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Retired NBME 15 Answers

nbme15/Block 2/Question#28 (reveal difficulty score)
A 17-year-old boy comes to the physician ...
Tuberculosis abscess of the spine ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: infectious_disease Pulm

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 +2  upvote downvote
submitted by โˆ—cassdawg(1781)
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Based on the systemic findings (weight loss, night sweats, cachectic, looks chronically ill) and emigration from India (where TB is more common so the NBME likes to throw it in), miliary TB should be suspected. (FA2020 p140).

None of the other answers would cause the generalized illness to the same degree as TB.

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whk123  "The lower thoracic and upper lumbar vertebrae" being the most common site of occurrence. +
shieldmaiden  No one else fell for osteoblastoma? Though now that I see it, it says "thoracic spine" f*ck +

Miliary TB in the spine can also be called "Pott's Disease," so look out for that as an answer choice on similar questions!

+4/- baja_blast(219)


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