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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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egioealnll : ervy cnoomm in acnevdad ,eag ,PODC nieommsepuurpssd stintpea dna " giong kabc romf a eeescidrn l"alh ihcwh brpybola had a andmnitteoca AX seystm asby(lclai fsti evrey noe ni hte )Q

oneda X : oludw rtsneep thwi ,tnujivticnisco thorat pani ..fl .u s:ivur ont reveenyo otg hte asedies S :VR no dnrehcli erspt emop:un ouwdl gtaret a lraerg lupapiootn of lhytahe lppeeo sa wll.e

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bharatpillai  ywh olwdu tyeh ysa ttah hte loyn epoelp who dindt tge dfeaetcf by hte seaides erew pelpeo on disoetsr psul(u penriihst dna erseve tud)l tsmahnoca avhe nbee rvs nsice it ssucae crupo ni ce.ilrdnh rpest unemop dolwu ceasu vfere and othre cissteym sn .igsi tnew rof direoasnvu beaseuc ulrdow yssa tmso mmcnoo escsau of dpco oiecnebtcarax era aivlr o.itnec.fins. +4
brbwhat  I tenw for andoe fror hte aesm .esoanr I gsseu hte NAIM NHIT is atth hist si tno a odpc .txeebacnrioa Sinec lpoepe wtuhoit trxsegienp pdoc saol dha iannmpe,uo olsa eeplpo ihtw dopc iaoxbtenrace illw ahve drfitnfee pgrtnsneie s,osmmtpy eerh it saw ,tldo ttha we are dtlo ttha xd aws ion.mpaenu eelopP wtih opdc eatxeoacnibr nwdu’lto eb degsdnioa wiht npiunaeom if it wsa an undsaorive .nfitosicne +4
j44n  sadruionev neotds auesc ampeuinno tis ustj akmse the ecrntru OCDP xs oerws +1
j44n  het LES nda schmtatia tniatep rewe htbo erncisodde higtllys rieuesnsodmmpus ro heyert ujst remo ikelyl ot etg nightmsoe LS(E pt= ruyo B secll rae oot bsuy aimgnk Ig's ot ikll oruy ,eidynk nda teh catsihamt si no iesrotrccotodis atth oestpoao oury t l)ecls btu rhy'ete otn CPDO ptensati so teh pmmiaoenun nowt eb sa seee,rv lla in lla gneoilaell esuacs ayllre lrleya adb nmeouipan ni CODP spnateti nad ssel evsree pan(octi fv)eer ni ehtos tihw dlmi psouriisnomunmse +5


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submitted by stepwarrior(29)
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I elrdu otu mtos fo mhte cuabees fo no nevideec fo reoss--norpnopet iomsrsnnasit dan noly eeplpo whit gritepei-nsx noosctniid were .actfefde ehT erts lodwu blapobyr oals atffec dcernlih or rteho sttedeean ro dperas to rohset ni teh iunngsr .omeh

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 +1  upvote downvote
submitted by allinthistogether(1)
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eanloeLlgi is oncmmo esacus of noempiuna isopprdmusee on inorhcc ecubrstvoit ynorualmp sdsi.eae

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asapdoc  mI trytpe rsue so is trespt mopniaeenu +4
usmleuser007  OCPD si aosl xteaecedabr yb riaVl fei:tcnion ihun,siRorv uliezn,fna ar;aenilupanfz adn cleiraBat itecinf:on Hiuhpsmolea zfnean,uiel aelMoxalr sahrla,rcita vswh t p orerc.uoSce,ocet eth sntueoqsi svieg a hnit ahtt it mya eb elallnioge = eden"wek earert"t hhcwi amy eb ecatoadsis wiht sthi itncoefni +5
loopers  rmoF FA 0127 gp 1:39 ri’Lensongeai veeeissradsee— pmuneaion to(fne aliulertna and lboar A ,) erf,ve GI and NCS smtyps.om monmoC in smksore nda in c*ihc*orn gnul sise*d.ae* +2
kentuckyfan  I lsoa eebeivl tath hte orhte ensdettae edhosw sgsni of itncopa ee,rvf hhciw si ateohrn nthi tehy idret to teg ta. +3
luke.10  i ddi ti gwnro and sheco aelfziunn usriv nsice ti si mtso omocnm ieotnfnic in PDOC but eth uelc ni the uesnioQt si thta eth hteor atdeente itdnd egt sikc eincs ni oelleginla eehtr is no rnopse to reopsn snosnisatmir +2
endochondral   ubt ni worlUd s. mnpuoe si eon fo eth smto coommn raelctiab toercabexina of DOPC elgilonale wtsan' enev emnti.odne oHw do ew uler otu s. onpuem ? +5
nala_ula  myaeb saeucbe in edhilnrc oneums.p scaeus isttoi e?miad +1
smc213  oertnhA ithn made ni eht Q tmes is het ooniatlc niegb alurr env.y.ansPla.ni. giLosnaireen sseidea saw itfrs dsoecdvrei by hte kabrteuo ni 1697 at a nienocvnto ledh ni eia,lPpilhadh ynvsePalnia.n otN seur hyw I nowk tsih t.fc.a. +10
hpsbwz  etiggsB nhti wtadors onalgliele to me swa atht tyhe lal erew at a erdiesenc .al.hl. .ei. heerw d'ether be iar oneiirctdosn nda uh.sc +6
stresssweat  it ysas atht thero opeelp peeedvodl eipnuanom otuwhit dgenein ot be szdepaiiloht dna htat oems pploee ewer matyptismaco. uoY wdluo htkni nwigkla nuieonamp - galneieoLl +

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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