NBME 23 Leishmania (NBME Answers)

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submitted by ∗imnotarobotbut(184)

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Visceral leishmaniasis causes hepatosplenomegaly and most importantly, pancytopenia. It is often found in people who visit the Middle East and is transmitted by the Sandfly. Why did NBME put 2 Leishmania questions on this form lol

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stinkysulfaeggs tell me about it... I got both in one block and started seriously reconsidering my answer choices! +15

rongloz I got both questions within 5 questions from one another! I was seriously doubting my answers haha +1

faus305 Visceral Leishmaniasis affects about 0.001% of the world population each year so it only makes sense to have two questions on it. https://www.cdc.gov/parasites/leishmaniasis/epi.html#:~:text=For%20cutaneous%20leishmaniasis%2C%20estimates%20of,to%20400%2C000%20or%20more%20cases. +4

underd0g How do you differentiate leishmaniasis vs malaria? I picked malaria because I thought, no way leishmaniasis is on here twice. But doesn't malaria also cause splenomegaly, fever and abdominal pain? is the key differentiator PANcytopenia? +

faus305 @underd0g, correct no Pancytopenia in malaria. But also malaria probably would've said the patient was in Africa. +1

jaramaiha Sketchy for the save :) +1

srmtn also if they say pancytopenia...they could have mention anemia in order to make us answer malaria +