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Retired NBME 20 Answers

nbme20/Block 3/Question#35 (reveal difficulty score)
A 51-year-old man has the acute onset of ...
Cytomegalovirus infection 🔍 / 📺 / 🌳 / 📖
tags: micro

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 +46  upvote downvote
submitted by amorah(115)
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rFeve t&-g; eurl tou ltfe evrcalntiru ruaelif MMXS-TP ysrplhiaopx ;&-tg rule tou Pnmuotssciye eiicijyoKenrd v nratlpatsn tub no WBBCR/C ni uienr &;-tg leru uot natntprasl nocjirete

Legvain VMC nda aaciyptl raieommubytcc as eth mnargniie wto isoont.p MVC is mroe ekylli in a astantnrpl .tipnate

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 +4  upvote downvote
submitted by hayayah(1212)
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VMC si iseatsacdo wthi nigteicnf anrgo stltprnaan pnistta.e MVC si nidttamsret avi xeauls tt,canco agrno lpaansr,tnt or telirylavc iav n.aplceat ivoanactiRet fo MCV scrouc in eht eud.smpsormeinusp

nOagr asnntltrpa iestpnat era ta na iserandec iskr fo CVM u.peminona

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 +2  upvote downvote
submitted by lifeisruff(3)
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eh saw eevrn gnvei ioingclrvca - i sdeu ttah as a ulce oevr altntnrspa enrijotec

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 +1  upvote downvote
submitted by mrglass(47)
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Wyh oulwd tish not eb tcuae tanrnatspl ritcjnoee gedalni to AD?RS eTh acrinetein is laveet,ed dan I ese any eonsra why ti dowul eb ateldeev nodeby netiojecr

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sammyj98  I leceetds hte ame.s I tkhin tapr of het sintoeuq antwed us ot grneeozic atth the tp asw ont vrienegic VMC lraopysxpih nh(tedi htat heyt rea ngitgte TM-PSMX tbu no yn)rviGalocc so teh'yre ta yraell ghih riks fro CVM cyipealfsi.lc eslpTva•noUae:iD Utr oplxipharys with aniarigvllcvoc ro acnrclvogii is lilytypca ngive to ptentasi at iksr ofr slavumogoerytci MV()C oetcarnaiivt ,(ge epooivirtses seciiptern dan tehos ithw ptrieovoeiss sod.on)r The rnidtauo of ryepaht nfote dpnedes on eht yetp of ngaor l,estdrtnaapn teh rksi sttuas fo eth tena,itp dna vaidlundii nilouasttntii ccierpa.t oSme lptrsanatn tnreces perref ot ues a irpt-emvepe caohrpap e,(g utreino CVM rliva aldo ngmoriinot winhit ntinaoitii fo retnmaett henw iairatvtonec cbemeos env)iedt fro cfiipcse apnttie npla.oupisto e(eS aCtyoe'urslgmoiv' .vo)abe +1
utap2001  I was soal sondcfeu by ceaut eetjnoci.r CMV ctnona be eoeyllpctm D/D iwht jotnrei.ce uBt the gdur edsu si n.iht Teh tesm yssa htey desu oslnroecic,yp rienepsnd.o ahTt ushldo leru out jtcoei.ren +

via @sammyj98 via UpToDate:

Universal prophylaxis with valganciclovir or ganciclovir is typically given to patients at risk for cytomegalovirus (CMV) reactivation (eg, seropositive recipients and those with seropositive donors). The duration of therapy often depends on the type of organ transplanted, the risk status of the patient, and individual institutional practice. Some transplant centers prefer to use a pre-emptive approach (eg, routine CMV viral load monitoring within initiation of treatment when reactivation becomes evident) for specific patient populations.

+5/- drdoom(1206)


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