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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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ntMeeeeluyhl-b eintasd cafle armse edevler eumnsruo uhretilposn utb( ton nay o)issm.nagr ilaghelS si olscrsloe hwen tniesda ihwt yleeemthn l;beu E clio snatis uble iwth nmlyeeeht lueb ceubsae it sfmetenr ect.soal

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sympathetikey  E. icol istsan regne just( fy)i ewetsro,ih t.erfpec +14
chandlerbas  loyn E loci atssni ergn,e lla htroe oalstec rmsetfneer tnisa ulclearkb/pp (jsut )ify wioe,thsre tr.fpeec ); F4 41A mobtto +5
dmotav  I hitnk sthi is cautlyal a tsaperae cenpotc – E. lico itasns tc"mlelai "gnree no oesni letmyhene leub a,rga wcihh is ni eht E. ocli ytshkce and isftr a.di ovHewre htsi tisqeuno is irerfngre ot the eltemnhye uelb sett on a celaf r.mesa mroF whta I cna h,eratg siht etst lliw be tieopvsi dc(tiinade yb pcsreeen of ueols)nirhtp ni eascs fo niesiavv ehrardia (ei.. hleagi,sl nlas,aellom romcehnheagtirreo E. o.ci)l heT sett lwli be nveigaet n(o rnohie)ultps ni eassc fo irhredaa cudase yb itxsno cehr,l(oa exioinctengreot .E oicl, ard,aigi lviar aeirhd.)ra o S veen hoguth E. cilo acn ptenrse htiw lfeac MNsP (fi it's the hrnhomreeaiertcog pt,y)e I essgu ttha's esls eilkyl tnha lego:ecusrsa lhi? nv4t.5c.miwn15.egnsbw/hhb/.lwmt/ip4/:u4o2pd +8
srmtn  errccot a@to,dmv sinoE thynmeeel lbeu gaar is ftfirdnee mrfo hyMneetl uleB stian hihcw jstu hosw cerseepn ro ont fo te.sjsuccye lo..tu drae aistelhcF : kysceeltuo nac eb seordebv in otesh iwth eth wflonilgo cstdninoio • olanmlSela feocts• iinn ilheglaS sifincoe •tn etevcraiUl •ilci ost hronsC’ eLydoeekasstsceui lliw be tesban ni cflea smpeals fmor otseh hwit aar,idiG cEil.o ro ivral foiecnsint nad lsoa in sscae of dfoo onnps.goii +



 +8  upvote downvote
submitted by ∗monoloco(155)
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I hntki aeilhgSl is eth somt riaoaepppt,r as ti is talulayc eradrdeg as hgilyh oitnaflymmr.a Yse, E. coli nca be fo the C/CSETEHE evarit,y tub .E coli cdluo sloa eb of hte CTEE ityarve ro herwteva teohr artssni it has. E,rog .E ocli yma eb psb,elilua tbu ti is ton hte 'mtos k'ylel.i Bhel to heste sinkd of isu.eqnsot

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jcmed  shiT si why I eipcdk isht one ebuaecs fo het ciomud tlfomtmlsioayar/nso nurtea ): +



 +8  upvote downvote
submitted by ∗neonem(629)
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lhlSigae ecauss an altfmaoriynm ;aridhrea it prdecsuo a itxon dan cna veandi ietsus cied.rytl nI nddatii,o ti is isrtaents to a,cid os it ahs a alcitretricylachas owl envfiiect deso (10~ nsagm,)iros hcwih tafiastielc its afc-llroae e-rt)epo(oonrsps-n raedsp leapeisycl in ttigessn ehrew negeyih aym be sdci,ermomop ucsh as in dyearac or itotintsunila n.uhogsi tI acn be tdtreifeafeidn mrof E. oliC (CEHE) cseeuba E olCi tenosd' veah sa cuhm rotronp-osesn-pe edpsra and ynlo sucsea GI gaedam yb the e-khisalgi x,tnio nto ritedc nsvainoi. rofh,reeTe HEEC wu'todln ceitlfatia as orgnst fo a rptoheiculni s.rnpeose

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yotsubato  I desaums lla eth ksdi ni teh yrceada ahd eht asem u,nclh uhts gto food ip,nisnogo htsu lal ogt HCE.E +5



 +7  upvote downvote
submitted by ∗beeip(141)
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Artap ormf teh nlei in AF erfrneicegn PNM liafntiert ni ehgiaSll, htree is no ywa ot erifanteifedt ereh eeentwb it dan .E Cilo. Cphea t.soh

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merpaperple  As estb I can dtnanued,sr hwat eyht rea rtnygi ot teg ta si htat "MEB tsain oihsgnw tnhsrlu"epio g&t;- B"ME atsin ONT ngshoiw gismaron"s t;&g- emor llkyei lhgieaSl htna E C.iol If a speaicl teulruc ofr na gmrosian e.g(. BME ofr E. )olCi ohwss no oanrmsisg utb oyln rfmiaynmlato ,esllc .ei. snrutle,pohi that amnse tath nmaosrgi si ont r.peestn If ha'tts het ipnot heer sit' kndi fo a ctirk ,oetsuqni sa ew lla duwol ehav ttogen it itghr fi they adh jtsu dsia EB"M oedwhs no rn"a.gosism I ssuge eht teaaaykw si htta the iopnt of a lseacip crutlue si bnirya - you ear kiolgno orf a iccpfsie ,ansmgroi adn ti is ihreet tereh or ti .is'nt +1



 +6  upvote downvote
submitted by ∗groovygrinch(39)
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Leki mnay e,ehr I wsa ebnwtee .E iCol dan lahlegiS utb wten ihtw aelShlig saeecbu of eht dyearac rectne siryto.h I sesctaaoi EEHC .E Cloi twih bda rgerbu atem nda it dmseee lnuiykle ot em that htey udolw be pwginiph pu rsegurb ta the araydec ysauUl(l oyernvee bisrgn hiter onw ucnlh to ycd)raae .

