NBME 23 Absence of germinal centers in lymph nodes (NBME Answers)

NBME 23 Answers

nbme23/Block 1/Question#31 (reveal difficulty score)
A 16-month-old boy is brought to the ...
Absence of germinal centers in lymph nodes 🔍 / 📺 / 🌳 / 📖
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+7 upvote downvote
submitted by hipster_do(8)

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’Im goign to yas ist’ X ndklei nmalaaugmlieioabgm reatrh nath ,IDSC utb the rfeenecfid netbeew sehet two aer ntiy btu hits is hwy I knhti t’is het merfo:r

Boy icr(adeens rksi btu bhot BA adn SICD rea x kl)ndei
reeruRntc cblraeait eostfncini tub ’odtn mointne ahderria or hhstru whcih is ni SCID
mliTenie is ftear 6 otmhn,s os het smoe’hrt ieodsnatib reow f.fo

IDCS lusdho eb eltemdymaii seeabcu tehy juts ’ondt hvae eht LI2 s.retoecpr IVDC sswho up nhwe ter’hye -0240 esyra .dlo ouY tge etabsn limeagnr eetrscn in h.bto oN entmnio of enbats mhcyit hosawd which is ni S.DIC

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placebo079 my“”olfUnir olw is olas a cle;u in CIDV tyeh ear o.nt +5

tea-cats-biscuits hTis ekmas ,eness othguh whta lelrya whret em fof saw taht in sCaslci otB’usrn aAlebgiomimaaulmng es’erht z-rroanee B tnoucs htgohu or( ta lesta sthat’ whta AF nad TUD s,say t“nsAeb B lcles ni ileperrpah l”obdo FA 11,6 1028.) ehT Q asys het okcteuley ncuot swa mlorna hogthu. o’uWdnlt the cleutoeky ntocu ilnudec ycetmsphloy in teh ideneffa?tilr ndA wl’nduto ctyyohplesm eb owl eud ot teh erna eolcempt ckal fo B ecsll in rlaehreppi tiicnlrouca if it swa BA? +2

partybrockk cseia-ut@-actssibt u’nBotrs si a uflirea of B clsle to U/.TM/EAR oS you tge ornlam lpyyomceht to,sucn rcdeesdea velsle of mo,nnbumoslliiug adn etasnb argmnile se.nterc +8

tea-cats-biscuits kb@pyotarckr atTh kemas snsee ot ,me utb I eepk gnetigt gunh pu on who aths’t otn hwat erehit AF or TDU yass tuoab eth csacils alb niigsndf fo LA.X TDU clalsyeifcip sysa i:hst tyrb“aLorao infgsndi elcndiu ylemiom/ilgegaoamohimagbiubaaalnnaglpumm, eincedfit biatdyno osnerspes ot imstioanim,zun nad sentba ro rmkaedly eeddrcu B sllec ni het b”,oodl nda I liyvuorspe dutoqe FA. I psspoeu ti ’tdosen elaylr maettr, but tsi’ tenedifliy a tib ifsuarrtntg snluse mI’ gmnsisi iensgthom tauob ohw besnat B lscle in teh oldob ltn’owdu eacotrler to a decasdree otyhlecypm uonct ... +3

temmy elsepa rcocter me fi i am rowng cos i hgmti eb but my ogcli aws reeth si creassdee uooimugllninbm ronlmifyu meannig the B sllec aer roifmuyln sanetb and nseic tyhe oldpeev ni het lagnrmie ree,cnt het lergainm nretec lliw be bt.neas +2

almondbreeze kcPeid recddaes'e # fo C4D goyeshoh.yl;.m-'Bt&ct tp 4CD nda C8D T yyltocmsphe rewe dffa;etce eth csdearee aws smto oenrdcnuop for eïvna T c.lsel (0mPenl.rg/ivwcw//9pC6clh8Mm/stti/hn.ob0at1..is:cn/p0w) +

an1 Lwo gI si most iyelkl a B lecl .dosirrde All of tehm eibng low sruel out Ag.I 'reeW eflt htwi aamgX,LmA DV,CI nda I.CDS VCDI csuroc ratfe urpeybt iagocdncr ot B.Bn SICD is sa if a bbya sha ,VIH lusp yhet heav an tasben tyushm (T s)clel. ethirE ywa, eb ti AXL or CSDI, htey OBHT eavh a lcak fo ranemlig snrt!eec +

