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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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uecslM apin + obariiptelr dmeea si a lascsic teetsnapnroi ofr ehinltcrloa lparsi.is seBt inaogdssi for tshi si a lmcesu yis,pob sa hte romwy ekils to gaohnut ihnwit het sus.mlce

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sympathetikey  atsh'T wath uoy get orf kniilgl alpor b.rase +98
dr.xx  T'stah ahtw yuo teg ofr nto ncogoik hemt e.lwl +8
charcot_bouchard  reeThs oinhgtn ldecla llew" keoocd oparl arbe team" +2
jbrito718  nuf :afct anC get avinmti A titicoyx romf taegni poral aebr mtae ihwhc sdeal to talaf nfiulntam phsi!ttaie +4
stresssweat  clatayul got this neoiustq irtgh as a lfuek cb i sseuegd amintiv A coiitxyt edu ot laopr areb tmea edgnlai ot ueclms gemaad +



 +10  upvote downvote
submitted by โˆ—neonem(629)
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yAelanrppt ienhlirlact sile ouadrn in eclmus fo all of teh aondrm ectixo amalsni thta tsmo eplpeo wol'dntu lrnlamoy ..eat. hgtins like re,ba ldwi prsro/obak i(lke ni tyechkS ,)Mirco gib ,cast e,sxof dso,g osher,s a,slse sual.ersw In csea oyu ededen otnaehr oeasnr ot ton thun adn mnucseo eetsh lasa?min

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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



 +3  upvote downvote
submitted by โˆ—hungrybox(1277)
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s.v gegs v()oa ni oltso โ†’ o*ookwHsr,m saArsic

v.s rvleaa ni sltoo โ†’ yoSgsdtoenrli ssietolarrc

.vs cstoch apte tset โ†’ E ualsrriivmce

wsmkrohoo โ†’ erNacto A,enamucris asAtyolmnoc laedneuod

s:(ecuor y)teckhs

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 +2  upvote downvote
submitted by jucapami(14)
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vwt//si./yhmt:bow.inpalwgtoi.oictosl/etair/dglshlchcpresswt ohr agntik a .kool

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 +0  upvote downvote
submitted by โˆ—bharatpillai(40)
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Juts dgadin on- ayrX of learg lsumec rpsuog dwoul ehpl ni ogindsais of cycoriisscset isenc ytscs ear diice,facl ni enclhilairt ethy era I.on t htkni 'im hte oyln one how tog tsih rnogw /:

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misterdoctor69  Myeba os, utb I nithk ttah if ew tge yan ensusoitq rgennconci ,ocsrcceiyssit ti dwlou be syucrecctii,esnsoro os 'ydou od ibarn miaigng dadsd.e .t.ii,olnAltyina sa per het CDC: elsmcu oycscitceisrs si yslualu onnre?tnde: d/h.c/p/sma/.ccosnrsfssletwihfccosrit/aoepstattwgyw_iig./:venq +
brs  I hnkit vyenroee ohw ash awecdht Hsueo MD.. S1 E1 etsg a nacech ot aekm ti ogwnr. +



 +0  upvote downvote
submitted by โˆ—haozhier(23)
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owH do you uysg knwo abtuo ?sith I cohse losot .a;d.O.&aPnmp cemuls iosbpy si tno mdninteoe e.hawe.yrn.

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misterdoctor69  eySchtk mo!cri +



 +0  upvote downvote
submitted by โˆ—madojo(212)
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daeFwim.c-;u-e;-iepsdaseiFeu4oB3/dtvsVrsse20nk0==aipmiu9aeu-ine1?1uuw3t=acMr2omlaQoealsm2aoar1l25l-lricstte/chiYotWQicAr5eioFiao;t-wKspniclt9sitcatn&os-;hcv%;t-Yg=Aoa6ihpom-mnHic:trmp%lxnn=enssdmaEsFgbe&-sXmGsy0aj2%&w-mpacuArstpmdc%antsl-le=dat6UgaidO74mdDg217awbetoo-r&a2lZBaold08mr.f;mEMra=oeNmho9cga=/e2Nrrgriora&AeUugnssmcpirJualwttR7sm&xlaeaAy-;%inr81%mpmpius-u&cIoe1a;whzaka5eDs=vlco&QFs4mr.Etr18FljsB-iespp4i--pgqr_ric5aurh5b1y-

CTYSHKE altrihnecl sisarlpi gip n(ac eb rlpoa rbae )oo* t uonrd esgasls &-t-g; poire roitlba ndgmtaewseiae dan grnee odvm truoni tgishn on alslw ;==> srfmo sstyc in sdittear csmule (os rof hsit qtnsueoi kamse nssee ahtt ouy do muecsl sybio)p er fi g&;--t anmfinltamoi fo esln ocsupeimohli elgarusn -t&;-g onn csieficp as uyo cna ees tis lla orev ihst igema so its ofr nmay feretnifd psyet of esendmaot

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