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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 touhtgh isht saw a rkcit uqinoste niecs kins esccnar aer hte tsom moconm tepy of cercsan r.oeallv utB ulyaactl gonma IHV tnitsape, erHa-tVleId ncresca rae umch oerm omocmn ahnt dareneI-ltoVH-n eccnras n(vee ikns .ce)asrcn dnei-cEVBdu rrpyami NSC hmlpmyoa is eth ylno opnoit htta si nn-siidIDgfeA iel.s/nesraccln

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medskool123  yhw otn hpe ?B i esgsu honaert washt het bettre erswan ..oesn. tJus mre ediagnr thta ti was omer nocomm htwi dsia s..tp nenyoa aveh na aeid obaut hi?st +1
haliburton  e,Ys I inkth NSC maymolph sa na SAID gninifde nslelis inws the dy.a yM uhhtgto saw nseic HES hsa DASI ti si smto leklyi mofr VDA,I ciwhh sah a ghhi riks of HVB tath ocudl go esodgniudan fro a gonl etm.i at 2,3 htat higmt otn eb glon eohung ot ahve VBH nad etg HCC t(ub with on uinmem ste.s?)ym.. +3
yotsubato  dGo damn shti si hcus HSUTLLIB... +15
trichotillomaniac  hyW ouy agtto od me rytid leik tsih MNEB +2
sars  My tuhtgho csor,spe uulasyl ngrwo all het em,it wsa thta HVB I(VU)D nac cucor to non.eay teuAc atpisieht to hCicnro csucro hwne BVH crnaoptesori ist NDA ntio shto nad slaesree ugeancimt p.etniors sTih is ealsgsrred fo pumrioois.nenupms iryPrma NCS pymohmaL rprpeeaas irmrpliya ehnw yuo are umsmersuosnppdei nrga(o rnanl,ttpsa eniecmfi,nymuicod A.S)H/DIVI +2
syoung07  peH C is raf erom yellki ot oebemc HCC hant phe B +2
jurrutia  Eenv if yuo eewr hinitnkg kins ccaren si rome nc,omom hastt' lnoy retu rfo asabl lelc nad auuso.smq manoalMe is re.ra EBV uchm more kielly in sdia ti.anpte envE H lrioyp aws a eterbt asrew.n +

  • 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



 +2  upvote downvote
submitted by โˆ—krewfoo99(116)
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BVE vsiru ocfnsienit B lc.sle As a pssenroe treeh is eevtarci opcylitoshmsy enprotria(fiol fo 8+CD cycxooitt T cL)osyyhetmp. nI I,HV uoy illw evha a seedrcea in TH cells aiendlg ot deacseer ni DC8 T e.clsl Thsu VBE wlli prfiteorlae orem lyeref sa eth imeunm nsoprese oadwstr ti D(C8 )lecls era ul.nbtde sThi is hwo i gto to eht eaws.nr

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