by ∗step1soon(51)
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sOn MBE ,arAg delsaoti eoonlsic of cinmnltfroese-egta eartbaic apaper wornb ot alck-lebbu ni .locro iEchsaihrce lico paesapr as ea,lgr leb-ukcbal ,ioelonsc eonft wiht a neegr emltcali se.ehn tbEtnecerrao pps. prenest as rwbno ot elklbauc,b- ucmdoi sonceoli ihwt on nhes.e goinae-nc-rtfNetensmlo ,sielcnoo csuh as alhlgSie p.ps nad llmealoSna pps., paepar nrrntesaatp nda o.sleolcrs

We ylacbalsi endeed ot eaeltrrco atht → on snosargmi nsee btu ynol rptleuonhsi ot bengi a aslctoe rf-neroonment am.orgnis efohereTr hte neswra is gSlehali nda otn E ocil

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 +1  upvote downvote
submitted by ∗an1(114)
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teh dihcl wsa in a rd,yeaac ioenns dan uvoriasrt are eht sneo ot keep ni i.ndm enions can laos be eud to nhesadwu evgeisg to.o nda het famraylitonm ootls u(rlopien)hst soal cinstdiae ionnes. teh kcal fo rexpouse deoek(uonrcd tmae ofr EE)HC peslh to erlu uto Ci.E.lo yrtdi aertw ETEC( nda )EECI rea'tn seisbplo usecbea fo ihst sdik oobdyl olost. Also ofr isth to eb SUH (eht loyn olispbes ClEo.i hiwt olodyb eiadha),rr we lsodhu vahe esen eht dtari or at least omiesnthg tobua ti m(aeian + ntpyroemhtooiacb + Aetcu aenRl ).f.sfuIn s,Aol comdi"u os"otls is rithg frmo the AF rchat rfo halis.gel

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 +0  upvote downvote
submitted by whyisthis42dollars(1)
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.E cloi t'nsi an lonrmaaftimy rhaedr,ia lSlghaei is (inhkt ackb ot the mlesaf ni eth kehtycS i)voe.d hTta aoenl is nguoeh to eurl otu E. ilco orfm nwsrea hcesoic.

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 +0  upvote downvote
submitted by ∗beetbox(6)
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Cna noomsee elhp em ot?u I eohcs i.ClEo oto, dna Im' oto hktic to rnndtdaesu the enscmotm eh.re hTe nieuoqst sida cfael earms ton aepscil gara elcuurt syiewd.h..hs aer ew gnlktai aotbu tnsia sorloc? and why owdul eynmtlehe lbue tsanedi cflea aersm show on noir?smag I ttugohh tylhemeen eblu sisatn jsut obtau yna sllec ahtt sha NNDR/.AA If eht utneioqs is gtniyr to tlel su ttah rtehe eerw ON ORGNIMSSA nsee in eth s,arme yhw uowdl alleghiS ont eb ee?ns sI ti beeasuc lSgehlai endsvia csell dna icnrosdede orem tcrnieaulllra nhat l?.CioE

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topgunber  i itnkh E. oilC wlodu eb ibielvs on a etmlnyhee uelb nitas rn(ege s,atni) i'm sgiumasn isaleghl si ega.oinetrvvii rsoiluaceyhtmpa ssauec bdooyl rdhieara eiukln aercolh tub mi negssgiu tsi nwogr cseubea ist mfor o.dasfeo algiheSl nad c. ejjuin ear ocommn in the eastts es(am ithw e oc)i.l sueacBe yonl rhopeiultns rewe enadtsi ew vahe to smasue ahtt tis otn e ciol. +



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