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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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ucMsle pain + proaielbrti amdee is a icalcss ntianreoepts rfo rncehitlalo .priliass tesB nogsiiasd orf tihs si a cmseul ,biyspo as hte rwmoy kisle ot hgnouat htwiin eth eulm.ssc

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sympathetikey  T'hast awht uoy teg rof inllikg prloa ser.ab +98
dr.xx  sT'tha athw oyu teg rof otn knigoco them ew.ll +8
charcot_bouchard  hrTees notignh cldael e"wll dkcoeo oalrp rabe e"mta +2
jbrito718  unf cta:f anC tge tvmiian A ioctyxit from ganeti poalr brea emta hhciw dlsea ot aflat nntuiafml tiie!hpast +4
stresssweat  ulycaatl ogt sith tuisneoq ighrt as a uflek cb i suesged anmviit A cixityto eud to oarlp brae meat ialgnde ot cuslem mgeaad +



 +10  upvote downvote
submitted by โˆ—neonem(629)
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ypAltepran eitlralinhc slie aonurd in scelmu of all fo eth aonmrd oxtcei naslmia htta sotm poplee owud'tln ylnamrlo ea..t. hsgnit leik reba, iwld pas/orokrb ilek( ni hetSkcy coiM,r) igb sc,at exs,fo dgso, hesors, ses,al wraeus.ls In ceas you eended hrnaeto seorna to not nuht nda osenmcu hetse ?alansmi

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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 gseg )ov(a ni tools โ†’ om*owHsrko, sraciAs

v.s alrave ni solot โ†’ iSedorsgoytnl soristcalre

s.v ohtscc tepa estt โ†’ E isarirvleumc

osomrhwok โ†’ rotcaNe auesmicr,nA tncmsayAloo nduaodlee

(ceors:u hctyke)s

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 +2  upvote downvote
submitted by jucapami(14)
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tsmtslrchov/.ihth:r/ncw/d/tbsopigwlie.owsi.igaatsolplecy/rhotw kganti a l.koo

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 +0  upvote downvote
submitted by โˆ—bharatpillai(40)
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utsJ anidgd n-o yraX fo leagr elcusm oupgsr oudwl hlpe ni iindoasgs of cecyoisrsscti eisnc ystcs rea faclced,ii ni lantiecilrh tyeh ear n.o tI khtni m'i het olny neo woh ogt siht nwgro :/

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misterdoctor69  eMbya o,s tbu I hintk ttah if ew teg yna sqiouetns oeingcnnrc ir,tccosescyis it wludo be orntrcysscsuioci,ee so yo'du do nibra imggain iiae.il,nadlnt..Asdodty as epr eht CD:C lmsuec srciiscesctoy is uaslylu d?eotenrnn: yvsn.g_eriqtptaph/swg.di/awlfss:r/e.ifteoc/c/sn/acmssohtoctcwi +
brs  I kinth rvoyneee ohw sah acedtwh eHosu M.D. 1S E1 egst a nhacce to akem ti w.orng +



 +0  upvote downvote
submitted by โˆ—haozhier(23)
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owH od uyo suyg nkwo buota si?th I ocesh otols ;a.Pm&.d.paOn cesmul sbyiop is otn eitmndeon wh.a.ne.yer

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misterdoctor69  ykcteSh !rocim +



 +0  upvote downvote
submitted by โˆ—madojo(212)
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N4Et?/Febo/b1;%yatias8AIcallgsil72dasWcrnoYotJQ8l2-m5iFrqm-aisos_6=VnrahMccu-mrp1e0hoadB2AraeirMli2;nu0s%m0iO=&e;lhoeepUu4-Fai%3cwaeom&vtsi.tio-=1ai4Rtnrl4epe/t81-imaEKcr1&6cm9spG.&c32iaiAimntepuaepe-lsc%-tartet1in=zQsXHpDa7ikprtmsare5rmwAw-uw1rausecrantrc=Fmm9sal=ass.di-lamoels-5v:nEgcroDt-rpaa5Qndjgmdu7g9=10;B-%sun&osggduZxmlgm=u&fsloxmsyeweee2stasjstg;cehr2d--pucs-pboplB;-atiwA-drF2oo;;wmvr%uasat-&&ayi=nropdNclUeiYFcahmh5ikmooai

KEHCYST telaclhrin iarslips igp a(nc eb arlpo reab *oot ) rdnuo sgsaesl &g-t;- eipro btaiolr endgw eaiasmet dna neegr or udvmnoit isnthg on wlsal &=g;=t osfmr tssyc ni ttaisder smceul (so fro sthi ieontqus ksame eenss that uyo od lusemc iypo)bs rfe i &--tg; mnaatminifol of i emllspociehnuso argesunl -tg-;& nno ifipcces sa ouy nac see its lal revo sith iemag so sit rof amny dirneeftf syept fo ndmoteaes

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