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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 thuhogt thsi asw a kicrt nsuieqot iescn iskn scnecar rae the mots cmmoon etpy of casenrc llarev.o utB aytcllau amogn HIV tnpasti,e It-ledHarVe ncercsa rea hcmu eomr conmom nath ortlVna-eInH-de srnacce ev(en skin ar.ces)nc ecBud-VniEd mripary NSC mpohmyla is eth nloy oonpti hatt si -AsgifDndinIe sc/anl.lnrcseei

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jurrutia  vEen if oyu ewre intkhgin inks rcneca is mero m,conom ttah's olny teur fro lbsaa llce adn mauussqo. Mlnmoeaa si rra.e EVB hucm meor lliyke in aids neit.pta nvEe H polyir was a ttebre raew.ns +

  • 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 vrusi efonitnisc B lelc.s As a reesnsop rehte si vrceeati oyomslcpytihs tfre(plnoiraio of 8+CD cototyicx T )eophsmty.cLy In HI,V ouy lliw ehav a aederesc in HT lcesl laignde ot rsdeacee ni CD8 T .elcls uTsh BEV lilw tpreaorfeil rome eelyfr as teh eumnim soeesnrp dsartow ti DC8( le)slc rea tluenbd. isTh si hwo i otg to het we.ansr

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