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NBME 16 Answers

nbme16/Block 3/Question#9 (reveal difficulty score)
A 53-year-old homeless man with alcoholism is ...
Normal oral flora πŸ” / πŸ“Ί / 🌳
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 +12 
submitted by βˆ—hayayah(1147),
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s,Alo ouy tu'lshdon be eesgni nad-enrog demgaa or sriedcnea innre / nkyeid oresepsn ihwt a rsviylepuo hhleaty eatpnti htta tsuj eeldpeovd aessetlin .HNT hTe dyob osedtn' antw ot iecranse nenri hnew ti ash HN.T ,oevwrHe fi ouy avhe ssoets,ni hte kiydnes ekarf tou esaubec eeht'yr ont ttneigg onuheg lfow adn ikhtn eth lwohe yodb nt'is ri,heet os eyth vaaetict the ARAS mssyt.e When uyo eivg ehtm na ,E-AIC eht einrn is sillt ibnge uedrocpd by teh eny,kdi ti tjus si'tn engib enovrdcet to inetIsiIn-o.agn

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  • naEsseilt N:HT nxiedleap beaov

 +3 
submitted by βˆ—bingcentipede(318),
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sollohcAic nca teg oinraatpis oeiampunn, hcihw nvilsvoe tsripiaano of teh onralm aorl afrol sliK(ableel and aeeonrsba klei ucerocttPeocsts,opp uoctbi,mueFasr lPeore,vtla tedis.crBoe)a oS isth is arolnyml rtpa of the lrafo and cna eb spaerdita ni islolch.cao

iury_r1beiro  Hello, i think it is Streptococcus viridans; coccus in chains and normal oral flora. Alcoholics can get aspiration pneumonia, which can evolve to a pulmonary abscess. FA2020 p146. https://www.atsjournals.org/doi/pdf/10.1164/ajrccm.156.5.97-03006 +4  
pakimd  oral mucosa composed of aerobes e.g. streptococcus, klebsiella and anaerobes e.g. Peptostreptococcus, Fusobacterium, Prevotella, Bacteroides +  
an1  anaerobes from the normal oral flora are also the cause of lung abscesses FYI, just something to keep in mind +  



 +2 
submitted by iury_r1beiro(10),
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Holel, i nthik it si scrStcooetupc snr;ivadi occucs ni hcsian nad onlrma lroa or.fal hilocAoscl nac get oitaansipr m,uannopei wihch acn oelevv to a uoraynlpm ass.csbe 0AF220 16.p4 3s1t64./5p1dtaa006/wdc0:r.juw.oh7f6trmo/1/prnj9-o01s.i5gcsl//w.a.

cheesetouch  fa18 p 136 +  



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