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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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ageelllino : eryv ommcno in vaedacdn e,ag P,DOC msiuoppeesndrmsu intapest dan " oigng kcba orfm a cerneidse all"h wchhi obblaypr dha a dmonaciatent AX smyest cyaliab(sl fsit yvere oen in het Q)

ndaoe X : ulodw rpesten iwth itoccnivjuts,ni httoar npia u.fl.. uvisr: nto veneoery got teh easieds VR S: on nleridhc pse tr eo:umnp dwulo aetrtg a lgaerr lptaupnooi fo hahtyel opepel as e.llw

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bharatpillai  ywh woudl heyt yas taht eth nyol oeeplp owh tndid tge fdcftaee yb teh eeassid eerw oelepp no dsrsotei l(pusu iehnptris adn eresev )tntamhdoslacu vhea eenb srv nicse it escaus rpuoc in ic.rendhl spetr euponm odlwu euacs eevrf and ertoh cysstmei sngs i.i wtne for irensavuod ecesaub dlurwo sysa somt onmcmo esasuc of cdpo coranetacebxi aer lvrai i.siocfnen..t +4
brbwhat  I ntwe rof aoend rrfo het ames ran.ose I ssueg het AINM NIHT is tath hits si nto a odpc etacaxen.boir Sneci opplee ohwutit snrptgeexi cdpo aslo ahd pminuoen,a olas elppoe thwi cdop arinoceatbex ilwl vaeh rffdtenei srnniptege tsyomm,sp heer ti aws dtol, htat ew are dtol ahtt dx was upoenam.ni eopePl whti copd aetecioanbrx tuwolnd’ be idgeasodn with anoneimpu if ti wsa na dinevosaru noitf.necsi +4
j44n  riuodnsvea dsnteo ecsau mpeuninao tsi ustj emaks eth urrtnec PDCO xs sower +1
j44n  eht SLE dna itaahcsmt etntaip weer boht eondsrcdie tlhsligy soeniueussmdpmr ro ethery utsj mero elkyil ot get setomgnhi LE(S tp= royu B slcel rae oot suyb gniakm 'Isg to klli your kyeid,n dan eth aaitctmhs is no sricositrocotde tath aotespoo oury t l)cles ubt heret'y not PDOC stpeitna os teh nmiamnuepo wont eb sa esve,re lal in all lielelagon acssue arlyle yellar dba auenompni in DOPC aentpsit nda ssel eersve (tnopcia er)fev in eotsh wiht mild nipieusnmmsorosu +5


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 +2  upvote downvote
submitted by stepwarrior(29)
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I deurl out mtos of temh cseubea of no ceidneev of -rep-sornoesonpt issmiasrnton adn loyn ppoele tiwh gpee-xtinris iosidtoncn reew f.eftedac eTh erts dlowu oprablyb aols featfc erincdlh or ehrto eaesdtnte or rsdeap ot ehstor in hte sunignr hom.e

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 +1  upvote downvote
submitted by allinthistogether(1)
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egellnoiaL si nomocm asecus of eaupmnion posmeupsdrei no rncicho uvecttbisro orlnmuapy .iessade

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asapdoc  mI tptyer esur os si tesptr miuannepoe +4
usmleuser007  CDOP is olas eatcdxerbea by aiVrl nofietin:c nsivRo,hrui ,nalnfzeui z;afnnulraipea dan rleaaBtic :ntenicfoi imlHesuaohp iau,ezlfnne roallaexM ,lcraaisrhat rec. csuo Sprece,thtwoo v teh stnisoeuq esvig a hnti htat it mya be eogallilne = ndek"wee e"etrtar ihcwh amy be aodsscetia itwh hits ieitoncfn +5
loopers  mFro FA 7201 pg 193: nnsgaeroeiLi’ ae—ssedeeviser opauminen ote(fn itnerlaaul nad rboal A ), erfve, IG dan CSN pmosmy.st nmCoom ni sesorkm dna in cn**iohcr ugnl ss.*eae*di +2
kentuckyfan  I aosl elveebi atth eht hreot eatesdetn dohswe gissn of intcapo r,eefv hwcih is tahorne htin ehyt trdie to etg t.a +3
luke.10  i idd ti wrngo adn cehso uiafenznl isruv ciesn it si tsmo omcmno fioniecnt ni DOCP btu the uelc in teh suitnQoe is ttha hte tehro taeedtne tddin gte isck scien in eieallglno ethre si no opsenr ot nrsope moarsinnsits +2
endochondral   but ni Urlowd .s oumpen is oen fo hte stmo ncoomm laeciabtr orbetaencxai of PDCO gnealllieo nswa't eevn .detiemonn How do we lreu otu .s omunpe ? +5
nala_ula  embay cbaeseu in dneirlhc nsmpo.eu cssaue isiott meaid? +1
smc213  nrteAoh nith made ni teh Q esmt is eth nitlcooa iebgn lurar .syainv.n.elanP. Lneiegsionar asiseed was fsitr idsevderoc by the toraeukb in 7619 ta a ienoncnvot ehld ni dl,hPieiaalph nvsnia.aenyPl oNt ruse hwy I nowk tshi t.c.a.f +10
hpsbwz  ieggtBs hint wodsrat elnallgioe ot em wsa that teyh lal ewer ta a nedecersi .lh..la ie.. eerhw 'erehdt be air sdcreonitino adn suhc. +6
stresssweat  it ysas that tehor elpeop eleodvdep nainmopue otuthwi engnied to eb ietalhoispzd and ttha some poelep rewe sa.piyottcmma oYu lowud htnik laiwkng aieomnupn - Lelegaioln +

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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