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Contributor score: 61

Comments ...

 +24  (nbme23#15)
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anaMentncei dsoe flauomr is (Css × Cl × a)tu ÷ F

ewher ssC si attyeasetds- rgaett lsampa .ccon fo rgdu, Cl si ca,elrncea atu is gosaed avnrltei m&p;a F si aaaiiv.biyllibto

tihreNe gosade nvaielrt onr olatbiaviiiyalb si ,vgein so noinrigg eoths ma&;p npgiglgu in teh mnuresb reaucfl( to rcoetvn tusni to m:a)y/g/kdg

1(2 = gumL/ × 1 0g/00m1 u)g × .090( kgrhL// × 1000 1/mL L × 24 /rh1 ady)
= 259.2 gk/mdgy/a

h.wc.ih. isnt' yna fo hte snwera csehcio l.itesd Tyhe sumt vhea rnuedod 00.9 r/g/hLk ot 1.0 ,ghkr//L dan dnoig os gisve ateyxcl 2.88 admgk/g/y c(iceho )C

lispectedwumbologist  That's so infuriating I stared at this question for 20 minutes thinking I did something wrong +53
hyoid  ^^^^^ +11
seagull math never worked either. I also just chose the closest number. also, screw this question author for doing that. +6
praderwilli  Big mad +8
ht3  this is why you never waste 7 minutes on a question.... because of shit like this +8
yotsubato  Why the FUCK did they not just give us a clearance of 0.1 if they're going to fuckin round it anyways... +14
bigjimbo  JOKES +1
cr  in ur maths, why did u put 24h/1day and not 1day/24h? if the given Cl was 0.09L/hr/kg. I know it just is a math question, but i´d appreciate if someone could explain it. +1
d_holles  LMAO games NBME plays +1
hyperfukus  magic math!!!!! how TF r we supposed to know when they round and when they don't like wtf im so pissed someone please tell me step isn't like this...with such precise decimal answers and a calculator fxn you would assume they wanted an actual answer! +1
jean_young2019  OMG, I've got the 25.92 mg/kg/day, which isn't any of the answer choices listed. So I chose the D 51.8, because 51.8 is double of 25.9......I thought I must have make a mistake during the calculation ...... +6
atbangura  They purposely did that so if you made a mistake with your conversion like I did, you might end up with 2.5 which was one of the answer choices. SMH +1
titanesxvi  I did well, but I thought that my mistake was something to do with the conversion and end up choosing 2.5 because it is similar to 25.92 +1
makinallkindzofgainz  The fact that we pay these people 60 dollars a pop for poorly formatted and written exams boggles my mind, and yet here I am, about to buy Form 24 +11
qball  Me after plugging in the right numbers and not rounding down : +1
frustratedllama  Not only do you feel like you're doing sth wrong but then that feeling stays for other questions. sucks so baad +
fexx  'here.. take 50mg of vyvanse.. I just rounded it up from 30.. dw you'll be fine' (totally doing this with my patients 8-)) +1
cbreland  I was so close to picking 2.5 because I thought I did a conversion error. 5 minutes later and still didn't feel comfortable picking 28.8😡 +

Subcomments ...

submitted by docred123(4),
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naC nneoay uftrreh piaxnle !hi?ts I loduc entamieil a wfe ietm csoeihc and I uegdses ,ecylrotcr tjus nede mero infoimoarn!t sThkan

wired-in  Patient has 5 yr h/o hep C, so it is chronic. Chronic inflammation is characterized by presence of lymphocytes & plasma cells while neutrophils is more characteristic of acute inflammation (Pathoma Ch. 2). AFP is within reference range so probably not HCC. Choice D, palisading lymphocytes & giant cells suggests granuloma which isn't typical of hep C. +37  
almondbreeze  Fa2019 pg 215, 217 on acute/chronic inflammation +  
popofo  But doesn't AFP has not-so-high sensitivity for hepatocellular carcinoma (HCC)? If so, a negative result shouldn't be able to rule out HCC? +  
popofo  But doesn't AFP has not-so-high sensitivity for hepatocellular carcinoma (HCC)? If so, a negative result shouldn't be able to rule out HCC? +