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Retired NBME 24 Answers

nbme24/Block 4/Question#5 (reveal difficulty score)
A 45-year-old man comes to the physician ...
Muscle biopsy ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +20  upvote downvote
submitted by โˆ—sattanki(82)
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slMceu pnia + etlririoabp dmaee is a aliccss ntseetronpia rof ancilterhol sal.iispr esBt odisgisan for tish is a lscmeu ,byposi sa eht owrym lksei ot ahtougn twihin the .msucsle

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sympathetikey  T'shat tawh yuo teg fro liiglnk lopra er.bsa +98
dr.xx  Thta's hwat ouy teg ofr nto ionockg tmeh le.lw +8
charcot_bouchard  rehsTe otngnhi acdell ellw" deookc arpol brae "meta +2
jbrito718  nuf acf:t anC etg vnmtaii A ixttoyci ofrm ntegai aolpr bear amet hchwi laeds ot aflat numanilft haietipts! +4
stresssweat  lltyaacu ogt ihts qonetsui gthri sa a lkefu cb i gsseeud aitmniv A cixtiyto ued to aropl bera amte agilden to lmucse madgae +


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 +10  upvote downvote
submitted by โˆ—neonem(629)
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npelaypAtr iinhtalrecl elsi ondrau in mscule fo lal fo eth oandmr xtcioe snlmaia that mtos peelop ludwot'n moylnlra e..ta. ihsgtn ielk a,ber lwdi skobrpora/ k(ile ni ySkethc )Mrcoi, gib ,atcs ,xsfeo ,ogds hro,sse a,essl ewusls.ar nI case you nedeed eonatrh senaor ot tno uhnt nad esuncom ehste ?mansali

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how to rule out the others:

we would see eosinophilia, but obvi this wouldnt tell us which helminth is involved

Trichinella larvae bury themselves inside muscle tissue rather than remain in the intestine as in other roundworm infections, so stool sample tests don't often show evidence of the parasite

gram stain of stool is a pretty nonspecific test used for campylobacter enteritis; this dude doesnt have diarrhea...and lastly, xray of muscle aint gonna tell u a thang lolz

+6/- sunshinesweetheart(112)

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 +3  upvote downvote
submitted by โˆ—hungrybox(1277)
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vs. segg a(ov) in lsoto โ†’ r*Hoookmws, siAcsar

vs. aavelr ni lotos โ†’ notigeoSlsryd srielcotras

vs. hotcsc eatp tets โ†’ E iivlscumrare

omhkooswr โ†’ teraocN emcanusr,Ai mncstaoyAlo oeludedan

(u:oescr yk)hstce

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 +2  upvote downvote
submitted by jucapami(14)
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/svogllbwtwsadclci/i.hwehsre:gshti/atpotniooy/tlm./psri.chort w ntakgi a olk.o

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 +0  upvote downvote
submitted by โˆ—bharatpillai(40)
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uJst ngaidd on- aXry of greal muscel guospr ulwod hlpe in sdioignsa of cestccossryii necsi systc rae i,iclefdca in lrehtcniila hety are noI.t kinht i'm eht olyn eon woh tgo isth nogrw :/

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misterdoctor69  bMyae s,o btu I inthk taht if we teg ayn nseuqosit ccionngern cosr,isccyteis ti woldu eb iiocerrctnss,ouycse os ud'yo do nbria aiggnim .diyttlA ne.,anladiisdo. sa pre teh C:CD uceslm otyrciscesisc si ullsyau neeto:?dnrn ayflneo./gtsscasfc/vsi/ctchi.tcaewqw:rshgrw/seito.m/pio_d/tpsn +
brs  I tnhki evyereon hwo ahs aehwcdt osHeu MD.. 1S E1 sgte a cecahn to emak ti .rogwn +


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 +0  upvote downvote
submitted by โˆ—haozhier(23)
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Hwo do yuo sygu owkn oatbu tsih? I oesch tloso .;amOdpn..Pa& usmelc iybspo is tno eoinmdnte .wah.ery.en

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misterdoctor69  hkSecty !ocrim +


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 +0  upvote downvote
submitted by โˆ—madojo(212)
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4-hgcdm2pra5peaunmahwhe;wtvi1prpsmHneB-l=sNNiatlecisnMluJQdnp1rkB1Dip;eaeo5lt%ujs-5KErd9ygsFmcre3=rmtaga&cgliimtAYA1doariqanavbirreWt&riBiu==o1%e2omrxo7-oflo;7lMsm8tldilsnwasm6im&s&Q;itarme5tinaDnt-Fb;--ctr9macgs=:-heouE4-eo0smGm7wdemusiiUlIbuga%F3csYl1&/_8/i-a=mc2u=&a1pu;s-&.ih&rsAeuEaarFp202atsaanptdysp2oF%a2sg=ipioltcX4O1om.-tscio-tjVar;-losyus-a9px;%o6r/%cU.Aspoe?0aaQma0eez-cder=lncrtcFaw-eeZswvnml5RhaA-wreuoi-d4k8msoctagcresi2

SHYECTK hncltalire siilrspa pgi ac(n be plaor brea )oto* duorn esslsag t-&g;- roeip iorbalt eeitangsdaem w adn ngeer i romuonvtd thnisg on wlsal =&;t=g rsfmo ctsys in sidatert leumsc (os ofr this qnoieust kmsea essen tath uoy od celums posbyi) reif >-- ioaamtninlfm fo osmlnceoipelhusi galrsenu --;t&g onn cipfecis sa you nac ees ist lla over thsi maige so its orf nyam nefirtdfe espty of edmoenats

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