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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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t-bMeeyelluneh tainsde aclfe srame reeledv euumsnor uslrotnihep (but otn ayn .s)garosnmi hglialeS si olsslcoer ewnh daesnti ithw lyehtnmee b;uel E ocil tassni blue wthi yleetemhn ubel ueaebcs it sneemftr etl.scao

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sympathetikey  .E lico sasitn ngree tus(j )fiy howste,ier cerep.ft +14
chandlerbas  loyn E coil stanis gn,ere all heort saoectl rtsmrfenee isnat cl/ukparbpel sjut( i)fy w,hteoreis frpc.tee ); A F144 ttomob +5
dmotav  I thkni tish is ctyllaau a apseerta noecpct – .E oilc sntais ictmela"l "nerge no nsieo mhteelyne lebu ga,ar hcwih si ni eht .E iocl ckyhest dna itfrs aid. rveeHow hsti usnqteoi si frerenrgi ot eht eyelemnht ulbe test on a afelc s.amre moFr whta I cna a,grhet siht ttes wlli eb evipitso tdadn(icie by eceernsp of ieplunoht)rs ni sasec fo ievanvsi diaharre i.e.( lh,esialg ,leslomaanl aotmecrgeihrrnoeh E. oil.)c ehT stet lliw eb avtingee no( retphlonsiu) in secsa of ieraadhr udaecs by notsxi aolc,ehr( ncoietnxoeteigr E. lio,c aagidi,r vrila h)rdr.aaie o S enve huhtgo .E loic cna rtnpees ihtw eaclf sMPN fi( s'ti eht rnhamricghetreoeo t)ep,y I geuss shtat' esls ylklei tnha lhagos ?irl:usece 4pu5tlnnvm/w:iw/sh4gbpomn.i2/wdb5./..14hcet +8
srmtn  oeccrtr t@odavm, ionEs emyhetnle ebul arag is nefdirtef rmfo neyhteMl Bleu ntsia hhwic sjut swoh eeensrcp ro tno fo c es.tolyc.eusut.j eard e:cl astFih cueyoketls can eb doesrebv ni heots hwit het fgnlowoil odntsicoin • Sllaalomne eistconi•fn Selihlag ofi•scinte n reUtceilav iol ts•ic sCrnho’ k esteessedcLuaoyi lwli be tanesb ni cfela elspmas fomr oshet twhi aiir,dGa cEilo. or raivl nosifcteni and lsao in escas fo doof nipsono.gi +



 +8  upvote downvote
submitted by monoloco(155)
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I inkth hlgiaeSl is eht omst po,etiarprpa as it is lacyatul erragdde sa glyhih tarolnmi.amyf ,seY E. lcoi nac be of eht HETE/ECSC yivrt,ae tub .E cloi duloc soal eb fo the TCEE vtariye or reathewv ertoh trnssia it sah. rEog, E. ilco yam eb isaeb,pllu but ti is not het tmo's 'ellkiy. hBel ot heste knsid fo seuiqo.nts

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jcmed  Tsih si yhw I edkpic hsit neo uaeecsb fo hte udmoci sl/yrtomfsaotlmanio areutn :) +



 +8  upvote downvote
submitted by neonem(630)
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egllaihS sacesu an itmyaalfmrno arhraedi; it rpocdues a tniox and cna enidav utiess y.tirdlce In i,oadtdni ti is snrasiett ot ,cadi os it sah a lcyasiahcetrctailr wol enecivitf sedo ~(10 ir)m,sonasg icwhh estilacitfa ist ecora-alfl oeort-spnosp-)rne( epdras clpaesieyl in giessntt erewh eeiyghn amy be eormos,ipdcm ushc sa ni acdarye ro ntuoiilnsatit nios.hgu tI can be rtneieediftadf fmor E. olCi CE(H)E baesecu E liCo eo'dtsn evah sa cmhu r-teosno-orsepnp epsrda nda nylo uaecss IG amgdea by the -lgiekhias otx,in nto cdiert aiionvns. erofT,rhee EEHC n'tlduwo itelatifac as rogsnt of a ocuhetiinlrp nporse.es

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yotsubato  I dsaemsu lla the dsik ni teh eraaycd adh eth eams h,lcun tshu got dofo nosipgi,no shtu all got E.ECH +5



 +7  upvote downvote
submitted by beeip(141)
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Aartp rofm hte enil in AF gnerfnceeir PMN iantfilter ni ielSlgha, tereh is on ayw to treefdieitfan heer weeetbn ti adn E. oiCl. hepCa o.tsh

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merpaperple  As sebt I acn dusnn,rtaed twah yteh rae yitrng to teg ta si htat "BME naits oihwgsn prhoin"luset &t;-g EB"M stani NOT ngwhios gssm"roian -g&;t ermo liklye llhegSia tnha E lo.Ci If a pclasie tceuurl orf na rmnigosa (.ge. MBE orf .E io)lC swhso no sagsomnir tbu yonl atromnafilmy cle,ls .ei. iotneulrhp,s htta msena tath sionagrm si otn t.rensep fI 'tthsa hte itpon here sti' inkd of a irtck ,oseituqn as we all luwdo aehv oetntg ti hgtri if ythe adh just disa EB"M sdeowh on igamrsn.s"o I ssueg teh yaekatwa is thta hte otnip fo a aipescl ucruetl is bnirya - you aer knioolg rof a pfcieisc asrg,omin dan ti is rheeit eethr ro ti ns.i't +1



 +6  upvote downvote
submitted by groovygrinch(39)
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eLik myan ehr,e I aws nbweete E. ilCo adn lSagihle but ewnt with Slhaelig esbueac fo eth acyedar rentce o.srhtiy I scsaiteoa HCEE .E Cilo ihwt adb rburge meta and it dmeese nliukely ot em atth eyth uodlw be ighiwnpp up uregbrs ta eht adeycra luyl(sUa noeryeve rngisb rthei now hncul to )ryaedac .

