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NBME 19 Answers

nbme19/Block 1/Question#7

48 yo woman, 2 weeks of fever and stool with mucus; ...

Entamoeba histolytica

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submitted by sh_nu(0),

This Q could be answered two ways, one through elimination or knowing how to identify the clue! Now via elimination ... A) mainly seen in AIDS patients ( Q stem does not direct Q that way) C) Foul smelling diarrhea "fatty" D) There needs to be a triad " yes HEPATOmegaly + Spleenomegaly" "spikign fever" "pancytopenia" may also have skin involvement E) foul smelling green vaginal discharge

B) *CLUE RUQ PAIN + ulcer