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Retired NBME 23 Answers

nbme23/Block 2/Question#42 (reveal difficulty score)
A 63-year-old woman comes to the physician ...
FVC: decreased;
FEV1/FVC: decreased;
Peak expiratory flow rate: decreased;
Peak inspiratory flow rate: decreased 🔍 / 📺 / 🌳 / 📖
tags:

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 +13  upvote downvote
submitted by ∗nwinkelmann(366)
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g@8h89 easBce"u the cnstrbuoiot is eovab het olvaeral grieosn terhe is a saeerecd ni air f,lwo not lnug seuolm,v which ulwdo kame shit an viteobructs ypgahtol"o si eth smto lfupehl toipexa.nnla fI oyu nokw teh stom cbsia nodieoylygatnhtioiippho/sf of bcuosvetirt vs icteitvrres wc(hhi I ,do utsj tdn'id in ttha toms msdpielfii w,)ay nthe oyu nca gfruei hignntay tu.o If eithnmogs si antmgicip ywarai flow = ebriost,uctv if etngosimh is pnctgiima wryaia levumo = treiitcervs. HNATK Y!OU

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burningmoon  Hwo obaut ehya?mespm awryai emovul aenchdg tub s'ti ierbttu.cosv +3
almondbreeze  i thnki OP mtane to yas atth thgemosni CAEGNRIDES raywai lveumo = tcrevrteisi +3
jgraham3  I knhit yhte mena if giohtnesm is iipnmagtc GNUL ovemul ei.( no/iinexnoeampplccs)a = ryrt cevrwtiieisaA oerirdsd ;g&--t .sbo / yeaahcPmlrn eddrsroi &--g;t Wstih.e r hpmeaemsy eht iaawyr lpaeslsco bos(.) feoerb yhte ear aelb to xhleae ylufl tsuh the iar si drppate +
dna_at  tsuJ to eb ,leacr iths is not a calcsials bruievsottc unlg isedaes fecgnifat the lalms iaa,rwys sa it is voabe the iarcna e)hc(traa. This is retbet sfdlacisie as a fixed uerpp yairwa uiorbosntt.c eSe hte olwf oolp eehr rfo dfie"x s"onriottbuc - ti maec up in DMEI lUrdoW os byaem faaieziilmr yfosuler iwth teh eaimg nesic it is iueunq! /s2m/hsoedtm:pgr4wtma..e8c/w9gpe/wi +4
notpennysboat  atn,a@_d anc uoy pxenail hte topcnec of the reppu aiwayr torscutsi?onb 'mI llist ptreyt cndefous +


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 +5  upvote downvote
submitted by xkno(5)
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I utthhevoogr thsi neo gbi tei.m cieSn hte onueiqts isda the ssam saw enigssrp no the dueosti of eht aet,chra I udrgfei ahtt durgin in,asrtipnoi cb/ teh hetsc dnxea,ps so oemr eps,ca os the smas wdlou have esls cfefte on teh eatrach as het ecths xdespna d(an ,yvocenserl 'idt hvea omre fo an fecfet rugdin eatnirpxio sa teh cshet lwla r.sce)attr nlyea,tpprA it was tsuj tartisgh up okalbceg dan I otuthhg yaawa to rdha. .soOp

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 +3  upvote downvote
submitted by ∗.ooo. (38)
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I eonralspyl othghut of sthi tisseqonu tnhgkini of ti in hetes mter..s ineSc eth teatinp sah a ssma ni het htaraec eakp tipxeyaror nda tpinroaysir olwf lliw eb tredn,irtuep dna uoldw erterhofe be e.radedsce VF1C dulow also vhae ot eaecersd by st.ih This dlimaiteen lal hte ohret hcocei.s

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charcot_bouchard  erA uyo eM? +3


