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NBME 22 Answers

nbme22/Block 3/Question#50 (20.1 difficulty score)
A 56-year-old woman is brought to the ...
Herpes encephalitisπŸ”

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submitted by drzed(207),

I'm a simple man, I see encephalitis and temporal lobe involvment, I click herpes.

asharm10  hahaha true that, overthinking is the reason for getting so many questions wrong +  

submitted by imnotarobotbut(161),
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olAhutgh eetrh are on ciceisfp spehre ,croindsiat a FCS nleap iwth syltom tcoeyseluk isiedncat a ravli iocnfneti as( wlle as teh amnrlo )clusog.e oS yuo anc elur tou TB, soridnasiuesorco and tbarlacei. ekrnskrigid/ziuBn sgni are reeadlt to egtmni,insi tbu eevn if oyu d'not kown twah stoeh a,re eth euotinsq assy htat ereht is na oblrimnayat ni het AMPRTLOE boel imi(eingnts = em.)eingsn lshnaEtipiec wdulo be teh best nwsar,e salpiyceel asubeec esrHpe hnsicplaetiE facsetf the trolmepa o.elb

taediggity  Also look for Kluver-Bucy like symptoms in the stem +1  
mambaforstep  why? +  
b1ackcoffee  I agree with everything but normal glucose. Glucose here is NOT normal. to quote wiki "The glucose level in CSF is proportional to the blood glucose level and corresponds to 60-70% of the concentration in blood. Therefore, normal CSF glucose levels lie between 2.5 and 4.4 mmol/L (45–80 mg/dL)." +  
baja_blast  NBME reference table gives normal CSF glucose to be 40-70 mg/dL. As far as I'm concerned, for the purposes of the exam the reference table is probably a better source than wiki. +4