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NBME 23 Answers

nbme23/Block 2/Question#17 (reveal difficulty score)
A 21-year-old man comes to the physician ...
Leishmania🔍,📺
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 +26 
submitted by karljeon(125),
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This neo saw a aseothmw simepl iqnsuote siecn yhptreecaomh -&g-;t urmot sysli ;-g-t& deen txanehin axsiode iiintbhor (eg, .xtfea)stoub

UTB YHW IS BEMN MAGARMR SO RAC?P TUP OURY MMSACO NI THE TGRHI CE!PLA


 +17 
submitted by imnotarobotbut(173),
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ecsValri lniisissaameh sasuec msoalayehgoepelntp dna smot lnatmtp,oiry iaocntapynpe. It is teofn fnduo in poleep woh viist het ddielM sEta nda is niatdetrstm yb teh n.ylfSda Why ddi NBEM put 2 shnLimaeia stqosienu no htis mfro lol

stinkysulfaeggs  tell me about it... I got both in one block and started seriously reconsidering my answer choices! +13  
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. +2  
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 +  



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