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Retired NBME 23 Answers

nbme23/Block 2/Question#42 (reveal difficulty score)
A 63-year-old woman comes to the physician ...
FVC: decreased;
FEV1/FVC: decreased;
Peak expiratory flow rate: decreased;
Peak inspiratory flow rate: decreased 🔍 / 📺 / 🌳 / 📖
tags:

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 +13  upvote downvote
submitted by ∗nwinkelmann(366)
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@8g9h8 cu"Bease eht critbuonots is ovbea het laveolar gernsio hteer is a esderace in iar olfw, not lngu v,muloes hihwc owlud aemk ihst an bocsrieutvt h"ypgloato si the smot llfehpu t.oenaapnlix fI oyu kown hte somt cabsi hi/lonyopidpfttieosngyahio of rvbectuitso sv itveiretrcs ich(wh I o,d tsju ditdn' ni ahtt tsom eimiiflspd ,yaw) tnhe yuo cna friuge hnnytiga .tou If etsmgnhoi is tacimping arwiay lfwo = e,rstuobivtc if nsitemgho si cmtnaigip aiwary vlumeo = rrt.cevesiti TKAHN U!OY

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burningmoon  How uabot ephysaemm? aiwrya voeuml dnehgac tub st'i eorvitbcu.ts +3
almondbreeze  i htnki PO emtan ot yas taht eosngimht CNSDGIEEAR wryaai uomlve = ertecsritiv +3
jgraham3  I ntikh eyht nmae if nmosgeiht si miincptag GNLU lmveuo e(i. inpponcaioma)nsc/xlee = crA wrveittersyaii idordres ;t&g-- .bso / naclrmheyPa redsorid -&-;gt s.rhiWet myampehse het iarawy spllasceo ).(sbo eerobf yeth rae lbae ot eaelxh flluy hstu eht ari is pdeatrp +
dna_at  utsJ ot be lea,rc hits is otn a lcacilass oerttvciusb lngu iseadse fteincgfa the slmal rsayaw,i as ti si veoba eth anicar )c(h.aerta sTih si tetreb eiifscldsa as a dixfe puerp rwyaia otuinc.obrts See the wofl oplo eher for xei"df oi"bsucttnor - it acem pu ni DIME lrdoWU so ebyam alrazimeifi eylrsfou thiw hte emagi ceins ti si quenui! cmgp.4tm/im/8g2w/.ea:rwteeh/ds9psow +4
notpennysboat  ,@anat_d cna oyu xnpliae the eotpncc fo het eppru iyawar ibon?osutcrts 'mI tslli pttyer unfsdeoc +


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 +5  upvote downvote
submitted by xkno(5)
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I hgttrehvouo shti one igb eitm. Secin het isuenqto sida eth sasm swa igpnsrse no the suotied of eht rtahc,ea I dugiefr ttha iurdgn tpn,oiirisna /bc teh hcset n,adpsxe so more ,cspea so the mass odwul aehv lsse ecfetf on eth crahtea as het ehcst xeasdnp n(ad e,lnsyrveoc 'tid aevh emro of na tecfef nidgru toxniariep sa teh hcset allw crstrt.)ae tAnp,yrlape ti swa juts tgiahstr pu lcagebok dna I thoutgh aaway ot da.rh o.pOs

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 +3  upvote downvote
submitted by ∗.ooo. (38)
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I yelransolp ugotthh fo sith nsstqeuoi nihkgint of it ni eehts etmr..s nSeci hte eaipttn ahs a smas ni eht chraeta akep yxoarieprt nad irorsyniapt wlof wlil be uedprr,itten dan douwl rtoerhfee be .deaeedscr 1VCF ulowd soal hvae ot drsaeeec by .tihs Tsih eieiatdmnl all het oehrt choec.si

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charcot_bouchard  erA oyu eM? +3


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 +3  upvote downvote
submitted by ∗usmleuser007(464)
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iLke nya fo eht COPD, the eittnap hsa a iltfduicf mtie nhalgeix eth sirpnide rai (utsh ist lclead an rsuviocebtt aesised)

COPD sseurlt in CFV asrdceee, /VVF1ECF triao creeea,sd RCF casrene,i dan eepk rioextpya fwlo aecrs.dee

A utrom or ayn othre jtecob ttah lwoud esropmcs on or nwraro tsehe het rai way cttar lwuod resnetp as a D.PCO

ahnIgnli dan gxilnhae duwol be mltiied

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 +3  upvote downvote
submitted by ∗visualninjacontender(18)
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tI dclou be atht isht is a eidfx perup ryiaaw ticur,tbnsoo hchwi would vrtpnee fnonialit nad etlodnafi of het aaryswi ued ot the trumo ngpiamcl donw on teh haatc.er

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 +2  upvote downvote
submitted by ∗mrglass(47)
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I uidregf tshi was a rveaialb iatachcnritro ibotntusroc dan tog it own.gr

cgcnAoird to p,UeTDato imIATRnalluN catlarhe btrncsoouti is l,areivab ewilh EXRaTimlulnA acrathel iutonotrcsb elki( ni tish sec)a si xde.if

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 +2  upvote downvote
submitted by ∗azibird(279)
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yhW is reteh a rseeecadd CFV? heerT is a smas ssniepgr no rhe ctaaehr, who duolc taht ipsbsleo ctafef nlug omeul?v fI we eivg ehr ghenou it,em ywh lnutdc'o hse akte ni a flul ?ehbtar

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 +1  upvote downvote
submitted by docred123(9)
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iH gusy nac moseone spelea eabaelort no htees fi.nsndgi I ndnaustder hse has ulgn naccer h'tsta denpgmii erh hacrea.t Btu ohw is sith rerestaietvpne fo na evctbiurots sdr?dioer 'rAtne guln rsncaec tcresitreiv if atnghiyn? Tanskh

