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Retired NBME 20 Answers

nbme20/Block 3/Question#36 (reveal difficulty score)
A 4-year-old boy has had fever, abdominal ...
Shigella sonnei 🔍 / 📺 / 🌳 / 📖
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 +14  upvote downvote
submitted by louisville(12)
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b-uenMlheelyte isdtaen lfcea emasr everdle rmenouus nersthpolui but( ont nya )rosanms.ig aegSilhl is slsrolceo nweh tnidesa tihw nyeemetlh be;lu E iclo stisan lbue hwit leemhnety uelb scbueae ti fersnetm olaets.c

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sympathetikey  E. clio sansti egren u(jst yi)f eh,oerswit cpe.rtef +14
chandlerbas  onyl E loci instsa rn,gee all othre etsaclo etrmsernfe tinsa /erlpbkpcual j(uts y)fi ioe,hrewst rfe.ectp ); 4 A1F4 obtmot +5
dmotav  I htkin stih si ylcualat a rpaeeast peocntc – E. olci aisnts elamti"cl eegrn" no sione lhmenyete leub rga,a hhiwc si ni het E. iloc cthykse and strfi ad.i veeHrwo itsh seinuotq is rfnrrgeie to the eheelntmy belu ttes on a efacl arse.m mFor twah I can trhag,e tish test illw eb sitopive tcn(edaidi by resepcen fo n)lpishutore in scsea of ivvnaise iradrhae .(.ie allhsei,g l,elosnlama tmherocahrriongee .E il.)oc The ttse llwi be aigenvte n(o peionrlsthu) in scsae fo ehrardia csuaed yb tisxno hrocl(a,e etitorecneginxo .E oicl, d,agaiir rilav a)e.adrrhi o S eenv tuhogh .E oicl acn snterep ihwt fclea sPNM if( i'st het rgencemeohthariro yet)p, I gsues ht'sat essl klylie thna uo lea:csisrhle?g 12mtswimbw:g/h/p/.4eu5nih.5nbc4..d4tlnpwvo/ +8
srmtn  ocretcr t,dmvo@a onsEi hleteynme uelb raga is ertfndief frmo lytheenM Buel tnsai ichwh sjut ohsw rseneepc or nto of stce cs...etjuyolu dear lhesciF:t a lkusyceeot can eb esovderb ni hsote htiw het owgnlofil idnnstcioo • llnmaleoSa t•ecnoinifs liahgelS ntonei c•ifs clveUteira sclt•iio no’hCrs saee toekyLdsuisce ilwl be tsbaen in eflca spsalme morf shteo hitw ida,Gria Elioc. or arliv ftnicineso dan loas in aessc of odof ngiopi.osn +



 +8  upvote downvote
submitted by ∗monoloco(155)
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I hknit hgaelliS is eht mtos a,rirpptaepo sa ti si laylactu reegdadr as hlygih ntmify.aolamr e,Ys E. cilo anc be fo eht /HCCEESTE evr,yiat utb .E oilc ldocu loas be fo hte TECE yretiva or ehawretv othre tsrasni it ha.s or,Eg E. olci aym be lps,buleia ubt it si tno teh s'tmo .ke'ylil lehB ot ehets dinks of suienso.qt

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jcmed  hsiT si ywh I ipdkce sthi neo ubeeasc fo eht iomudc syomolosamna/rttlfi tunare ): +



 +8  upvote downvote
submitted by ∗neonem(629)
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alSlgieh sauecs na ntmrlaayoimf irea;dhra it ucrosped a oitxn adn nac dievna ssteui dlcryi.et In ddaioit,n ti is nreattsis to ai,cd so it ash a lilahysaatirertccc wol ifctviene edso ~(10 nsasio),mrg icwhh cteifisaalt tis fllacre-oa pnrnse)e-oopor(t-s respad alecsiylpe in teigstsn erhew eenyhgi yam eb rsedmimcp,oo hcsu sa in acaeydr or unittanitosil hnigso.u tI nca be eredfenaiditft morf E. Clio CEE)(H cubsaee E Coil stdneo' heav as hcum rpneeosrotpo-n-s erpdsa and olny scuaes IG mgaade yb teh aseglhiik- i,onxt nto tecrdi svainoni. ,eerTeorfh EEHC ut'dlonw atteiilcfa sa rongts of a nhorpucitiel nrse.eosp

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yotsubato  I smeusda lal hte dkis in het eyaardc hda the ames hc,lun usth tog dfoo igs,pnonio tsuh lal ogt .CEEH +5



 +7  upvote downvote
submitted by ∗beeip(141)
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praAt rfom eht ilne ni AF eeefrgnirnc PMN fliatnerti ni hgliaelS, theer is on way ot rfettedfeanii rehe eewenbt it and .E iolC. hpCae hto.s

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merpaperple  As estb I anc dnura,tsden hwta hyte are iygnrt to get ta si ttha BME" atnsi wsgohin r"nlupsthieo -;&tg "EBM siant OTN nowhsgi omnsasr"ig gt-&; erom ikeyll aliglheS ntha E Cli.o fI a scpiela uuctlre rfo na gonsiram .(e.g BEM ofr E. lioC) osswh on gmiasnsro btu lnoy moratlnmfiay ,scell ..ie uihteorns,pl ttha nsmea ttha nroigasm is not spe.rent fI 'hastt the inopt erhe tis' ndik fo a citrk ,euntqsio sa we lla wludo ehva gotent ti ihtgr if tyhe dah sujt siad ME"B hewdos on so.gianm"sr I ssueg het aweytkaa si ttha teh ntpoi of a aeclips teuclur si ranbyi - ouy are okoigln ofr a scficepi gsaomirn, and ti is teehri etehr or it .n'its +1



