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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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lielaoegnl : yrve cnmomo ni aadncdve ,gae C,ODP nupsmdpouesmreis nseittap adn " gigno kcba omrf a sdreencie "llha hwhci bplybaor dha a coantmadtein AX stsmey slia(alycb ifst reeyv eon ni eht Q)

noead X : ulwod rpnetse ihtw itnuo,cniivjtsc ottahr inpa fl.. .u rsuv:i tno nvreeyoe tog hte ssiedea :RV S on rdlecnih pr set eo:nmup woldu tatger a arrleg otnplopaui fo hetaylh poeelp sa ewll.

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bharatpillai  hyw wuldo ehty say ahtt hte nlyo eoelpp owh dtind etg fetcfdea by teh esedsia ewre eoplpe on redtossi u(spul ithrpesin dan resvee uncastl)hoatm d ahev bene rsv scnie it eusacs uorcp in crhdl.nei rtesp npemou loudw uaesc efevr dna rtheo csmesyit nis. sig newt for sanirvdoue busceae drwolu sysa mots ocmomn suaces of odpc abroiexccetna ear rlvia n.e.tioicf.ns +4
brbwhat  I tnwe orf adeno forr eth saem sar.neo I ussge het ANIM NHIT is atth ihts is nto a dopc ob.raeetnaxic enicS eeppol htiwtuo isrxtpegen pdco aslo dah naionp,mue olas lepoep hwit odpc axntericeabo will evah nerditffe nnseritegp stpomm,sy ehre ti swa dl,to tath we rae otld htat xd saw npi.mnuaeo lepoPe ihwt pdoc aeiceoxarbnt w’ndtolu be dsdaongie whti mnpneuaoi fi it swa na endavoisru fsioctien.n +4
j44n  auvsdnioer eostdn caseu peninmoua sti sutj ksmea the crurent PDOC xs ewsor +1
j44n  eth SLE adn maittacsh npttiae rwee ohtb nrcdeoseid liylsght smnodumisrpuese or heteyr usjt rome keylil to etg ngomihste ESL( =tp uory B lslec era oto busy knimga s'Ig to lilk yoru dy,nkei dan hte tmtashcai is no eiodictcroossrt htta apeoosot ryou t )sclel utb eetyh'r ont DCOP tepstnai os the iomepuanmn wtno eb sa vrsee,e lal in all lgneloeali easusc arlley aylrle adb peoiumnna ni OPDC ettsniap and sles eresev cpant(oi r)efve ni tshoe hwit dmil miosnsmeuounipsr +5


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submitted by stepwarrior(29)
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I ldure tou tsmo fo emht usebeca of on eveicdne of p-nsote-epnrosor insiastrnmso nad oyln people thwi sreti-iegpnx tnosdncoii wree .efdctfae The tres owlud pryoalbb lsoa tacfef iledrnch or htero steadntee or epdasr to tsreoh ni the nugrsni m.oeh

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 +1  upvote downvote
submitted by allinthistogether(1)
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aLneoeigll is moncom csesua of eainuonmp doemsiurpspe no nhcrioc bvcttusireo pmayonlru sesedai.

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asapdoc  mI pertyt esru os si serptt ueoenmianp +4
usmleuser007  CODP is aslo ctxreaeadbe by airVl niieotncf: Rnihiusorv, uazni,flen ailafzur;nnpea adn tiraaBlec cenf:inoti luohsmaiHpe nziaeelfnu, loxaelraM ,acaratrihls scS et.tv co er uo,ehcworp the inuqtsose giesv a htni htat ti aym eb lileaelnog = ke"ednwe aretert" wihhc aym eb aiastodesc itwh htis ncionfeti +5
loopers  Fmro AF 0712 pg :913 L’eensnargioi vdeereia—sesse anoumenpi tnoef( trlnuieala dna olbra A ,) vef,re IG adn SCN ptsmsmyo. ommCno ni skomers nad ni c*oih*crn nglu ea*d.*eiss +2
kentuckyfan  I alos ebeevil hatt eth ohtre eatndetse ehsowd nisgs of oipctna eevr,f wichh is ntahreo nthi teyh itder ot teg ta. +3
luke.10  i did ti ongrw and ohces auznifenl irusv snice it si msto comnom ioiftcnne in ODPC tbu eth lceu ni hte ueQtsino si that hte oterh ndtteeea tiddn tge ckis escni ni loeneiallg tehre is no resonp to ropnes sistnnraoims +2
endochondral   tbu in lwrodU .s moeupn si oen of teh tsom mcmoon raietlcba anoertbicexa of OPCD igolllenae w'satn enve e.miendton How od ew ulre otu s. nmpeuo ? +5
nala_ula  eamyb abseuce ni inelchdr nmpesu.o seascu itosti m?idae +1
smc213  Athoern nthi adme in eth Q mtse si eth loicaotn neigb lurar Plevsnayai..n..n igoeiarsnLne sieseda asw sitfr osrdeecvdi yb eht uekabtor ni 1796 ta a nveointcno eldh ni ilhad,heiPapl .viyalPnsnena otN seru why I onwk sthi ca.f.t. +10
hpsbwz  gsgetiB thin rasdowt elegnialol ot me aws atth hyet all ewre at a ecernesid al..lh. ie.. heerw d'ehrte be ria rneiidntscoo dna s.chu +6
stresssweat  it yssa that treoh poelpe elddvpeoe oeumpnnia wuhitto negdine ot eb tzideoaslpih adn taht soem pleepo weer .mmtscyatoaip You lduwo kniht gklniaw oupmnaine - eloilLnega +

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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