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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 hugohtt tsih aws a tirkc soueinqt ecsin iksn rcncase are teh osmt omocmn epyt fo nrceacs .aelvrol utB tualalyc omagn IHV pes,attin eHr-tVdIeal rceancs rae cuhm rmoe ocmnmo hant dHe-onV-aItnler cceasrn ne(ve iksn a.s)rencc cV-dEudBein ariypmr NCS hamlpmyo si the noly ootipn hatt si gIsneDifAnd-i arilcescens/nl.

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medskool123  why ton phe B? i ssgue tonrahe hswat hte rtbete esrnwa .n.oe.s stuJ rem gdniear hatt ti wsa erom mmocno iwth sdia pt.s. naoney evha an aedi baotu ?sthi +1
haliburton  Ye,s I thikn NSC lpmhyamo sa an DAIS niefidgn nssilel siwn het dy.a My hthgtuo aws cesni SEH sah ASDI ti is ostm ekilyl rfom I,VDA hwcih hsa a hgih rsik fo BHV atth cdlou og naudegisdon rfo a lngo i.mte ta ,32 atht hmitg nto be nglo nhoueg to heav BVH nad etg CHC t(ub twhi on mnumei )es..tysm?. +3
yotsubato  odG mdan thsi si chus SU.HT.L.LBI +15
trichotillomaniac  hWy yuo ogtat od em irtdy elki isth NEMB +2
sars  yM htughot res,spco sluualy gnorw lal hte t,eim asw thta VBH UDV(I) can ccruo ot aye.onn teAuc tisipthea ot oiCnrhc crucso when HBV onrtapceiros tsi DNA tnoi soht dan esseaelr mtgiuacen sit.nerop hTis si sdgaerrsle fo io.smiepmpuonnurs rimPyar NSC ayphLomm praepreas rpiirlyma enwh uyo rea sdmuseorinpmsuep grn(oa ptlaansrt,n cefncymimoueini,d /DV)HA.SII +2
syoung07  Hpe C si afr erom eliykl to mbecoe CHC nhta hep B +2
jurrutia  Evne fi oyu rwee ihtnnigk nkis rcnace si more ,ocmnmo h'atst ylno eutr orf lbasa lecl nda moasuus.q naaeoMlm si e.rra BEV mhcu meor elkiyl ni adis ipattne. evnE H poylir aws a rteteb wsar.en +

  • 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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VBE rsuiv noitenscfi B l.eslc sA a sosnpere etehr si ceetvari coyomstlhpsiy or(linafprtieo of 8D+C ocicotyxt T c)hosypL.etym In IV,H yuo lliw vhea a seradeec ni TH csell lganeid to erescdae ni DC8 T e.sllc hsTu EBV ilwl reaolftiper oerm efelry as hte mnueim pserenso daosrtw ti 8D(C les)cl aer ulebt.nd hsTi is how i otg ot het a.wsner

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