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

gPae 2 sah a trgea precuti

/t/c76/d0o.a.2pr0g/6:et-1olih-4S99wcwn)/a01intjpw1srl6i8(f3e

unscramble the site ⋅ become a member ⋅ $279$49
kamilia20  hhlpmalaioydc pci?tsia?t +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

isetisynpiretyvH eminontpix—emuids epty VIIII/ ihyinerttpssieyv otercnai to eamiltonrennv ngaent.i Csuesa daneyps, hgoc,u chest nsheg,stit ahec.deha feOtn eesn in rremafs dan estho edsoepx to i.srbd isevRlebre in aeylr esgtsa fi tuussiml si .oeddiav

Is't a eytp fo sirrctvteie lgun saeiesd.

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

Why eth htero wansre shoicce 'nrate rrtocce

A - toN na tchialapcnay onaecirt yalinm ued ot yiohicctrn mootnp(cnisu of ,yso hwich ash ytgcesinorpol that leoepp amy veah sraeiegll stwdroa)

B - Not asmtah eartecracizhd( yb orem auect sesdepoi fo oboccont,nhscrtriion g)wnzhiee

D - naAime 6(B, B9, B,2)1 or bmaye a nomyarpul bslmeiom edu ot B9 ro 12B eidecyincf &-;t-g tveedael omcsiheetnoy veslle t--g&; bhssoomrti ;>-- D?VT

E - lomynruaP xtaa;nhr ehT tmie cseuro uwlod eb ucmh mero etau,c adn duwlo olsa tesrpen wiht sompstym fo ellki-fu msypotsm. idapR dateh oto

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

Tsih taitnpe si eginrencpiex hytyensrsiitivpe tnmpinsioeu romf eth t.aeeakrsp I asw ntkiginh M. mvAui ehnw I edtescel earstpeak -- I kniht my logci wsa lwadef negiv hte ifpcscise of het etsantip' .styro

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 douwl uyo oknw tath ti in'ts lowo ortrsse ia?essed

unscramble the site ⋅ become a member ⋅ $279$49
cienfuegos  AF 0182 :317 nthanaoiil fo pessor saled ot uikl-fel pmmsoyts tath srosgepr lqciuyk ot efer,v nrupaomly m,ergrhoeha issnieimtatdi nda soh,kc with ngmiiga ibolpssy hwogisn idedewn metaudnimsi +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

gocdcnrai ot dulowr vistinpeyyhertsi sentunipimo si deu to stdu nad hatt saw sloa an i.otpo...n

unscramble the site ⋅ become a member ⋅ $279$49
amarousis  so tis' ieinydeftl usdt but teh iipfscce peyt fo dust aws eht msot mroanttpi in sthi ntquo.ise eht atcf htta etyh emoidntne the isrbd si t.itpmarno het dusyt osbko dwlou eascu it tub eht ibrd tdsu si rmoe mntaioprt --. +
charcot_bouchard  isHeyipvinrettys msPtuoiinen - arncgOi sudt i(lek dylom so)mhPciuasnyn eoi - rcingaIon sneotnud hlpe erhe ohhugt cebsuae obht wlil eresntp hiwt emas vtetrricies gnul edasies tu ri.eicp tkinh iensc udst ni lriabry ertan hentrie argionc ro icigaonrn adn salo u dont ees aymn brailsrian tiwh gunl eeassdi but irdb nwsoipreh si eyiillspacfc timenedno sa cesau fo HP eesiasd. +


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 saol asw ktngniih M. vmuai ree,h ubt eeivnhityypssirt niuomnpiest eesms ot fit thwi eht croainrteurlagul ecagnh.s

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

woh do ew knwo apaksrete acseu ynetsyriveipsh pionumsient

unscramble the site ⋅ become a member ⋅ $279$49
smc213  1FA8 p.657 bdir teu;ro-&g-xsep SHN pniusentimo ereicivsttr( nugl dae)seis and AF18 p.412 noulrtaosmuag issed:sae greonfi tlr;gHatNmiSe&-a- i.enoupmnits I ahd ot ekam nesse of ti iesnc I it'dnd kown ti aws HNS inneptomius ta rst.fi +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

isocssitatP ome(sstemi lecald iriossntoh ro arrtpo aeediss ro rartop vree)f si an tneicnifo fo eth lgun an(ipomnu)e acudse by eth mbiteracu dyoCmlhaliaph )(yahmClaid isap.titc

gsiSn adn eo:f,reg.c mmuossypvht luaylus hotwtui hmuc dchhuacem erhl.mlaae .gss eh.p heasc.setc h se.isnaonsphrt fo ae hteor.rsb rthtao.

unscramble the site ⋅ become a member ⋅ $279$49
charcot_bouchard  pUdeat no my verp temnmco : sYe iths is satssc.ipiot tno ynesiyhtspetiriv ieitm.nupons Hwo od u wno?k tyyLphmeco nda rePceens of amnGolaur - rponeess ot lelutiaarncrl acyamiw.ld hNo HS anc also cause lsooe mgalnauro oto nda teh inclclai euptcir ltlis moer kolo klei uHSo Y onkw tahw ......... ckfu tshi ques +2
shemle  ereH .tP esnd'to vhea fvre!e +9
shakakaka  aoisecntNnga nagruloma, aptych yoypltchmic ,laioitrfntin adn iriobssf aer seen in iyHryepssetnvtii stinmiueopn , inagoccrd ot lodrwU . +

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!