need help with your account or subscription? click here to email us (or see the contact page)
join telegramNEW! discord
jump to exam page:
search for anything ⋅ score predictor (“predict me!”)

You must be logged in to vote!
Retired NBME 20 Answers

nbme20/Block 4/Question#21 (reveal difficulty score)
A 47-year-old woman comes to the physician ...
Contact with parakeets 🔍 / 📺 / 🌳 / 📖
tags: pulm

 Login (or register) to see more


 +36  upvote downvote
submitted by masonkingcobra(408)
The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$279$49

egPa 2 hsa a rtaeg rcteipu

.-/t.w/wcc6-wlgi0f/rh6ooS2(d391pt1pl/e4)tj:s/n1ae687a90i0nri

unscramble the site ⋅ become a member$279$49
kamilia20  chidalypohaml pcti?s?iat +1

FA 2019 P. 661 Hypersensitivity Pneumonitis is a mixed type III/IV hypersensitivity reaction to an antigen in the environment. Commonly seen in farmers and people exposed to birds. Presents with Dyspnea, Cough, Chest tightness, headache. It is reversible in the early stages if the allergen is removed.

+7/- lilyo(94)

You must be logged in to vote!

 +9  upvote downvote
submitted by hayayah(1212)
The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$279$49

yptniiiHersyvets iixpmdteusnin—oem peyt IIIIV/ viyhseeiyinprtts ritecano ot rveltnenmiona t.nginae aueCss sdy,neap ,cohgu thecs ts,enhstig caaehe.dh neftO esne ni srfamre and ohest eeopdxs to bis.dr lbevrseiRe in realy stegsa fi slmuusti si oed.vadi

s'tI a epty of etricvesirt lgun ssideae.

unscramble the site ⋅ become a member$279$49

A type of hypersensitivity pneumonitis associated with animal exposure is bird fancier’s lung, in which the major antigens are proteins in avian serum, feces, and feathers, including bloom, the waxy powder coating them (18). Pigeons and parakeets, including budgerigars (a type of parakeet), are the birds most commonly implicated, but poultry, finches, doves, canaries, and other birds also have caused the disease. Exposure to live birds is not necessary to produce hypersensitivity pneumonitis: the illness has resulted from using feather pillows and duvets (19), being exposed to a wreath made from the feathers of a dead pet bird (20), and laundering a pigeon keeper’s overalls (21). Other examples of animal proteins that are known to have caused the disease when inhaled include proteins from the dust of mollusk shells used to make buttons (22) and from animal fur used in garment manufacture

https://pubs.rsna.org/doi/full/10.1148/rg.297095707

+7/- alexp1101(11)

You must be logged in to vote!

 +6  upvote downvote
submitted by neovanilla(57)
The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$279$49

yWh teh hreto wrsnea ecohsic naet'r ertccro

A - oNt na cnyhplaatcai arinotce mlniay ued ot rcitiohycn ctpui(nsoomn fo soy, ichwh has eoilcpyrotsgn ttha lpeeop mya ahve lleasgrie o)rsdwta

B - tNo hatmsa terheid(cracza yb eomr acetu odieseps fo ootnbrcnociironhsc,t iehwe)ngz

D - nmAiea (,6B 9,B 2B1,) or bmaey a anporyulm mlobmsei ude to 9B or 1B2 deiccinyef t;-g&- eetdlvea netyeiomohcs leselv -;g-&t ismotshbro t&-g-; ?VTD

E - aPmlyunro xhrn;ata eTh ietm eoucsr uowld be umch emro ctuae, nda wdoul lsoa petersn wtih smotsymp of u-iflekl sypms.tmo dipRa hetad oot

unscramble the site ⋅ become a member$279$49


You must be logged in to vote!

 +3  upvote downvote
submitted by monoloco(155)
The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$279$49

iThs tpnteia is eeegnirnxpci teiietyyphsisnvr umitsonienp romf teh kasprteae. I swa knghinit M. Avium wenh I etelcdse kerastape -- I nitkh my ocigl saw elfwad veign het cspfcsiie of eht etspt'ina sot.yr

unscramble the site ⋅ become a member$279$49


You must be logged in to vote!

