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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 oughhtt hits aws a ctrik eiuostqn seicn isnk ceanrsc are eth omst comnom ptye fo aeccsrn oralvel. utB lactylau oanmg HVI esti,ptan adtleHVIr-e nccreas aer hmcu rome mocnmo tnha d-nteIolV-aHenr cresnca ee(nv ksni rc)es.acn Ed-nicdeuVB mprairy CSN omlampyh si eth onyl tonpio ttah is fegsnIi-ADndi ei.elrlca/sscnn

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medskool123  ywh ton phe B? i sguse oenahtr tsahw teh erbett nsrwea ...nose Jtsu emr iegrnad taht it asw rmoe nmoomc whit siad ..tsp aneyon eahv na edai aubto htsi? +1
haliburton  e,sY I thikn CSN mpahloym sa na SDIA nigdifen seslnil iwns hte dya. My touhhgt swa niecs SEH ahs DIAS ti is tsom leylik rfmo I,VDA whhci hsa a ghih riks fo HBV ttha oldcu og aeidodnsnug ofr a lgno iet.m ta 2,3 hatt gmhit not be ognl nuoegh ot aehv HVB nda gte HCC tbu( htiw on nmumei .s)em..yst? +3
yotsubato  dGo danm hsti si scuh UT..HILBLS. +15
trichotillomaniac  hyW uoy aogtt do em tyrdi keli siht NEMB +2
sars  yM ohthtug e,srpcso ulsuayl rngow lal teh m,eit was atth VBH )I(DVU nca rccou to nyona.e ueAtc aiistehpt ot hocrCni csorcu nehw HVB oinsecrpoatr tsi ADN niot osth nad sesalree guamcneti oipre.snt shTi si lgsaererds fo snnrpuiempioo.smu raPmyri CSN haopmLym eepasrpra mylirarip ehnw ouy era osiueedprnsupmsm r(agon ps,araltnnt endfuicmyim,cneoi H)/D.VISIA +2
syoung07  eHp C is raf emro lkeyli to bmceeo CCH tahn eph B +2
jurrutia  Evne if oyu reew tginihkn insk aencrc is rome ,mnmoco tsah't noly ertu ofr lbasa lecl and auqus.mso eonmaalM si e.arr VBE hmuc mreo ilylek ni dasi eni.atpt Even H lyriop saw a tbreet wan.sre +

  • 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 rvuis incnstfeio B leslc. As a nesseorp reeth si eraivtec moltyschpoiys ierpao(olfrnti fo 8D+C ctytxioco T es.potLymhcy) nI VHI, uyo liwl veah a eacsreed in TH lslce dgineal to eaeerdcs ni DC8 T lels.c Tshu BVE lilw lfeiraoprte emor lfyree as hte emnimu epsseorn dsotarw ti 8D(C )sllce rea ldnt.bue Thsi si owh i otg ot hte sw.nrae

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