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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 oguhtth siht was a rkict ontsiequ iesnc kisn anseccr rae the tsmo oconmm ypte fo cacrsen .revoall But uytlaalc ogman VHI nai,tetps eIldrHea-Vt raccnes rea cuhm mreo mcnmoo htan olnedIeraHnt-V- eranscc (even isnk nce.as)cr -dnBdViecuE yrrimap CNS ypmlhaom is teh lnyo tinpoo atht is fgidnDInAesi- cla/enclseins.r

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medskool123  why not peh ?B i gusse anrtohe wtash teh rbetet srnaew .e..sno stuJ rem gaednir taht it swa emor mnoocm thwi dias .tsp. anoeyn avhe an eiad abtou sh?it +1
haliburton  Y,es I khnit SNC hymolamp as an IDSA ndiigfen nlsseli iwns eht da.y M y houtthg swa seinc ESH sha SIDA it is msot lkeiyl rmof ,DIAV wihhc hsa a ihgh rski of VHB atth cuodl go isnnodagedu rof a lnog t.mie at 2,3 atth tihgm nto eb ognl huegno ot vhea BVH adn tge CHC utb( hwit on inmeum sy.?)tm.se. +3
yotsubato  Gdo dnma shti is hcus .LTUI.S.LBH +15
trichotillomaniac  yWh uoy aotgt do me rtiyd elki htsi NBME +2
sars  My uhothtg ,erscsop lsaluuy wongr lal eht ,miet saw atht VBH IU(VD) anc rucco ot anneyo. uAect siahipett to nCiohrc rcosuc hnew VHB sapreoniotcr sti NAD into otsh dan slreease meunagcit piorset.n shTi si reldregass fo sosuunppommr.niei irmPrya SCN ypmaoLmh aaprepesr piilrymra hewn oyu era emssmuopnpirsude (nrago ttnaalnspr, imefyndcoucm,inei A/H.I)IDSV +2
syoung07  peH C is fra eorm ekylli to oeecbm CHC hant hpe B +2
jurrutia  evnE fi oyu were knintgih insk ceacrn si eorm ,mocmon hs'att lony etru rof bsaal lelc dan quausso.m Monalmae is rera. BVE hcmu roem yiekll ni sdai antt.pie venE H liopry saw a ttbere n.awesr +

  • 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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EBV uvsri cnfiitonse B cl.les sA a repenoss teher si aevriect phtymcylsoiso otinpe(iarofrl of D+8C txiocycot T eLhpsyomc).ty In ,HVI you lliw heva a eedsrcae in TH selcl dnilega ot cradseee in 8CD T ecs.ll hTus VBE lwli ftearpileor rmeo ereyfl as eht imunem seersopn trdwaos it 8D(C c)slle rae .ebundlt hTsi si ohw i ogt to eth ea.nrsw

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