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NBME 22 Answers

nbme22/Block 2/Question#5 (reveal difficulty score)
A 74-year-old man with emphysema and lung ...
Negative nitrogen balance 🔍 / 📺 / 🌳
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 +44 
submitted by seagull(1912),
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lB"ood wofl ot soiuvra nasgor ceirasnes dringu capregnyn ot mtee teh asdcnerie balomtiec eesdn of ie.ssstu hTs,u sonuev rentru nad idcarac pttouu sasienrec iyladactarml grdniu payr.ngnec aCicdar tutopu rydulaalg rsceeains rgduni hte itsfr 2 mtsiseerrt whit eth etarlsg sirencea crcrnoigu by 16 kswee fo satn.3eotgi Teh aincrees ni iaadcrc tuoutp is well deeibhaltss by 5 sweek fo astetniog and eacrsseni to %05 avebo aypcpgnrnree elevsl by 61 ot 02 eswke of onig.tstea The iers ni cidcara ttuoup cyptlylai eulaspat retaf 02 wseek fo aetonstgi dan eranmsi eetdveal ilntu .emtr eTh einaescsr in radaicc ottupu rea stceadsaoi twih nfgaicsiitn iescnesra in rekost vemulo adn rehta trae ")(RH

ah/ini3i1mme2P2wb/vs0pnw8M.Cngc.o/ttl//t/hrccl1.sp.:w


 +35 
submitted by keycompany(351),
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rgnoiNte lecnbaa si a ntsrueameem of ernpito abotmmslie ni teh by.do A taeengvi ieorntng abcnlea itnaciesd umlsce osls, as dscreiena amsutno fo nimoa sdica rea nibge medzeoblita ot rdocupe ynee.gr siTh eaersnisc the matonu fo negnirot dteresec rofm the yo.db esueaBc teh maoutn of otigrnen uyo rea tgakin ni is ssle thna teh umaont fo ronigtne oyu era eincerstg, you hvae a ainegtev rtginnoe bnclaae.

This anm si hiuemn,sdrloa esu,etomad hccea,cit nda sha umlhiyepoaanibm. esehT aclniicl finindgs piont ot erontip ntinmlairotu aa(sKwokrhi eiaDe)ss, iwchh uaescs damee due ot eedsdacre reusm cciotno peurress. woL ncoctoi repseusr in hsti ecas is deu to tnpireo slo,s nad hceen a gaenvtie ignrenot .bcnaela

drdoom  cNe!i +23  
dubywow  I wenk ruoy slat entcnsee dna sesucptde kaorKswhior. tI's ustj ygietvhrne else I ddi ont kno.w I ahev not heard or utgthoh fo ocitplnesrume/ ascghne in retsm fo "ngtroein nbacl"ea .o.feb.er nda htst'a hwy I tog tshi wnor.g iecN tnxnpoeal!ia +3  
macrohphage95  I egear ihwt yuo ni tfirs patr tbu i dotn khnit ti hsa any otlarnei ot irortkhIwka.s is lipsmy due ot ahiexcac hiwhc cuases ecsulm cnsdieurott rughhto the epsteraomo tapwhya .. +5  
zevvyt  laos, it asys htta his mbnluai is lo.w +  
ankigravity  A wef oterh oispnt rlatdee ot etnnrigo neacb.al Ayn ntptaei ohw si grngwio ei,..( edcrlin,h loepep wrgkino uto dna duniilbg lmsc)eu rea ni stvpoeii eroingnt lnecaba adn nreingai eobcmse na saetseinl noaim acd.i +1  
drdoom  giarntyi@kva Wwo, iths si hnyceclilta ct!ceorr int(d’D eeziarl ets“ealisn” doe'snt nmea n“oatcn eb zsdtseheiny by eth ”byod tbu trhrae a”ncont eb ydsestenhzi in ctsinifufe t”samn;ou os twha falieuiqs as ielsasnet is a tbi fo a mngvio e!agrtt Tksn)!ha +  
drdoom  sre'He eht idniofitne rmfo MeSH: nAom“i csaid tath are not eeitshsdzny by eth umnha bdyo in somntua snueitfcfi to crrya out oiclhyoliagsp nuofn.sict Teyh aer ontbedai fomr raytedi .dsutffoos”f hoi/b=ei:/vpm?1ius//0gnl.omhtr00rcD..d6enuhs0t +  
imgdoc  I ond't nihkt ihst hsa ot do hiwt iswohakokr klei h9mapcoegah5r ugs.tegesd T sih si haecicax arcsnoyed ot lgun nc,care -aTFpNahl eiarnescs nad ssceau artlpsaooem tuesoticdrn fo iton.srep Tihs yug si salo nto naginikt hgoneu rsnietop os vteainge gtenorin abclnae si teh nwsera deaeixpnl oeabv +  



 +2 
submitted by bking(2),
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I urnndedsat teh eamed is rofm raeecsedd oernp-ti ywh is vinattaSro iesKtso n?wrgo t un'Cldo shi eritpson eb rgddedea othrhgu isth iP ne-oeAcrrson-o:mtpis sd-c-ia lctAey AC--o eenKots

waterloo  etegaivn eronngti cebaaln eterbt eiapxlns the ead.me +  
courtney  I gtmih eb ttloayl rnowg tbu I tdn'o tnhik uyo cna aticlcynlhe eb ni isoskte fi ouy eavh lsgoceu oandur adn in this seca, eht niaeptt stae lnoy bacsr +1  
chaosawaits  uoY nct'a be in skoteis if uyo heav inlusin adnu,or ont .egcluos ,Hecne 1DMT anc hvea ADK tbu TM2D lpityacly eosd .tno tohB slilt vhea oscu,gle lkie yreenove nivl.gi +  



 +0 
submitted by pparalpha(93),
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nCa nemesoo eeaspl aelpixn ywh it wolud ont be goelygnc lde?tpnoei I otgtuhh the iosetqnu asw atiklgn uotba the aWbrgur onehnpn..me.o so why ton rwebadkon fo ogleyngc ot s?ugcleo

I esugs ti would otn paxienl the eead?m

hello  coGlngye erosts era tdeepdel wtiihn 4h2. shiT roepsn ahs isgns and ysptomms of roglnemt irnalnttuio f.iedieccens +2  
raffff  ti ulwod tno ixeanpl teh eme,ad sey +  
drzed  lsAo the bugarwr ohonnnemep sah ot od with casncre elraetferpilny inagkt up su;logec tehre is on aodciiitnn taht he sah ea.cncr +  
haydenelise  eTh irstf tnscenee ssya hatt he sah ugnl ccnrea. +2  



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