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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 ghothtu siht saw a ctikr tneouiqs sncie skin enacrcs rae eth tsom monmco pyet of sacncer a.lvelor uBt cllyutaa gnaom HVI anpsite,t edVretI-laH arnescc rea chmu orme mocnom thna eaHV-nrIndoel-t cearcns v(ene kins )ser.canc uBe-VdEindc iyaprmr SNC lmmohapy si teh yonl oponti htta is -nAefiDisdIgn r.ieaescc/nslln

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medskool123  yhw nto hpe ?B i gseus nteahro ahtws the rbttee eswarn .o.nes. uJst mre endragi thta ti saw more oocmmn ihtw adis s.t.p nyeano hvea an iaed outba s?iht +1
haliburton  es,Y I hintk CSN maohlmyp sa na AISD nideignf nellsis sinw hte ayd. M y tuoghht was seicn EHS has SIDA ti si mtso llykie mrof ,IADV hicwh ash a high kirs fo VBH ttha duclo go dendgaosniu ofr a glon mte.i ta 2,3 atth tigmh not be logn ognuhe to heav VBH nda gte CHC b(ut twih on ummnei y.t?mss..e) +3
yotsubato  odG andm htsi si cuhs IUBS...TLHL +15
trichotillomaniac  hWy yuo toagt od em yitdr keil ihts MNBE +2
sars  My ohugtht scsr,epo uullsay rngwo lla teh etm,i aws ahtt BHV )VUI(D can ocurc to na.oeyn uectA ipiathste to nihorcC ucrocs enhw VHB seopiorncart sti DNA iotn oths nad esarseel nceigmtau pensiort. shTi si rgsadsrlee of p.moieniuurspomsn miaPryr NSC yohLpamm ppeerasar ariiypmrl ehnw you aer muimdsrsnspuepeo ngor(a r,apanlsttn mfc,ynediuomniice H/IIVSD).A +2
syoung07  epH C is afr reom ikylel ot ocmebe CHC atnh ehp B +2
jurrutia  evnE fi ouy erwe khnigtni iksn reccan is oerm ,nocmmo ha'tts olyn uetr rfo salba lelc nda qms.osuau nmaaolMe si erra. VEB mchu remo kyllie ni dias aepin.tt evnE H rplioy swa a etretb .eanwrs +

  • 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(116)
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EBV rsuiv ntneficois B lsc.el sA a epsnsero theer si tcerevai sypchsltoymoi ptrrfai(eiloon of C8+D xoctytcio T ohy).mLtsepcy In ,HVI uoy illw vhae a sdcraeee in TH lescl liedgna to csdareee in 8DC T ecsll. shTu BVE lwli eelriforpat erom elfyre as hte iumnme eesrnops trwadso it D(8C se)cll aer n.ltdeub sihT si woh i ogt ot hte .saewnr

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