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nlkrueger  I eeagr atht ist' nocfugins btu I odelok at ti sa a aishplcy trocuis*b*otn cisen tsi' nipminggi no eth awya...i.r utb eyah kdi shit is erwid +
ferrero  'seoDnt eht atrchae aehv ltareciag nsrgi so it l'tdunow ocpaells chwhi kseam it mese elss eilk a payclti ruovttceibs ddrri?eso I'm laerly nto rsue hyw CVF odlwu ecngha abueesc I to'nd ees owh alott ugnl ytaacpci ro dslauire eoulmv lwoud hcneag useebac stoeh rae sctati ocniostdni eerhw treeh is no rflioaw at a.ll I rnednsutda ,VE1F apke xoiprtyare fwlo, eapk rotnrpyaisi lwof c.te +2
mousie  gerAe sthi is a lleyar uhotg Q btu I laos knthi I alerly over tohhtug .t.i. I nidatelemi lla wiht a rolamn aiRot bc higstmone bttruocings dluow ibolsyuvo rcpuode an bicsttrevou etnpatr ahutlhgo I tnod' kwno why VCF uwdol be ded.seerca I 'wnast eurs batuo tohb aepk eoyitapxrr dna niartpsniio lwof enibg ecedrasde acn eenosmo phle em iwht shit or tell me Im' aotyltl nihegrtkivon ia.a.ng rea eyht thbo seecrdead ylpims bc rsheet an cstooinbrtu ?.. +5
mimi21  Yae I tgo dfoncues no itsh esoiqn.tu utB I ssgeu eyht dntawe su ot lkoo at it as a ttcosruvbie sdaeise . fI htsi were eht esca all fo ohtes ouninftc stest owdlu d.ce ( eeS FA ) +
gh889  eucesBa teh nrotobtcisu is ebvoa eht loalvera osnrgie rtehe is a arseeced in ari wlf,o nto glun vumoes,l cihhw luwdo ekam tish an ittuvoercbs otyoglhpa. +4
charcot_bouchard  FVC here cde esam wya it ced in ivbruttsecO lgun sdae.ise Read hte occpent of ulaqE esusrpre tipno of B.nB hTeer eh yass ni tibirohsnc ew aveh nttrucviose apttner cuseeab nimfdmela wraiysa eng reom ce.sraitsne os PEP mscoe .aeylr I gessu here deu to atehralc rrwnnagio rsperues cin eorast.dnmw wihhc slpalecso lerlmas wayiar. seutrl ni ari ip.gnatrp +1


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 +0  upvote downvote
submitted by ninja3232(11)
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To itnkh abuot shti lips,ym it ailllrety is na usoncitbrto so ouy anc tjsu soecho hte nwsera htwi teh PDCO liek Ps.FT

'Ist a bti tnunieciturevtoi thta teh CFV ulwod eb sereedc,da tbu hte anreso rof thsi is ecuaesb ta the edn xeiriantop for ,VFC eth topesvii auplelr errespus gspiuhn het air otu sah leezuqdia whti teh rruepsse fo eht otmeprsahe / wrayai gwtnina to epke the vaeillo p.oen ithW an siraecne in het airwya crnseetisa ofrm hte ocstbi,tnruo this ltaiezoauniq nptio eocsm at a hrgihe FC.V dbeSmoyo afct hkcec em eeaslp

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 +0  upvote downvote
submitted by ∗donttrustmyanswers(74)
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npoitisotrdo"apre cnoutrdei in eth kape prxetoriay flwo aetr or mmmuaxi eitunm vmeuol ecdorpma iwht the eofdcr xpeyaotrir vomuel in eon dneocs (VFE1.) It dlsouh be oendt, h,vrwoee that heert cna eb a asfgnntiici sosl ni aarwyi seris-nacscltoo reaa frboee the ktexotbo atetignfnl of eht iopatsrryin or reiryxptoa poosl ear .s"zvdiealui

-llear_-e-;;00ct2haenrpeartHeaettemtotnncamrceanouae--eaucd%0t?stpaonidru;o9tonia-dftwiiimthasysni11wen&s4eug/aac/sc=mniteppo#oe;ir=lrsopw-~k1egls5bphncpui=ct/oadoenas-ati3rwttahl&rs&t.sasyga_=t7ueelta=ran-:-&uam.cTsnyefcssot8cadcall_nm71ibl/l5-odcpvutlnmetptardiu

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mamed  goeolg fdeix erupp riwaya itocnoustbr - hte srmriepyot uecrv whoss aecdseedr ntsoaiirpin nda reita.ponxi A worle riaayw rtontuicobs jsut tlsbnu xirteo.pani acEoirhtrctax btluns tanoi.niiprs +1


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 +0  upvote downvote
submitted by ∗agurl1000(5)
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Tshi igmht be a fitdsrhawtagorr wr,sena utb I wsa nowgdiren ywh hte aipntet uldwo aveh a eaededcsr irtopayrins fwl?o aceeusB ot ym isartnenngddu, ppeloe hwti usctvtboeri eseaisds ehav ebultor rneigbtah ou,t tno .i.n ulCdo meoeosn lxeanpi to me hyw it scar?eesde

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rdk3434  oayk so i ahd the asem dubto chwih si ywh i ogt hsit euiotnsq orgwn , btu tneh i hda tshi uekrea ometmn , ni wlorud eh'rtse ipitveerte asiegm obaut vetcuostibr dna rescviittre eassdie smuovle and htey aaswly wohs LRCTHAAE OSTSSEIN lnago htiw atht , hsit tosueqin is swetamoh ekli athracle insteoss onetntierspa , sjtu goolge glun flwo mvleuo chaalert tsoesin!s heop stih pels!h +1


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