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 +3  upvote downvote
submitted by ∗usmleuser007(464)
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ekiL any fo eth CP,DO eth neattip sah a ffciuitld time ilehnaxg the pdirseni iar uhts( sit lladce an svitteorucb ssdieea)

COPD tlseusr in VCF ae,redecs FEFC1VV/ atior aesce,rde CRF reics,ena dna eekp retpyxoia wfol erdas.eec

A rotum or any rheto eocjtb htta oulwd scspermo no ro wrrnoa heets the ira way arctt oudwl teepnsr sa a .CDPO

lhgInian adn hxenagli uwodl be tdmieli

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 +3  upvote downvote
submitted by ∗visualninjacontender(18)
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tI doclu be tath tsih si a dfxie epurp rayawi rtuic,oonstb chwih oldwu tveenpr fiintonal dna tiofnalde fo the sairwya edu to eht mortu glcanimp ownd no het ratc.ahe

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 +2  upvote downvote
submitted by ∗mrglass(47)
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I egrdfiu tsih swa a ivlbarae rtrthinoiaacc bsroctntuoi dan tog ti .rwgon

Adoicngrc to T,UoeDtpa naiuTNRllIAm rtlaheac ntruioosbtc si laebv,ira ielwh anTlEAmiXlRu ehtcalra ruocstbonti ilke( ni itsh c)sea si fex.di

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 +2  upvote downvote
submitted by ∗azibird(279)
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hWy is eethr a redsedace ?VCF hreTe is a assm essgpirn on erh rhte,aca how udcol atht psesolbi cfatef lugn um?olve If ew iegv ehr uhngeo itme, why 'tclnudo esh take ni a flul ea?brht

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 +1  upvote downvote
submitted by docred123(9)
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iH yugs cna mneoose aseepl leeabarto on heset n.nigidsf I tndeasdrun seh hsa ugln acecrn tshat' dingmpei erh a.hcrtea tBu ohw is itsh rtiparseveenet fo na tbrtvocuies edrirsd?o A'ntre ungl snaccre sterirtcive if gn?nytiah hksTna

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nlkrueger  I eearg atht i'st sfiugnnoc but I oldoke at it sa a spiclahy nuts*botoc*ir iscne 'tsi ipimggnin no eht aa.r..wy.i tub hyea ikd ihts si dwrei +
ferrero  nse'Dto hte reahcat veah taiercalg gsnri so ti dnuwt'lo eolpaslc hihwc eksam it mees essl keli a yactpil vtctsieboru d?edrrsoi I'm lyaler nto rues ywh CFV wodlu ghance asebcue I tn'od ese owh aottl nugl ypaaictc or iaserdlu vulmoe dwuol eacnhg sbeecau etsoh rea titasc intisdocon heewr teerh is no aiwrflo at l.la I aernndudst E1,FV eakp roeiyxtpra olwf, epka otnipyasirr flow ect. +2
mousie  Areeg ihst si a rallye uthgo Q tbu I osla hknti I yellra voer hthgout ti... I alntiedemi lal whti a arlnmo atRio cb nomhegits buctsigtron owudl lyusbiovo erucopd an rbsvttoicue renttpa utolgahh I 'ntdo ownk ywh VCF lwodu eb ea.eseddrc I s'want rues aoutb hobt aepk rioreatpyx nda anrinopstii olwf inbeg adcrsedee nac emnsoeo pehl em ithw itsh ro etll em 'mI ttloayl nneoivrghtik naig.a. ear hyet tboh daeerescd pymils bc eretsh an cnositoutrb ..? +5
mimi21  eaY I tgo ousnecdf no hsit eotqisu.n Btu I egsus htye dewant us ot ookl at it as a vitroeubtsc adseise . If hsti were eht csae lla of eosht nnufocit tests duowl ce.d ( eSe AF ) +
gh889  usecBae eth uociotsntrb si veboa the relavaol orinesg rhete si a eecdesra in iar o,flw tno lnug ol,vmsue ihwch loudw eakm this an uosvtrectib opgyato.hl +4
charcot_bouchard  CVF here dce aems awy ti edc ni vribetuctOs gnlu s.deisea Rdae hte ponccte of Eqaul rsrseepu niotp of B.Bn ehrTe he yass in ctbrinohis we heva tucrtsvonie trtpnae aesceub ildaemmnf ysariwa eng rmeo s.setncaeir os EPP seocm eyral. I uessg hree due to raethalc nrworaign esseuprr cin ads.omntwre wchhi sloclsaep ermllsa aiw.yar luerst in ria p.ipgtanr +1


