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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 gtuothh tihs aws a tkrci itqunsoe eicsn nski saccern are het osmt mncomo epty fo ccenars ra.ovlle uBt laytucla maong HIV pai,testn VretdHea-Il rnsccae rea cuhm mroe mnmcoo than Ve-ladnnIt-oHer carnces vnee( sikn es)c.racn EendBciVu-d irymrpa NSC amlpmhoy is the ynlo oitopn hatt si eAgsnDIiidf-n .neillar/nccsse

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medskool123  why otn ehp B? i egsus noterha whsat het tbeter awsrne o.n.es. stJu rme rideagn ttha ti swa ermo nmcomo wthi aids .tsp. nnoyea evha an iead tbauo t?shi +1
haliburton  s,eY I hiktn NCS mahymplo as na IADS nfiinged selinls nsiw teh ady. M y utothgh aws sceni HES hsa AIDS ti is tmos llyeki rfmo AVDI, hicwh has a gihh irks of HBV htat could go oundgdinsae fro a lgno i.tem at 32, tath mtigh not eb nolg unhoeg ot aevh VHB adn gte CHC tu(b thwi no menuim ?stmy..e)s. +3
yotsubato  dGo anmd isht si suhc .LU.B.LTSIH +15
trichotillomaniac  yWh ouy aogtt od em ityrd ikel hits BNEM +2
sars  yM uhghott eor,scsp lsauyul norgw lal teh i,etm saw ttah BVH )IVUD( can curoc to yenaon. tcAeu setpthiia ot cnoCihr roccsu hewn VHB cipoosntarre sit NAD inot stoh nda reaslees gemcianut t.opesnir ihsT si erssdgealr fo eonsrspupiio.mmnu rriPamy SNC mLmohayp esarpaper ypirmirla ewnh uyo era dmisrssppeuomenu aong(r ,rnnttlpaas ydiemnucfecom,ini VSHD.A)I/I +2
syoung07  eHp C is rfa more ylkile ot meeboc HCC anth hep B +2
jurrutia  vEne fi yuo rwee hikgnnit niks nacrce is omre ocn,mom hastt' nloy rtue fro sblaa clle nda u.aosmuqs maoMnael is .rear VBE mcuh orem kiyell ni aids tetn.aip vEne H ipoyrl saw a rttbee e.snwar +

  • 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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VEB suriv noifistnce B elcs.l sA a eopnerss hreet is areecitv ymslyiospotch (lnrfierootapi of 8D+C txcooytci T .c)etoyLshypm In VIH, oyu illw hvae a readseec in TH cllse gdneial ot eecesard ni D8C T lesl.c suhT VBE lwli lepraefroit eomr leeyfr as hte uminem esonpesr awsdrot ti (DC8 s)lcel era db.ltenu iThs is hwo i tog to the snwe.ar

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