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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 🔍 / 📺 / 🌳 / 📖
tags: micro

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 +46  upvote downvote
submitted by amorah(115)
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rvFee t-;g& erul tuo fetl ruactvlrine ruilefa -MTMS XP rplphaoyxis ;&-tg eulr otu yPoescuismnt i ecinvjeKyodri nartltpans but no WCBCRB/ in urnei ;>- rule otu tltanrpans etocjinre

nLiagev VCM nda itpaaylc tambuecoiymrc as eht ngirmiean two npoio.ts CVM is mreo ylkeli in a tlpantanrs nite.tap

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 +4  upvote downvote
submitted by hayayah(1212)
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CVM si aeaissctod thwi tgncieinf ognar rpanlatnst se.attnpi CMV is tmsntreitda iva ulexas ot,cncta ongar latsn,nartp ro eycrltvail avi enc.tlpaa tRatevoacnii fo MCV corusc ni eht uss.nedismpumpreo

nOarg anrsttanpl iteastnp era ta an aescrined skir fo CMV anumeniop.

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 +2  upvote downvote
submitted by lifeisruff(3)
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eh saw renve nveig cinicorlvag - i deus that sa a leuc rove transalnpt nojeetirc

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 +1  upvote downvote
submitted by mrglass(47)
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hWy dowlu hsti otn eb ucate asnpttlarn nirecjtoe ngdelai to ?RSAD ehT eneictinar is etlvede,a dna I see nay ornaes hwy ti wdlou eb ldetavee obedyn jcneeroti

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sammyj98  I eteecdls teh se.ma I ntkih tarp fo hte oquitnes teawnd su ot oregciezn that eht tp was otn eicegrnvi MVC ppyiaoxlrsh tdenih( ttah hyet aer tginegt MXMPT-S btu no oiGcranlvy)c so eh'tyer ta llreay hhgi kris orf MCV yicpascllef.i pat: vlUoe•UnseTDrai pyarioxsplh iwth vlciolncvaargi ro icoavgncilr is lytliypac invge to siantpte ta ksir ofr ivuostrymgoeacl CM()V aatinetrvcoi e,g( sriopsetievo netsirepci nda tohse htiw tvipsoeoiesr rsod).on heT aidoutnr fo pateyrh nefot dsnpdee no het ptey fo agnro ntsrnd,aealtp the riks ttssua of teh ati,ntep dan laiudivndi nanltoitituis tcearp.ci Smoe taalnrptsn tencres reerfp to sue a rtpvmp-eeei hpaoacrp ,(ge reouint VCM airlv aldo iinmgoortn nhwiti iintotinia fo nemetttar ehwn onacetiivatr mceeobs iee)dtvn for sfiiccpe tanipet pnlupt.saoio (See tmaloogCeivry'u's .)ebova +1
utap2001  I asw laso cesdnfou by uceat eerno.ictj VCM nantoc be ctyoplelem /DD whit jenrect.oi But eht grdu eusd si .nhti hTe tsme says heyt sdeu ole,sccnroipy eniro.nsedp athT duslho eulr otu iro.ntejce +

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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