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NBME 22 Answers

nbme22/Block 3/Question#48 (22.2 difficulty score)
A 2-year-old boy is brought to the physician ...
Bruton agammaglobulinemia🔍

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submitted by haliburton(191),
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no lsontair stsieu is a hegu cule ehr.e ttola cakl of Ig cihwh ecauss ertucenrr csfeiniton ertfa 6mo aretlmn(a gGI is enog). NL and tslosni ear isx-neinroom/e.nntt AF( ).0217

angelaq11  I totally hated this Q! I almost completely overlooked the "no tonsillar tissue", and thank God I didn't because that's the clue that made me change my answer. I had CGD (yeah, I know, S. pneumoniae not catalase +), but it said that he had muuultiple infections since birth. And I took to heart that "since birth" thing, because, isn't Bruton supposed to present with infections from around 6moa? I hope I don't screw this up next week +2