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 +2  upvote downvote
submitted by ∗feralbaskin(2)
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iShgelal is eth msot yiklel aaulsc rgoniasm veor .E ocil ude to eth egivntet clfaseiypcli tngitsa eth ttaeipn ahs ahd lo"odby MUCODI ostols whit uste.mes"n

egaP 414 AF 2901 GI osaminnafie:stt Feve,r cyrpam nlmboadia pani ;t&g- ensemu,ts dbool oiumdc slotso carilylba( .te)eyrsnyd

Psalee ctrocer me fi I'm gno,wr utb I 'todn rebmreme ecSkyth gntmininoe odblyo dmcoiu sotslo rof E. clio dna taht atdeil tenos'd esem to eaaprp ni .FA

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meja2  ahnTk ouy! I tddi'n tcach het "bdoylo cuimdo "lotsos ,cernfeeer dna esy reuoy' -itrgh .E icol ludto'wn ahve shti asieetrn!tnpo +



 +2  upvote downvote
submitted by ∗step1soon(51)
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nOs BME Arga, idtleoas csinloeo of frcamnletonitegse- ribaatec eraapp wnobr ot aucl-bebkl in .ocorl ahcscrEeiih loci ppaears as egl,ra ealc-bbukl co,esnlio oetfn itwh a egrne latilecm ne.she bnatEtroecre pps. eespnrt as ownrb to lblu,a-cbek diucom clsneooi htwi on e.sehn ismNegeacn-nn-ftloeort oioncel,s uhcs sa Seghlail psp. nda aamolenSll .ps,p peapra entatprarsn nad rlsc.osole

We lsbycilaa deeden ot eacrteolr htat → on sonmirgsa snee ubt olyn tnesiourlph ot nbeig a atcoles mnt-eoforenrn rg.naosim oeTfrereh het srwnae si Saliehlg dna ont E olci

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 +1  upvote downvote
submitted by ∗an1(114)
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eth hlcdi asw ni a rde,acay onsnei dan visatorur era teh seon to peke ni n.idm nisneo cna aosl be deu to hewausnd sgeegvi to.o and the mrlyaifmntoa tsolo ptlirsoh(n)ue osla isnecidat in.seon eth aklc of rueesxop (dcoednkuore meta ofr CEHE) hpsel ot lrue tuo ..CloiE ditry reawt TEE(C adn CIEE) nta're olpisbse eecaubs of hits dsik lyobod .losto Asol fro hits ot eb UHS ht(e ylno eosblpis ioECl. itwh byoold re,ad)ahir ew uhsold heva nsee eth ardit or at altes nthsemoig abuot it nmaiae( + ahobotmicenyoptr + tcuAe anleR If.)nf.su l,sAo "iucomd lso"tos si tihrg rfmo eht FA athrc orf lgeali.hs

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 +0  upvote downvote
submitted by whyisthis42dollars(1)
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E. iocl tsi'n na falmnamtoiry adrha,rei iaSgellh si hnt(ki bkac ot eht fsmela in eht yhckteS )veo.di tahT eolan si ghuoen ot ruel out E. lcoi mfor rwnase coic.hse

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 +0  upvote downvote
submitted by ∗beetbox(6)
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naC oseemon pehl me uot? I ehsco .EoliC o,to nda 'Im oot ikhtc to snadrduent eth etcmmsno re.eh The iqusetno adsi fcale smear ont lpeisac gara eulurtc hisewys.dh.. are ew ltnkgai utoba anist l?osroc dan why wolud etmenlyeh buel sntadie aflec rames whos on masn?oigr I guhttho ehmteelny elub tiasns jsut bouta nya clsel ahtt ash /N.NRDAA If eth tqoesiun si tinryg ot llet su thta ether were ON NGOSMRIAS eesn ni hte rsm,ae wyh ldwuo ellahgiS otn eb nes?e Is ti ucaeesb Slleihag nvisade cesll dna seecirondd orme iaeaulrlcrntl thna iCE.l?o

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topgunber  i hknit .E Coli douwl be ibisvle no a mheetenyl ubel aitns grne(e an,t)is m'i uanisgsm selagilh is ganervv.teiii o aaumpltrheicyso ssueac byolod iarerhda lenkui lhcorae utb mi giensgus tsi owgnr asceube sit mrof aodoesf. lihlSega nda .c jjneiu are oncmom ni hte statse msa(e with e ic)ol. cBeasue lnyo soheilruptn wree isdetan we hvae ot msesua atht sit nto e .lico +



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