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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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linoeaellg : reyv ocmnom in andeavdc ae,g O,PCD mnsusmeruppoeids nisaptet dna " ggion kcab ormf a sendrieec "llah wihch ybloabrp dah a atnoedanitcm AX meytss casa(bilyl itfs eeryv eon in the )Q

nedoa X : odwul psrneet hitw ov,tsuiinjcticn totahr naip u. .fl. r:vsiu tno oreeevny gto eht essaedi R SV: on nhldriec etr sp umoenp: wdluo ratteg a rgrlae upiaopnotl fo thhayel eepopl sa e.wll

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bharatpillai  hwy wldou tyeh say ahtt eth ylno lopeep woh tnddi etg ftdfeaec yb the easides erwe popele no oitrseds p(lsuu sitnpeirh nda esrvee atahd umc)tonls ahve eben svr ciens ti ucasse roupc in h.ernclid srpet mpueon ludwo ucase freve and thore ssctiemy .sgsin i netw ofr diosuveran saueecb ldorwu says tmos ncoomm csuase of dpoc crxcenaeaobti ear ilrva ifctns..i.one +4
brbwhat  I tnwe rfo adone orrf eht smae nasroe. I essug the AMNI HNIT is thta hist is tno a codp nba.oairxtcee niceS pleepo iuottwh trnpiexsge dcpo lsoa dah omneaupn,i osla olppee ihtw ocdp ertboeacinax illw ehva iffrdeetn eerngpsint opsmmtys, eerh it asw ,ldto that we era todl ahtt dx swa .epmoiaunn polPee twih docp eitbxnraoeac ’uowdtln eb onagideds with nnmaiupeo fi ti saw na ndveriauso sn.tiifonec +4
j44n  evraodisnu osetnd csaeu moeapninu tis stju emask teh ruenrtc PDCO sx wosre +1
j44n  the LSE dan mcsittaha eainttp rewe btho rdconisede hysitgll irenpmeodmssuus ro treeyh sutj orme leylik to get emtngshoi SE(L =tp yruo B clesl era oot ybsu igmank 'gsI to ikll yuro yd,knie nad eht hatmtacsi si no eccisrtrsoodiot ttha esooptoa uryo t leslc) but treey'h ton CDOP iestpant so het pueaimnnom twon eb as ,revees lla in lla ngoalleiel usseac allrye leyalr bda pmuiaenno ni DOCP aitsetpn nda lses esrvee tipca(no e)ferv ni thoes ihtw dlmi iospmsnunseumrio +5


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 +2  upvote downvote
submitted by stepwarrior(29)
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I eldru out omts fo mhet auebesc fo on ceeivnde of proenps-onors-te iomstainnrss dna nyol elepop ihtw -snpetgiriex sonoinditc ewer deff.caet ehT srte uwodl aorlbpyb asol cffate lndhriec or rteoh aseentedt or dasepr to hresot in hte isgrunn emo.h

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 +1  upvote downvote
submitted by allinthistogether(1)
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onagleLeil is mcnomo uessac fo miunepano drpmsupoiese no cicnorh bvrtcosiuet nlaopumyr eiasdes.

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asapdoc  Im tterpy erus os si stertp peimonauen +4
usmleuser007  CPDO is sola ebacrdteaxe by rVial ofinte:nic noiiuhvr,Rs ezinn,faul ;zelnpraafianu dna lcaeaBtri oe:tifncin poslimaHehu ifaenzul,ne lealxMaro atrcarhsi,al eprcs.oecSh cuw,t rtvoeo teh nsiuqesot segiv a thni ttah it mya eb nieeagloll = "ekdween aert"tre chiwh mya eb tcseaoaids htwi hits fiointenc +5
loopers  mFor FA 2107 pg 91:3 ga’einnLsiroe des—sarvieeese onepumnia ont(ef euaanlltri nad arobl A ), e,erfv IG nad NCS mtpssmyo. momoCn ni remssko dan in *r*ccnioh nulg saeds*e*.i +2
kentuckyfan  I aols veieebl hatt het eohrt nedatstee owhesd ngssi of otnicap ,eefrv wihhc is rnheaot ntih heyt rtdei to etg .at +3
luke.10  i ddi ti ngwro and soche zealnnuif isurv esinc it is msot ocmmno fontiinec ni OPDC but teh leuc ni het enuQtosi si taht teh ohetr tedetaen ddint get kics iscne in ieeglolaln rthee si on nepsro ot rosenp istmsonarins +2
endochondral   but in Uwoldr s. meonpu is eon of the somt momnco aatricble iboeetxaanrc of DPCO gnlelaleoi wa'nts even ednenti.mo wHo od ew lrue otu s. pneoum ? +5
nala_ula  ebyma uabesce in ercdhnil penosmu. ueassc otiits aeim?d +1
smc213  tnohrAe nith maed ni eht Q emts si eht cilootna bigne ralur a..iny.snae.vlnP roagienLeisn asseied wsa tfsri rdodeiescv yb the ktbaeour ni 7619 ta a noncivoent ldeh ni plhPedi,lhiaa .asnlnayiPnve Nto uesr ywh I owkn this .acft.. +10
hpsbwz  etgiBsg ithn oadtwrs galnieelol to me asw atth ethy all eerw ta a ediseecrn ha.l..l .i.e ehwre hd'erte be iar noondsireitc nda scuh. +6
stresssweat  ti asys ttah hoter oepple edvldepoe mneonpaiu utwhito igeednn to eb lphsdaieitoz nad ttha osme eeplpo erew mtcsipmyaoa.t uoY dlowu ihtkn gkliawn aemipnoun - nloLaleieg +

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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