The room seemed to get colder. Evans was deep in the "Zone of 108." This was the section where the vignettes stopped making sense. A patient had a rash, but also a heart murmur, and had recently returned from a trip to a specific river in Egypt. The answer choices weren't bacteria or viruses; they were vectors. Snail? Mosquito? Sandfly? Tse-tse fly?
Reality: The NBOME actively rewrites questions. Do not try to find "brain dumps" or "recalls." This is a violation of the NBOME honor code and can get you dismissed from medical school permanently. Trust your knowledge, not cheating. comsae form 108