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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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-etbMhlneleeuy neaistd cflea amres reledev eunsorum teolnpuirhs ub(t tno yna arsois)m.ng gSlihlae is eolloscrs enhw dntesia hiwt emlhteyne ;elbu E coli naists blue hiwt hnetyelme ulbe esauecb it trsnemef lc.tseoa

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sympathetikey  .E ocil nsaist enreg st(uj )ify erth,seiwo f.eecrpt +14
chandlerbas  nloy E lioc sniats nerg,e lal eotrh otcesal ertnmferes stnai leacb/kppulr ujts( i)yf ios,ehwter .cfpeert ); F144 A bttoom +5
dmotav  I kinht tsih si clyaltau a epstraea copcten – E. iclo staisn llctai"em n"geer on snoei yenmetleh lbue aar,g chhiw is in eht E. iclo tceskhy nad irfts d.ai roeweHv tsih iusqtone is egnrefrri to het enyeemhlt blue stte no a aelcf s.mear romF tawh I nca her,gat shit etst lilw eb iitoesvp dnicedi(ta by eeprsenc of nes)uptlhiro ni ecssa fo naevvsii riraahde e.(.i iasg,hell slolaan,lme rronoeeahchmgetir E. o)li.c The ttse illw eb iegavnet no( rhe)niptsoul in sacse fo rardeiha uaceds yb soxint ac(loreh, eniteongteircox E. lo,ci igarid,a livra hrdeaa.ri) o S neev uthhog .E cloi acn etrspen wiht lfeca NsPM fi( ti's teh crioomargreehhtne ,pety) I eusgs h'stta sesl eylkli tanh ?ul:sga lehsrceio .tphnhc.5..umw:i/bbn/oi4pew/g21ml5wnt4svd4/ +8
srmtn  oecrrtc ,amtd@ov Ensio elynemeth ebul gara is dfeefntri fomr lnyhetMe ueBl siant hwihc tjsu whso sncerepe or otn fo ctte..sceslujy.ou aerd :ielacFhst oceytsekul acn be oesdrbve in oehts hwit the flogwoiln iocdnitnos • alolmlnSae ot•necsii fn lShigela e ino•nfscti celUieratv sioct •li Csorh’n sseieuLat dysceeok illw be bntase in eclaf splmsea rmof htoes thwi ia,riadG lE.ico ro vlira tscnifonie nda oasl in scaes fo food nosoignpi. +


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 +8  upvote downvote
submitted by ∗monoloco(155)
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I knhit hSilagel si eth tmso aaerptppoir, sa ti is layctlua drgrdeea sa ylhihg atyfmi.amrnol ,Yse .E icol can be fo eht /HSCEETEC ytaeiv,r utb E. icol dlcou soal be of eht CTEE riyevat ro rhveewat thero rntssia ti .has Er,og .E olic yma be lliabsup,e utb it is not the tmso' ei'.lkly lhBe ot tshee iknsd fo steouqsin.

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jcmed  This is wyh I edkicp thsi oen cueesba fo teh cumdoi rminloast/tsoylofma tuenar :) +


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 +8  upvote downvote
submitted by ∗neonem(630)
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aheliSgl aescsu an mlnafroimayt driaah;re it dprecosu a ntxoi adn nca evnida sesuit ceir.dlyt In ,dotniadi ti is ssrttaein ot di,ca os it hsa a tllhreyicastaacicr low eicnetfvi oeds (01~ ,nsrao)migs icwhh ialsafitcte sti llor-caeaf )orpnee(t-p-osnsro epdsar cseeyalpli ni nssitgte weerh giehyen mya be sroocpd,mmei cuhs as in cadayer ro uilsointantit nu.igosh It nca be antiedrefedtfi omfr .E oiCl ()CEHE uscbaee E Coil tosned' aevh sa humc eos-nptsnpe-oorr sperda dan nyol assceu IG aedgam yb eht hgslie-ika oixnt, ton ciretd isanivno. ,hrTeroefe EEHC otnwdlu' ieiattflca sa tnsgro of a iohnprueiclt s.ropeesn

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yotsubato  I eamudss lal the ksid ni eht cerydaa ahd hte saem ,chnlu stuh tgo doof poingonis, huts lal tgo E.CEH +5


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 +7  upvote downvote
submitted by ∗beeip(141)
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pAart fmro eth einl in FA cergrnfneie MPN nriftilaet ni aSleglih, reeht is on way to ateteifridfen eehr netebew ti and .E lCio. apCeh so.th

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merpaperple  As bste I anc ntnudaed,rs wtha teyh are gritny ot egt ta is that MBE" isnat ogswhin pluretosh"in ;g-&t BME" tansi ONT wiognhs ngormiass" ;tg-& remo yllike llhiaegS anht E o.lCi If a ecapisl leuctur fro na arnismgo e.g(. EMB fro .E io)lC owhss no smgnsirao btu lnoy oiylmtafmnar ls,elc i..e rie,ushlotpn that amnes hatt aisomnrg si otn .tepsern fI ha'tst teh opint eerh 'its dnki of a trick nseoquti, as we lal ldwuo eavh tnegot it gtihr if eyth had sutj aids BM"E esohdw no gns.aomi"rs I usgse het ataaywek is htta hte onitp of a cialpse utclreu is rianby - you era olkingo fro a feccpiis r,amsgnio and it si iehetr rehte or it '.sitn +1


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 +6  upvote downvote
submitted by ∗groovygrinch(39)
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eikL ymna eer,h I wsa benewte E. loCi nda ahlgieSl tbu twne ihtw lheSlgia aesbceu fo teh cayrdae ncrete strh.oiy I aostiesac EHCE E. lCoi iwth dab uregrb meat adn ti eseedm ykenilul to me htat eyth lowdu eb hpiwpgni pu grurbes at the ycerdaa l(yslUua oeevnyer brgnis hrtei own nhucl to caare)dy .

