need help with your account or subscription? click here to email us (or see the contact page)
join telegramNEW! discord
jump to exam page:
🔑login 🔒register ⋅ ☎️contact ⋅ leaderboard links youtube ⋅ ⛳membership alerts tags ⋅ 📊scores 🔮score predictor
search for anything ⋅ score predictor (“predict me!”)

You must be logged in to vote!
Retired NBME 20 Answers

nbme20/Block 4/Question#21 (reveal difficulty score)
A 47-year-old woman comes to the physician ...
Contact with parakeets 🔍 / 📺 / 🌳 / 📖
tags: pulm

 Login (or register) to see more


 +36  upvote downvote
submitted by ∗masonkingcobra(408)
The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member ⋅ $279$49

gPea 2 ash a treag rceiupt

/:/ehopfn1(tc0wd3w860g.9-t)19rcjsi/0o6S/-2/6eptrl.ail174ianw

unscramble the site ⋅ become a member ⋅ $279$49
kamilia20  yhaihlmladopc ti??taipsc +1

FA 2019 P. 661 Hypersensitivity Pneumonitis is a mixed type III/IV hypersensitivity reaction to an antigen in the environment. Commonly seen in farmers and people exposed to birds. Presents with Dyspnea, Cough, Chest tightness, headache. It is reversible in the early stages if the allergen is removed.

+7/- lilyo(94)

You must be logged in to vote!

 +9  upvote downvote
submitted by ∗hayayah(1212)
The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member ⋅ $279$49

ytiesseniiHrvtyp spie—nmtuxdniemio pyte II/IIV etssyiiyrpeithnv ertnoaic to evnnmrlanieot .gtinane aeCssu yasn,dpe cu,ogh etsch tnsst,gihe hdeaace.h etnOf snee in sfrrame and oesht xeosepd to .isdrb eelbRvisre in yreal aessgt if umsluits si .deavodi

st'I a eypt fo cteiivstrre nlgu seeiads.

unscramble the site ⋅ become a member ⋅ $279$49

A type of hypersensitivity pneumonitis associated with animal exposure is bird fancier’s lung, in which the major antigens are proteins in avian serum, feces, and feathers, including bloom, the waxy powder coating them (18). Pigeons and parakeets, including budgerigars (a type of parakeet), are the birds most commonly implicated, but poultry, finches, doves, canaries, and other birds also have caused the disease. Exposure to live birds is not necessary to produce hypersensitivity pneumonitis: the illness has resulted from using feather pillows and duvets (19), being exposed to a wreath made from the feathers of a dead pet bird (20), and laundering a pigeon keeper’s overalls (21). Other examples of animal proteins that are known to have caused the disease when inhaled include proteins from the dust of mollusk shells used to make buttons (22) and from animal fur used in garment manufacture

https://pubs.rsna.org/doi/full/10.1148/rg.297095707

+7/- alexp1101(11)

You must be logged in to vote!

 +6  upvote downvote
submitted by ∗neovanilla(57)
The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member ⋅ $279$49

yhW teh ohert srnewa eosihcc ta'ren toeccrr

A - oNt an actahnypclia eoirntac ymanil ued ot niichtorcy tcopsnmnu(io of syo, cihhw sha isoogcpyetlrn atht pelope yam ehva aresllige atwo)dsr

B - otN htmaas zarrt(dcchaeie by rome uacet pesoieds of rnnctccirono,btoshio z)gienwhe

D - minAae (6,B ,9B 2,B1) or mybae a muyplaonr iloembms due to 9B or B21 yeeniicfdc &g;--t ledvteea eiynmosehtco lvseel ;-&t-g bsoshirtmo -tg&-; DV?T

E - Prnalyuom haxrnt;a Teh miet uosrce dwulo eb hmuc reom ,uetac nad uolwd sola rentesp hwit sypmtosm fo killeuf- .sysotmpm dpiRa daeth too

unscramble the site ⋅ become a member ⋅ $279$49


You must be logged in to vote!

 +3  upvote downvote
submitted by ∗monoloco(155)
The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member ⋅ $279$49

hiTs ipentat is ienrpgneecix stpsvnyityhereii eusimonitnp romf teh sreak.eatp I saw khitgnni .M mivuA ewhn I seectdel etparkeas -- I nhikt ym lcgio saw wafdle genvi teh eipciscsf fo eth pttanis'e ryst.o

unscramble the site ⋅ become a member ⋅ $279$49


You must be logged in to vote!

 +1  upvote downvote
submitted by ∗imnotarobotbut(184)
The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member ⋅ $279$49

How lwudo uoy owkn ttha it its'n lwoo estsror sieaeds?

unscramble the site ⋅ become a member ⋅ $279$49
cienfuegos  AF 8021 73:1 iintanhaol of eorpss salde ot uklle-fi myoptmss atht gpsoresr yiqulck ot erf,ve rnyulmapo o,reehhagrm itetiaiissmnd dan hk,osc iwth agimign syiplbso inwhsgo dweendi etuimindmsa +10


You must be logged in to vote!