 +6  upvote downvote
submitted by ∗groovygrinch(39)
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ekiL yman rhee, I wsa nwbteee .E iCol dan Seailhlg btu wnet hwti hlaiSegl asecbue fo eth ydarcae enrcte hy.srtoi I easictoas EHEC .E oilC twih abd ugerrb tmea dna ti sdeeem ienlukly ot em taht etyh oduwl eb ipnwgphi pu erubsrg ta het eyaardc ylas(Ulu renvoeey gribns eirth won culnh to ra)edcay .

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 +2  upvote downvote
submitted by ∗feralbaskin(2)
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Sllahgei is het smot elilyk sucala onaisrmg orev E. oicl deu ot the geevintt ililscecfpya tatgisn eth iptenat ahs dha ld"yobo IDOCUM tssolo ithw e"enmuss.t

egaP 441 FA 1290 GI tmnaiaf:siseton e,evFr rcmypa damoanibl npai &g;-t umsetesn, odblo oidumc osltos ycabla(ril dseyrt.y)en

sePlea trcreoc em if Im' ng,rwo but I to'dn eemembrr ySchtke nitnmgoeni boyodl uiodcm oostsl ofr E. icol and ahtt etliad dntoe's seem to ppreaa ni AF.

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meja2  Tnhka uy!o I nti'dd athcc hte odobly" uiomdc ltsos"o reen,eferc dan sye 'rueyo igr-th .E clio o'wdlutn vhea stih n!tnipeeorsta +



 +2  upvote downvote
submitted by ∗step1soon(51)
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Ons BME Ag,ar saleoidt eoocslni fo stieg-nemfteoracnl ribecata ppaera nrwob ot ulblacb-ek in co.lro rEceihcshia iocl ppsraae sa grle,a luka-blbec soiloe,nc tfoen htwi a neerg mlaliect snee.h rcroetEnteab s.pp pneerts sa nbrwo ot kl,ubbc-ale mudico cnosoeil hitw no hs.nee -Nefngmrictesnt-noaleo eoosicln, cush sa igallSeh .psp nad omllleSana ,.pps apepar tanastrnper dan crlsel.oos

eW yslbclaia edeedn to raercetol hatt → no omisargns enes utb olyn euprinosthl ot bngei a cltsoae nmtonerfneor- nsgimar.o eorTehfer the nrwase si iSleglah adn otn E iolc

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 +1  upvote downvote
submitted by ∗an1(114)
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eth hicdl was in a dcaeyr,a ennsio nda iruorvtas aer het seon ot eekp in dmni. eionsn cna slao eb ued to sudnwaeh vgeeisg oto. nda the rmliyomftaan loost (hepouist)lnr saol aindiestc ineo.ns hte ackl of supeexro ededou(okrcn etam ofr HE)CE plehs ot rule uot oiCEl.. irydt taerw ETE(C adn I)EEC teran' sosleibp sauecbe of shti disk ybdool .tolos osAl rof this ot be HUS he(t nylo iplsbeos .CioEl iwth obyold ,riaradeh) we usdhlo evah nsee eth drtia or ta selat hgmtoesin uatbo it anai(me + pnryiottocboaehm + tAeuc Rnlae .nusIf).f olAs, uidocm" otlss"o is thrig mfor eth FA chrat for ilel.gsah

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 +0  upvote downvote
submitted by whyisthis42dollars(1)
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.E lico n'tis an flimtroamayn ihra,dera lghSaile is htn(ki kcba ot eth lafmes in the tkyehSc v.oied) ahTt enaol is nehuog ot uelr uto E. loci form ernaws ocsce.hi

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 +0  upvote downvote
submitted by ∗beetbox(6)
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Can smeeono ephl me ou?t I hsceo CEil.o ot,o dan 'mI oto hickt to dutesnrnda eht oemcsntm ee.hr The netquios aisd eaflc rmeas tno lepaisc rgaa rutulce dsw.ehi.hs.y are ew lkgntia uotab ainst ?ooclrs and hyw uodwl elenythem eubl nsitade lecfa rmsea owhs no oirmns?ga I oghutht tynemelhe bleu nsaist usjt otbua ayn lsecl ttah ahs DRANA/.N fI teh etnoqusi is grinty ot tlel us thta rehet weer NO NSOGAMISR nees ni eth eras,m hwy uodwl Sheglail otn eb ?eesn Is it euscabe giehSlla eadvsin lcesl and osnedrceid ermo ltnriclrueaal tahn C.l?oEi

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topgunber  i knthi E. iClo dwulo be sileivb on a ymetnehle bule insat negr(e nas)it, m'i gaunissm ehsligla is rao.eetvigvini eoprlhsyctaiuma ucsaes lobdoy ihareadr eiunlk hceoalr ubt im suignegs tsi nwrog ueeabcs tsi omfr eo.dsafo lSehlagi dan c. niuejj rae ocnmom in eth ttsaes eams( hitw e l)ci.o Bueaesc nyol leushpnitro ewer esndtia we aveh ot aseums thta sit not e oil.c +



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