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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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usceMl ipan + tiabolripre dmeae si a sccalsi estoniaentpr orf oaleiltrnhc ipa.ilssr estB nasodiisg orf thsi si a uselcm yi,opbs as the rywmo kilse ot uthoagn iwhnit eht uc.lessm

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sympathetikey  Ts'tha hawt oyu get rof iiklgnl ploar besar. +98
dr.xx  s'hTta htaw yuo egt rfo ont koioncg etmh ellw. +8
charcot_bouchard  ehrsTe tgnihno lacled lwl"e dceook poral brea te"ma +2
jbrito718  fnu fac:t aCn egt tnviiam A ctoytixi fmor iaetng lrapo areb taem wchhi sldae to altfa alnnuimft !iaeptisht +4
stresssweat  lcautyla tog ihts tqosiuen hgirt sa a feulk cb i gsusdee tiavnim A xciityot due to aorpl reba maet inglade to ucsmle gaedma +


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 +10  upvote downvote
submitted by โˆ—neonem(629)
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taAlrepynp aitcrnllhei isle auondr in ucmesl fo lla of teh andmro otxeci iasmnla atth tmos peleop tonduwl' lloanmyr .e..ta sgnthi ikle brae, ildw brpasokor/ i(ekl in tSyekhc icrM,)o bgi ,atcs o,esfx go,sd rhosse, as,les .wrussael nI asec you deeedn tranoeh rsaneo to nto utnh nda eosnmcu hetes anasmil?

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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


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 +3  upvote downvote
submitted by โˆ—hungrybox(1277)
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.sv sgeg ova() in stool โ†’ o*mws,rkHoo sAriasc

.sv raleva in sltoo โ†’ snoeSgyolrtid cisslteorar

.vs scocht atpe etts โ†’ E isveurlarimc

owskrmoho โ†’ rNectoa nisc,uAraem nAymctosola ueldnoeda

:oercs(u ktsey)hc

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 +2  upvote downvote
submitted by jucapami(14)
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d/ocha/i/s/larcwtgt.higtsosipmwl./:evopytihtssbwrenlclo.irowh t akntgi a .ookl

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 +0  upvote downvote
submitted by โˆ—bharatpillai(40)
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usJt dgnida o-n ayXr fo elagr ueclms opursg dlwuo hlpe ni iainsogds of oicceyisrtcss ensci ystcs ear fc,ciaield ni hieiallntrc they are onI.t tinkh mi' hte lony oen ohw gto htsi wnrgo :/

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misterdoctor69  yeMab so, tub I ktnih tath fi we egt yan qnousstie ocnencnirg rtccsse,soiicy ti ludow eb i,neocrirotsusyccse os 'uoyd do birna mngiiag idsAy,elnoldt ..atna.dii sa rpe teh :CDC eulcms ctecioyisrscs is syulaul en:ondrnet? :pe/._crr//iitwfog/vwcsnccefedqtngim/psthastos.say.hiwo/stcsla +
brs  I thnik noyereev woh ash hawcdet eHsuo .D.M S1 E1 estg a cehanc to eakm it r.wong +


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submitted by โˆ—haozhier(23)
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oHw od uoy usyg nkow toaub h?tis I eshco otslo .d.aPmO.;na&p scmlue opibys is ton nnoeitdem wn.ey..reha

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misterdoctor69  Shtkcey !mroci +


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 +0  upvote downvote
submitted by โˆ—madojo(212)
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MraBiuhg-vas-mi%e;sJlA;s1Gm4spottv;6taVmHcerZQaiE307awaEddsmIzjl=l.o6?=xo0poay:tea;esupoib-aAsBp;trc4Aia2&&ejaeeebrranae/45i-lmlssd0Y.rcmcrordt-0qew1bmaiwm-rm/locismu8len1itileWniioihusfy%wmsraaiKw;2%issn--p=oUseoa.9M1dtEFt=puFrlpcoirAesAi2se&l5;FkdFil%Nsutgl%c29-ioigcgi-2&-QD7escs&4r;cm_nOc39nmumnour=k1ant&-c5aw8taaF&cre-r-gmp2a5uXrp-low=easF/tsBgapaUhr-nhsuYgrmghN-dtammuurcpynQt-==eap-=25ptDh%a&ae72tse8ccndlroloieoa1tvda1mxsmo1iR

STYCHKE rhacllenti lpasiirs gip an(c be raolp bear *oo)t udnro aeslssg -;g&-t eoipr trboali eeigd seaatmnw nda gerne ntdrooium v gnhsti on wlsla =&g;=t rsmof stscy ni iedsartt lusecm (so orf sthi niosueqt maesk ssene atth uoy do mlsecu bysio)p iefr -g-&;t tlnmaiamfion fo enollicsisoeh pum ulgsnear -;g&t- non csipefic sa ouy cna ese sit lal over hits eimag so tsi orf nmya rtnedffei peyts of tmaeodnse

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