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Retired NBME 22 Answers

nbme22/Block 4/Question#31 (reveal difficulty score)
A 65-year-old man comes to the emergency ...
Crackles 🔍 / 📺 / 🌳 / 📖
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 +10  upvote downvote
submitted by ∗usmleuser007(463)
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Jstu tneo wyh ohetr srsewan rea ont et:orrcc

  1. p&nhsoypbEgsi;on na indareesc ncoersnea of ceiov ussodn erhda nwhe naglttsuiacu eth gsunl, ntoef auecsd by nugl lsictinoodano dna oibfsris.

    • a. It is eud ot echdnena isssnirnomta of rfeuhchnqiyge- snudo aosrcs uifld, shuc as in onrabmla nglu e,tsusi itwh lrowe ifucneeresq itredefl uot.

  2. pirdWehes nspprc&sooyr;brleeieqtfu to na nideascre sudlsone rnpp&wgnspn;ieothdfoe;snb&sbi rinugd aostunucaitl ihtw a sepcsthoeot on hte gnul difesl no a s’aptneti roto.s

    • a. llausyU onsepk onsuds fo nmoredphssbsebl;ne&ui;vpaw&p yb hte anptiet dowlu otn be ahrde yb teh niacinlci uasgluiattcn a ungl diefl hiwt a psotethe.ocs

    • .b ,eHevwro ni asrae fo teh lung hewre trhee lgbn;snsi&pu tndscio,nliaoo eseth ieewhsprd penoks ussndo by eth naiettp u(shc sa aginys neniient‘ny’)- liwl eb arlcyle erhda ghtohur the ospeteo.ctsh

    • .c Tish rnesceia ni dsonu ixtses eaubsec ondus rtealsv ferast dan uths whti loerw ssol of ntyeitsni rotghuh liuiqd ro doisl ul“d(if ”smsa or dol“si asms,” sec,teeivrpyl ni hte g)lnu rssvue sugoase rai( in the l)ung aie.dm

    • d. ehdWriesp quetiolprocy si a iancllci estt lcaylytpi rmerpofde griund a aliemdc ycahspil annmoiaietx ot leaevuat rfo eht rpeceesn &ps;ubnflnog oiis,ontlnacdo hchwi dlocu eb sdaeuc by rcenac diso(l s)msa or ponmueain uf(ild .s)ams

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titanesxvi  ywh ont wienehz?g +
miriamp3  t@itvxsinea sabceeu het xd is HFC +1
leaf_house  I teg yhw escacrkl aer rmoe lykeli in F,HC utb 'uwdoltn ti loas uscea dsiewprhe crutyep,qooil fi flidu wsllao reettb smiaonssitnr fo ?usodn +
weirdmed51  it@at hezwee is aatmhs +
umpalumpa  sy,uG hyw ton erweipdsh iectyu,qprool oph?eyogn 0F202A 6pg08: yopmunlar mdeae esacus r"iohnaclb trabeh dsuon,s eatl tosapiiyrrn e,crsckla shdiwreep royoie"lutpqc +1



 +10  upvote downvote
submitted by ∗asharm10(37)
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t3g-S&-; liddate ryioamdchypota ce-e-i&gctnr)tc;( loictssy e;aglri&-uf-t doblo siubdl --;ugt&p cresiane ycisothatrd pseeurrs in naplumyor --vsetgs&se;l ga-eu;tdxt&-e clakresc

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 +3  upvote downvote
submitted by ∗taediggity(44)
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/62 isoclyst rrumum eovr eht tlef enlstra n,rdoabre 3S sdiacnree( LV ln),ilgfi lwo 20 st,a urdeigf htis tnptaei had trphiehrpyoc yyatomiahdpocr and alyer gniss of ,HFC os het rnewas wsa alsccerk from eht roylapumn emead ormf dlufi cbka pu mrfo het FH sa besri dtipnoe uot owebl eht 1st .tmecmon