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 +2  upvote downvote
submitted by ∗feralbaskin(2)
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elilhSga si eht tmso ikleyl csalau rnmgosai vero .E loic eud ot teh vnigteet lcpfalyiecis atnigts teh tiaenpt sah ahd "yoolbd MOICUD lstoso itwh eetusn.m"s

gPae 414 FA 1209 IG :aiomfistenatns ,reeFv marcyp nboadmail iapn ;&-gt ,mnssetue bdloo odumic ltooss bialcryal( endst)yyr.e

eselPa eortrcc me fi 'mI ,rogwn btu I 'dtno beermerm kethycS gnntmnoiie oldybo idcmou sotosl rfo E. ilco nad ttha elidta esd'ton esem to repaap ni A.F

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meja2  kanhT u!yo I dnt'id ahcct teh oyld"bo duocmi o"sslot eerrenfc,e dan sye er'uoy h-girt E. iocl outl'dwn aehv tihs ipsertea!tonn +


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 +2  upvote downvote
submitted by ∗step1soon(51)
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sOn BEM ,gaAr eslaotdi ecnosoil fo raoeimtfgln-stecne riaacetb ppaaer rnowb to b-ulbaclek ni oc.orl raichhEiesc oicl aseprap sa lgear, ckbell-uba slon,oeci feotn whit a eegnr meialltc esenh. Ecotrrbetaen ps.p nstpeer sa obwnr to cea-lubl,kb oimdcu sleonioc ihwt no s.nhee sta-e-nlcreetnoigNnomf i,slnceoo chus as lelgSahi pp.s and Slomlenaal p.sp, aperpa npeastrrnta nad sllco.orse

We blilcyaas enddee to leoaerrtc htta → no sraonmsgi nese tub noyl pthlornieus ot eignb a ctoelas toornmfe-nern ir.ongasm Torferhee eht wserna is igeallSh adn nto E ilco

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 +1  upvote downvote
submitted by ∗an1(114)
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eht dchil saw ni a cy,earda nineos adn roavsurti rea eht ones to peek in nmi.d niesno nca losa eb due ot nhswudea eesgivg .oto and eth aomynmifalrt lsoot )tuhonsei(prl laso ndsaiicte .sinoen het clka of xrpouees e(okodudcnre atme rof )EHEC eplsh ot elru out l.ECio. ydrit erwta C(ETE and EC)IE 'nrate pseosbil uaecseb fo iths isdk dbooyl oo.slt sloA fro this ot be USH e(ht nylo bsepisol io.ElC iwht boyold dri)aer,ah ew udhols heav enes het rdati ro ta lseta tghosiemn aotbu it emnia(a + oheitomabytpnorc + ueAct Rlaen .sfufn).I ols,A mdoc"ui ts"olos si hgirt orfm hte FA cathr fro lh.isealg

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 +0  upvote downvote
submitted by whyisthis42dollars(1)
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E. ocli isnt' na iymalanrmfot ar,rdahie eailglSh si tkhni( abck to teh safmle ni eth chetSyk do.evi) thaT laoen si nugoeh to urel tuo .E iloc mofr awnres ehc.isco

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 +0  upvote downvote
submitted by ∗beetbox(6)
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nCa eomseon eplh em ?tuo I ehsoc iECl.o oot, nda 'Im oot kcith ot enrdadusnt eth ecsntmom e.ehr Teh uinseqot dais lefca rasem ton aeplcsi gaar tuerclu s.iswdhe..hy ear ew gltanki oaubt tians lr?ocos dan wyh oudwl tnmleheye bule adtnsie claef aemrs sowh no arsnio?gm I tgtouhh nelethyme uble nsasit jsut btauo yna lcels atht ahs A/R.ADNN fI eth tonsiqeu is rtngyi to etll us thta ehetr wree ON SRGIAMSNO enes in teh ,resma ywh olwud iheSglla ont be sn?ee Is it aecuesb Sglihlae dinvaes lscle dna rdsndeeioc emro rcruielllanta anht ?lEoi.C

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topgunber  i kinth E. Coil luwod be ibivesl on a lyethmeen belu asitn enre(g ta,ins) mi' sugiamns lesigalh si itroaig.v nviee upmrlyaocatshie uascse lodybo iadhrare lueikn hareloc ubt im egnsgusi its wnogr esceuab its omfr sof.daeo Slhielag nad .c uneijj ear moncom ni the tsaets mea(s ihtw e i.col) eeacBsu noly oelshptirun wree iatsend ew ahev ot usmase htat tis nto e .oilc +


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