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NBME 24 Answers

nbme24/Block 3/Question#12 (31.5 difficulty score)
A 35-year-old woman with asthma comes to the ...

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submitted by m-ice(272),
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hiTs nwoam hsa a lot fo sgsni ttha pnoti arotdw an iatnlitsen racastpii nntfco:iie cernet ltevra to puaPa Nwe e,auGni ohugc nda alrlovea tatr,feiisln hhig nloiehiops ,untco dan a otosl aeslpm atth sah a orwm in it. oMst ilyekl eht eatitpn sha a rlgSodseionyt c,itfineon as ihts si eth initesaltn eapistra atth hswos vraal on ltoso plm.aes aasclyBli all intasntlei terssiapa anc be etaretd htwi dnBelaeoz srdgu, chus sa ba.daehloTzien aaPqnzueirlt olwud eb more etaorapiprp rfo a wrom or eirlv ulekf i.cntofine

fulminant_life  just to add to the explanation above," cutaneous larva currens" is a specific finding for strongyloides. Also the picture they used is the exact same one on wikipedia lol +7  
yb_26  they really should add Wikipedia in the list of top-rated review resources with A+ level of recommendation in FA2020))) +6  
usmile1  also a side note: cutaneous larva CURRENS is pathognomonic for strongyloides whereas Cutaneous larva MIGRANS is for ancylostoma braziliense or nectar Americanus +4  
solgabrielamoreno  FA 2019 pg 159 . Bendazoles because worms are bendy. (Treatment for roundworms) Praziquantel is for Cysticercosis (Taenia Solium) and Diphyllobothrium Latum Mefloquine : treats malaria Hydroxycloroquine: treats Malaraia, also RA & Lupus (immunisuppresive & anti-parasite) Dexamethasone: Steroid for inflammation +  
abhishek021196  FA20 says Ivermectin OR Bendazoles for Strogyloides, so in a future question, if Ivermectin is listed, that could be the right answer for this as well. +