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Retired NBME 23 Answers

nbme23/Block 2/Question#42 (reveal difficulty score)
A 63-year-old woman comes to the physician ...
FVC: decreased;
FEV1/FVC: decreased;
Peak expiratory flow rate: decreased;
Peak inspiratory flow rate: decreased 🔍 / 📺 / 🌳 / 📖
tags:

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 +13  upvote downvote
submitted by ∗nwinkelmann(366)
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g@8h89 Bce"ueas hte tisbotnuroc si beaov teh rlovelaa renosig etrhe is a adreseec in ari owf,l tno nugl usom,elv ichhw uldow make hits na utivrtcobse "ogyohlapt is the tmos plhlfue naatio.enplx fI yuo know hte tosm bcais /nioptpyohifdniaoeglsytiho fo euitvrtcbos vs vietstrecri hh(wci I ,do just i'nddt in ttha omts emlpiiidfs ay)w, tehn yuo nca grifue nygnthai .out If steginhmo is ngmtapcii awryai wlfo = trtbicevuos, if ohtmniesg si aigntpcim yairaw muovle = ct.ereitivrs ANTHK YUO!

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burningmoon  woH about e?syehpmma wayira vomelu edhcagn btu sit' se.ittvrubco +3
almondbreeze  i nhitk PO etmna ot yas ttha mgonihest CANEISGERD aarwiy uolmev = rtcvreseiti +3
jgraham3  I iktnh heyt aemn fi ntihmesgo si tcapinigm UNGL ueolvm (e.i xaiioal)escpepmonncn/ = wiciraeteiAtrvyrs ddiseror --&;tg b.os / chranmaelyP odrdires t;&--g hi stre.W eympemsah the wayiar splseaocl )so(b. oeefrb tehy rea lbea to aleehx llyuf utsh teh rai is reatppd +
dna_at  stuJ ot eb ,crlea tsih is ton a caclialss riuobcttesv ugnl seiesda actffeign het allsm ,rwyaais sa ti is aobve eth iacrna .aertac)h( iTsh is trbeet edliscsfia sa a dfexi pepur wrayia tbcosotr.inu eSe teh lfow olop hree for difex" ot"bucsonirt - it acem up ni EDIM roWUdl os eamyb aizeramlifi oulsryef ihtw teh gimea escin it is qun!eiu cwesw/gh4./id2:mw/.etspomeapt8mr/g9 +4
notpennysboat  ,tand_@a can uoy lixaenp het nccepto of eht prpue ywaair soci?ntuostbr 'Im ltisl tptrye dsonucfe +



 +5  upvote downvote
submitted by xkno(5)
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I oevrtuhoght ihst oen igb meit. Senic eth teqousin dasi teh ssam asw psnseirg no het oeustid fo het caehrta, I idfreug htta nuridg rpnint,iaosi cb/ het sehct pa,ndxse os orme cpsa,e os hte smsa wdolu ahve lses fetfec no teh etchaar as eht ehsct xspaden (dan evenc,oysrl dti' heva emor fo an tceeff rdignu neitrixpoa as hte stceh llaw ar.tctr)es pltrpAayne, ti aws tusj higtrtas pu gcaeobkl adn I ughthot waaya ot r.had O.pso

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 +3  upvote downvote
submitted by ∗.ooo. (38)
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I loyrnapsel hguhott fo sith tesqusoin ktiihngn of it ni etesh .tr.esm cieSn eth titnape hsa a asms in teh rahecat kpae airexyoptr dan rorysntpiai lfwo will eb edtunt,irrep and olduw rretheefo eb erededcas. VCF1 odluw soal vaeh to ecdrsaee yb tsih. hTis eniaimetld lal hte oetrh ho.cisec

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charcot_bouchard  reA yuo eM? +3



 +3  upvote downvote
submitted by ∗usmleuser007(464)
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kLie ayn of the CPOD, hte anitpet has a ucldtffii eimt galnixeh eht endipisr ira htsu( sti alceld an tsucoetirbv daese)is

OCPD etrlsus in VCF ,deseaerc /1VVCFEF raito ceesad,er RFC s,aenceri adn epek aopxieyrt fwol saeerd.ec

A mourt or any eroht ocjteb taht lowdu espocsrm no ro aowrnr etseh eth ari way tctra uwold etesrnp as a OD.PC

lnnghIai dna alnxhige oludw be mteilid

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 +3  upvote downvote
submitted by ∗visualninjacontender(18)
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It uodcl be taht tsih is a xidef ueprp aarwyi ri,tsnuoocbt wchhi duwlo neetvpr toinflnai and tdiolfane fo het raaiyws deu ot hte trmuo aglnmcpi nwdo no eth cahert.a

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 +2  upvote downvote
submitted by ∗mrglass(47)
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I ugfderi hits aws a aelbviar arcoiiattncrh nbtrictusoo dan ogt ti ngorw.

cgrcAidon ot DU,oateTp ulTlmNIRnAia tlhaearc urbntstoico is ibvaa,lre wlehi mauRnlliEAXT tcahlear cirsntbtouo (leik in itsh ea)cs is .defix

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 +2  upvote downvote
submitted by ∗azibird(279)
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Wyh is ethre a edeaecrsd V?FC hreeT is a ssma nsigsrpe on erh ertah,ac who ldocu ahtt solibsep etafcf ulng u?mvelo If ew gvei her oenhug t,mei hwy 'duocntl seh ekta ni a ulfl ehbrta?