 +1  upvote downvote
submitted by imnotarobotbut(184)
The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$279$49

owH dulow uyo konw ttah it n'tsi oowl esorstr des?eais

unscramble the site ⋅ become a member$279$49
cienfuegos  AF 1280 73:1 ahianntlio of sosper lased to -keullfi smtyspom hatt rgosspre ilukqcy to vr,eef nomypulra hemo,ahrrge tidmitensaisi and h,scok wtih agimngi ybsiplos owishgn edweidn tuisemaimdn +10


You must be logged in to vote!

 +0  upvote downvote
submitted by endochondral1(24)
The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$279$49

roiccadgn to lruwod sspnieeyitrhitvy uomnneptiis is deu to tsdu adn ahtt aws soal na .iop.o..tn

unscramble the site ⋅ become a member$279$49
amarousis  so 'its dyiliftnee stud utb the cpfiisec type fo stud aws eht tmos nmiptarot in tish ti.souneq het fact thta they noeitedmn eht dsbri is apmnort.it eth yustd ooksb ouwld uscae ti utb eth bdri utsd si reom tnpmartoi --. +
charcot_bouchard  tHnipvitsyeyrsei iemnutPonis - anrgcOi sudt le(ik omydl m eonhuiscPsyaino) - coginarnI os nnedut leph eehr hohgut usabece obht ilwl speenrt tihw eams erteritcvis ngul saidees c itrupie. kinht incse dtsu ni bilayrr ertan ehtnrei rcagino ro inncraogi nda alos u tond ese anym snirlraiab iwht gnlu sesadei tub idrb preswinho si yifccsalelip itnndeeom sa uecas fo PH s.ideeas +


You must be logged in to vote!

 +0  upvote downvote
submitted by beeip(141)
The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$279$49

I losa asw hngtkiin M. umvai hre,e but etyitpshiserinvy eiminnpostu sesme ot tif hiwt het caagorrtnuiuerll g.esnach

unscramble the site ⋅ become a member$279$49


You must be logged in to vote!

 +0  upvote downvote
submitted by endochondral1(24)
The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$279$49

hwo od we kown trekpaaes aseuc rtsseyiyepvinh otmiseuipnn

unscramble the site ⋅ become a member$279$49
smc213  FA18 .67p5 bird -g;&usxt-eroep HSN osnietupnmi vctiseietr(r glnu )aesdsei adn A8F1 21.4p saoaruonutglm sseae:dsi roegnfi gSar&;tlem-H-Ntia p.iniutemson I dah to amek seesn fo it csnei I nd'itd wonk ti wsa SNH pmutsninoei ta trisf. +5


You must be logged in to vote!

 +0  upvote downvote
submitted by breis(56)
The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member$279$49

atoistcssiP otiem(sesm declal tsiohnoirs ro trparo dsseaei ro trapro ever)f is an eniofitnc of hte ungl pnoiaeunm() uaceds by eht aticmerub lmCihlhadpoya iC(aldmayh) saitt.pci

Sgnis and .rcmoy:hpfsuv mtos ege, lyluuas twohitu uchm .asl.ls rm.edhchh ceeuegmahpa c.aehshtsec t.nenisps rsaho fo srbhraeet.o haor.tt

unscramble the site ⋅ become a member$279$49
charcot_bouchard  Utdpae no my erpv omecmtn : sYe siht is itt.ocssaspi ont ytihirespnsetyiv iemun.tsopin oHw od u ?nowk pemtyhocLy adn ePeecrsn of Gmoraluna - preoessn to lctillrearuna awm.hlcdaNoyi HS cna asol ucsae olose nmuaogalr oot nad eth cilalcni treipuc tllis omer okol kile oHu SY nokw tahw ......... ufkc tsih usqe +2
shemle  reeH Pt. ns'tode vahe r!evfe +9
shakakaka  inneacagtsNo ,agomuanrl tycaph hmycoipytlc iatnn,itiolfr dan ssirfoib are enes ni etnyiiersyvHistp topnimuesni , agcrdiocn ot dwUlro . +

Must-See Comments from nbme20

amorah on Cytomegalovirus infection
masonkingcobra on Contact with parakeets
hayayah on Capillary hydrostatic: increased; ...
hayayah on X chromosome-linked isoenzymes
medbitch94 on Mannose 6-phosphate
hello on Capillary hydrostatic: increased; ...
hayayah on Osteoblasts
imgdoc on Hypophosphatemia
hayayah on Missense
celeste on 50%
justgettinby on Omeprazole
andrewk1 on Cold, dry air
yotsubato on Jugular venous pressure of 12 mm Hg
strugglebus on Drug effect

search for anything NEW!