+1 upvote downvote
submitted by ∗tea-cats-biscuits(273)

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I nthik I udfno twah het isaesed saw, htghuo I lsyeonht eahv no idea ywh eyth ulwdo stte tihs aerrht ahtn L.XA The’ers a cioodnnit ldlcae anitsreTn maymHgegilbuaomnilpoa of ncayfIn. It eepsntrs /wlwo uollonimbguinm leslev tops 6 tnsmho nda anc sprtene l/swmal yhlmp onsed dna itsnlos ni iacfnyn TUB /ow nya rohte nisfgnid fo rpariym meueicinmfocdyni iincgldun edsraedce otsc.un

rHe’se na acritle btuao ti: reo/upcy-ca-oy.-bmp:ug-iiisdnnmrficmoaeimtom-pit/syri/ino/rersiineohiaybapetpiueeh-iasnaptnalfmmc/yerluesmnfeatigscsatgnfd-m/

Yuo neltfdeiyi odtn’ deen to kwon teh idseesa to egt the rctcreo erwnsa insce the lnki of kcal of lulgmiinbouosmn odulw luce oyu oint eht clak of nmaiglre er,tnces but I ihnkt htis si omer liekly nath AXL ecins vyere eosrcu I edar smlpeii atth B llce toncus rea nrae 0 in eth asclics nasrniotpeet us(nles Im’ siinsgm a sreoan ywh tekuyolec ontuc ff/dwi otnluwd’ hwos a iisanngtifc ercesdea ni pylseyomthc deu ot orerzae-n B ll.)sce tJsu ndwtae ot ptu tshi ereh in csae oerth elopep telar maec gnidr,enwo gouhht I amy slilt be gnro.w

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keycompany I nithk we ear lla igrnvokniteh sthi unsoieqt (dna ti si kramraleby mpis)le. I dtn'o tiknh stih toequins si esgttni su no nay of het UFPA ecfiodncenimyium srdm,synoe pre aW s. ht y a thye era ralyel kasngi is tw"ah ulwdo aosl be sebnta if eehtr are on iblgiummuonlnos adn htgeryivne lese si lra"n?om heT snwera is bsaten lnrmiaeg nrsctee c/b ht'tsa weher Ig si .ndsyzeethsi I ntkhi ythe utp all teohr tcspesa of teh syiroth ni iths mtes ujts to pleh uoy leur tuo yan fo teh otreh wna.sser +12

+0 upvote downvote
submitted by lilamk(12)

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I emad a ykulc gsseu dan ochse sith btu I ’notd nkhit fro hte hitrg .raesosn I hguohtt ebmya he has KBT yBo’fnn/udtccseriei mibnmeoaamAglg.ia tu,B onw htat I am ngogi eovr ti I wtnsa’ er.su Wdoul ahtt sohw a alomrn eeytocluk draifletf?nie Is it ?DVIC Didtn’ htkni IVCD uwodl have sbeatn nalimgre strneec ni hypml e.dsno Wath eesl cluod tsih b?e

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lispectedwumbologist DCIV ternsspe in lothdaduo os 'sit ton IDCV. CVDI asol dtneos' avhe abetsn migrenla nreetcs ni ypmlh sno.de yM edud ash nBrusot' mgomlgaaiaeanbim +2

sympathetikey What dtlsc@eipe d.ais +

+0 upvote downvote
submitted by ∗abhishek021196(119)

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Mlae cidhl, rnretuerc iseiotnf,nc on rameut B clsel = ntoruB esasied dXie(-lnk molabgaen)mgmuilaia

mCnomo aie cmiuiiamrnfvdycleenbo - ceDtfe ni -lcelB oetdetrifinif.na usCea nkunown in tosm sasM.yca e tnreesp in ohtbohl cddiu yauusll asgddonei pbatsereIy tcfe.dnerrua skir fo temnauuomi easshi,iaone disrsceb,tc nhioosamlo,uyyrmampl np detsD iieoeseafnncrc asmalp dDsrlesecl e,cea buomunosgnlilmi

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