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samadmom  I eieelvb this neittap tclaaylu hsa ateildd oacimpoydhtyra s(a opspoed ot ciytheprohpr) due ot ish gae, N,TH crenpsee fo S3 ophpc(rriythe auylslu has ),S4 adn sola shi muumr.r heT rumurm iadniestc ralitm rge,gru het fpf-toi asw riaag"tnid to teh al.lixa" ecseaBu teh smte sstaet hatt eth MPI is sifefdu iths anc adle su ot nikth ttha his etahr hsa argndele in na prbclaidenute awy e.(i gaknmi it laaceepctb that teh matecnepl fo teh rumrum si rfdneitfe romf heewr ew t)ce.pex Lt,sayl yeaonsrdc ltaimr rguegr si an todcraini fo roop opnoigrss rfo HF. eOnc het ncerlevit hsa ieddlat to schu a n,tipo teh alirmt feeltlas era ebauln to epyrropl ceosl dan ptpeuareet teh bckrawad lfow fo .blood oeHp this es!lph +2



 +1  upvote downvote
submitted by ∗zevvyt(45)
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uYo tdon lyerla ndee ot wkon eht ummrru ot teg eht sqotieun r,gtih utb m'I fceusond batou teh umurmr. It snouds keil iralMt gRneta.goiitur oS ywh si ti ni eht lfet ersnlat reodrb adn not hte e?apx

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madamestep  eyMab ist' aehdr tesb ta teh eap,x ubt uyo ucodl olsa erha it ta hte L?LSB +



 +1  upvote downvote
submitted by nootnootpenguinn(9)
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AF 1209 pega 36,0 udern raH"et ir"luafe

lnaCiicl" dosynmer fo arcicad uppm nfntcuyosdi &;--gt toncnseigo and wlo nofesruip. omyspStm ediclnu s,edynpa etooanrp,h f;atueig ssngi cuelnid 3S thear uond,s ersal ka(a kecla)sc,r ljruaug svenou tsdinnoite ),VJD( tpignti ae.ed"m

,haYe I grofot htat laesr = lsk.reca.c. wyh tna'c they utjs tcsik hitw EON ri.oo.mynl.tge nw.aayy pHeo ihst selph.

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 -20  upvote downvote
submitted by ∗mattnatomy(46)
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Casekrlc ierteh tcadsiien nirchoc ichinsobtr ro snindaoitlcoo fmr(o muoennpia ro arlouympn mea).de

nvGie htta htesre' noyl a 1 yda oshiryt of SB,O 'Im nengial eomr dsratwo lorab nn.omupeia yMaeb tstha' aslo a'htws ucngias eth 3S at eht S?BLL If s'ti hatpS A,urues I susge we cluod be lkgnioo ta tcuae dsanidretico + uei?annpmo rO Q Fve?er utB as'htt ujts olntspc.ueia uldCo aslo juts be thta eht nlgu niscloodiaont si legniart dloob ol,fw aendgil to the bcak pu noit hte higRt itAmur &;pma lietrn.ceV

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brise  tatnPei ash HFC mrfo het 3S herat nsodu adn has MR. uoY ahre fien slaeckrc in aerly ovegnceist eraht af.lieur hP1hew.Mwppin.mrtbic4cwa/5lg.i3t4o8ss ct/C/:/ /ln5m/ n v. +16
usmleuser007  No oecnItifn - rnolma ptmes ; efQver- esteprns thiw A atipten iwth xeeorsup ot swate morf rfma nialsam who eovpdse:l .a ipsioeccfnn ssneill lmasag(yi, igea,tuf ferev g0t;&[1 ys ],da .b oartrlbtoier cehe)hdaa .c aolnrm kelocteuy ocn ut .d oiT ornhbpcemyaot .e rcnseidea vrile eesymzn +
saulgoodman  isTh enitpta sha CH.F tuB it dnki of otsr of smees ekil e'hs pentgesinr hiwt a P.E +



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