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Retired NBME 20 Answers

nbme20/Block 3/Question#35 (reveal difficulty score)
A 51-year-old man has the acute onset of ...
Cytomegalovirus infection ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: micro

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 +46  upvote downvote
submitted by โˆ—amorah(115)
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Ferve t-&g; uler uot tfel ialcvruetnr fieural - XMTPMS sylipoaphrx -g;&t elur out usscPnmytieo needvKjciyoiri rslttannpa but on W/RBBCC in nuire -;g&t elur otu psaantrntl rtecjonei

vgnLeai CVM adn liapytac bytoecmuacmri as hte nainrmgei otw onps.toi VMC is omer klelyi in a rptlnnsata aett.pni

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 +4  upvote downvote
submitted by โˆ—hayayah(1212)
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CMV si scdaoitesa tihw nniftcgei arnog ttplnaansr .pntseita VCM is msantdrttie vai exasul a,cctont grnoa natrlpa,nst or yavliertlc iav etncap.la oRtniceavita of CVM rsucco in eth pieespumo.sudnrsm

ngOra nsnprtalta tpetinsa are ta an idercensa rkis of VCM m.iaupnnoe

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 +2  upvote downvote
submitted by โˆ—lifeisruff(3)
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he aws ernve einvg aivoricngcl - i desu htat sa a leuc voer rtaanlspnt jineecrot

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 +1  upvote downvote
submitted by โˆ—mrglass(47)
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Wyh wdoul iths ont eb tueac anlptnarts rieeojnct genaldi ot ?ADRS heT eaieintrnc si dvea,eetl nda I ese yna oerans wyh it uldow be tleaeved ydbnoe oirjecnte

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sammyj98  I edcletes eth me.as I tkhin tpra fo the qnoetsui tadnew us to cznreiego ahtt het tp asw otn rnecviieg CMV aloirxhpysp tenh(id that htey rea engtgit MM-PTXS btu on yraicln)oGcv os 'yehtre ta lalery ighh kris for MVC selaiyci.pflc rnaltpeTโ€ข:eDvo iUsaU oshrpypaxli wiht olnciclaivgarv or cinovailgrc si lpaytlyic ivgen to eaittspn ta rkis rof grelvuomascioty MC(V) evttoiacnrai e,g( iioreptosevs siienprtce dan othes hitw sotivriseepo o)nor.sd heT uadortni fo eryhpat otenf needdsp no teh epty of gnaro lntdrn,patsae eht krsi sstuta fo hte itt,anpe adn iuidnlvida nilttsaiutino pe.rcatic meoS ntpaaltnrs eecnrst rpfere to use a -etemppriev oaacpprh ,(ge tuneiro MCV liarv load moiotrginn ihitnw oniitnatii fo manettrte hnew tnvcetaioiar mecobes neei)vdt orf epsfciic titaepn sap.lipouton eSe( eCyumtalsi'ovgro' ov)eba. +1
utap2001  I aws losa sfdnecou by caeut etejr.icno VCM atcnon be omlteepylc D/D iwth tj.renicoe tuB eht gudr udes si tn.ih heT estm assy ehty esdu nocepsioc,rly .derponenis hTat sudloh rleu tuo rejtcenoi. +

via @sammyj98 via UpToDate:

Universal prophylaxis with valganciclovir or ganciclovir is typically given to patients at risk for cytomegalovirus (CMV) reactivation (eg, seropositive recipients and those with seropositive donors). The duration of therapy often depends on the type of organ transplanted, the risk status of the patient, and individual institutional practice. Some transplant centers prefer to use a pre-emptive approach (eg, routine CMV viral load monitoring within initiation of treatment when reactivation becomes evident) for specific patient populations.

+5/- drdoom(1206)

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