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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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leloaeinlg : yerv mmcnoo ni andedvac ga,e OP,CD pmsspurdieenosum teinstpa dna " igong abck morf a dcseneeir hlal" cihhw proalbby dha a ciamednttona AX mesyst s(laliabcy tsif veyre noe ni eht Q)

daone X : doulw epntrse iwth itvn,ciucsijton trahto naip .fu.l. vruis: otn orneyeve gto hte sasdeie R SV: no hlcinerd tsrpe unpeom: dlouw eagttr a elagrr oiopanlutp fo hhlaety eepolp as wlel.

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bharatpillai  yhw uodwl tyhe ays atth the loyn eelopp hwo tnidd etg tffcaeed yb hte adissee rewe eopepl no sstdorei l(psuu ihseptrni dna seevre ltaa nctom)dhus veha bene vsr nesic it ascuse ocpru in edicn.hrl etspr uemnop wduol eusca revef nad rteoh itsmsyce sinsi.g tewn rfo vdeiasroun saebuec orlduw sasy sotm oncmom acsesu of dopc atecacibxnroe rea lvria .ic.ionsfetn. +4
brbwhat  I etwn orf aoden rrfo the esam .aoenrs I gsesu het MANI INHT is thta shit si ont a ocdp aaxco.eeitnrb ceSni eppoel thuiowt xsrtengipe odcp oals dah nio,epmuna losa eeppol iwth dpoc atceoxrbneai wlil heva tdefneifr nntpeesrig stmopsmy, heer it saw tdol, hatt we era ltdo ttha dx saw mnnapeoi.u pleePo ihtw pdco bxacerntiaeo dowtunl’ eb eonddigas whit pnainmueo fi it wsa an avsirnueod iniof.tnces +4
j44n  riduosenva eotdsn eucsa nonmpiuae ist tsju emaks hte rcutnre POCD sx rosew +1
j44n  hte ESL nda taaishtmc itptnae rewe htbo dnedesiorc hllgsyti nimsoepsmuedrus ro yerthe juts oemr yekill ot get nthesmoig E(SL tp= yuro B lselc aer too uysb mkaing Igs' to likl royu kiydn,e adn eht ctimthsaa si on tsotcirceosdior tath ptoeoosa oryu t sel)cl but rt'yehe ont CDPO stiatenp os hte meounmnipa town be as severe, all ni lal eigelolnla essauc alryle erllya adb iumponane ni DOPC taentips and sles sereve ticanop( eve)rf in tsheo htiw limd mimsnspuuienoros +5



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submitted by stepwarrior(29)
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I lduer out stmo fo tmeh beaseuc fo on ecdviene of ospntosrorene-p- ntssasroimni adn noyl eeolpp itwh eintxis-pgre noiocdsint erwe ceefat.fd heT tser oudlw pabylrob osla feafct irhdncle ro oethr atedtnees ro rpsade ot rosthe ni hte uirnnsg .oemh

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 +1  upvote downvote
submitted by allinthistogether(1)
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Lneealolgi is oomnmc sesauc fo neoaunipm sepmsudeipro on cchrino seitrtcvobu muoplarny i.sesdae

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asapdoc  Im rttyep urse so si settpr apmoenunei +4
usmleuser007  OCDP is sloa eceraxadtbe by Viral ieofc:intn i,sRuhirvno annuielfz, anrleipnuafza; dan ctaBalire tnoi:ifnce Husohimlepa nfazle,nieu oraMalexl aar,shlcaitr c,sw h ev orpeoScucetr.to eth usneqisto gvesi a niht atht it mya be ialllognee = dke"wene "erertta hhcwi yam eb istsaeodca wiht iths tcioeinnf +5
loopers  rFom AF 1270 gp 3:91 ’gneorniesLai rsvesiseeeaed— maieonnpu e(tonf rtullaaien nda orlba A ,) ev,fre IG adn CNS ot.pymssm omCnmo in rsekmos and ni hoc*i*rcn nglu ds*e*eis.a +2
kentuckyfan  I slao beileve that teh roteh eentestda oshwed gnssi of npciaot ev,ref ichwh si eornhat nhti etyh idter ot etg t.a +3
luke.10  i ddi ti nrgwo and sceho euanznifl svrui sicne ti is somt onmcmo eictnfino ni DPCO tub teh ecul in teh iQeuston is thta the hoter teetaden ndidt etg icks scien in gnloelalei ereth si on onresp ot peorsn ianriotsssnm +2
endochondral   utb in ldrUwo s. pmouen si neo fo het tmos omcnom ciatlbear iaaotebnxcer fo DPOC llinagoele 'wtasn veen e.tnieomnd oHw do we urel out s. pmoune ? +5
nala_ula  eyamb aescueb in hncldire eupnom.s escusa toisit ?dimae +1
smc213  hnoAter inht daem ni eth Q setm si teh itlocoan beign arurl ...niPeyvnnas.al oranisgneLie esiedas aws rtfis veseridcdo by eth aobutrek in 1967 ta a vncnoetnoi edhl ni ladihlhipea,P Payi.nvnslean Not ruse hyw I wkno this f...cta +10
hpsbwz  gieBtsg niht otrdsaw elllaegnio to me wsa thta yeth lla erwe at a dciseenre h.a.l.l ..ei hrwee hdr'tee be air idioctoesnnr nda suh.c +6
stresssweat  ti ysas atht toehr leppoe vepeelddo aminopnue thiwout ngedine to eb hzasioptleid dna ttah some lepope reew yomcim.ptaats uYo uwold knthi akginwl neiunapom - gnoeeailLl +

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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