 +0  upvote downvote
submitted by ∗endochondral1(24)
The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member ⋅ $279$49

icarcngod ot wrdluo psyvhsireiynitte tnuesimopni si due to sutd dna that wsa aols na .top..ni.o

unscramble the site ⋅ become a member ⋅ $279$49
amarousis  os i'ts elifnyedit sudt tbu eth fipescci ytpe fo ustd was eht omts tatrompin ni isth q.isueotn eht acft ahtt teyh mdnteione eht sbrdi si ontimra.pt het utyds oobks dulwo sueac ti but eth ribd utds si emor oamrptnit --. +
charcot_bouchard  sipierttsnyHveiy uoPsmiietnn - aicgOnr tsdu ikle( molyd aish)yoPnemucsn io - inaIcognr dtns oeun lehp ereh hhguot uecbsea othb wlli retepsn thiw mase etesivcrirt glun sdeaesi puritc .ei nkith cisen dstu in yirlrba naret nrheiet aogirnc or ircogainn dna olsa u todn see myan sablirnrai tiwh nugl iedaess ubt bdir eosphinrw is aillefsyccip oneenimtd sa sucae of HP eisdae.s +


You must be logged in to vote!

 +0  upvote downvote
submitted by ∗beeip(141)
The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member ⋅ $279$49

I laos aws gitnihkn .M imvua hree, tub srpeiniyysvthtei mpotisniuen seems to itf htiw the raaclgeruolurnti h.egscan

unscramble the site ⋅ become a member ⋅ $279$49


You must be logged in to vote!

 +0  upvote downvote
submitted by ∗endochondral1(24)
The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member ⋅ $279$49

hwo do ew onwk asrkaetep esauc rsitsveyyhnpei isenptuinmo

unscramble the site ⋅ become a member ⋅ $279$49
smc213  FA81 .765p brid prxo-euet;&sg- SHN eipotsnmnui e(ictvtsrrei ulng sedeais) nda 81AF 4.p12 lusgaouromnat seadise:s iogfnre -lNar&-tHagtm;iSe iuo.tnpinmes I had to kmea neses fo ti encsi I n'ditd onwk it wsa NHS iietomnsunp at f.srit +5


You must be logged in to vote!

 +0  upvote downvote
submitted by ∗breis(56)
The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member ⋅ $279$49

statsPciois tosime(ems adllec iisorhotns ro rpraot esaiesd ro rratpo )efevr is na neiftnoci fo the lugn )npmia(oeun daeusc by teh trbmaiuec Cyihmoalhdpal (ala)yidmhC itpaitsc.

Ssign nad otpru: em.ycemf, ogsvsh yausllu otwhitu ucmh lcuheera .shg. cmmsepea.hld ha hscheaec. st hptssaonesirn . of oreabetrs. h to.htar

unscramble the site ⋅ become a member ⋅ $279$49
charcot_bouchard  tadpeU on ym vepr coetmnm : sYe shti is spat.icoisst otn rtevseyhisynpiit imtsne.onipu oHw od u kwo?n tmehLycypo and nesPreec of mlnuaGora - spseenor ot tieurlrlaalcn od Nchmiylaw.a HS acn aosl cuaes soeol nrauamolg oot nda eht aiccilln uicrpet iltsl omre oklo kile uY oHS onwk hatw ......... uckf ihts sque +2
shemle  ereH .tP se'tond ahve !rvefe +9
shakakaka  acoNaintsnge rn,lamoaug aycpth thmoiclcpyy nrntiio,aitlf adn sfbsiior rea eens ni srHiitstyiyenevp ntsuinoeimp , gadrnocic ot drwUol . +

https://pubmed.ncbi.nlm.nih.gov/7569404/#:~:text=The%20inflammation%20is%20often%20followed,than%20in%20women%20and%20children.

you get granulomas in both

+1/- j44n(141)

You must be logged in to vote!

Must-See Comments from nbme20

amorah on Cytomegalovirus infection
masonkingcobra on Contact with parakeets
hayayah on Capillary hydrostatic: increased; ...
hayayah on X chromosome-linked isoenzymes
medbitch94 on Mannose 6-phosphate
hello on Capillary hydrostatic: increased; ...
hayayah on Osteoblasts
imgdoc on Hypophosphatemia
hayayah on Missense
celeste on 50%
justgettinby on Omeprazole
andrewk1 on Cold, dry air
yotsubato on Jugular venous pressure of 12 mm Hg
strugglebus on Drug effect

one does not simply “walk into mordor”
NBME Answers LLC © MMXXI
search for anything NEW!