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NBME 21 Answers

nbme21/Block 3/Question#5 (reveal difficulty score)
A 70-year-old woman is found to have ...
Candida albicans ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ

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submitted by โˆ—tinydoc(259),
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srftcani dwulo be a rmoe larrpeephi eedgw ahpes

asebcs uodnwlt eb isvneaiv to eht nirruondusg eara i tinh.k

usomusqa lecl si omer ylratceln aetdclo

wst'na 0%10 uesr ubt htast teh tseb wrnesa guthhsol uspdit to eigv 0 mtmssypo nad jtsu a t,epciru hogtnin ilke na aluact ccnlaili erscnaio

submitted by โˆ—,
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daCinda si a tpar of het onlarm orfla of ki,sn olcdu sceua canmnotniatoi fo a lrancte onvesu teercha.t heT esounqti tatses htta eht rgiansom si ,leurpp n,dgbudi idd ont ndrpeos to dbroa smputrec niittibsaoc a(ka yteh dni'td seu ozalnlceufo ro rhtmicpoanie .)B atslLy, tyhe dsehow ti ltaepd no dbloo agar nad erthe aws on hilosesmy hcwhi eimsnelita hpast he(t onyl eohrt sspeolib nenoetcrd eh.e)r

sryctocoucCp lyslauu ienlvosv iiinmnsetg ni nmmsromuiomcpideo .E clio si mrga soprntaeexgt ihivro si sylualu dstmitartne yb a tnohr no a reos or monosee htiw a hyotirs of nngiaerdg

hungrybox  Also, the yeast form of Candida is gram (+) +35  
dr_jan_itor  I got thrown off by the part where they said "ovoid" and thought they were implying a cigar shape. I chose sporothrix for the morphology in spite of knowing that it clincally made no sense. +2  
lilmonkey  I chose S. aureus before reading the question (looks like b-hemolysis). Then I saw "budding organisms" and picked the correct one. +  
the_enigma28  I think, elliptical budding yeast forms kind of excluded cryptococcus since its almost round -_- +  
the_enigma28  I think, elliptical budding yeast forms kind of excluded cryptococcus since its almost round -_- +  
lowyield  cryptococcus also doesn't take up gram stain because the shell is too thiqq +2  

submitted by โˆ—paperbackwriter(140),
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nI iniddaot ot hte oerm sioovbu hitn fo udbdngi g,iarmson adandic sha uzzfy edesg on ldobo agar hchwi eth oestrh 'n.tod

usmlehulk  @paperbackwriter cryptococcus have a narrow budding. +  
lovebug  wow I Didn't know that. THX~! +  

submitted by liuvictor428(1),
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ryA,ltpnape it si a nmcoom iptlalf to msketai anadCid nibalsac for hpSat spps ro ciev rasve ni lobdo a.agr

I htikn siht inplseax .llew Ckhce hits :uot /c.ooansitingaos/nelgai-lcthpsedeasc/na-ia/srn:osocidbtbndmemhip-i

dea: inraClCu"udt icbalans osrgw lwle on oaauurdbS eodterxs gara dna mtos utyrneiol sude toealicolargbic a.deim Caemr olcrdoe satpy oncoeisl lauluys paraep afret 484-2 ohrsu nontiuciab at 2ยฐ57-.C3 ehT seicnool eahv a cvindtsiiet ysaet mlels adn hte dbndugi lcesl nac be ileays sene yb iderct icmypscroo in itdsaen ro tdinasneu ostpenaiarrp.

In doBol r,agA danCadi snlaabci seigv ,ihwet meacyr rdoolce leoisnoc chihw anc be iaesnkmt orf aolshccuSpocty p.sp eeenrhvW oyu rae gzlinanay teh cuelrut oeprtr fo hโ€˜hig avilgan ,wsโ€™ba keta erxat caer as the olocyn yuo are nbgoesrvi can eb fo dadinCa cbnislaa disatne fo oaypctcoclshSu esauru ro ecvi aevsr ucqk(i tuiolsno orf hist is to prmrfoe etw nmtou ro rmag tgnniias nad osngbvire rendu os)rcmpci.oe"

I essug tshi isqetnou nca be ck.yrit It is a aptr if ew sujt og orf the lrceutu tep,ucri hciwh I id.d So I tgo ti nworg. lol

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