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NBME 20 Answers

nbme20/Block 2/Question#39 (28.5 difficulty score)
A 29-year-old man comes to the physician ...
Absence of peptidoglycan๐Ÿ”,๐Ÿ“บ

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submitted by sinforslide(54),
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eTh uneiqost tmes is iaksgn thaw usfartee dle ot hte etvcseiefnfnise of ehhpaaompyarrct. eiatsnt'P reaetniotspn is sttscnnoei hwti Mycpaaslmo penueamoin ,nenticofi hwhci t'seodn evha a clel lwal nad rerteoehf oycptgldaniep, hhicw is eth iets of otanic rfo slnniiepli.c It deso iqrruee ltsseor rfo w,gtrho ubt that 'otwnldu peilnxa hwy aonxiiillmc si fveietfnic.e

submitted by neovanilla(47),
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eRsnoa hwy ist' otn E: leiWh ist' urte htat pymscaalmo pneuaoemin uses orstesl ofr sit llce nremem,ba its' teh lkca of a attegr rfo lmlaicixoin tdin()ylaopgecp ahtt rdrnese it vifntefee.ic cisasCl ttse niuceteqh erewh hyte eldincu a ghtir rnsaew btu sn'ti eht tcreorc wrenas

submitted by haliburton(217),
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aMalyopscm l ocpnauienmode ,lsaiintnggu on epsesnor ot

FA 1207: ialsCsc saecu fo ypiatacl aโ€niklgโ€œw pmuaienno snu(iisodi tn,eos ehdca,hea dtepnioncvoru ghcu,o yctahp ro suefdif iarstiiteltn ).leinrtfiat a-ryX lksoo oewrs nath e.tapitn ighH reitt fo olcd iulsagingtn (I,g)M hhiwc can nauiaelgtgt ro sely BRs.C ronGw on aEont anmgrTe re:atat. a,iedlmsroc xceo,lcdnyiy ro uorfnloionqueol nle(liipcni eefciiventf encis lcsMypmaoa haev no lelc .Ba l)lwCA = fAicra, ,sBleidsnn ohiCncr fn.ctinoie Kโ€“D = tygvenreih alos lee.tneaN esdasie nca be daqeurci unridg pseaags hotghur neitcdfe rhbti .laanNo c clel al.lw oNt nees on Gmra ooelmhPpric ecA Braitl.a beeramnm nscatoni sortsel rof .libitstay plMolyacmas nipmunaoe si ermo cmonmo tanspiti ne &t;l 30 yeras rntelq.Fdueo atoubersk ni ytrialim urcirtse Myipsaol cano dar.spnsm gtes ldco wohttiu a taoc (lecl l.alw)

johnthurtjr  Have you mixed Chlamydia in with Mycoplasma? +3  
smc213  I mean the Q stem is not about Chlamydiae, but Chlamydiae does lack the classic PTG cell wall d/t decreased muramic acid = beta-lactam abx ineffective. FA 2018 p.148 +1