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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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wo,vreHe" ni hte raye,s het tarlbacei ptnrtea fo clseoeynmpt siesps veha nbee hcag.nngi hTe most iartmtpno esatdpuacl nhotaegp si Sscroetotcucp emoniaupne r.(tS )ai,eunnomeP btu upHmhasolei nlafunzie Hfe.(zla)Inune adn sreasNiei iiimsdnignte (N. gmisiietndi)n era alos .inainscgfit In a usydt fo ,199163 ingrterpo 934 isdpeeos fo epssis in ptaitesn hwti panieas,l 7%5 fo ncnfsiotei dna 95% of atshed rewe suadce by rt.S omaeunn."ipe hP//70/imhsean.btposvcit46../c/rl:2Cpnw1/l.1wtwgMncmi

tosnhyle i trdie to ifdn tada ot osprput Eoil.C ro yna eirghh ksir fo armg - esi,sps but eomnup is lstli reumno nuo

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fatboyslim  FA 0220 gape 1:86 lsicnApe itsepnat .(S nam&;potiteun;eg&g H. afniezlnu g;t& N. tdmgineins)ii +2
utap2001  yeMba -G()rma taaiecrb aer emro ysea to undcie sseps.i utB inncencogr of yeqrnfe,cu Str.pe mnniuoepa si ostm momocn in peianlsa arttyeaeirso(tnppir i.mtran)snossi +



 +5  upvote downvote
submitted by โˆ—yotsubato(1208)
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isTh toenqusi si silb.hutl ehT oamwn olwud toms lkyeli eb vinccdtaae ot eprSt ,noepmu liyaseecpl fi she hda a .moslenpcety

E iocl is osla na caeatldenspu rictuaebm htat csesau ,peuaiomnn os that si more leklyi OM.I

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sugaplum  I geera with ,uoy lyno bpslseio logci fro eirth :wesran te h liriqauef lcinepsa amske eht I"h"SN osentaphg oemr el,ylik vene utoghh lEoic anc esauc rmga etveagni ssepsi dna IDC. AF 1902 pg 127 l Aso it syas s mouepn uescsa pisses icelsficaply in plciaens netastip gP 136 +1
lmfaoayeitslit  oT eb o,tnehs the nylo ansero I otg shit grhit ecuasb(e I raleyl aws ntihkngi oil.CE as lel,)w si that I ednde pu gemnrirbmee het OSMP tapr of teh k,teShyc dna I nl'cduot merembre if eh adsi ttha ti swa het mnrebu 1 useac fo all of mhte or to,n dan dndee pu ignlicck it. 'stI pretyt tyiths yeth 'ndto ffore plaixtoannse for sh.tee +
merpaperple  I tthouhg iths oot tbu ti smees eilk Sertp mpuneo si jsut omer epilslfcycia aodatcesis tihw contfiine in iclsle/nicaeskp elcl aetnsitp hnta .E oCli s.i stJu eon of hesto liscsac saaics.tinoos eTerhs' a kcseli ni the Sthecky etSrp mpenuo thkcs,e v.s on cislek ni teh l.oiCE hcekts. +1
drzed  E. cloi ueacss mannuiope yb inrapitas,o fro hciwh siht tantiep adh no srik .coafrst orF ME,SLU fi yhet dt'no sya hte aitenpt si ,teidcavcna ouy nac easums yteh rae ONT. uJst suecaeb ehs hsa a iytrhso fo eeocymtlsnp lfowlgoni mautar eods OTN nema esh hda to bnee o-iacend-av'ttcdn llfi in eht tysiroh for hte paient,t loyn eus teh orimoiftnna yhte gvie yu.o +1
vivijujubebe  slao DIC omre ntfoe ense hwti -G baeiract ?gr?ti?h? hast'T hwy I shcoe olEi.c nidsate of nSompeai.un +3



 +2  upvote downvote
submitted by โˆ—monoloco(155)
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psealncudEta msigasrno rnu ptraman in pteintas woh evha no np,eels etrehhw ilphsalcyy ro aticfnuy.olln lRecl(a teh yaerairdw- fo sqlaauee lcisek llec tspeinat pceirexnee tsnahk to trieh oaufnntilc epc.otntuyleaso)m

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sympathetikey  rAgeed -- tewn twih E. Ciol lkei a diun,sg usjt suaecbe I tin'dd essioacta CDI twhi .S .mPueon htTghou ti wsa too ey.as +
chillqd  nt'Is .E Cloi aols na sdalnepceaut ?sgnromai Wtha mseka Stepr enpomu erom iekyll in shti oitesqnu juts uecseab sit het eomr nomcmo saue?c +28
studentdo  nsPdooaesum nresaiugoa is eetnpadaculs as elw.l I ntihk eht gtrhi naeswr sah ot od hitw DIC but ?hyw +1
mgoyo89  ehT ynlo nreaos i nfodu was S. mnpueo is eorm cmomn,o I etnw iwht Psasuemndoo ebsecau fo eht leewhm"ivgnor es"ssip :( +2
kard  Erynveeo si eroctcr about the Eapencatudsl oc,briems utb thsi is eon fo sohte of OMST" IL"YK,EL na d by far eth otms killye is eP..Sn;enuiinH&Nomgngfg.&;&.tgtlM;t (imntitog htta nsteatpi twhi osityrh fo enlmeoysctp usmt be aiavt.decnc +2
djinn  Garm neagvite are mreo ooncmm in DCI ym sirednf +2
drzed  toecrCr em fi I am rwgn,o tub I am ttepyr uesr taht E. cloi si NOT a moncmo aucse fo iemnuoanp saeuceb ti stmu be aatprsedi ot ntere teh unl.g shu,T loyn atepnsti hwit oraasipint rski .(.eg toekrs, einongurec tdonsic)oni oldwu eb ta a hcnace fo gittgen E. lcoi apnemon.iu +2



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