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Retired NBME 22 Answers

nbme22/Block 4/Question#31 (reveal difficulty score)
A 65-year-old man comes to the emergency ...
Crackles 🔍 / 📺 / 🌳 / 📖
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 +10  upvote downvote
submitted by usmleuser007(464)
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ustJ enot why hoetr esawnrs are tno crect:ro

  1. bns&iysngEp;ohop an iadeercsn eennorasc of oviec odsnsu aredh hwne atnsuliuagct teh gn,uls ftoen cedusa by nulg tcoiaodionnsl dna .isorbifs

    • .a It is edu ot ndcahnee snistsaionrm of cqnh-ruyihfege odnus asoscr ul,idf hscu sa in olarnamb ngul ut,ssei whit welor ieuerfencqs terdielf ot.u
  2. erWipheds t;clfepsorernsiuybqro&ep to an saeinderc dssluneo topdewi&rsob;ienbgps&;snpfnnh nrdigu altcuustoain itwh a eopohcsttes on the lugn flsdie no a as’epitnt osotr.

    • .a alsulyU npoesk ssnodu of enrmhldsvepp&newosu&;bsi;pba by eht ipttean lwuod ont be dhare yb the icainlnic lagnitustuac a lnug lifed twih a eoschtstpe.o

    • b. ewrevH,o in aaers of het lnug ehwre eehtr &s;iulgnsnbp soaocldtionni, htese drwheepsi nkosep osduns by het npiatte u(shc sa snygia n’eni-neytni)‘ liwl eb ayrlcle rahde orughth the o.hetptcoess

    • .c ishT aincseer in usnod xtsies eeasubc ounsd lvaetsr tsefra adn tush ihwt ewolr ossl of nisnttyie gtouhhr ilqiud ro lsdio idlu(“f ”mssa or oisdl“ s”sa,m ,itelvypeecsr ni het lug)n ervsus suoegsa i(ra ni teh u)lgn m.eida

    • .d heesipdrW urooicletpqy si a lciclani test ipatcllyy meeprofdr ruidng a amcldie acplyihs xmiiontanea ot eeatalvu ofr eht ecespern glnnbof&s;up dnntaoloic,ois hhwic lcodu eb escadu yb cercan sodil( sas)m ro minuneaop (ufdli as)m.s

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titanesxvi  hwy not z?inehegw +
miriamp3  etvns@aiixt sbecaue the dx is FCH +1
leaf_house  I tge why erlcaksc ear rome klyeil in ,HFC but 'luwtdno it osla ceusa drweieshp rcpuloqte,oyi fi duilf swalol betert nimoranistss of ?usond +
weirdmed51  tiat@ hewzee si htmsaa +
umpalumpa  ,Gysu hwy not rwseepdhi uy,eiqcpltoro yoon?hgep A00F22 :g60p8 aumoyplnr emade usceas noach"ilrb bterha dssoun, laet nrariipyots c,rlkaecs ihdesrwpe qye"copoirutl +1



 +10  upvote downvote
submitted by asharm10(37)
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-3tS-;&g tdedlai hodartoimcayyp --eegtitr;&cc(n)c otclsysi ra&tug-ei;f-l boodl udslib tp-g;-&u sincaree hicaorysttd repsseru in ropymluna -&l-tevgsses; -eettxdu;g-a& cekcrals

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 +3  upvote downvote
submitted by taediggity(44)
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/62 clstosiy muumrr orev eht left eatlrns rodbna,er 3S rnis(ceade VL i)f,lnigl wol 02 tas, geruifd hsit etniapt dah ehcohripptyr dmaytroyoahcip adn lyear ngsis of FH,C so the ewsnar aws accrksle ofmr the pmuroanyl meade rmof uldif ckba pu mfor teh FH sa isebr dnitepo tuo lwboe hte s1t ntm.eomc

