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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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aollegelni : vyre onommc ni edvacnad ,gea C,POD rupmumenpsoiedss tapitsen nda " oiggn kcab mfro a srceenied lh"al cihwh ybpaorbl dah a edatnamicotn XA mseyts aalsyb(lic tisf vyere oen ni teh Q)

aenod X : odlwu ptresen hwti c,siitncujntoiv ortath pain ...f lu riu:vs not eevyoren otg eht sdseaei R:V S on nrhcdiel srept :pmuoen owuld atgtre a rlgrea noplutopai fo hyaehlt pelpoe sa lwel.

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bharatpillai  hwy dwulo tehy say htta eht lyon lpoeep who intdd etg fdacetfe by hte aiessde rewe pleepo on dsetrsoi suulp( senirtpih dna ereves aalutnosmh)cd t veha ebne vrs sceni ti ascues cpruo ni ir.nelhcd spter nouemp duolw uacse vfree nad ohtre yecstmis ss n.igi tnwe rof veanudisro aucebes wodrul ayss mtso ommcno acesus of podc xtineoceabrac aer rivla ectinio.f..ns +4
brbwhat  I nwet ofr endao orrf teh esma arneos. I geuss eth MNAI INTH is taht shti si ton a dcpo caib.atxoneer eiSnc popele iwthtuo engpxetrsi ocpd oals hda emn,oaiunp asol pepleo itwh dpoc ianreoatbcxe wlli haev rfdeftnie srgepinten m,mspoyst here ti swa ot,dl atht we era tdlo thta dx wsa iaopuen.mn Pelepo tiwh pcdo xtnceireoaba lwdut’no be oaegdsnid wthi oeunnipma if ti wsa na uosveriadn iteoscn.nfi +4
j44n  iudrenasov edsont suaec numoanpie tis jstu emska eth curnret DPOC sx erswo +1
j44n  teh ELS adn chtamitsa teiantp weer bhto eindecsdor tghsylli sduenipusmsremo or hreyet jstu mreo elyilk ot etg geohinsmt L(SE =pt uyro B ellcs ear too syub gmikan gI's to klil oryu yekin,d nda eht tahmcatsi si no oorssttcecdiori ttah opotoaes ruoy t cll)se tbu yrehe't otn ODCP etsnapti so teh apmiuenmon ntwo eb as ,esveer lla ni lal elegoainll cussea lrelay lyeral dba uonmepnia in CODP ipnastte nad sesl eseerv cnat(iop eer)vf ni ethos iwth mldi oiispusmnuresmno +5



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submitted by stepwarrior(29)
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I erlud otu somt fo tehm ecsebua fo no eedvicne fo opnseor-rtso-enp orssintnsami adn nlyo eeppol hwit s-xepeitingr ininscoodt erew ecd.effta ehT setr dolwu apblrbyo oals acffet ihelrdcn ro ehtor dettnaese ro pardse ot ertsho ni het gnunirs o.mhe

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 +1  upvote downvote
submitted by allinthistogether(1)
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lLagleoien is monocm saucse of aneumionp dsoersippeum no chionrc rtitobcvuse lpyruanmo esdiaes.

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asapdoc  mI rtpety esur so si trtesp anemeopiun +4
usmleuser007  ODCP si oasl tbdeeacexra yb Vilar to:enfncii sh,oruiniRv efnuazl,ni arniapeua;nzlf and raetlcBia iifecnton: Hpmiahuesol zueaelninf, olMxarela iaaatsc,rhlr t ccrucvetso epeh, .oorSw the tqiesouns iesvg a hint taht it yma be goanleelli = wk"enede aer"rtet whcih mya be aasosdceit ihtw shit niftcinoe +5
loopers  romF FA 7201 gp 31:9 nigniLeraeos’ sraseeeevdi—es onuaepmni ftoe(n lnalteairu nda blora A ,) v,rfee GI and SNC mys.psmto nmooCm in mersosk dan ni hcoir**cn ungl ea*.edssi* +2
kentuckyfan  I olsa lveeibe ahtt eht oreht eesttaned sodewh snsig fo ctponai fr,eve wcihh is tareohn nhit tyeh tdrie ot tge a.t +3
luke.10  i ddi it gonrw dan escoh alfuneinz urvis esicn ti si tosm momcon ionticenf ni DPOC btu teh eluc ni eht senQiotu is atth teh ehrot ednettae idndt teg cski niecs in elalinoelg rehet is on srnpeo to opesrn tiasmiosnsrn +2
endochondral   tub ni lrUodw .s mepoun si one of the smot mooncm aacterlib eexantiarboc of DCPO laeoglline nsaw't enve itee.nomdn owH od we elru otu .s umpneo ? +5
nala_ula  abyme bcseaue in hrcedlin uos.nmpe sscuea osiitt m?diae +1
smc213  tenArho niht made ni eht Q emst si eth tanolcoi iegbn raurl nneyn..a.vias.Pl eaoriegnniLs desaies wsa rtsif idscerdove yb hte toerbuak in 7916 at a nvctoinneo edlh in dpiPael,hihal nPnilavaneys. Nto erus why I wokn hist cf.t.a. +10
hpsbwz  Bgseigt htin wosdatr lloinageel to em was tath hyet lla ewre at a crnedeies l.la.h. ei.. eerwh dhetre' eb ira oncrtedisoin dna uh.cs +6
stresssweat  ti says thta ehtor pleope doedvlpee oanmeinpu wthutio gidenen ot be seldtizipoha adn atth esmo pepole weer maayoctp.sitm Yuo lduow tkhni giankwl aienopmnu - oinlgLaele +

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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