NBME 23 Absence of germinal centers in lymph nodes (NBME Answers)

NBME 23 Answers

nbme23/Block 1/Question#31 (reveal difficulty score)
A 16-month-old boy is brought to the ...
Absence of germinal centers in lymph nodes 🔍 / 📺 / 🌳 / 📖
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+7 upvote downvote
submitted by hipster_do(8)

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mI’ oingg ot sya ’tis X eidlnk buoillmaeaangiagmm hrtera anth DSIC, tbu hte cfrefieden enebewt eesht wto ear ytni tub ihst si hyw I nithk ti’s het ermfor:

oyB denisac(re kisr btu tboh AB nad SIDC rae x lkn)eid
rnrRceuet leataibrc cnioentifs tbu otn’d itenomn hraierad or sthhru hhciw si ni SCID
iieTmnel si areft 6 ts,mhno so hte termosh’ itosandieb wreo .fof

SCDI usdohl eb dleteimyima ecesabu they tjus n’tdo ehva eht I2L oetrs.pecr VICD swhso up when tyee’hr 02-40 rayes .odl oYu tge etnbas laienmgr nsercte ni .both oN mtnoeni fo enabts tychim osdwah wihch is ni .CDIS

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placebo079 rl”fyoUmn“i lwo si olas a ;luec ni DCIV eyht rea no.t +5

tea-cats-biscuits hsTi kmeas ene,ss hgothu what ylalre etrwh me off was atth in csilasC ronBst’u gmeaamauoimgillAnb ehrets’ anero-rez B nutsoc oghuht o(r at sleat t’tsah ahwt FA nda UDT yss,a b“teAsn B lscle in areeihrplp ”lobod FA 1,16 .0)281 Teh Q says hte cluteyoke tucno aws arnmol .otghuh ntol’dWu teh eolkteucy tocnu luncdie phmseytyclo ni eht tdreaffel?nii Adn tlwduno’ mephscoytly be wol edu ot eht raen lotecmep lack fo B slcle in hrpieralep lotcinucari if it was A?B +2

partybrockk bisactt-tea-su@csi osnB’utr is a fileaur fo B clesl ot RAMUE//T. So uyo get moranl tocyphlmye t,snocu deracsede leslev of ,bumlsmnlounigio and btesan raiemlng stecne.r +8

tea-cats-biscuits abkpctokrr@y tTha meask snsee ot em, utb I epke egntgti nhgu pu on hwo a’tsht ont waht iteehr FA ro TUD ysas uoatb het clcsias abl fgsinind of .XAL DUT pyiflecilcsa syas :sith a“aotobryLr nfginids iledcun ghgammmeoagngal,anlapoimielmybamulia/iuob ifcieetnd tbiyadno ospresnse to miu,smzitannio nad ebastn ro ardkemyl ureedcd B lselc in hte o,l”bod dan I spouiyevlr utedqo F.A I osppues ti d’noset raylle m,artte btu it’s lieinytdef a tib trnrsiuatfg elsnsu I’m nigsims igontsmeh uotab how tanesb B elslc ni het blood w’dloutn eroraeltc to a aedersdec yhyoltcpme cnout ... +3

temmy spaeel tcrcore em fi i am owrng cos i tigmh be but ym ciogl swa ehter is eecserads iuouimnogbmnll yrlmuniof ninamge the B sclel ear liouynfmr stbnea and icens heyt epldeov in eht aeglnmir e,ncrte the ganlmeri tceenr lilw eb ebt.sna +2

almondbreeze Peidck cedrdae'es # of 4DC el;motyto-yg'pBh t&sc.h. C4D dna C8D T ctemoyhpsly erwe dafeect;f hte rcaeseed swa tosm rcueopdnon rof nvaïe T ellc.s (1s.tw.tcPn0e/c8/giCn/li..c0twwoa/mMpv9ibrlh:n//hspm06) +

an1 oLw gI is osmt ikllye a B clel rdroeisd. lAl fo hmet engib wol ersul uto .gIA e'erW tfle iwht AmagmX,La I,VDC nad ISDC. DIVC sorccu tefra ypebutr dgcoiarcn to BBn. DCIS is sa if a bbya ahs V,IH ulps they aevh na abtens mshyut T( .lcsle) heritE ywa, be ti ALX or I,DSC htye BOTH ahev a klca of eiglmnar retcse!n +

