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NBME 22 Answers

nbme22/Block 3/Question#50 (20.9 difficulty score)
A 56-year-old woman is brought to the ...
Herpes encephalitisπŸ”

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submitted by drzed(217),

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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hlogthAu ehert era no icipsefc heresp aotdcnsiri, a SCF lnape hwti mtloys utleesycok idescniat a rvlai oticnfein s(a lwel sa teh lomran celug)os. oS you nca ulre otu ,TB esooioaducisrsnr and aeblarci.t idkrznkiBsrig/uen sgni era daeeltr ot eiiitsm,ngn but veen if yuo tno'd nwok tahw sohet r,ea the qstiuneo syas ttah eethr si na liaomrbatyn ni teh PLAEMRTO bloe i(gmienstni = ) claieihsptnE ulwod be het tebs s,narew illaysecpe ebsceau spHeer heptcalEinis ftcfsae eth tpaleorm o.leb

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