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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 htthogu htsi saw a ktirc onusieqt encsi nski aneccsr ear eht tosm comomn peyt of cecsarn rellav.o utB llacyuat namog IVH sn,atepit ertaeHldV-I csraecn rea hcmu erom oonmcm htna naHdVntI-e-lroe narecsc v(ene nisk c)sncare. Ene-uVdcBid ayrirpm NCS ommayphl si het lyno oopnti ttha is gIiD-neindAfs lesslinec/a.rcn

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haliburton  ,seY I htkin CNS phmyamol sa na ASID indnefgi sleilns inws the dya. My gtuthho aws esinc HES hsa ADIS ti si tmso iylkle mfor D,AIV iwchh has a hghi skir of VHB hatt ucodl og inusdagedno rof a lnog time. ta 3,2 tath tmigh nto be nogl egnuho to vhea VBH nad egt CHC bt(u twhi on ummine e?..tm.ssy) +3
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jurrutia  Eenv fi ouy erwe ntghnkii inks crecan is rmeo m,conom ttas'h olny true for albas ellc adn au.ossuqm mealaonM si era.r VEB muhc omer ikelyl ni sida atnpi.te Enve H irlyop saw a etrebt asnwe.r +

  • 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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