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Retired NBME 20 Answers

nbme20/Block 2/Question#14 (reveal difficulty score)
A 23-year-old woman has had fever, ...
Streptococcus pneumoniae ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: micro

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 +7  upvote downvote
submitted by โˆ—chandlerbas(118)
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orHve"w,e ni the ,aysre eht ircatblea ptanert of emsptcneoly sssiep heav neeb .gnaicgnh ehT mtos tomrtanpi aslcdatupe tnegohpa si eootcctrcpuSs oeaiepunmn rS.(t ,P)eonaiemun but iueHmahopls ufnzelain eefna.ul)nzH(I dna iesearisN tmigneinisid N.( gntidi)isinem aer osal gi.iniscnfat In a uydst fo 19916,3 eropgtnri 493 sepdeiso of eipsss ni esatnpti with spe,laain 7%5 of ionensifct nad %59 of seadth were uceads yb Sr.t "emi.unapoen n/wpsl1iht0hC/ow/6v/ag4srnn..Mb/cmm721l/ciec..t:ipPwt

hyeosltn i ertid ot dnfi adta to storppu E.Coli ro nay ihgerh iksr of ragm - pisess, tub pmuone si tilsl neomru oun

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fatboyslim  AF 2200 gpae 681: pscnliAe pinttaes .S( mtngo&&g;pentuai;e .H eauninflz &tg; .N isnei)niitdgm +2
utap2001  baMey -rmaG)( iatrbcea rae erom esay to nuidce .iesssp tBu rcnoegnnci fo reuefqycn, pSter. ipaeuonmn is smto cmnoom in apsilane yetaiarresopin(rtpt ast.iisrosnnm) +



 +5  upvote downvote
submitted by โˆ—yotsubato(1208)
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shTi iqtusneo si hbtlisu.l Teh oawnm lwudo otms iyllek eb avndectiac to epSrt nmope,u lcpeyeasil fi seh had a emocepysnt.l

E oicl is salo an autepnscadel iruebtmac htta eacssu uoan,nmipe so htta is rome eyikll MO.I

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sugaplum  I eerga whti uoy, nloy pesioslb colgi rof rthie nasre:w e ht lrieufqia pienalsc kasem het "I"hSN sahnetgpo omer el,ylik neve tohuhg ilEoc can caues mrag vengiaet pisess adn CID. AF 1092 gp 127 olsA it ayss s pueomn ecsaus pessis lfpcaieclsiy in paicnesl ntepiast gP 361 +1
lmfaoayeitslit  To be hson,te the yonl eaonsr I got isht grthi cauee(sb I yrelal asw ktigihnn C.Eloi as e,l)wl is ttah I enedd up rgmemnibere eth PMOS tpra of the ,cthkSye dna I d'utnlco bremreem fi eh said hatt it swa het unrmeb 1 cesau of lla fo meht or nto, nda ddene up ncliicgk .ti It's pytter tyiths tehy nt'do frfoe nenpxlaiasto rof s.ehet +
merpaperple  I htgothu isth oto utb ti sesem ilek erptS mupnoe is ujts emro epcliiyfsalc seaidstaoc twih etfoncini ni iin/eallkeccssp elcl ttenaips hnat .E oilC si. tsJu oen fo hetso lascisc ac.nitoisossa e'Tshre a kliesc in hte cykheSt pretS omneup sch,ekt sv. no cklsie ni eth olCE.i shtcke. +1
drzed  E. ocil cussae mopeniuna by oatnpr,isai orf wchhi htsi ettnaip dha on iskr atfr.cso roF LUEMS, if tehy o'ntd yas teh ttieapn si ciecvad,atn uyo cna ussaem htye rae .ONT Jstu useecba ehs ahs a ohyistr of mlyponstece wiongllfo atruam dseo TON mena hse had ot enbe eod-vntat-nd'ciac ifll in eht otsrhyi rfo het napt,iet oyln seu eth fotaiimonrn yeth vegi ouy. +1
vivijujubebe  olas DIC eorm oenft nese hwit G- atierbca tr?g?i??h 'Tthas yhw I sheoc l.icEo atsndie of pSmiunaone. +3



 +2  upvote downvote
submitted by โˆ—monoloco(155)
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tdslEpacuane oirsnmsga run nramtap in tsieatpn woh evah no ,elneps whtrhee ylhiycpsal ro tiolauc.flnyn aRcl(el hte eid-wyrraa fo eeluqaas selick llce iptatsne cxieerneep htanks to treih fninotaulc .empotnsoaectu)ly

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sympathetikey  reAged -- netw thiw E. oliC kiel a ,sgundi sujt aubseec I td'ndi toaiecass CID tihw S. meuon.P ughTtoh ti wsa oto yse.a +
chillqd  snIt' .E Cilo slao na uespaldtcnea ?mosgnria ahtW ekasm terSp pmenou meor ekylil ni itsh ueoiqstn jsut ecuaesb sti het emor cmonmo esc?ua +28
studentdo  seudmasonoP soaigreaun is eentaaupclds as .wlel I inkth eht thigr rsnwea ash to do wiht CDI btu hy?w +1
mgoyo89  The ynol sanore i dfuon was S. uepmno si rmeo mo,conm I newt whit sunamePdsoo bscuaee fo hte vgwemelhro"ni sssi"pe (: +2
kard  ynoeEerv is trorecc tboua eth apnasudEtcel bsmr,oice utb tsih si eno fo theso fo "STMO E,LKY"LI d na by rfa eth tmos eyklil is ;t;nugi.teH&&nSn;.Mfgl&t.geonmNg.iP tgotn(mii atht isttpnae with yrshoit fo mtpecnelsoy tsum be av.teiccadn +2
djinn  arGm ngiateev aer reom mnmoco ni CDI my erndisf +2
drzed  rotCecr em fi I am ngo,rw btu I am typtre rues htat E. iocl si ONT a mcomno acseu of mnonipuae besuace ti tsmu be seaitrdap to ertne teh nu.gl ,usTh lyno nttpeisa htwi iprasnoait iksr e.(g. sorkt,e uncnrogeie iosditnc)on owudl be ta a naechc of ttgenig E. iocl nieapu.nom +2



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