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 +1  upvote downvote
submitted by docred123(9)
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iH guys nca eeosmon eseapl rtaoelaeb no teehs ng.idfnis I dsduerntna hse has gnul ecarcn hts'ta pmeniigd ehr chr.taea tBu how si tish reatpeevnestri fo na tirveucbost ierrso?dd 'tnerA nlgu crcnase vtiesiecrtr fi ht?yninga shn Tka

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nlkrueger  I ergae thta 'sit usgnicofn but I lkdeoo ta ti sa a aycslhpi crios*bntout* ncies s'it inigpngmi on hte ...wiya.ar tub yahe dik hsti is erwdi +
ferrero  Doesn't het cteraah hvea ielcagtra irsgn so it wldnot'u oelplcsa whhic meaks it emes lses keil a ylctpai tocsvrietbu rddior?se m'I aeyrll ton sure ywh CVF uwold canegh usbeace I on'dt ees ohw ttloa guln pcaitcya or saeiludr lvmueo luwdo caenhg ebuceas othse rae actsti otsidoncni herwe theer is on iowarfl at la.l I rantuseddn F1,VE apke eptaxyrior ,flwo aekp sirpaynriot oflw .cet +2
mousie  egAre hist si a llaery gouth Q utb I saol inkth I elalry rvoe totguhh i..t. I ilaimented all twih a lnramo iotaR cb egthmnosi gscouittrbn luwod usooilbyv dpueocr an urtesicotvb taertpn ulhothga I 'dtno owkn hyw VFC dluwo eb s.radeedce I awt'sn user utaob tboh apke rteroapyix nda iitasopnnri fowl eignb dreadcees acn eonmoes ephl em hwti ihts or tlle me I'm yatllot rhekonnigivt iagan.. ear ythe tohb eeddescra lysimp cb etersh na uobirscottn ?.. +5
mimi21  eaY I tog snfuodce on stih q.sotuine uBt I uegss htye twande su to kloo at it sa a uvibesrtotc eesiasd . If siht erew hte esac all of ehsot cniotnuf tests wluod dce. ( See AF ) +
gh889  Bsecuea the ctbonstruio is vbaoe het ellvoraa gsreoni heert is a eceasdre in air o,flw ton nlgu eolvm,su hhiwc ulodw make sthi na ebvoiutctrs lpyoto.ahg +4
charcot_bouchard  VFC eehr ecd eams awy it edc in bisttrevOuc lung s.aesied Read hte opcecnt fo aElqu uesrpers itpon of .BnB Teerh eh says in nirtbcosih ew haev itctroevuns reptatn eseucba fenammldi asryiwa eng oemr aisesretn.c os EPP omesc la.rey I susge ehre ued to acraleth agrnoriwn ursrepes icn mtarde.wson hwhci osealslcp lamlesr ar.wayi ruestl in iar tinpgpra. +1



 +0  upvote downvote
submitted by ninja3232(11)
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To hntik tabuo sthi pyis,lm it illytearl si an tornstbcuoi os oyu anc tjus chsooe teh srwaen ithw eht CPDO eilk F.TPs

sI't a bit ututvteiciroinne atht het FCV dulwo eb aeesddec,r btu eht roasne rfo tihs is scebuea at hte ned xonriaptei fro ,VFC het ovispite arulelp erpseurs spuhnig eth ira tuo ahs ieaelqudz tiwh het ersespru of teh tremaehsop / awrayi ainwngt ot epke the laoievl n.eop Wiht na canieser in teh arwyai tneiasecrs romf the bsr,iootcutn ihst eauloznqatii otpin scoem at a ehighr .FVC eoodybmS aftc hckce em leeaps

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 +0  upvote downvote
submitted by ∗donttrustmyanswers(74)
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sp"rpoinetiotador rednctuio ni teh ekpa trpareoyxi lwfo aret or umxaimm tuienm omluev oermapdc htiw hte rcedof rexptairyo umveol in one ocesdn V).EF(1 tI uoldhs be edo,nt eeor,wvh ahtt hreet nac be a acsgntifiin sslo ni awiyar ostseca-csrinlo eara boeefr het xtootekb inflttaneg fo teh iariynprots or tixreypaor ploos are .vl"iudzisae

a-luocenHl2ey01s-m/nabwasnnce/pldelaotawunllc=hiasotpisutcg-ao/eac.3r-aT-rtca-ipeitr-mcr%apilmartttos&itr/c~c=npy;rthuhen0anetrnmitlseta;d&os-tlkfi0?sw:&ecdniatardupaa-wo7eamnl_maste-;=oeuh&1or5safi1tstpaeptdcvo85yg#=eranc7tnsib1;eou4d.sdme=t-_c9ngeotnauiuaeptsel_

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mamed  geolgo idefx rupep waiyra tntriocosub - het sioerpymrt uvcre whsso creedeads nipaisortni and n.ritxepaoi A woelr yirawa ttibrocousn just snbltu ap.exnoriit otcaEitxacrrh nutlsb nirsiotnp.ia +1



 +0  upvote downvote
submitted by ∗agurl1000(5)
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iTsh gtihm eb a atgastoiwdrrrhf er,anws tub I was gndnorwei hwy eth atptine dowlu ahev a edceadrse otiranipsyr flwo? cuseaBe ot ym dsigndnanu,tre eoeplp hitw iebvtrsoctu isesasde evha reublot rabnitghe ,tou nto n..i luCod nosomee lniepax to em ywh ti e?eesdcsar

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rdk3434  oyak os i hda teh emsa budto wcihh si wyh i tgo iths qiesount rnwog , but hnet i had ihts aereku mmeont , in orulwd h'ester evtereitip imseag aobtu vsoitbucetr nad sicteirrvte deeasis movseul and thye wasaly hows TCAEHRLA NSSEOTIS ngaol tihw atth , tsih useqitno si wmasthoe lkie taeachlr tssoesni eersionatnpt , jtus logoge unlg olfw luvmoe arlthace soitsens! eoph shti !lhpse +1



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