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 +0  upvote downvote
submitted by ninja3232(11)
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To tikhn aobtu ihst ysml,pi ti rtylliael si na uritcobonts os oyu acn tsuj cshoeo het wrsane twhi teh CDPO leki sFT.P

stI' a ibt ieintetoncurtviu taht the CFV uoldw be ,deeardesc tub the oarens for isht is usecbae ta the end apotnxirei rof ,FVC het peivsito elarupl prreuses phuigsn hte air uot ash ldqzeueia hiwt hte peersusr of the tasmophree / iaawyr tinganw to epke teh oviaell .pnoe thiW an eriensca in eht rayiwa esnitsaecr frmo het uot,icotnsrb isth eiaiaqzunlto inpot cesom at a hhreig CFV. ydoeSobm acft cchek em easple

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 +0  upvote downvote
submitted by ∗donttrustmyanswers(74)
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tpr"aoioinedtoprs noctrieud in het ekap eitxryraop owlf aert ro mmamxiu mnuite euovml edmpcaro itwh eth fdecro atxirreoyp ouvlem in neo dcneso ()E.VF1 tI usdohl eb e,ntdo rewvoeh, ttha erhte acn be a ngsatfiinci lsso in yiraaw tncscrilooesa-s aaer oeerbf teh etkobxot fgtlanient fo the trisiyroapn or ptoxearyri posol era a.liuvide"zs

eaaeitta_s&me1ute9ucueeisasectre5iatdslf/oecpt0r.ioHeu_ddvra;&ndtlhls4tndaeob-at7e1lwccaeetlnml-a-clphwe&ec1aacmssnpsnasfyainntuatlila_arin/=/yh=or5nknwim1#an-cp%napatpcg-i-uetnsidctrt8io-3inr:o;ruusc-oTmop;lw?s;/memtyt-0=nh7e=pagogaaca0rsrltpt-~atroto2od-=esu.b&t

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mamed  glogoe fdxei prupe iaayrw bosntortiuc - teh mprtyeosri rceuv oswsh rsdedceae iitosriannp dna ierp.ioxant A oewlr rwaiay sbtctoionru ujst unsblt ria.xieopnt croEahxcatrti tlusnb .rntpsiaonii +1


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 +0  upvote downvote
submitted by ∗agurl1000(5)
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sihT itmhg be a rgtfaadoirshwtr wne,asr tbu I asw rnndwoieg why teh iepttan ulodw hvea a drecasdee rrniyiaptos ofl?w ueeBacs ot my sdaiun,gnrnetd eeplpo itwh iruveocsbtt iesedssa have eblurot inabehtgr ,uot ont .in. oudCl soeemno eplaxni to me hwy it e?edcsrase

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rdk3434  kyoa os i ahd eth easm tobdu ihhcw is hwy i tgo itsh tiesunqo wognr , tbu nhet i adh iths kuerea etmnom , in wourdl r'ethes vepterieit aeigms uaotb ivrcsboutet nda ertiectisvr aesdies ulomevs nad tyeh ayaswl wsho CAAEHRTL NISTSEOS loang htwi ahtt , tish nsoqeitu is smthwoae ielk ltaharce sientoss apieeotrsntn , ustj gloeog guln olwf lumvoe aetrhcla s!oetnssi pheo isht seh!lp +1


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