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 +2  upvote downvote
submitted by feralbaskin(2)
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ehilaglS si teh tmos ileykl acluas roasgnim vero E. lcio deu ot eht genetivt cisyplalecfi tagstni teh aepntit hsa had byl"odo CDMUOI lossot thiw teus"sem.n

eaPg 414 FA 9201 IG t:aioismsnnatef erv,Fe acrpmy labnmioda pian g;t&- sutee,snm ldobo mcduoi lsosot lrc(alabiy yy).rensted

Pseale ocrtcre me fi Im' ngow,r tbu I ndto' rmembree hyectSk oneigtnnmi lyodob idmcuo ostslo fro E. olci and hatt eatlid t'ednso mees to paaerp ni A.F

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meja2  Tknha uyo! I t'dnid chatc eht d"bloyo uoidmc sostl"o eerfec,ner and sye yrou'e hirtg- .E coil ltwn'dou ehva hits tnetiaespnro! +



 +2  upvote downvote
submitted by step1soon(51)
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nOs MEB gA,ar iltodase onsecoli of seticgefatnlorem-n ieabcart praape ornbw ot acblbe-klu ni clroo. ehciEasirhc lcio saparpe as ga,rel klb-ulcaeb oceli,ons tfnoe thwi a gneer tiealmlc en.hes trrabnecoEet psp. erstpne sa obrwn ot elucb,kbal- muoidc oolscnie ihtw no neh.es ntlmsg-eNncoeearotfi-n ieslco,on hscu as elhSalig .psp nad allloSmena .ps,p eaarpp etaptrnnsra dna cselosro.l

We iaysbalcl eendde to elrtroeca atth → no smoargsin esne but ylon pthrolsieun to nbeig a csleoat -frmreonennto .imgsonra feTeerroh teh nsearw is ielaSghl dna nto E loci

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 +1  upvote downvote
submitted by an1(114)
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teh lcdhi was ni a cr,aaedy oisenn nda vurisatro era het seno to peke in dnm.i enonsi cna sloa eb ude to hedaunws segiveg oo.t adn eth faatilymrnmo stloo tpl)o(hirenus laso enaiitscd enn.osi the lkac of soruxeep ukrooede(dnc aetm for )EHEC plehs to uelr uto C.oEl.i triyd etraw TE(EC nad IEE)C rae'tn oisbeslp eabusce of hsti skid obdoyl otsol. loAs ofr htis to eb SUH the( nloy ilbsspeo lC.Eoi hwit bydool )ra,raheid we odulhs aehv sene the trdai ro at satle hgonetims aubot it mana(ei + atonybipheocomrt + uAtce neRal )s.nI.uff olsA, od"cimu t"sloso is grhit fmor eth AF rthac for ileaghls.

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 +0  upvote downvote
submitted by whyisthis42dollars(1)
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.E lcoi n'ist an mfymnaartlio r,iarahed Shilgela is (ithnk bkac ot eht mlesaf ni het hSckyet ode.)vi Ttah loean is ueohng to uler uto .E iocl orfm asenwr isce.hco

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 +0  upvote downvote
submitted by beetbox(6)
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nCa omesneo lhep em ot?u I ohsce ioClE. ,oto nad I'm too chitk ot sdanrdetun hte mctonmes rh.ee hTe nquitose dais cfale ersam nto splciae gara uerutcl yhhs.e.wsd.i are ew litkgan boaut tnsai ?slrooc dna hyw dluwo ehetlmeyn leub ndtiesa lecfa esrma hwos no rn?mgoais I tgtouhh yemehteln uelb stisna jstu obatu nya lsecl that sah RADAN./N fI hte etusinqo is tnrigy ot llte su hatt rehte rwee NO SOGAMRSNI nese ni eht ,arsem why dluwo gSlaihle tno eb e?sen sI ti ebecsau elligSah sidvena selcl nda eoscnddier emor railcltalenur hnta ?iCEol.

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topgunber  i iktnh .E liCo wludo eb svileib no a yehtenlem lbeu aisnt (rgeen a)stn,i i'm samgsniu ihsgelal si angii evre.iotv mhaactpylsoireu cseasu yblodo deararih ulknei hrcoael btu mi sngesiug tsi nrgow cabesue sit ofmr .edoofas leShlgai dan c. injeuj ear nmoomc in the setsta s(eam thiw e .c)ilo ueaecsB yoln spunriotleh reew tensadi ew vahe to easmus hatt its ton e iol.c +



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