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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 hghtuot tsih wsa a ctirk uqtionse ncsie inks rnscaec are teh tmso mocomn etyp fo nreccsa lr.aveol tBu ctlluaay gnmoa VIH pnttsaei, Hdele-aItrV nerccas era mchu orme omoncm athn HdoaItVelr-nn-e csracne en(ev niks ncca)ers. idedVEncuB- yirrapm SCN oyalmphm is hte nylo toipon ttha si DfdnnAiiI-esg scselienral.c/n

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jurrutia  nevE fi oyu eewr nktgihni kins cecrna is eorm mcnmoo, th'ast olny rteu for alabs cell adn um.uasqos nloaemMa is erar. EBV humc roem liyekl in dsai etp.inta evEn H olriyp aws a teertb rsnaw.e +

  • 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


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 +2  upvote downvote
submitted by โˆ—krewfoo99(116)
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EVB uvsir neositfnic B ce.lls As a psesnroe heetr si aterivec hytssmiloycpo riaepirot(ofnl fo 8C+D oxicyctot T hymcs)Loe.pyt In ,HIV uoy liwl eahv a reaceeds ni TH cllse aniegdl to eedrseca ni C8D T ces.ll suhT EBV ilwl paoeeitfrrl oemr ereyfl sa hte emmnui epnesors adosrtw it 8C(D )eslcl era .eltudnb iTsh si who i gto ot eht swnar.e

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