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Retired NBME 20 Answers

nbme20/Block 2/Question#17 (reveal difficulty score)
A 57-year old man has a hemoglobin ...
Chronic obstructive pulmonary disease ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: hemeonc polycythemia

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 +17  upvote downvote
submitted by โˆ—hayayah(1212)
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hTis si arietcve iocptyyamhle arve, wichh si eud to hgih udtelait or guln sdaeis.e a2SO is ,wlo nda OEP is scenirea.d

Artneho ayw ot prachopa teh isnotqeu is oinlkgo at eht obdol e.rams s'It ryettp nmraol (on aayemekctgor,ys no arsncieed ebmnur fo ell,ttpeas no dsro, nghtnio lbeu, )cet. A dobol rsmea mfor a CPOD etntipa illw be .molrna tusJ na sieecanrd rbmneu of RBCs eud to eht ardincees PEO ndlagei ot dcesnaier bHg.

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mbourne  You hot'nsdul llca ti itcverea eyypoamihlct e"arv," sa cohyptmlieya earv is a restpeae iseesda itwh ienyetrl neiefdrtf otylg.eoi hsTi is civtaRee hat,ePolcyymi ro sa nreahto orpets ds,ai oirpptaarpe outelbas ehlaypmitcoy nsocyadre ot ncrchio o.paihyx +24
j44n  i uedmjp no poayllemdcsisty ngniitkh it swa VP deu ot teh akj w ouitntma btu yuo aieytclhlcn get evateled gerhivtyne ni atht uittnoam os it ulodw eb rmeo athn stuj RC'sB +
beetbox  I saol ohguhtt ti asw .PV oHw cna we tlle vertiaec macyehpityol fmor tacual P,V if VP oeds otn whos troeh ksndi fo blood ecll octsun siraed ubt tjsu an alitose fo BRC ?irse +1
l0ud_minority  I tgo ihts wgrno ubt hree ym araldaee Bnosti ffo teh miaoinronft in het sgpaeas ohw nca Hwo nac uoy fefttaneeiidr shti rfmo ipnapertaipor uelbtaos ayhomleipyt?c Plcpr itoeanasa ndosmery is adiaosects hiwt caerscn hcus as pHeaolelutrcal .aCocrainm Htriyeraed mroosteaiomcshh anc alvee to evril sri.iorsch Tash't why I hoecs .C tuB I asw wg.nor +1
epiglotitties  m'I ocsfn,edu iacPmhlyeyot eVra aswtn' ni eht ewnras ei,shcoc )D was ielmyysdltosapc smoderny hwihc I nodt' thkin si eth maes as elepivyoertilmfaro sso-rdiedr chwhi udlcien V,P nitesaEls Toyoabhemihrcmt nad s.eisoiMoly-frb rO era hyet eht saem i?htng? lA so bob,eex@t hte yaw to etll atvierec oymltyiephac frmo VP si yb gonoikl ta PO.E nI icaetrev it si eevteadl nda si wath si deanlgi to het snraieec ni B,CRs nad in VP teh rniecesa ni sBRC si ued to pilaoencst stmnrtaooifarn fo CRB rprousces OTN seecsx EP.O +



 +9  upvote downvote
submitted by โˆ—alexb(53)
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I ndsocefu pamedotliscylsy ndsmorey whit myairrp msilyeibfosro ubesace I hottuhg 32- of sohet BsRC lodkeo ikle tapodrer cs.lle Juts klie when tehy whso na ameig ofr lbuouls megdihpoip adn thee'sr osem rwedi ncsoed pir hughtro eth deelaras/ldumbmr lyrea aminkg me hitnk 'sti tno PB nvee hugoth I 'ontd wkno awth esel it uodlw .be mfl

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whoissaad  Mead het esma skmiaet +9
targetusmle  i uhogtht eyatlcx hte sm!ae! 2 lsecl eldkoo ilek trea oprd celsl :/ +2
ilovemypuppies2295  I tgtohuh reeth rwee tear rdpo lcles oot. eSemde iekl it osldhu be a aslaiepatm en.th Oh well +
lynn  I did eth m,eas btu okilngo ta F1A9 pg 432 it ssay veeeinit"cff spieehmaotosi t-;&g- fdctese ni lcel amoittunar fo inlodmonphy a"eeg.inl Yuo can etg debibol ipsotlue,rnh or if ti srsgdroeep to LAM d'ouy see auer rdo.s ngtNoih buaot erat pord s.clle hneT on pg 064 tare ropd celsl uolwd eb sene in imoofbylesisr, dan yosspibl aassmsthlaie +
waterloo  I othgthu eht ,esam but I nithk htta dwluo be ofi,omsilsreyb otn ectsamydlsip.oyl Hb is elrayl ighh rehe .oto ttrPey kricyt orf htem ot ptu ttha h,tere ayes nkee e.rjk +1
jawnmeechell  trnIlitneyges ,ugheno gengnoaci oyilmed ieasaaltmp is het old nmae orf yfsisbrioomel, itwh ngioeagc"n" ebing ynunmsooys ihwt "it"choi.dpai (ro did neeyorve arldyea nowk i)ths +1
bfinard1  myiarrP olfssimbroiye si a eevioaloprmierytlf rsdierdo not a mctilaoeyydslsp dyoensrm +



 -6  upvote downvote
submitted by โˆ—strugglebus(189)
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tP has yyepctmoialh vare eaoitviye(ofmlrrple drr)disoe edu to chioncr oahpiyx iduednc yb P.DCO dMleyio aatempalis si xtare duellmrya eostphemoiasi edu ot eryl.sfobimios Hrdrayteie rcsehmimahotoos oulwd haev eneb ervpno by a ipnuasrs lbue sa.itn nHlsyeprmpesi ldwuo eahv edcuas reacdsede sB,CR dna esolmyiplsycda dnoesyrm udolw ahev oswhn eAru srdo ro tbss.la

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neonem  gR,ith I tkihn isth wldou be stuj lldcae tporapiar"pe olesubat p"eyiycthal,mo aeshrwe oahmtcpieyly reva is ued ot a anamginlt JK2A mianutto adn dowul eb tdreem a eypt fo ohcnric atfiepvmorioyrelel isdreord. +14
utap2001  Mdislotylaeyscp nerysmsdo ()SMD is aosl ldcael ki,muPeeaelr d.lplyomaeisyas n i M,DS ruoy ebno mwarro on'teds meak ngehuo fo esthe yltahhe odbol es.cll nated,Is it amesk aonlabrm lsecl tath rante' uflyl opedlveed a(mrA)mest.ui teh ocnnitdoi ,oepeldvs ryuo enbo rworma egst dlaugaryl nktae evro by teh aetmruim blood ,llsec hihwc t'ndo kwro p. ypholTeerr nncdtioio anc elpdvoe yllwos nt(dleoni) ro cukylqi eggss)r(aevi, nda in omes epolep ti cna opvdlee tino a pety fo uekaaimle eadllc caetu idmlyeo uaaeemlik )M.L(A +



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