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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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leegallnoi : revy ocmmon ni adevandc gae, DP,OC pnrsoedsuseimupm psatetin nda " oging bakc rofm a drceiseen ha"ll hhcwi orplybba adh a oitnandaetcm AX yssmte iysalc(abl sfti rveey eon in hte Q)

aoend X : olwdu pseetnr twhi ucnivijsti,noct trtoha inap . ..flu :vrius tno eneroyev tog het aeidses :S VR on iedchnlr pe rts one:mpu doulw gatret a egralr niatloopup of thhyael oepelp sa lwl.e

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bharatpillai  ywh lwduo tyeh ysa ttah eth lyno elopep owh dndit tge tcdafefe yb teh edisesa ewre ppolee no tesdsori ulps(u phtieirns and verese honucd)aalts tm hvae ebne rvs ecisn ti asuces pruco in eidhlr.nc pstre uomnpe wuldo ausce evfer nad rehto esityscm ssgiin. nwte rof uodreivsan sbeauce urlodw ssay omst cmomno ceuass of codp otcbaxnaeeric are ilvar noine.tf..csi +4
brbwhat  I nwte orf aoned rorf hte ames asnoe.r I guses hte AMNI NITH si hatt isht is nto a ocpd acbnxart.eoei cnSei eelpop howittu rgenepisxt ocdp lsao had mnoepiuan, loas loppee ithw dcop oeecbiaartnx llwi avhe feedftinr neritspegn yotp,mmss rhee it aws dl,ot atth we aer ltdo htat xd swa nn.oimeapu Pepeol ithw pocd ixrnaecetbao oul’tdwn eb dadsieogn whti niemuanop fi ti swa na vousnaride .nsieoticfn +4
j44n  redvanuosi etodsn cueas omeauinpn its sutj msaek hte ntcerru ODCP sx sorwe +1
j44n  teh ELS nda itamhacst ttniaep weer tohb idcdoenesr yhgsitll mpueuodessnsrim ro rhyeet just orem kyille to egt nhtsioemg LSE( pt= royu B lecls rae oot bsuy ikmnag I'gs ot klil oyur i,kdeyn and teh mthaasict is on secdiosotrcitor that oopasoet ruyo t lcs)el utb eyht're otn CDOP netsptai os the aommipuenn owtn be sa ,eerevs lal in lal lleieaglon uecssa eralyl rlealy adb inepaomun ni PDCO apeitsnt nda elss eevsre at(pcnio eerfv) in eosht wthi lidm smromsnsoipunuei +5


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 +2  upvote downvote
submitted by stepwarrior(29)
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I rlude tou omts of hemt eabcsue of on icdevnee of o-rtnpors-peseon issaisomnnrt dan yoln epoepl htwi xesgnieirpt- tinoidocsn rewe cdeeta.ff ehT ster wldou bblarypo lsao tffcae ndhlrcei or oerth aendesett or pdsaer to rhoest ni eht unsnirg mh.eo

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 +1  upvote downvote
submitted by allinthistogether(1)
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langLiloee is oomncm euassc of naopnuime seiusprpmode on ncriohc ectrsoutvbi luymopnar ses.eaid

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asapdoc  mI eyrptt rues os si terpst anneeoumpi +4
usmleuser007  OCPD si olas dbercexeata by liarV ei:tfoncin Rivs,rhouni iefnznalu, aiannurzelpfa; nad reclatBia :citfneoin opsuHeahiml nnleieu,faz Maxolrlea ,iashctlrraa cevehu s.ooc,trwt ocrpSe the ssnutioqe seivg a hint atth it may eb oanlglieel = ene"wekd "rteetar chihw mya be aecasositd whit tish itineonfc +5
loopers  rmFo AF 7210 pg 1:39 rieosenn’aLig ev—seeseredasi nmeiuopna (toefn aurlletain nda ablor A ,) refe,v IG nda NCS op.ymssmt nomCom ni ssemork and ni n*cc*orih nugl *e*i.dseas +2
kentuckyfan  I salo leeibve ttah het ehort aeenstted shwoed nigss fo cptaoin ev,rfe hicwh is nhetaor htni etyh trdie ot gte .ta +3
luke.10  i idd it ngrwo adn coseh inzeuanfl virsu isnec it si msto nmcomo eintconif in CODP utb hte cleu ni hte oeistQun si that hte eotrh aetntdee ddint tge cisk esnic in lnlaeliego hteer si no npoesr ot oenspr misinanrstos +2
endochondral   btu in Ulowrd s. ponmue si oen of het omst cmoomn bltraciae ntaboeicerxa of CPDO iagnlleoel w'nsta enve .ntedmnieo Hwo do ew lrue tuo .s uopnem ? +5
nala_ula  beyma eabuesc ni chlnried .oupnems easusc tsiito i?adme +1
smc213  ohArten nith mdae in eht Q tsme si hte cotonlia eignb larru laPn.n..eynv.isa gsnreLaieino iesades saw tfisr idevsoedrc yb teh retaubko in 1679 ta a neontoicvn dlhe in ,piPaldlahhei yvn.sianPelan otN sreu why I wnko tsih catf... +10
hpsbwz  gstBgei nhit odartsw oglanillee ot em saw htta tyhe lal eewr at a edirecens .l..lah ei.. herew t'rdhee eb iar nstondieroic nda hcsu. +6
stresssweat  it ssya hatt eorht loeepp dvdoelpee uaponnmei wuthtoi dgniene ot eb pehloaidtzis nda atht smoe eoeplp wree s.yimpmcottaa You odwlu hiktn alwking ounpieman - ilneoLgale +

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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