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Retired NBME 24 Answers

nbme24/Block 3/Question#22 (reveal difficulty score)
A 32-year-old woman recently diagnosed with ...
Epstein-Barr virus-induced brain lymphoma ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: neuro repeat AIDS

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 +7  upvote downvote
submitted by โˆ—lsmarshall(465)
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I gohhutt htsi saw a tckri oqtinseu eicsn snik arencsc aer teh most onmcmo yept of rsaencc o.lvlear But uaclalyt anogm HVI a,tipenst r-HlaVIeted nreascc aer cumh eomr ncmomo ahtn Ieale-n-rVdntoH ncrcesa e(ven snki narec.s)c udeEdBniV-c rpiramy SNC lmhomapy si het ylno itnopo that is fAennid-IgiDs aescne/n.lilrsc

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medskool123  ywh ont hpe ?B i esugs hoanrte twhsa teh tebter aerswn ns..eo. uJts emr reidang ttah ti was roem oconmm wtih asid t.s.p aneony haev an adie btaou stih? +1
haliburton  ,Yse I itnkh CNS laommyhp sa an DAIS nfdineig eslinls iwsn hte ya.d yM ghuttho asw eiscn HSE hsa SIDA ti si stom iyllek mfor V,DIA whchi sah a hgih krsi of HBV atth ocdlu go dennuadsogi rof a lnog mt.ei ta 32, taht ghitm ton be nogl neuogh to vaeh VHB and egt CCH tu(b hwti no nmmuei yms.t?es.). +3
yotsubato  oGd madn this si shuc U.BILL.HT.S +15
trichotillomaniac  hyW uyo taotg od em ytidr ielk ihts BNEM +2
sars  yM thgtohu srpcos,e ysualul wongr lla teh ,etim swa ttha HBV VD)I(U can rcuoc ot nnya.eo Ateuc itiahtesp to rhcinoC cucors nwhe VBH rtrncosoeapi tsi ADN into soht nda slaeseer igaetumnc .tneirosp Tsih si ergslesard of osinupnmsepir.umo yrimarP NCS pomahmyL psraeprae rilpraimy henw you era pnrsemspoumdusie no(rag rnnls,atpta ccn,ymoudifieenmi DIA)ISH.V/ +2
syoung07  Hep C si far remo eylkli to mbeceo HCC tahn phe B +2
jurrutia  neEv fi yuo weer hiniktgn snki cnacer si rome ommonc, thsta' ylno rtue fro labas ecll nda qoumass.u amnoleMa si a.rre BVE humc erom ykiell ni sdai i.ptetna nEve H lyorip saw a trtbee senwra. +

  • Lymphoma in patients with AIDS can take on many forms, but primary CNS lymphoma is common.

  • It often presents with seizures, lethargy, subacute memory loss, and headache. Physical examination may show neurologic deficits stemming from structural disruption caused by the location of the mass.

  • MRI will usually show a dominant cortical mass.

DDX * Multiple lesions distributed throughout the cortex would be atypical! --> HSV enceph or Toxo



 +2  upvote downvote
submitted by โˆ—krewfoo99(115)
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VEB ursiv insifenoct B eclls. sA a senepros ehret is evertaic omsylhtpysico rnrtpaooiife(l of C+8D toctcyxoi T m)o.tyshcpLey In ,IHV uoy liwl eavh a eedsrace ni HT llces gdneial to sedecaer ni CD8 T cl.sle huTs EBV wlil pelafeirrot mero eylref as eth mimuen espsorne sowdtar ti 8D(C elsc)l rea .nltubed iThs si ohw i tgo ot the .newsra

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