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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 tuhhotg htis was a crtik ontqusie secni ikns cacenrs aer the msot oomnmc tyep of cacsner lr.leoav Btu tulycala aognm HIV ttnaies,p ee-atVHIrdl ercasnc ear cmuh rmeo momnco htna rneo-e-tIHVdanl scranec ee(nv sink n)a.ercsc Bc-uEdenVdi yrpmiar SNC moyhpmla is teh only piotno atht is ig-nDnAeIfids e/ecnra.cissnll

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medskool123  hwy not phe B? i eussg aretnoh wahts hte ertebt srewna se...on utJs erm ingared atth it swa ermo mconmo twhi said p.st. oenayn aveh an eida obatu thsi? +1
haliburton  eY,s I ktinh NSC ahpmoylm sa an SDIA gndiinef inessll niws eht .dya M y ottghhu was scnie HSE sah IDAS it is sotm liyekl fmor A,VID hwchi hsa a ighh skir of VBH ttah olcdu go gsadunidneo rof a nlog imet. at 2,3 taht mhtgi tno eb lngo henogu to have HVB dna gte HCC utb( hwit on mnmuei te?ms.y.s). +3
yotsubato  doG ndma tshi is hcsu I.SBH.ULTL. +15
trichotillomaniac  hyW yuo atogt od em diyrt keil tshi NEBM +2
sars  yM otghthu crsseop, syulalu rgown lal eth mt,ie saw hatt BHV )UDVI( nac cocur ot .enyona tAuce epistahti to Cohcnir srocuc ehwn HBV trsaoprecion its NDA oint shot nad raseelse egacunimt nsrpit.eo isTh is redalesgsr fo ounousprnm.smieip mPiryra NCS phLmaoym eerasrapp mliairryp hewn yuo rae musmudorenpspsei rgnao( rptnnalsta, ii,oynnedmuccmefi AI)V.HDSI/ +2
syoung07  pHe C si rfa oemr ylekli ot ocmbee HCC ntha phe B +2
jurrutia  Eenv fi you eewr nghitink kisn ccenra is rmoe cmnm,oo ashtt' nlyo utre for bslaa cell dan qam.suuso amlaMeno is .raer VEB chum emor ieklly in disa p.ntteia vnEe H poliry aws a tetbre wren.as +

  • 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 irsuv nnstofieci B cs.ell As a peoenrss eterh is aircvete yhsoimytpsocl ropfleaor(tini of DC+8 ooxycttci T .otesmLyhy)cp In ,VIH you wlil veha a aescrdee ni HT clsle aliengd ot rseecdae ni CD8 T l.clse huTs VEB iwll etrlrfoiaep rome efleyr sa teh unmmei rssoeepn towrasd ti C(8D llcs)e rae etlndbu. iThs si hwo i tog ot het wres.an

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