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!”)

Retired NBME 20 Answers

nbme20/Block 2/Question#8 (reveal difficulty score)
Three elderly residents of an assisted living ...
Legionella pneumophila 🔍 / 📺 / 🌳 / 📖
tags:

 Login (or register) to see more


 +6  upvote downvote
submitted by usmle11a(102)
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

leallnogei : yrev oocmmn in edvdanac ,age O,DPC snpeusemidusmopr ptaentis nda " iggno back ofmr a idneeresc ll"ah hchiw byopablr adh a dntmcatenaio AX eymsst lilsba(yca tfis eryve neo ni teh Q)

neoad X : wdolu repsten hitw ivnticicsnj,out attrho inap ..f. lu :urivs otn yeenrveo got eth aeseisd :VSR no elhcnrdi sep rt eomn:up dlouw raetgt a leargr plioauntop of ahhlyet peploe sa llwe.

unscramble the site ⋅ become a member$279$49
bharatpillai  ywh oulwd ythe yas htat het nyol oelpep woh dntdi tge etacfdef yb het edissae weer ploeep on sodersit u(plus senhrpiti nad resvee uaa ths)ntclmdo evha nebe vrs incse it suasec cupro in dheinlcr. spert pnmuoe lwodu acues everf nda hoert tciysmes i.gssn i tewn ofr druseanvio caseube wroldu yass msot ncomom ssecau of cpod xntbaoeaccrie rae rvail cnofi.tn.is.e +4
brbwhat  I enwt ofr nodea ofrr eht emas asner.o I ugess het ANIM HITN is ttha hsti is ton a cpod tonb.acrexaei Scine eopelp hwoutit negspirxte dopc oasl adh eniam,unpo also eelppo wthi dcop axbaierceont illw ehav tidnfefer snpieentrg mmsspty,o eerh ti aws t,ldo ahtt ew aer dlot tath dx was eiunan.opm pPeeol iwth pdco xaerbteocina udwlont’ eb iaoednsdg wthi unaienomp if ti aws an daieouvrsn iots.fnneci +4
j44n  voeurnidas ostedn sucae nanomuipe ist sjtu msake hte urentcr DOPC sx oersw +1
j44n  het ELS and ihcatsmat naiptet wree tbho oidseednrc gyllsith neosisspeumdrmu or teehry utsj roem eyklil to tge ihtegsonm LS(E =pt oruy B lscel ear oto syub gmakni gs'I to lkli oryu dkne,iy dan eht acmahitst si no recostsctdiioro that oaptosoe yrou t le)cls but heyre't ont PDCO etntpsia os teh pmoemianun ntwo eb sa eeev,sr all ni lla longleelai caseus llaery ellyra adb manieoupn in DOCP tepntias nda sesl eevrse toacn(ip fe)evr in shteo thwi dlim usimesiunnpomrso +5



 +2  upvote downvote
submitted by stepwarrior(29)
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 ldure out omst of hemt buaesce fo on cdineeev fo nspesportr-neo-o smissrinntao nda olny loeepp htiw -tgnierpxsie ocotnsiind rewe edff.ceat heT estr lduwo pyrabbol aosl ffatce ndhecilr ro trhoe ednsettae ro edsrpa ot eortsh ni eht rsuinng heo.m

unscramble the site ⋅ become a member$279$49



 +1  upvote downvote
submitted by allinthistogether(1)
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

eglilneLoa is mnomco usacse fo nenaupmoi sesidropemup on crnhoic ovsuitrbtec urmpnlaoy is.eades

unscramble the site ⋅ become a member$279$49
asapdoc  mI prtyte resu so is reptst pineeanuom +4
usmleuser007  OCPD is aslo cdeaexaertb yb rliaV i:fncneoit o,irRuisnvh lfieaunzn, nzur;anelpaiaf dan Baetliacr icnoieftn: uieoahpmHsl euzlnienaf, xMlleaaro saaltrr,hcia cwtpto uecrer,Se.osh voc eht sqnutisoe vgesi a hnit htta it yam be lgelleiano = ke"nwdee rrte"aet hcihw mya be dcoasetasi ihtw sthi niieoftcn +5
loopers  omFr AF 1207 pg 9:13 ieLnan’goesri erseie—adsvsee inmnoaeup f(eont eainartull dna orabl A ,) ever,f IG nda NSC o.tympmss oCmmon ni mrskeos and ni h*cnio*cr lung se*ae.*dsi +2
kentuckyfan  I aols veilebe taht the toehr ntesaeedt whseod sgnis of anotcpi ,rvfee hicwh is noretah ihtn eyht editr ot tge a.t +3
luke.10  i idd it orgwn nda sohce nunzliaef rsvui icsne it is tsmo monmco ncioietnf in DCPO ubt het ucel ni hte outQinse is ahtt eth tehro edtaente tnddi gte icsk nceis ni gionalelel heert si no snorep to npesor nnisotmriass +2
endochondral   ubt ni orUdlw .s emuonp is noe fo hte smot mnomoc arlcetaib reabexiatnco fo COPD oelaelgnil atsn'w vene deeo.mnint How od ew uerl tou s. moenpu ? +5
nala_ula  emaby uesbcae ni hldnecir sme.pnuo ueassc otiist emiad? +1
smc213  hAnoret hnit dame ni the Q stem is hte catnoilo iengb lrrua Pney..iavsn.l.na gaeoeniirnsL iesseda aws itrfs esredvoidc yb hte aeutkobr ni 6791 at a novntoecin ldeh in hihpP,dialale anvas.ePnnyil otN urse hwy I kwon isth atf...c +10
hpsbwz  gegtisB niht twdsroa lnlieloega ot em aws thta ehyt all rwee ta a iescneerd ..l.lha .ei. ewhre ther'ed be ari nisetondicro nad hc.us +6
stresssweat  it ysas htat otehr epeplo oeldevdep anpnmoieu uthwito genidne to be oaiildhepzst dna ttah osme pleoep weer atmopitcsyam. Yuo udwol nhkti nlgiwka euinapnmo - lnLogaliee +

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)


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!