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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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teuMb-elynleeh ietsadn faecl mrsae eveedrl oueunmsr rlohieutpns utb( nto yna )ao.simgsrn algehilS si crololses ehnw dtieasn hwit hnteemlye e;lbu E ilco saisnt elbu thwi mnteeehyl lube eeausbc ti eesfmtnr eo.clsta

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sympathetikey  E. coil stisna enreg j(ust )yfi wroeis,eth pterf.ce +14
chandlerbas  lony E lioc isatns eegrn, lla etrho lcaoets eefrrmestn sntia /pkaeluprlcb tjsu( fyi) wtser,ehio cfet.rep ); 4 F4A1 tomotb +5
dmotav  I khnti tihs si cyluatal a aeapsrte opnccte – E. iclo tasins alcilem"t ee"rgn no noeis eylmetneh eulb arga, hiwch si ni the .E lioc hkctyse nad sitfr i.da ewvHero sthi nosuqeit si rgrfniere to eth enmteyehl bleu ttes on a ceafl ea.rsm oFrm wtah I anc eagh,tr shti stet wlil eb iietopvs cn(deidtai by ercnesep fo rnoiulepst)h ni escsa fo anvesiiv erahaidr ei.(. li,lseahg amelsn,alol mgrnoeearrhchetoi E. .lo)ci hTe estt wlli eb ategienv n(o s)uepthrnoli in asces of raieradh ecasdu by xstino ,loaehc(r itxicnrteoegone E. lci,o argdia,i irval hi)edrr.aa oS veen oughht E. iocl acn nperste iwth lfeac MsPN (fi 'sit the goihrerechrmeonta p)ty,e I eugss hatst' lses ylelki ntah srleces?l hiuoag: 1..bd.54c./bsmt/lo4n/4nnwtwh:/5gp2uehvwpmii +8
srmtn  tcorcer v,@matdo oEsni hlmyeenet ebul arag si tirenedff orfm nyeMhtel ueBl istan cwihh sjtu oswh enecsper or otn of ctt cs.ues.eouljy. adre aleiFh:stc leeuoktcsy nac eb esdoebvr ni hsoet wthi eht lwoolgnfi ntscoidoni • lamenlaoSl if•i nsocent gaihlelS eonfstc in•i lrUetevaci c•oti isl s’orhCn yaeed eskiessoLtcu llwi be bnesat in aeclf sspemla romf shoet twih irdGaa,i Elcoi. ro ilarv fnnsicoiet and also ni sscea fo ofod nongisoip. +


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 +8  upvote downvote
submitted by ∗monoloco(155)
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I kntih leShgial si het tmos eptarpaop,ri as ti si ctyalalu agrreded sa ihghyl tomralyfai.nm Ys,e E. iclo can eb of teh TCESEE/HC v,eryita utb .E iclo olcud lsao eb fo eth TEEC tieyrva ro rwvheaet reoht rinatss it .ahs o,gEr E. clio amy eb ,abileuslp tbu ti si tno eth omt's .leikl'y elBh to etesh niskd of tios.nuqes

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jcmed  sihT is hyw I pkeicd shit noe ceeaubs fo the cumdio myllsantoft/msooira eunrta ): +


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 +8  upvote downvote
submitted by ∗neonem(630)
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ehgSalli uasces an lfamiromtayn ;haeriard it rdueoscp a ioxtn nda cna ivedan tuisse lcdyteir. In niidotd,a ti is aitrsnset to acd,i so it ahs a rsiitrlheatcaccaly wol eiectnfvi soed 0(1~ ogs,)imsarn cihwh facesaittli tis oelcarfla- se(rsotp)prn-oo-ne rasedp ciellaspey ni sgittnes hreew yngeehi amy eb ,mocrdemposi uchs as ni carydea or nltioitiutans ogsu.hni tI nac eb rtidteeanediff frmo .E lCio EECH() sbcueae E lioC detsn'o avhe sa hmcu peoopntsrr--seon rpsade and nlyo sacesu GI admeag yb teh aiglk-sieh txin,o otn crietd noniaisv. foereehr,T EHCE wl'ntuod ilaciettfa as rsnotg fo a plunicriheot sreepso.n

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yotsubato  I sudames lla hte sikd in the ydcreaa hda eht smea lhuc,n utsh otg oofd nosoip,ngi uths all tog C.EHE +5


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 +7  upvote downvote
submitted by ∗beeip(141)
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ptrAa ofmr teh nlie ni AF fgcenrenrei NPM liteiantfr ni lhSlgeai, ethre si no awy ot fenriidaetfet here beneetw it dan E. iloC. hpaCe oht.s

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merpaperple  sA ebst I can ruad,snndte twah eyth aer girynt ot gte ta is atht BEM" tisan hgsowin uroehtplsni" &t-g; EBM" stian OTN ihsgonw osmnrai"gs t&;-g emor leilyk Shllagie tnha E i.olC fI a aescilp etulurc orf an oisrnmga .e.(g MBE for .E Coi)l owhss on mosgrians tub noly onmitlafyram ,lcsle .ei. su,eirpthonl atth aemns hatt arminsog si not r.sntpee fI 'thsat hte notip eerh ist' dnik fo a tkric eqs,toniu as ew lla duwlo aevh tgetno it ithrg fi htye had tujs siad B"EM sowdeh on sn.a"gsmori I ssgue teh atwyeaak si that hte tpnoi fo a eplasci cteluru si raybni - yuo are koonlgi for a cespfiic rgoia,msn nda it si eiehrt trehe ro it t'isn. +1


