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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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Mulesc inap + rlibeprotia amede is a lsccais nenrtstaoipe ofr iealonhrclt isal.pisr tBes sgoniasid fro itsh is a luemsc ibp,soy as hte oywmr kseli to gthuona tinwhi the .sulmecs

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sympathetikey  hasTt' hatw ouy tge for lklgini lprao abers. +98
dr.xx  thTsa' hwta uoy egt orf nto kinogoc them l.ewl +8
charcot_bouchard  rTehes gnithon elclad "lewl dkooec oalpr eabr a"emt +2
jbrito718  nfu a:ctf naC egt vaiitmn A ityctxoi fmro ietnga oarlp areb tema iwhhc laesd to latfa niltanfum iai!ptesht +4
stresssweat  ytaaullc gto tihs soneiuqt ihrgt sa a lukfe bc i suegsde ainitmv A ixotiytc edu ot oalrp brea emta gilaend ot msuecl mdeaag +



 +10  upvote downvote
submitted by โˆ—neonem(630)
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paepyrtnlA airlnhectli seli ndruao in uescml of lla fo the nmdroa tcxieo manalis htat msot peolep 'wntoudl loyrmnla ta..e. ghsnit eikl e,rab dliw /krsrabpoo lik(e ni kyheSct i,Mor)c bgi csa,t fxs,eo ,sogd r,osseh assel, serl.asuw In scea ouy deened aoetnhr nsreao to not hutn and esnocmu heets nsi?lama

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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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sv. eggs )o(av in sloot โ†’ osowrkHo,m* asAisrc

vs. learva in sltoo โ†’ idelntrsgyooS elstoirrcas

s.v csthco epta etts โ†’ E erusaicvlmri

rwsookhom โ†’ raeotNc uemnaArcs,i oloAstamync dloadnuee

r:ceos(u seh)yckt

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 +2  upvote downvote
submitted by jucapami(14)
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glnhdai/scttovsm/slwi/i.cieitgroh/:tlcph.roy./owbesatslwp hrwto gnkati a loo.k

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 +0  upvote downvote
submitted by โˆ—bharatpillai(40)
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suJt ngidda -on yrXa of galer luscem grpsou lwdou lehp in aodinssgi of sericiosctscy ecsni ssyct rae feliic,acd ni ilenictalhr tehy era t.nIo tnihk im' the onyl oen hwo otg itsh nwgro /:

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misterdoctor69  bayMe ,os btu I ktnhi taht fi ew etg nya ieotqnssu nngorneicc eyrctsicois,cs ti uowdl eb iocsceusose,rtciyrn os o'ydu do ainbr inggmai Aoys.ldl iad,ti.ia.dentn as erp eht D:CC emclsu ritsiycocescs si luyulas en:ntore?nd wt/isgqh.doces/rnrn/iwysa.pst/aisc/fest:eogsi/vpca_hftl.wocctm +
brs  I kinht noveyeer woh sha adctehw House DM.. S1 1E gest a chcean ot meka ti onwrg. +



 +0  upvote downvote
submitted by โˆ—haozhier(23)
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Hwo do uyo uysg wnko utboa th?is I scoeh tsolo ;P&p.O.a.ndma lmseuc bisyop is nto mietednno aw...rneyeh

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misterdoctor69  hStceyk ro!cmi +



 +0  upvote downvote
submitted by โˆ—madojo(212)
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des;zi02iRwt1snmHFauX%s2Doifymey-uunv1rnsmo-hah0ic-iloga-tiOAasmp;aaeuda-ao-npte1tvoEcnr=ip3ts;mwBp-mhm=e=Bdot6mp_cct2tmjgmroAsn-brer&%1mdniN2c?rrcpe5tmQmawqoF2jwEalap6pgscxlieoi5gkias.e3Wnsctxb-i7Z=ur-amw%AK-l-ancec7cl4dYs=4ottosouu:k&.e-u50priAalusow-Ugg2almc;1n9&M&pdos%t&Yr-taQGdMi%srpuQyF;-l/me-siBrE%e5he-rgas;eJsouiNhlcmt0ua=4ar;eep&laad1le=rl=&Ui5c1lV7ltmisieosbmdFepar.isIa/ra8sD1i&aho;sm4crFive/=ar9Fatrlgin2oat9se-8racAw2sa8

YTSKECH rlhcinltae salsriip igp na(c eb rapol bear ) *oto nourd gselsas ;tg--& erpio btraoil measea tneidgw and engre mov duntior isghtn on wasll &g==t; mofrs csyst ni tiaedsrt cmuels (so fro sith qnoustei aksme snsee hatt uyo do eumslc ybso)ip rfei &t;--g aanliimofmnt fo elsnmcoleoihis up snuraegl -;-t&g non iccfiesp as ouy nca ese sit lal roev tshi meiga os sti rof nyam tifrdefne steyp fo maesdetno

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