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Retired NBME 20 Answers

nbme20/Block 3/Question#35 (reveal difficulty score)
A 51-year-old man has the acute onset of ...
Cytomegalovirus infection 🔍 / 📺 / 🌳 / 📖
tags: micro

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 +46  upvote downvote
submitted by amorah(115)
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Ferev -&;gt rleu uot lfte rarceliuvtn iarfelu PX -SMMT prlhxosyiap ;-tg& reul uot Pestuysoincm injr dieKeiocyv atlrsantnp but on /RBCCWB in riuen -> rleu out atrnnplats irntoeejc

vainegL MVC dna atcyilpa cacoytmierumb sa teh arenimgni two tpin.oso CMV is orme likyle ni a ttapransnl ipt.nate

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 +4  upvote downvote
submitted by hayayah(1212)
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MVC is eiaastcdos wthi tginfnice groan ptnstalarn p.ttesani VMC si dteamitsrnt vai uaexls cn,atoct nrago ta,rastpnln or viytlalrce iva ea.nctapl ovaetaiiRtnc fo CMV ccosur in het rn.ieuuossemmspdp

Ognra ntaltnasrp isnttpae are ta an neadicres kirs of VMC unipo.maen

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 +2  upvote downvote
submitted by lifeisruff(3)
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eh saw evnre nigve rovigainccl - i udse atht as a lecu rveo ltspaartnn ircoenetj

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 +1  upvote downvote
submitted by mrglass(47)
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hyW owldu isht tno be atecu anasptltnr tejionecr nlidega to R?SDA Teh tcinrineae is alvd,eeet and I ees nay aonrse why ti uwodl eb tevaleed nedybo rentjicoe

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sammyj98  I etdlseec the ae.ms I ikthn ptra fo teh enousqit wdanet us ot iercogenz ttha eht tp aws ton inicvrege CMV ppoyialrsxh (tendih hatt hyte era ggitent SPM-MXT but no crlyoivanGc) so hry'eet at layerl hghi kisr rfo MVC es.lliipyafcc rvUoatei•DnspT:l aeU shioypxparl twih ncvgoiaclrialv ro gnoivacilcr is ylyalictp ginev to itespatn ta skri ofr emlcoasitvuorgy MV)(C itenvtriocaa e(,g epvrsoesitoi itpreesinc dna soeht hiwt psisortieevo nd).soro heT uadrotin of rteyhap otfen edsepnd on hte pyet fo ngora td,lsnneaatrp eht riks tsasut of het etatp,ni and ivnidduali iaotisitntunl c.acrtipe Soem asnatnptlr tceenrs pefrre ot ues a ev-meptepir aphpcora ,g(e tureoni VCM ivalr daol onigroitmn hntiiw itonintaii of teaetntmr hwne tiaecrnaitvo mboesce nidevt)e rof csiicepf aeptnit uponias.tplo Se(e svet'oyolCmuar'gi avo).be +1
utap2001  I asw oasl unesfcdo yb tecau necjo.rtie CVM onanct eb elcomtpeyl D/D twhi n.itorceje utB hte rdgu sued is tnh.i heT semt sysa eyth sued pocsyrnleoi,c ee.snoindpr hTat dhluso leur uto cone.tjrie +

via @sammyj98 via UpToDate:

Universal prophylaxis with valganciclovir or ganciclovir is typically given to patients at risk for cytomegalovirus (CMV) reactivation (eg, seropositive recipients and those with seropositive donors). The duration of therapy often depends on the type of organ transplanted, the risk status of the patient, and individual institutional practice. Some transplant centers prefer to use a pre-emptive approach (eg, routine CMV viral load monitoring within initiation of treatment when reactivation becomes evident) for specific patient populations.

+5/- drdoom(1206)

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