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 +6  upvote downvote
submitted by ∗groovygrinch(39)
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Lkei aynm e,reh I saw ebenwte E. oiCl dna ihelaglS tub ewnt whti leahSgli baecues fo the aydcaer ceretn rtshoi.y I oitascsae CHEE E. iolC hwti abd ergrub aetm adn ti eesmde nieykull ot me htat tyhe dulow be inipwhpg pu rgresub ta het acayedr asul(ylU eyrnoeev gbsinr erhti wno clhnu ot crdaaey) .

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 +2  upvote downvote
submitted by ∗feralbaskin(2)
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ihSagell is teh tsmo lklyie ucslaa sairomgn evro .E ilco eud to eht ivegentt fapeysiicllc giatstn eth pniaett has hda oloy"db UIOMCD lsotso ithw en."uesmts

ePag 414 FA 1209 GI ao:nnfesmatisti ,ervFe rcapmy ilbmaaond ipan -tg&; t,usenmes lobod iuodcm oosslt caylb(airl .ed)yetnsyr

elaPse retrcoc me if Im' n,owrg tbu I 'todn ebmmerer yecthkS nntmogenii olbody mcuiod olssot rfo E. iclo adn hatt eldita dsteno' mese ot aaprpe in AF.

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meja2  Thkna y!ou I di'tnd cthca the oyob"dl cidoum ots"osl refce,nree nad yse 'yeour thgr-i E. icol dt'ouwnl aevh tsih nnitoape!esrt +


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 +2  upvote downvote
submitted by ∗step1soon(51)
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sOn MBE agr,A tilodase nloesoic fo -onarsetemiftnlgec tbaeirac arppea nrowb ot -klubalceb ni lrcoo. iciEcasrheh iolc sraaepp sa aer,lg kac-llbueb oe,csonli tfeno wthi a renge clitelam .heens Eonbecterrat s.pp etrpsne sa owrbn to leakucb,-bl icdumo sinloceo iwth on ne.she raontgtlcesiem-fnoeNn- o,einclos scuh as lglahieS .pps dna loalmSelna ,p.ps reaapp arrnpentsat dna ssrolle.co

We alcaiblys needde to aeceorltr thta → no sogrsmnia seen utb nlyo surihpnltoe to eignb a ecslota enmnotreo-nrf or.ngmias froerheTe hte ranwse is laeShilg nda nto E ciol

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 +1  upvote downvote
submitted by ∗an1(114)
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het diclh swa ni a c,arayed ninsoe dan rutisroav are teh sone to epke in .mnid noeins can olsa be ued to sdauehwn gevgsei to.o dan eth mtalnamoyfir ootls rn(helopsuti) lsao tdacinsie sne.nio eth kcal fo rsxuoeep cedond(ouekr meat for EEH)C hpels to lreu uto .ClEio. yditr aewrt E(TEC nda )CEIE re'tna isosplbe sceubea of tish ksdi dobyol tls.oo sAol ofr tihs to eb HUS ht(e nylo spiesbol .iClEo hiwt byoodl ardar,he)i ew dhulso hvea nese het trdai or at atlse hsgmeitno atuob it (naamie + hcotanoreitmpybo + eAtcu Ranle f)ufnI.s. Aols, imd"ouc sootsl" si tgrih fmro het FA hcrta ofr eghlsial.

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 +0  upvote downvote
submitted by whyisthis42dollars(1)
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.E iolc 'sint an yiflmoarntam h,readria aeSihllg is inkt(h bkac to teh amlesf in eth eyctSkh ov.ei)d hTta eonal is ugeohn ot rule uot E. ilco mfor neawsr scoc.ieh

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 +0  upvote downvote
submitted by ∗beetbox(6)
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nCa ooesenm leph me ?tou I ecsho ioCE.l ot,o dan 'Im too itkhc to undaserdtn eth mocnsetm e.hre The nequtios isad afelc rsmae otn easpilc aarg retluuc h.wshe.yds.i rea ew antilgk atoub stnia ?rolosc adn why luwdo ynetheelm beul asedtin laefc eamrs hows on an?ismgro I gohuhtt mnylehete lebu intass sjtu auotb nya lscle taht hsa RDAN/.AN If hte uqeitson is gtyrni ot etll us atth rehet rwee NO RSOGASMNI seen in eht ,esmra hyw uwldo lehligSa tno eb sne?e sI it esucbea Sehilagl dseavni cesll dan docdeneirs ermo tlellcniaraur athn ?oC.Eil

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topgunber  i ntkih E. lCoi owdlu be islevib on a nyethmlee elbu atins (negre n,ta)si 'mi ugissmna lsligahe is i.toginavviee r ihcalstueapromy cesaus olobdy darrheia kuieln raheolc btu im usgenigs its grnow csebuea sti fomr ooeadsf. lShielag nda .c ujjnei rea ommnoc in eht tssaet (smea with e .i)lco eaecBsu lyno hlsintueorp eerw dinesta ew vhae to ssmuae atht ist not e cil.o +


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