+1 upvote downvote
submitted by ∗tea-cats-biscuits(273)

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I knith I fduon htaw eht esaides s,wa hgohtu I tysonlhe heav no edia hwy heyt lodwu stte htsi errhat hant LX.A Tr’eseh a codoninit aellcd isrnntaeT algeaomialmnimuobypgH fo yInacfn. tI etrsnesp wlo/w luonlimmbgouin ellsve otsp 6 tonmsh nad nac ernpest l/lamsw mhylp sdone and snsilto ni yinacnf UTB /wo yna thero dnsgnifi of ryramip cenuyemcdoiimfin lnnucidgi cedreedas oc.unst

Hee’rs an cairtel oubat :it pbtaatnio:ui-sesfscm-rgopcfoos-uaom-eyle/mntfihaprsirfiy/n/einlataug-pumsisremdnr/odyegti.-enpmiyraicaman-niectmepym/e/cbiihi

You efldtnyiie td’on eend ot oknw eth seesiad to get hte rccreto rawens einsc teh nlki of aklc fo igoinsbunmlulmo lwudo elcu you noti eth klca fo eamirgln ern,scet ubt I kihtn tshi si remo elkyli thna ALX ensic revye eocusr I aerd epmiisl hatt B lecl ncouts are rnea 0 in het ilscsca tnepseointar (selsun m’I isingms a raneos why tecoukeyl oucnt /iffdw tow’udln hwos a nfnticigsai adseecer in ytepholsmyc ude to nrar-oeez B els.cl) sutJ tdanew to utp hsti rhee ni saec hoert epeolp arlte cmea nrn,ogdewi othugh I yam tisll eb .onwgr

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keycompany I hnkti we era lal itrgnhneivko sthi otiqneus adn( ti si brmlaykrea ips.l)me I 'tond kitnh thsi utnsoqei si negtits us on any fo eth FPAU mefciunimycodine ,odsnrymes per ts. a Wayh yhte era alrley ksaign si hwa"t wulod lsao be sbneta fi rthee are on bnogslilmnouuim dan gyerehnivt seel is mlr?"ano eTh awrsen is tensab gmeanlri erstenc b/c tths'a hrwee Ig si synzseidthe. I knhti tyeh ptu all ehtro ptsceas fo hte hsiyort in sith mest stju to pleh oyu elru otu ayn of het toehr aersnw.s +12

+0 upvote downvote
submitted by lilamk(12)

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I dmea a yuklc usesg nda coseh iths ubt I tond’ ihnkt orf het ithgr aos.ersn I thhugot mbyea he ash KTB r/e’cntoeciifsyndBu imbmaAa.gmilaengo t,uB wno ttah I am ognig over ti I ntsw’a rsu.e dWluo htat wosh a lnroma eceltokuy elfe?dairntif Is ti IDV?C ntidD’ tknih CVDI wlduo heva nsteab nmglaeir eectsrn ni lmyhp dosne. tWah esel cdluo tihs be?

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lispectedwumbologist IDCV trsenpse ni ddtuaoohl so s'ti otn V.DIC IVDC olas 'eontsd veah eatsnb liengmra teecsrn ni ylpmh no.sde My eddu ahs sBrount' gmnalmoibmaiaage +2

sympathetikey hatW lcsptedi@e isad. +

+0 upvote downvote
submitted by ∗abhishek021196(119)

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Male dlcih, errtnucer tnfcn,eosii on mearut B secll = onrtuB idsseea ie-n(ldXk aiglmmgeanoubiam)al

moCnmo duberanvmnoefi eialiicmyc - Detfce ni -lBcle offitdeai.nreint eCusa unwnokn in tosm syce. asMa nteespr in ilhddbcooth u uslaluy adnoisged aerubeea dr pt.ynrfctIse iksr fo mumtnoieua soaiaceisei ebtrscs,,ndh lypunimm,pohnroysla amo retieiencs cnaosfeDd lmpasa sDes ceellardec, mlsomionunbluig

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