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Retired NBME 20 Answers

nbme20/Block 2/Question#8 (reveal difficulty score)
Three elderly residents of an assisted living ...
Legionella pneumophila 🔍 / 📺 / 🌳 / 📖
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 +6  upvote downvote
submitted by usmle11a(102)
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gonlleelia : yver cmoomn ni eacdvnda e,ga ,ODPC uesmposieduprsmn eniaptts and " ggoin kbac omfr a rencdseei a"lhl iwhhc pylobabr dah a mnadaotinect AX emstys sbllyaca(i itfs every eon in the Q)

doane X : wuldo esentpr thwi vjuiico,nitntcs rtthoa inap l.u ..f rvs:ui tno eovnerey ogt het siaedes V:R S on cdhrnlie prets mpnu:oe uolwd ttgear a galerr aptiopnlou of ehhalty opepel sa wlel.

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bharatpillai  wyh wludo tehy sya thta eth lony lppoee who ddtin gte tdefefca by teh eeasdsi rewe peolep on direstso sup(lu npesirthi adn revsee ontmdau hac)lst veah nebe rvs cnise it saeusc opurc in lcedi.nhr tesrp uepmon dowul aseuc verfe adn trhoe sscyemit ising.s ewnt for usonerdiva baueesc wruldo ysas tsmo cmnmoo sucase fo docp oeeraxtbacnci ear arivl i..entfnio.sc +4
brbwhat  I etwn for enado forr het eams aro.nse I esusg hte NAIM HINT si ttah sthi is ton a dopc banot.acireex ceinS leeppo wuhiott psgnrexite pcod osla adh ain,mpouen laos eplpoe ihtw opcd teecoianabxr wlil haev ftrfneide segtpnirne spsym,otm ehre it was ,told ttah ew ear oltd that xd asw ne.mpoianu eloePp ihwt dcpo tncreaobeaix wnotdl’u be sanodedgi ithw ninpuomae if it saw an udovasirne nsfec.iiton +4
j44n  rnueadvsio ntseod uecas anoimenpu tsi tsuj kmase hte ctrernu PCDO sx rswoe +1
j44n  the ELS dan mhicastat etntpia weer tobh odsnirdece tyhllgsi mosmesuinsdreup or trehye usjt more iyelkl ot tge ehgismtno (ELS p=t ouyr B lescl era oot suby mnikag I'gs to ilkl uyor diyen,k dan eth hsaattmic is on irdrotoossictce htat oeasopot rouy t l)ecsl ubt eht'yer otn PCDO itatsenp os teh meoimnpanu wton be sa eseer,v lal in all eealilnglo essuca yearll ayelrl abd nainpuemo ni PDCO nitteasp nda ssle everse cn(optia )freev in shteo wiht dmli sispumnooiurmesn +5



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submitted by stepwarrior(29)
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I ulrde otu omts of htem asbeuec fo no neeedicv of nreop-ntoproe-ss asnrniosmsit dan ynlo elopep ithw iseitpexnr-g siootdcnni rwee fedf.etac Teh estr udolw brolapby osla factfe ecdrnhli ro retoh eesndatte ro arpdes ot hreost in hte ngsurin home.

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 +1  upvote downvote
submitted by allinthistogether(1)
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llniLoeage is mnmcoo ssauce fo unemnoiap srupspmdeeio no rchcion utotrbesvci narulympo asdseei.

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asapdoc  mI pytter sreu os is stretp poianmuene +4
usmleuser007  ODPC is olsa abeedcerxat by iValr ecnfiinot: ur,Rnhoivis lazenu,fin nlapeu;anfaizr dan iealrBtca finoei:tcn ophHlsuiema azenuiln,ef Mxealralo iaarrlcats,h tt.ovs , cu ehpccSorreoew hte tqsnoeius gvies a nthi htta ti amy eb ielagleonl = wee"kedn ert"rate chiwh may eb ioadstscae wiht tish itnifcneo +5
loopers  oFrm FA 2170 gp 31:9 ’nrgiLeeaniso eees—sdvsierae aomienpun ft(neo ianllaetru nad raolb A ,) vfer,e IG nad SNC sp.yomsmt mnmoCo in rseokms dna in rhn*ci*co lnug isd.sae**e +2
kentuckyfan  I lsoa elebiev ttah hte ehrto nseedtate owshed ignss fo nocapti ,feevr hhciw si htoraen hnti hety rdite to tge ta. +3
luke.10  i ddi it wonrg adn ochse nnuaflize riuvs neics it si toms comnmo iotcnefin ni OPDC ubt teh lceu ni hte unQoseit si atth teh hrote tnedeate tdind tge cisk secin in nloagileel ehter si no prseon to psenro arinnmisosts +2
endochondral   tub in wdlUro s. omnupe si noe fo het ostm mooncm ciaebtarl naextabecior of PDOC lianglloee 'wntsa neev m.endineot How od ew ulre otu .s emunpo ? +5
nala_ula  mbeay sceubae ni cdinhrle npsuem.o acesus toitsi ma?eid +1
smc213  tArenoh hnit dema in het Q emts is eht atnoocil nbegi rlura Pley.nn.is..anva enoiaginreLs aisedse was ritfs edcrsoeidv yb eht aoeubrtk ni 7691 at a onnoicnevt lhed in dipilaPlaheh, .aslaeyivnnPn toN seur hyw I knwo hist .ctaf.. +10
hpsbwz  gBigste nhti swdatro leoiealngl ot me saw atht yeht lla erew at a drecienes ...allh ..ei ehrew t'edhre be rai niintcorseod nda .uhsc +6
stresssweat  it sasy ttah hetor epeolp odveeepld nuepinoma htiwtou ninedeg ot be dzotehlsapii dan tath meos oeplpe rwee yiomtac.ptmsa You woudl hnitk giakwnl unmoeianp - eegailLnol +

to sum it up: - environmental source (residence hall) - no person to person transmission - SUPERIMPOSED pneumonia, NOT a COPD exacerbation + common bacteria for superimposed - H. flu, legionella, morexella catarrhalis (pathoma) + COPD exacerbations usually described as progressively worsening dyspnea and cough, change in sputum

+1/- lynn(16)

formatting got messed up and now its unreadable - lets try again

legionella because it's an environmental source (residence hall), no person to person transmission, SUPERIMPOSED pneumonia (NOT a COPD exacerbation)

common bacteria for superimposed - H. flu, legionella, morexella catarrhalis (pathoma)

COPD exacerbations usually described as progressively worsening dyspnea and cough, change in sputum; more often viral than bacterial/fungal (UW)

+3/- lynn(16)


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