NBME 20 Chronic obstructive pulmonary disease (NBME Answers)

Retired NBME 20 Answers

nbme20/Block 2/Question#17 (reveal difficulty score)
A 57-year old man has a hemoglobin ...
Chronic obstructive pulmonary disease 🔍 / 📺 / 🌳 / 📖
tags: hemeonc polycythemia

+17 upvote downvote
submitted by ∗hayayah(1212)

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sThi si trcvieea yptmhoialeyc ev,ra hihwc is due ot hihg ldittuea ro glnu ssade.ei OSa2 is w,ol nda EPO is .ireacedns

thenAor ywa ot oarpaphc the teisnuqo is olkgnio at the lodob .rmaes 'tsI yrtpet moanrl n(o ,ytegsrcoyaakme no eicnsdrea menurb of alepe,sttl no rods, goihnnt ul,eb .)tce A bldoo saemr fmor a OCPD aptinet lilw be ramn.ol ustJ na icrnesade uenmbr of CsRB ude to teh cseideran OPE dnilgae to rndaciese Hb.g

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mbourne You d'snuloht llca ti ievetcra otahymicpeyl e",arv" sa cioahpytyelm aerv si a ersatpee edisaes wthi entreily ednieffrt it.yloego Thsi si acetiRve ,hliyPeoaymct or as hnearot eotprs si,ad oireprtapap euatolbs yatemoyhclpi aecryndso ot crohnci xiy.aohp +24

j44n i pjeumd on aloysidleystmcp ntgihnki it saw VP due to het akj w otnutmia ubt ouy hcelnltacyi teg eadlveet grheinvety ni htta utimoatn os ti ludwo be rmeo tanh jsut CRB's +

beetbox I also uhttohg ti asw P.V owH can we llte ctreavie pymtyociaehl form aclatu ,VP fi VP odse otn swoh ohret nisdk fo lbood clle cusnto reasid tub tsju an ilatose of CBR sir?e +1

l0ud_minority I tog tshi ngwro ubt hree my Belan rioatsaed ffo hte iaonnorfmit ni eth gseaaps who anc woH nac uyo adrfeieinettf tihs romf eanioppartrpi oetlbsua mpiotyh?clyea ePo slantiacpar snromedy si acoasisdet htwi ccresan chsu sa opatlHeerclalu Cnca.oiarm Htrydieear traommcsooishhe acn eleva to revil .ichsroisr aTsh't hyw I shoce .C tuB I saw gwno.r +1

epiglotitties 'Im oencdfsu, hycePlatyomi Vear s'awtn in hte snwear sh,ccioe D) swa laocsyldmpteysi reonmdys hwhic I ndto' tihkn si teh eams sa voeplefrailirteymo dir-srsedo hchiw elcdnui V,P lasneitsE mThaecmtobhiory dna isieo.slr-bMyfo rO ear teyh teh amse ?t?nihg olAs etbbxeo@, eht yaw ot tlel reaviect yampyeoiclth ofrm PV si yb nogiolk at OE.P nI tviarcee ti is avtdeeel adn is waht is adilgen to eth reaseicn in BCs,R dna ni PV het iasrnece ni BRCs si due to lasntpeico smrttrnaooifna fo CBR rerpouscs NTO excses .PEO +

+9 upvote downvote
submitted by ∗alexb(53)

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I nsceofdu tlsmcyypedislao nmeodysr whti rrymapi iyoeoibflsrsm csabeue I hutothg 23- of othes RCsB ooledk lkie rteapodr lcl.es Jstu ikle hewn yhet oswh na miaeg for ulslobu egdimiphop nda ehrset' osme ewidr sceodn pir hhrougt hte mabue/lrmadledrs larye knmaig em tkhni t'si otn PB even htuhgo I ntdo' knwo hawt eles ti dlowu .be mfl

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whoissaad aMed eht sema ktasime +9

targetusmle i htgouht xlateyc het !!aesm 2 clsle dlkeoo iekl eart rdpo clles /: +2

ilovemypuppies2295 I otghuth there were etra drop lecsl o.ot mSedee ilke it hduslo eb a asamtpaiel .nhte hO llew +

lynn I did the e,sam ubt igoonkl at A19F gp 342 ti sasy teiv"fecfnie maepieihtssoo &-g;-t ecfesdt ni clel rmtaoitaun of ponohdyniml .egae"lin Yuo nac teg bedlbio plehosn,riut or if ti eregssopdr to LMA du'oy ees uear dos.r inNgtoh tabou aetr rdop lesl.c nehT no gp 046 arte rdop llesc ulodw be esne ni yoimf,lssberio dna spolbsyi ssmhltsaaiae +

waterloo I tthhuog eth eams, utb I ktnhi atht doulw be lbrmsi,eoifosy not ptd.silcamyoelsy bH is eallyr ihgh rehe ot.o tPyret yctkri for hmet to upt that ,ehter syae eenk .jkre +1

jawnmeechell entgstirlnyIe ehou,gn nicgogaen ioedmyl taspaemlai si teh odl aemn ofr yofbemr,olisis thiw an"igo"ecgn bgnie ssomyuoynn wiht i.otiaphc"i"d r(o did neorvyee eadyral wkno shit) +1

bfinard1 mryPair fybolssiiorme is a ieielpvorofrleatym edsodrir nto a mydlsoleitcpsay msrdneoy +

-6 upvote downvote
submitted by ∗strugglebus(189)

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tP sah mhctlioepyya vrae elofiloriea(yvrpmet rddi)sore eud to cchorni oihaxyp ucinedd yb OD.CP lyeMiod amaetilasp si axrte eyarumldl eahtismpooeis ued ot fsbyrs.mloioei rrtHieyead etaomsschirhmoo oulwd aevh bnee novepr yb a sapnuris uble tisn.a pylipnsmesreH oduwl vaeh aeudcs edrdaesce s,BCR nda dssmceyypailol nosyermd dulwo ehav shwon eAru rsdo or tsalsb.

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neonem iRgt,h I tknih htis owlud eb juts cdllea ao"errptippa aeltbous o"haicptelm,yy eahesrw oitamhcyyple vare is deu to a angitmaln KJA2 anttuimo nda dwluo eb erdmte a yept of rnoichc ovrpltaiyeiormefel rr.edsoid +14

utap2001 dypocstyleisaMl ndsoeymsr D)(MS is osal edlacl emPlekeuiar, ssipllaeo.ymayd ni S,DM uroy nebo aormrw osn'ted amke gnouhe fo htees ehatlhy dolob el.scl adn,estI it amkes amraonbl sellc htta etra'n fylul deevedopl m(mustA i)r.ea the itcnnidoo doespl,ve uyor nebo marorw gets alldagruy etkan eorv by the muatmier dlboo e,sllc hwcih ontd' wrok e.epphTror yl todnionci acn vpdeelo ywllos tli()donne ro ukylicq gvsi)re(ges,a nda in osem ploepe it anc devloep tion a ptey fo aemluekia daellc ectua deoyiml eaiauklem L.)(MA +

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