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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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 +19 
submitted by sympathetikey(1591),
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A ,ycleoctes sola nknwo as a peadosplr lbaerdd, si a ldemcia inndtcoio ni wichh a wnsam'o deardbl lesugb iotn reh .anaivg mSeo mya vhae no spoy.mstm hrOet mya heav toebrlu tgitrnas ,raninuoit riuayrn ncntce,nneiio ro euqrften nionutia.r lsmpiatoCcnio mya idcnleu tcnreerur naruyir tctra efcnntoiis dan auyirnr o.ternnite

t/nrskw/actel:.ieidtoiw/se.ohpyikip/Cge


 +10 
submitted by usmleuser007(459),
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suJt nteo why hteor nwsares are ont cre:ctro

  1. shbpisy;gnp&nEoo an cadeesnri enaoencsr of coeiv usnsod aedhr ehwn tnigtsuulaca hte u,sgln oftne uedacs yb gnul sdonlotoanici dna sofrb.iis

    • .a tI si due ot enheadnc nssimaositnr of gefhqrhnuce-iy dunos rocass l,idfu hcsu sa ni olrbnaam ngul tisue,s hwit rloew iceenqrfesu edetflri ot.u
  2. desrhipeW qryn;&etessrclerfipupoob to an denrieasc desuslno tnnbip&fgd;sioeoshe;pspbnwr&n iugrnd uasulticoatn htiw a hscptsoeoet on eth unlg lefsid no a i’aptstne oro.ts

    • a. lluUyas epknos snsudo of sel&roeppbe;asuwnvihn&dbsm;p by eth ettnpia duwol not eb edarh by hte niccliani ttucsilaaung a lgun ilfed ihtw a est.chetopos

    • b. ,weroHev in aeasr of the ulgn weehr eehrt psblun;ings& alsdoitooinn,c ehest wridepseh nospke dnouss by het tpeiant s(uch sa yiagns ety‘nnn-ie’)in illw eb yecrall haerd thhogru eht oscsto.ehpte

    • c. hsiT eaenrcsi ni snodu xetssi euebcsa osudn varslte atserf dan uhts whti loerw loss of etniytnis gothhur iiuldq ro loids f“l(dui mssa” ro dlois“ sa”s,m etyrspeev,lci ni eht )gnul vessru gaouses (ria in the ul)ng i.dame

    • .d Wheesirdp eqtliycoropu si a liclcani stte pcyytlial reorpefdm inudrg a ldaeicm psycihal iomnaeanixt ot aeutlvea for het enceespr ;nb&pngfsolu altosoc,onnidi hwihc oclud eb saudec yb crenca (doils smas) ro uominepan (idlfu a)s.sm

titanesxvi  ywh ton hgeienw?z +  
miriamp3  i@nsiexavtt cuaesbe teh dx is HCF +1  
leaf_house  I gte why kearclcs rae orem yilkel in CF,H ubt nutwo'ld ti also seuca wripheeds q,elyirtocopu fi fulid wslalo tertbe nssmartnisoi of usond? +  
weirdmed51  ati@t hweeez is aamsht +  
umpalumpa  u,Gys hwy nto desphewir uyr,elticqopo ehoygpo?n 2A020F :68pg0 apmuonlyr emade seacus alonh"brci trehab osnsu,d tale tysaipiornr s,lcecakr idsrheepw coirep"utoqly +1  



 +10 
submitted by asharm10(37),
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3gt;-&S- atddeil ocomyyadatrihp eir-nt;cct&ec()-g costyils aiftl-g;ru&e- dbloo lsbdui &tu;--gp anceiesr sthroitdyac rsuepers in alyuopmrn s;v-sgtl&s-ee a;xe-ugtt&-ed seccakrl




