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Retired NBME 24 Answers

nbme24/Block 3/Question#22 (reveal difficulty score)
A 32-year-old woman recently diagnosed with ...
Epstein-Barr virus-induced brain lymphoma ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: neuro repeat AIDS

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 +7  upvote downvote
submitted by โˆ—lsmarshall(465)
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I htuogth siht aws a rcikt isouentq cnsei ksni rncscae are eht smot momcon ytep of ccenars ovllra.e uBt tyluacal mgnao IVH ,pnttaies r-elaItdVeH naeccsr aer cmuh oemr omomcn anht daerIVHeonn--lt racencs vene( snik cs)cae.rn eBundcE-dVi pramyir NSC mlpymhao is het lnyo opiton ttha is s-eiDnfAdIing ssnrele.ncci/la

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medskool123  yhw tno phe ?B i guses hetroan wtsah teh trtbee arwesn en.os.. Jtsu emr rgdanie thta it wsa rmeo common tihw isda ..pts ennyao eavh an aide baotu hs?ti +1
haliburton  eY,s I thnki NSC ampomylh sa an IDSA gneindfi lslensi swin teh yad. yM ttohhug aws eisnc HSE ash DSAI it is mtso liyekl morf DI,AV hwich sah a hihg irks of BHV hatt dlcou go dsanueodign fro a gonl .meit at 32, ttha ihgmt ont eb ngol uehong ot ahve VHB and gte CCH (tub tiwh on munime .e.s.ym)ts? +3
yotsubato  doG dnma isth is cuhs BLST..UIH.L +15
trichotillomaniac  yhW yuo tatog do em iyrtd ikel siht MEBN +2
sars  My uthgtho poscsre, ulaluys wngro all eth et,mi wsa thta BHV )(IUDV nca ourcc to ne.aony tAuce tispeitha ot Ccinohr rcuocs wneh BHV prscooetianr tis ADN iont htso nda esareesl agteiumcn tosrp.ine hTsi si seersdagrl fo umpnnirsemoioup.s arymPri CNS mmhyaLop rpapresea ymrrilipa newh yuo ear snpirdmuuemespos rnao(g taprnntlsa, mnoeie,iminufccdy DIHS.V)AI/ +2
syoung07  Hpe C is far eomr lliyke ot ceombe CHC nhat hpe B +2
jurrutia  neEv fi uoy ewre kinnight isnk ecarnc si emro moncmo, thtsa' lony rtue fro asabl lcel adn asumsq.ou aenMoaml is ae.rr BVE uhmc remo klyile ni dsia atn.epit nevE H iolpyr wsa a brette w.rensa +

  • Lymphoma in patients with AIDS can take on many forms, but primary CNS lymphoma is common.

  • It often presents with seizures, lethargy, subacute memory loss, and headache. Physical examination may show neurologic deficits stemming from structural disruption caused by the location of the mass.

  • MRI will usually show a dominant cortical mass.

DDX * Multiple lesions distributed throughout the cortex would be atypical! --> HSV enceph or Toxo


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 +2  upvote downvote
submitted by โˆ—krewfoo99(115)
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VEB isurv esfcntinio B .slcel sA a reosepsn teher si riecavet mtosiocsylyph (enoritprliofa fo D+C8 itcyocotx T stepoyhmcL).y In VIH, you lliw vahe a cseeread in TH leslc aegdlin to eecedrsa ni 8DC T llse.c usTh VEB wlil poifertelar mroe reflye as the uminme peesnsro daowstr it D(C8 lcesl) rea bnutle.d sThi is ohw i gto to het newrs.a

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