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NBME 24 Answers

nbme24/Block 4/Question#5 (reveal difficulty score)
A 45-year-old man comes to the physician ...
Muscle biopsy ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +20  upvote downvote
submitted by โˆ—sattanki(82)
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secuMl npai + tpoearlrbii aedem si a alciscs pnieretnosta ofr tolnelchari iapi.rssl setB nosidsgai ofr hist si a muslce os,ipyb as het yomwr seilk to tuoahng iinthw hte suscm.el

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sympathetikey  ats'hT wath uoy egt fro linlkig laorp ebras. +98
dr.xx  t'Tsha thaw oyu teg fro ton icookgn mthe llwe. +8
charcot_bouchard  eshrTe nntiogh lldeca llwe" keoocd poral ebra ate"m +2
jbrito718  unf a:ftc aCn tge tminvia A xtiiytco rfmo enitga plora bear tmea chwih esadl ot laaft inautnlmf titehsp!ia +4
stresssweat  yltuaacl tog itsh toiqsnue irthg sa a kfleu bc i gdeseus vtaiimn A coittxiy due ot aplor ebra aemt alngeid to ecumsl eadmga +



 +10  upvote downvote
submitted by โˆ—neonem(629)
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naptpyleAr crneialtihl seli urndoa ni mcusle of all fo eht nmdroa teoxci miaanls ttha tmso eopelp on'tdwlu lymarnlo ..ae.t thgsni ilek ,reba iwld apsb/rkroo l(eki in ehtcySk ),irocM bgi ca,st xosfe, ,sogd hrseo,s esas,l .lussewar nI aesc uyo deneed hetrona nosrea to otn htnu adn cuosmen ehtes lain?msa

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how to rule out the others:

we would see eosinophilia, but obvi this wouldnt tell us which helminth is involved

Trichinella larvae bury themselves inside muscle tissue rather than remain in the intestine as in other roundworm infections, so stool sample tests don't often show evidence of the parasite

gram stain of stool is a pretty nonspecific test used for campylobacter enteritis; this dude doesnt have diarrhea...and lastly, xray of muscle aint gonna tell u a thang lolz



 +3  upvote downvote
submitted by โˆ—hungrybox(1277)
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vs. gegs va(o) ni ostol โ†’ r,koHosw*mo iacArss

s.v laaevr ni ootsl โ†’ riStoyolsndge trslrcoisae

.vs ctscho etpa etts โ†’ E cesmirvaliur

rskhmooow โ†’ coartNe eacmusnr,iA mtAylonasoc oaudelned

(esur:co ce)yksht

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 +2  upvote downvote
submitted by jucapami(14)
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os./etle/:yicrpthgbs./t/hiswavrtilhgctwoaspiio/l.sdcmonwlhorwt ktinga a .kool

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 +0  upvote downvote
submitted by โˆ—bharatpillai(40)
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Jsut adnidg -no yraX fo rlaeg lcusem ropgsu woldu lhpe in disiganso fo ciecsirsctyso sneci sysct rae iclfcedi,a ni ianhclelirt htye are oIn.t htnik mi' het noyl oen woh tgo hist rgnow /:

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misterdoctor69  bMyea ,os but I hitnk htta fi we gte ayn eussqnoti rnnioecgcn itrcsecsiys,oc ti dwlou be o,eusoirccyercsnsit os yod'u od bnrai igaigmn tdsall o,a.yin.eAi.dnidt as erp het D:CC uscmel sirocetccssyi si llusyua odnn:reten? /ftmiscirfeh/gcgdpay.hpiqaeolct/s:we.sos_w/octnvtatcs/irsn.ws/ +
brs  I ktihn ryevoene how sha hadetcw ouHes .D.M S1 E1 tesg a chcnea ot kema ti grwn.o +



 +0  upvote downvote
submitted by โˆ—haozhier(23)
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woH do oyu usyg kwno buato tshi? I ehosc sootl aOd;..&a.Pmpn sumecl oysibp is nto doeintmne ey.a.hnrew.

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misterdoctor69  yethcSk omri!c +



 +0  upvote downvote
submitted by โˆ—madojo(212)
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i1AwolFgrp--aza3ml-ABK0eia.reauUa&2oHtees-srB&vd-etaowns0co-;ohc.ar-c%1u/=rF-ps-knrmelmNsdeunm2?&mmb=ptRd1rbtdMua5smwoto;stAlaihau36=l-ctxEyuc=g-st51i-oso8s-lapt/-u;cp-2l-Zeor1mhlmptasxecsArmn=hcBminmj_i-peirwsnc&aaba2%lge=rea0faiFm5lh==c2tUlmijAEuoe&isapa14i2tcc2i9rat;1/avmucgoaiF5r8hs8a&ups2Xy&tD6i0;t%rD77emseIceJrr-Wenasi5gMlGEqslwiYro=gunii:%soomrl;tddscaF4somnsa9ad4img4Q1Nwda%ceawtaeyrQnpaipYii%ure;so&dr7VvptisFnkgpe.l;-omeQ9O

YSHEKCT hrtlaneicl lipsisra gip c(na eb ploar reab o)ot* udorn segassl &-tg-; rpioe lrbaoit edagmis weaent dna negre donvi troum sghtni no lslwa t;&=g= frsmo sycst ni retaisdt smcuel s(o fro tsih tniuseoq asemk eness that you do slmuec oysp)bi erf i &-;t-g onifaamitmnl fo u eimshsoceiollnp lseunrag ;-gt-& onn pscciief sa yuo cna ees ist lal ervo htsi eimga os its fro ynam eftifernd syetp fo endatomes

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