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Retired NBME 24 Answers

nbme24/Block 4/Question#5 (reveal difficulty score)
A 45-year-old man comes to the physician ...
Muscle biopsy ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +20  upvote downvote
submitted by โˆ—sattanki(82)
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useclM napi + ariebrotipl emade is a laccsis soaeenntrpti rfo oltihanrcle .rlaiisps tsBe igdoassin rof tsih si a smcleu ,spobiy as hte mywor ilkes to nuohgat iihntw teh sesu.clm

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sympathetikey  t'haTs htwa yuo get ofr kiillgn paolr sbera. +98
dr.xx  tTsa'h wtah oyu egt ofr otn cnookig htme wl.le +8
charcot_bouchard  rshTee gonhnit cealdl elw"l okecod rlpao eabr tme"a +2
jbrito718  nuf fcat: Can tge ivinmat A otiyicxt morf geinta poalr raeb tema wihch eadls ot alatf litfnnuma paesitth!i +4
stresssweat  ualactly tgo tshi enitsoqu grith as a kufel cb i gseedsu ntmiaiv A cxyitoit ude ot oparl bear mtae leagndi ot smluec aegamd +



 +10  upvote downvote
submitted by โˆ—neonem(630)
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tnlrpyeapA nlhlatciier ilse adourn ni mcelus of all fo eth doanrm cxtoie amalsni that smot peolep o'lwundt llaronmy t.ae.. snhgti kiel ra,eb dliw rs/rakoobp li(ke ni yehtckS ,oicM)r gib tac,s efsxo, do,gs hssor,e esl,as euraslw.s In ceas uyo endeed aothren oenars to not ntuh nda cnesomu teesh msi?nala

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how to rule out the others:

we would see eosinophilia, but obvi this wouldnt tell us which helminth is involved

Trichinella larvae bury themselves inside muscle tissue rather than remain in the intestine as in other roundworm infections, so stool sample tests don't often show evidence of the parasite

gram stain of stool is a pretty nonspecific test used for campylobacter enteritis; this dude doesnt have diarrhea...and lastly, xray of muscle aint gonna tell u a thang lolz

+6/- sunshinesweetheart(112)


 +3  upvote downvote
submitted by โˆ—hungrybox(1277)
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v.s segg )(ova ni tlsoo โ†’ owsr*Hmook, rissacA

s.v vlarae in olots โ†’ otdslngoreSyi rtloarisces

v.s sctoch atep tets โ†’ E alsecirvrimu

omsorkwho โ†’ reNatoc mian,rAusce asnloymAoct eoaednldu

seruc:o( yt)ekhcs

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 +2  upvote downvote
submitted by jucapami(14)
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iwho/gi.lvwtl.pnstioralc.:his/hs/obdesmirl/cy/wottpseagtc twroh tkgain a .kloo

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 +0  upvote downvote
submitted by โˆ—bharatpillai(40)
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Juts agddni n-o rXya of aregl luemcs rgpsuo lwuod phle in nsidgiaos of iycscstcosire cneis csyts ear clii,fdeac ni ainthliercl ythe era .oIt n hiktn mi' the nylo noe woh ogt thsi rgnwo /:

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misterdoctor69  eybaM ,so ubt I nkith tath if we etg yan ioqetnuss ecinngorcn eysocic,scsirt ti odluw be reseniycotoscur,csi os ouyd' od biran mnigagi .a eyslonidni.t,A.lddtia sa rpe eth C:DC culems sssitryciccoe si uusllay tonn?r:eden oqs/hc/:_cdsipy/gthwaeefwo/cs.t./sliigsnacmttiaofr/e.tsspnwcrv +
brs  I tnkhi nveryeeo ohw sah waecdht ueHso ..DM 1S 1E gest a eacnch ot emka it rwgno. +



 +0  upvote downvote
submitted by โˆ—haozhier(23)
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oHw do uyo uygs kwon uobat h?sti I ceohs ltoso a..n;pmOPa&d. lscume byospi si ont ninmteedo yh.w..areen

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misterdoctor69  ycetShk cm!oir +



 +0  upvote downvote
submitted by โˆ—madojo(212)
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Kl2E=9u7ao-ge3d2QrgnemmnidrA5cp;e;iwatFm==c1a7&cn88%;H=ntr-eGv-%me/rsamdcw1-Ycsg5meurhDdmswuojlo.aBsawrcmiiasrdo1-Aaoip0t-s/sE&lsUauraco=ccmttuthrZM-psma.&t-yI1-3lclrf;a-0or6liyu1lot;&%DbonvedatnmAamumnismgi_F?ezs.&22V2mxp&NJsiledctsArmai4u5-90uli2igltrgrQ:eo=tarp=Xo%&raniteemp-h;tMaa%ogapie-h=gt;pp&Bje15bleovcc;-atcsie11sBw5iotYk-Ascpss4/FRiso-isxF40hem-pw4ooe-etaOaln8y=NbiiuisneuFwQsaFEe6dlslr2Ula-amd2aWaimrhoipusrae%rr7pkcnas9aq

KECSYTH hatelirnlc iirsaslp gpi (acn eb olpra brea t*o)o rdoun sassegl t&-g;- ipreo brlaoit temniseawaedg and egnre d imoouvnrt htngis on wlsla =;g=t& mfrso tsscy ni dtaestri uscmel (so orf stih ouetsqni eksma ssnee atth ouy do csmleu psiyob) rif e -t;-g& ntimmonalifa of snopuilemi locesh anelsgru ;t--g& onn cpsfceii sa you anc ees its lla oerv sthi geiam so its rfo myan iefedrftn spyte of santeemdo

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