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NBME 17 Answers

nbme17/Block 3/Question#9 (5.1 difficulty score)
A 40-year-old African American woman comes to ...

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The pt has sarcoidosis via the classic demographic association and the b/l hilar adenopathy

in sarcoid you get increased ACE and you also get hypercalcemia due to increased 1-alpha-hydroxylase (via acitvated macrophages) which leads to increased vitamin D

FA2020 pg 676