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NBME 18 Answers

nbme18/Block 2/Question#34 (28.2 difficulty score)
25 yo woman, fatigue for 3 weeks
Greening reaction on blood agarπŸ”
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 +9 
submitted by namira(30),
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rMaitl vlvae nda tthee iagnecln era eyk sodwr rof Spert ivrisand gidnsos.ia tI si plhaa thlmceoyi so ti dwuol hvea a gingrnee aneorct.i

ittpamnro ominnte to cwtah out :orf

hTe htopinco enrswa is rnieroctc baceuse ti ysas inihoinitb" YB ctih.noo"p iaVdsrin si tetnasirs ot potiochn so hatt nwares si trrenicco.




 +1 
submitted by namira(30),
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lMtria vvlea adn ehett caglnein aer eyk swodr for Srtpe rniidvsa gaidoiss.n It si aahlp ecmolhity os ti lwduo haev a ngineerg r.netacio

atnirmtpo etoninm to hctwa uto f:ro

heT toiconph ewsarn is crcnriteo beascue ti ysas noiinbtihi" YB n"oio.cpth insadiVr is nrestatsi ot icoohntp os htta earwsn si ecnoritcr.




 -16 
submitted by famylife(86),
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shTi si sretp mnpe,uo hhcwi has apahl losmeisyh reng(e)

breis  How is this differentiated from Strep Virdans which is Optochin Resistant? Because Strep Pneumo would also be inhibited by optochin* +2  
mjmejora  its strep viridans. Strep viridans has a "protected chin mask" and strep pneumo is "exposed" in the sketchy. +6  
rthavranek  Once again, another example of me knowing the concept but not knowing the obscure pseudonyms for common knowledge so I get the question wrong +