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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 tthghuo this swa a ikrct iqsneuto cnies iskn canrecs era hte tosm omnmco tepy of srecnac .rloeavl Btu yatlclau nogam IHV pnseti,at ar-edIVHtel nreacsc rae hcmu emro nmocom anth ra-odHteIn-neVl nccraes even( insk csnre.c)a diE-uedBVnc iymaprr NCS omyalpmh is eth loyn iponto hatt si gAdneDIsiif-n c/csalreles.nni

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medskool123  yhw ton peh B? i sugse teanohr aswht hte rbttee saewrn ne.s..o Juts rem aendigr taht ti aws remo noomcm iwth dais s.t.p aenyon veah an ieda uotba i?ths +1
haliburton  es,Y I nktih CSN lympahmo as na SADI igfnedin esilsnl sinw eht y.da yM hthutgo was nseic ESH sah ISDA ti is tsmo llkiye rmfo V,DAI hihcw ash a hhgi kris fo BHV that ludoc og noeiduasgnd for a ogln etm.i at 32, htta himtg not be gnlo ungeho ot evah BVH and gte CHC (but whti on meumin s..m?ste.)y +3
yotsubato  doG nadm shti is uhcs TS..ULH.IBL +15
trichotillomaniac  Why ouy tagot do em tyidr like thsi EBNM +2
sars  My uhogtht sp,screo llsuauy orngw lla hte imt,e aws thta VHB IUVD)( acn uccro to nnyoa.e eAutc iitetshpa to Ccinroh scocru newh BVH naorspcrteoi tis DAN toni htos nad eesaserl atgiumcne n.repisto ishT is dseesrlgar fo esnmpionrpmusuio. yPrrima SCN yomLmaph appersera lmyriarpi hwne uyo rea sepnesordmspuumi oga(nr ls,ntaprnat iemundiyeomnifcc, IDA)./SVIH +2
syoung07  peH C si rfa eorm eiykll to boemce CHC hnat peh B +2
jurrutia  nEve if yuo eerw hnikntig kisn carnec is more oo,ncmm 'thtas nlyo tuer for sbala clel nda uqao.smus lMenamoa si erra. EVB chum orme ylelik in disa ti.tnpea nEev H yriplo asw a rtteeb esarwn. +

  • 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



 +2  upvote downvote
submitted by โˆ—krewfoo99(115)
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BEV iuvsr ienosnfcti B l.lsec As a roessnep there is tirceeav yosoimlyhtcps ptro(roliiefna fo +8DC ttiocycxo T ysmL.cptoe)yh nI ,HIV yuo iwll aveh a acedeser in HT elcsl agenild ot eraceesd in D8C T .leslc huTs EVB illw opefilreatr eomr ylefer as hte meimnu nrpsesoe wsotadr ti 8DC( e)sllc era unedlbt. hsTi is ohw i gto to hte reaws.n

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