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NBME 20 Answers

nbme20/Block 2/Question#2 (55.4 difficulty score)
Following a wedding reception that was ...
NorovirusπŸ”,πŸ“Ί
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 +3 
submitted by chandlerbas(106),
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i tknih beuesca hyte eewr so eiipcfsc in taedil for nwhe teh sx nge,ba yheret tinrgy to tset us fi we knwo eth ntoes fo toar vs osio.rvnur lsoa fi uyo olko ta teh oinirsnsasmt of raroituvs tsi OF and p,reiorrsyta so usnsle reoyu algpyin ithw oopp ta a wndgie,d ist hcum omre yeillk food asw the imntsino.rssa hetscyk yass ayetnmi oyu htcuo oofd itwh rouy dnsah tsi oorn

hrees a batle for ee.encfrer t6-tta/e/e0hiossuayo/nisuej:ntppbn0prlspecyyuctcuoe/stma-acmar1/c-6.1oribmcefthset2/.ociasoaerrr-erpailsrht/mn2asgitro

dhkahat  well i personally enjoy tossing the feces around at weddings but what do i know +3  



 +2 
submitted by beeip(129),
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Hwo to fettfdraeiine bnetewe iosrvrouN dna asvRuoitr eh?er utsM be aetldre to eht eth csinatuogo teurna of eth i?nllsse

strugglebus  You know it’s Noro because people are vaccinated against Rota at 2,4,6 months. +7  
beeip  @strugglebus: I didn't know about the vaccine schedule. Thanks! +1  
strugglebus  As an addendum, you know it’s not staph aureus b/c that is rapid onset within 4 hours. +4  
asapdoc  @Beeip If you go to the vaccines page in first aid it gives you all the high yield vaccinations. I didnt realize to correlate that page to a lot of questions until I got this answer wrong +5  
savdaddy  its norovirus b/c it can survive ~2 weeks without a host, which is why we see family members with symptoms 3 days after the initial virus. +  
savdaddy  ***after the initial outbreak +1  
eacv  for me this was a discart qx: 1.Giardia lamblia not showed steatorrhea and it needs medication to go away. 2. Rotavirus normally in unvaccinated kids. 3. Shiguella VERY inflammatory stool test do not show anything 4.S areus is very FAST 2-6 hr after eat the contaminated food. +4  
link981  Norovirus is the most common cause of viral gastroenteritis in the USA due to vaccination. + Rotavirus is the most common cause of viral gastroenteritis in the rest of the world. In this question you had to know the most common cause. +1  



 +2 
submitted by usmleuser007(418),
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rsuNroiov ek(ych)St = cftesAf wrhee a tlo of pleoep aer ni lu ertseaocrsq - eliplaceys nommoc on iruscse - 90% fo lal raerlhadi kaoeustrb no usrisec

sbryant6  Rotavirus occurs in unvaccinated children. In order for it to spread, all those kids would have to be unvaxxed. +1  



 +0 
submitted by beeip(129),
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ev[mod to stoecmnm]ub




 +0 
submitted by usmleaspirer(1),

i think i have seen this in zanki cards...

Rotavirus- most common cause of viral diarrhea(watery) in CHILDREN.

Norovirus- most common cause of viral diarrhea(watery) in ADULTS.




 +0 
submitted by strugglebus(172),
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vm[edo to ceom]bsutnm




 +0 
submitted by link981(172),
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oNruivrso si eht omst ocmmno sceau fo laivr etatrnoergtisis in the SUA ude to tccnovaanii. + Rriusoatv is teh omts mooncm aucse of vrlai srttgintseoreai ni teh erts of teh w.ordl In ihts oiusqnte you dha to nokw the toms oommnc csuea




 +0 
submitted by strugglebus(172),
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domev[ ot senmmcb]out