 +3 
submitted by taediggity(44),
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6/2 licytoss rmmruu rvoe hte tlef snaletr ,nrdbeoar S3 eaedcn(isr LV nli,)ligf wol 02 s,ta rugfdei htis ptnatei adh ythhppoecrri oiyacphmdrtyao dan elyar ssgin of CFH, os teh nsarew asw kcrsclea rfmo teh lpryounma dmeae rfmo fuidl abkc pu ormf hte FH sa sebri pietndo tou lebwo eht ts1 ntommc.e

samadmom  I ileebev ihst pnaeitt cluaylta has dltdaei aomyrphtyciado a(s sodeopp to pch)thiepyrro ued ot sih e,ag T,NH rseepcen fo 3S hcry(porehtpi yllsuau hsa ,S)4 nda loas ish rmuurm. heT uumrmr iaidectsn iramlt rgurg,e teh fot-fpi saw agdinrt"ai to teh a"ai.lxl seBcuea het mtse ststae thta the PIM is suieffd hist can aedl su ot hntik atth shi ather hsa relnegda ni an epaienturdbcl awy e(i. nakmgi ti tabeeccapl hatt teh nltcaepme fo eth mrrumu is etedifrnf mrof hwere we ecpxt.)e lyas,tL sryanedco lirtam ggurre is an ntdoircia of oorp nsoogrspi orf H.F necO eht cvntelire hsa leidtad to chus a itpno, eth mtilra ealtlfse are lbuean to opeprrly oscel dna peretutpea het adbwcrak wfol of bdl.oo poHe tish l!ephs +2  



 +1 
submitted by zevvyt(45),
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uoY todn lerayl eden ot wnko eth urmmru to tge the eqouinst rhg,ti ubt 'mI fsuecodn btoau het rumu.rm tI duossn klie raMlti orttiRanugi.eg oS why si ti ni the lfet slertan rrbeod and nto teh p?xae

madamestep  Myeba i'ts redha setb ta eth xa,pe but uyo luodc sloa aehr it at eth LLB?S +  



 +1 
submitted by nootnootpenguinn(9),
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FA 1209 agep 3,06 redun are"Ht reluia"f

l"licCnia moynsder of radciac mppu unontdsyfci -g-;t& gitcenonso and wol e.rsfnuoip otySmspm incldeu aensdyp, erpah,noto iug;tfae nsisg unedcli 3S erhta ,udnos rasle a(ak a,lrs)ckec rjualgu uvosen isidttnnoe VJD,)( nttiipg e.emd"a

hYe,a I rootfg atht lsare = c.ra.kle.sc ywh nac't heyt tsuj skict with NEO lmiooyen..grt. an.wayy eoHp tish lhe.ps




 -20 
submitted by mattnatomy(46),
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kcserlaC eerhit cdnetiias cohricn cribtohins or niocnoasdtlio rmo(f aipmoeunn ro ouplnmary ede.ma)

ienGv ttha esreth' oynl a 1 yad toyisrh of SO,B mI' agnenli rmoe wrdosat rblao ai.mepounn baMye sh'tta olas hws'ta gcnuais het 3S ta eht BLLS? If 'its hpatS sureA,u I gsuse we udclo eb nklogio ta tucae astinrecdiod + neuaopin?m Or Q v?eFre But h'tats tujs upclsotanie. lCudo sloa sutj be atht eth glnu donioctasilon is intreagl dolob wol,f nelaigd ot hte akcb pu iont eth ghtRi Auitrm p&am; ietlneVc.r

brise  taeniPt hsa FHC rmfo eth 3S ertha dnous nda has RM. uYo haer nief srecakcl in ealry isecoetgnv rhate .iurleaf w3aC.1w/Mmm 5c.vwPne.h/scrp8lti /4ohg5t4ii cbl.tpn//: ns/ +16  
usmleuser007  No tcIneinof - omalnr mstpe ; reQ-fev rpetssen wthi A attpine whit seerpuox to ewsat frmo afmr lanamsi ohw seedolvp: a. foinipccnes ilsslen s(ilmg,yaa i,tuefag fevre ;t&g01[ ] ayds, b. robrtaorelit )eachhead c. rnalmo lykouecte u tcno .d mhbprootc enoTayi e. sadcreien vleir meyszen +  
saulgoodman  iTsh epitnat has H.FC But it iknd of tsor fo msees eikl esh' epsinrentg iwth a P.E +  



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