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NBME 22 Answers

nbme22/Block 4/Question#5 (reveal difficulty score)
A new virus has been isolated that causes ...
Single-stranded positive-sense 🔍 / 📺 / 🌳 / 📖
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submitted by haliburton(225)
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cicdaorgn ot utemedblls nkil ns ss ARN tums rcary ARN netdneepd ANR eosmplarye (os atht si .)out

a,lso cniragocd to uemebdstll ehret ear reyv efw ds RNA isre,vsu os "stmo il"leyk lliw be ss. o,lAs ndApNdeRetne- NDA eyspoelram = reResev Ttersipaarsc.n Sneic IVH is a ss ps NRA vrsui twih TR, 'etevyh bdedisrec an HVI nouc.is otn srue yboedn isth.

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nc1992  agteniev ntsedrda c'tna eb edra yb a oratlasnrt so ti esden to be rcbnesaidrt oint + rsit.f Onyl neht nac ti be used rfo no.pteri + is baiyascll ANRm ry . sdeerT'ealah only oen oedulb deardnts RAN mfiayl sa rfa sa I owkn- resRuvoi so on liaecienpsth +9

FA 2019 pg.168 on neg sense RNA virus: must transcribe - strand to +.Virion brings its own RNA-dependent RNA polymerase.



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submitted by kenyaboi(5)
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eht amtdnog trkic erhe is IHV is lesgni enasdtd + snese "ii"d.lodp MENB wisrrte aer utjs ukrfsce. uhhhgh

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submitted by welpdedelp(270)
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O,k os ANR etnpeeddn NAD aloreysemp is for erevsre r.npast.i.satcer isnlge ednrdtas + eus ANR npdeeetnd RAN .raeeomplsy aCn smooeen na?pelix

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hyoid  hTe nylo tgnih I can tikhn of si htta HIV si a (-ssne)+e rnalest-edgsndi NRA virsu htat erslie no an RAN npeenedtd DNA alsemeorpy eees(rrv ri)scnrepatsat to eehiyztnss .DAN +1
haliburton  rcoiacgnd ot d[bemltlesu //6i(e)n/]olavsl1msr4-m1:s9/dmnitlt11osu_kcoib.0.r/ycbe-isprupogtettseeplh ns ss ARN smut rcayr NAR dnenedpte NAR slepyemaor (os taht is )tu.o o ,a s l icdgcaron to esuetlmdbl ereth era veyr wef sd NAR vius,esr so tms"o k"eliyl llwi eb ss. los,A eeN-dtAendnRp DAN lrapmosyee = eevesRr arcisepatrnT.s cinSe HVI si a ss ps RNA ivurs htwi RT, 'hyevte iebddresc an HVI n.suico ton esru yoednb .htsi +
some0217710  ’tnCa htnik fo ayn ureivtrosers doteusi of IHV adn VTLH dna tery’eh otbh As+sRN +2



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submitted by b1ackcoffee(115)
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ym lbropme ithw t,sih wyh a'tnc ti eb slimiar to Hpe B ri(cucrla D)A?N isurv is new or cipylhott.ahe

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andro  epH B - si " atplliayr " ubolDe eadnsrtd nad ton ulylf oeulbd eantrdsd . lbeouD rddaetns lCraciru sode otn insrcslyeea eendot Hep B evne utohgh het uvisr has a vserere acttrpeasrnsi . I inthk ythe dtanew yuo ot yap nettnaoit to tshi . Adn iedbses het iuovbso ctfa atht itHpitaes srivesu acesu intmfinaaolm fo eth rHpea ( r)levi adn nto nacenhoepl ( anr)bi +



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submitted by weirdmed51(30)
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NRA dpnetndee ADN yse=emropal vreeRes tt.ci rnprsseaa2 suiervs evah esrreev cspraesn-rtiat rurrtossveie nda BVH.V BH STDENO escau paseheiintlc dan it si payallirt dloueb dadtnresA.d n HIV si ss isipotev seens Adn yuo ahev atth ntipoo g.venencie H .D

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submitted by imgdoc(183)
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Wneh oyu hrae reveser rirtceatnapss (NAR enetdndep ADN ospalmyre)e ouy ldhsuo limeeitadym eb ntkhiing HVI or He.p B. In sith se,ac epH B. is'tn nomsagt het nwreas ,chiscoe it si a llpaityra belduo sndrteda icuralcr NAD svui,r nto a llyfu boedlu aderdstn NDA vrisu.

hiTs evlesa IV,H eslnig adnrteds pitevsoi neses RNA vr.isu ehorAnt ulec is hatt htsi si usngiac ecethipai,nsl hiwhc etmiymedila eludc em tino HIV ioceadsast lepatesniich thwi laoilgmcir .iptlreaniroof VHI has omprist in het CNS orf gsepaocmhar mcl(aigo).ri peH .B ifcestn eoateytpc,hs and m'I aurnwea thta ti cna desapr ot eht SNC ta .all

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submitted by hipster_do(8)
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I nihtk tish aws errgifrne to resveer pre,taasrncist and eht ylon wot ruivses I kwen htta sued mhte ewre epHB adn utrerVs.Hv/Ioseir enGiv hte ocxtent I pcdkei VstseiIverou/rrH cwihh aer SS + snse.e hiTs swa indk fo edwir ouhhgt cenis het usvir saw we“n” ... btu I’ev aeldrne ahtt w”“en lulyuas mnsae ryev ltleti on seeht sstte.

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yotsubato  w"N"e amnes eadm pu tnsaaalfnyd suivr +5
yotsubato  sloA epH B is a ADsNs usivr htat esog ot ARN, enth is svrreee itcbrarsned to DAdNs +



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submitted by niboonsh(409)
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My segus si ttah ethy era nrerfiger to oRtrriuvse -()/IHLTVHV a snglie etarddns iopetvsi ensse erlnai .RAN ureRsvstieor era knwon to arcyr reserev ipsnceatasrrt nddRApN(ene-et yrpsNaAee-molD.) The insclheieatp is ahtw rwteh em fof czu I atlicaaoluytm thghotu of eht myan iengevat snees ARN ssvieur htta aseuc ahlctieespin eilk( auivnsearr ro b.uiv)snaury pAtenaplry etreh heav neeb a ewf sscuea of TVHL icsunga tpla.ne..hiseic myaeb hsti si hwat tehy eerw itgnry to get ta? Idk ubt i just tespn yaw too hmcu meit no sith anmd toqnsuei C/lwvt/w1s5ahg/..mip/cn/ht8icsr7Mlmtnew./c:n8Ppb8o.i7

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submitted by drschmoctor(137)
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NAR epddened DAN lmaeyprseo = reeevrs sartrasepctni (FA 02 p ,38 drnue rme)eoles.ta

eGinv eth suriv ash reesvre arpscartenst,i ti is ekylil a rsrotvieru srahped(auvni oals ahs veerser cri.stn)trespaa

urrseRoteisv era +SS ARN sAeirsvF (u 20 p 761)

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submitted by meddeku(0)
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snaeJaep npeclthsaeii rvsiu noirdcacg to D.r egGloo )(nicb

ogGleo

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submitted by jcmed(27)
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As onso sa I saw itpanlscehei I tghouth fo Fsivirvaeusl hwich e:ra

SS ⊕ rlnaei rdsahlcaeIo gic:unldni

oHwellC,YV ,evrfe eugDen, .tS Loius nila,tipscehe West leiN isruv kaa ihpimlennecaoeitsng dna akZi rvsiu

p. 167 trFis iAd 0812

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