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samadmom  I vebieel htsi atnipet lalctyau ahs didlaet htydmcropiaoay s(a dppeoos to tepphychir)ro due to sih ae,g ,HTN epecersn of 3S rhoehyrppic(t ulluyas ahs S),4 nad laos sih umrurm. ehT urmrmu cntiiedas mtalri grgeur, teh iofptf- asw drt"aingai ot teh xll."aia Bcueesa eth smet taetss ahtt teh IMP si uedffsi stih nac laed us ot kihtn taht hsi harte ahs gdrleaen ni na rntepcleiduab wya .(ei nkgiam it ccbatlepae htta het cnmetplae of eth umrmur si enfdrftie omrf hewre ew p)xe.tce ,tLaysl rasydenoc rtlmai rgregu is an iicdtonra fo orpo sgrpnioos orf HF. enOc eth elentcriv sah ietladd to schu a tpnoi, hte mtrlai aesltefl era eunlba ot lpporeyr cosle dan pepatreteu eht barcdawk olwf fo ldo.ob oeHp sthi leh!ps +2



 +1  upvote downvote
submitted by zevvyt(45)
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ouY ndto alreyl nede to ownk hte rmuurm ot gte eth teqnusoi ,irhtg utb I'm soncfude uotba hte r.mumur It ssdnuo ekli arlMti gitate.ruRgino oS yhw is it ni het ftle ltarsne edrbor adn not het xepa?

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madamestep  eabyM t'is aerdh setb at hte ape,x but you lcudo saol haer ti at eth LSLB? +



 +1  upvote downvote
submitted by nootnootpenguinn(9)
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AF 1920 eagp 630, udenr reaH"t ufal"rei

"Clnliiac onseymrd of caiarcd pump tfosiyuncdn t;--&g eoncgitnos adn olw pesfnr.iuo ytospSmm dcliuen a,npeysd trhopoea,n egaft;ui igsns linuced S3 rteha ds,nuo aresl ka(a )ck,lercsa juagulr usneov ontnsidite V(J),D gtpinti .ae"edm

aYh,e I troofg atht erlas = r..c.lakesc yhw ntc'a etyh stuj stcki htiw NEO i.toongrel..my a.awnyy opHe tihs hsp.le

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 -20  upvote downvote
submitted by mattnatomy(46)
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cClaekrs tieehr dnetcsaii ohcnicr iosrithbcn ro nlcoosaiodtni mrof( epaionumn ro rlampyonu .)dmeea

evGin that hret'se nloy a 1 dya ythiors of ,BSO mI' nignlea oerm twrsoad roalb emuapio.nn beMay ta'sth laso staw'h iscnuag hte S3 ta eht SLL?B If st'i thpSa rAs,ueu I ugsse we ldouc be nglkoio ta ctuea erdidstnocai + oen?mpaniu rO Q Fever? utB thsa't just ltosa.pcuine udlCo lsao juts eb that hte lgnu ainsdtloiocon si geiartnl odblo fw,lo glndiae ot the bkca pu tnoi hte htRgi imrutA &;pma irlVtcnee.

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brise  aitPten sha FCH rmfo eht S3 raeth nduos and sah R.M ouY hera infe eaclskcr in ylera sovciteneg htrea uelra.if p4 tg.4/ .n/imbpnw1t3lwmP/C.rv.ehc a:/cMl5 si/i/c5hst8own +16
usmleuser007  No nInfitceo - rnomal mtesp ; efQ-evr trnsepse twhi A etpinta whti uexprsoe ot eawst mrfo frma slanmia woh :psvloede .a pfsoiiencnc selnlsi agmsy(,ial gfuetia, erefv 0;&t[1g a] ,syd b. toltbraeirro dah)eheac c. amnorl keloyucte tncuo d. imyepoTtbochoran .e neearsicd vielr emyzesn +
saulgoodman  Tsih tanpeit sha FCH. tBu it iknd of tsor of essme ilke 'hse gtsrneipen htiw a .EP +



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