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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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tuJs teon ywh throe sseanwr are ont :trrcceo

  1. ;pihspEbono&ngys na deceasnri sracenone fo cevio snodus arhed enhw ustntiaucalg eth usn,gl enoft eaducs by lnug oliscoaoindnt adn rbs.fiois

    • a. tI si deu ot nncaeehd missroninsta of irhgcyeuq-nfhe usond rcsoas lf,idu shcu as in mnbarola glnu usse,ti twhi owrle ceirsqeenfu efritedl .out
  2. sdrphieWe yeeo&ucbrtpisqrpon;flers to an nirdcesea susodlne wsn&n&ogipd;;ebtpehsbornifpsn gdrniu tanlstcoiuua thwi a cttoephoess on hte ungl ildefs no a nspat’tei orst.o

    • a. yuUllas npsoke ssduon of ipnel;paebepsusb&&mownrs;vhd yb eth tapteni dowlu tno eb ehard by the iiccnailn ltntgsacauui a nglu fleid htiw a sco.stepoeth

    • .b rHve,oew ni ersaa fo hte gnul wrhee heret bngiuslspn&; iadnoloosnit,c heste dpweerhis ekpnso nssudo by eht attniep cuh(s sa iaygns ‘e’yinni-nnt)e llwi eb aelylrc erhad rghhout the ts.spctooeeh

    • c. hsTi ecanseri in undso xeists baecuse nusod eltasrv rsafte nad uhst iwht owerl ossl of eiitnsnyt hgortuh uilqid ro dlsoi id(l“uf ”amss ro “lodis sasm”, lcieeeytv,psr ni the l)gnu servsu usoaseg (ira ni hte ngu)l .dmiea

    • .d pesedWirh pureoicolqyt is a llcacini ttse cayyptill dprrfemeo nrugdi a mlidaec yhpsacil aonxenimati to ltaeuvea for hte erpensce ;nofnsublpg& ,odctsinoaonli hwihc oudcl be sdcaeu yb crcaen d(soil s)sma ro epaiunnom fiu(dl s)as.m

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titanesxvi  why tno wzne?hige +
miriamp3  ivxiet@snta seucbae eth dx is CHF +1
leaf_house  I etg hyw arlcskce era meor kyleil ni F,HC tub wundl'ot it also scuea eresiwpdh epuolcqy,itor if dluif aolslw rtbete tsoimnsrnsia fo unsod? +
weirdmed51  tita@ wezeeh is aahstm +
umpalumpa  ,uyGs why ton wsepihedr ioyotcepr,qul hop?ogyne 202FA0 :6g80p anryopmlu edeam suaecs lnc"hrbaoi hetrba usons,d teal irspnatroyi ,lkrsecac sheweirdp e"icyuolqrtop +1



 +10  upvote downvote
submitted by asharm10(37)
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g3--t&;S dledtai oipmatoayhdcyr &g)-re(eint;-ctcc iclsyost -l&g;aieur-tf lobod ubisld ;ugt--p& ncriseae hatodysctir euspsrre ni mruylpnoa s;s&-esgevt-l t-egt-e&da;ux lecarskc

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 +3  upvote downvote
submitted by taediggity(44)
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62/ socsilyt mrmuru eovr hte left rlnates ednr,oabr S3 s(renedaic VL lglif)ni, owl 02 ast, uidrfeg siht tietnap ahd hthcprorieyp tordycaahyomip nad eryla gissn of FCH, os teh neswra saw lsckerca ofmr the uoyplarnm aedme fmro ilufd ckba pu ormf eth HF as sierb piotnde tuo ebowl het s1t nmt.oecm

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samadmom  I ebielve sith ptnatie calaltuy hsa tidedla dcpmayirohtaoy a(s ppeodso to yrhetp)iporch ued to his age, TN,H cperense fo S3 iyp(erhchotpr uaslluy sah 4,S) and losa ihs mrmuu.r Teh rumumr idsetican rmliat rug,reg het fio-ptf swa iaiadn"rtg ot eht ilal.a"x esBucea eth tsem tessat htat teh IMP si edfuisf sith acn leda us ot ihtnk tath ihs rheta hsa egrdanel ni na pitrdblaecune way (i.e kamgni it atpbeeccal tath hte pecelmtan of teh urmmru is rdnfteeif orfm herew we te.cxe)p Llayt,s saeycnrod lirtma uregrg is an acortdnii fo opro rosgsoipn rof H.F ncOe teh eitlncerv sah iaedltd ot uhsc a nip,ot the rlamti eteaflsl era enaubl ot lpoyerrp lsoec dan ptaprteuee hte cadabrwk olfw fo odlbo. pHoe shti !eslph +2



 +1  upvote downvote
submitted by zevvyt(45)
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You ntod realyl ende to owkn eht uumrrm ot etg the qustioen hr,tgi ubt I'm cnofsedu autob hte mr.uumr It usdosn klie Mialtr itngug.otReari oS yhw si ti in eth lfet artnlse berrdo dna ton eth axep?

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madamestep  byeMa tsi' adher tbse ta eht eax,p utb yuo cuodl aslo reha it ta eth SBLL? +



 +1  upvote downvote
submitted by nootnootpenguinn(9)
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AF 1920 gepa 0,63 udren erHa"t "erulfia

iinlacCl" eysrdnmo fo acdcira uppm cinutysdfno ;->- innotgsoce nad lwo punios.efr oSpmtsmy nuedlci apneyds, eorhtnpa,o iefug;at snigs nudicel 3S eathr n,suod srlea (aka ,)aescrclk ajrulug uonves dinetsonti )VJ(D, titinpg aem."ed

,haYe I rgfoto atth aersl = .rcl..eksca ywh tanc' hyte tusj ikstc wiht EON .g..emryoliotn awyn.ya eoHp stih phs.el

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 -20  upvote downvote
submitted by mattnatomy(46)
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rCakecsl ehteir taenidcis hicnorc binsitohrc or tlinosicoadno mfr(o ianneumop or nolapmyru e.)edam

enGiv htta sh'rete lnyo a 1 dya ysoriht of BS,O I'm innalge orem oatsrwd barlo .upieanomn yMeab ash'tt oasl 'awtsh aiugncs eth S3 at hte SB?LL If s'ti ptaSh urs,eAu I ssuge ew lcudo be nkologi at actue oitdradinces + mnoeau?pni Or Q e?rveF Btu ta'hst utsj .luaitnsepco luodC olsa juts be taht hte glnu dliaosoncoint is ltigrean bodol o,flw eagnidl ot het kacb up onit the Right timruA ;&pma eil.nVterc

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brise  naPiett sah CFH rofm eht 3S ertah unosd adn has .RM oYu areh neif cklresac in yrael oietescgnv ethar areli.uf .hltgbhCeos3 vm/waiccrM/.p//tmcn.s1ti 5.w4 iw8n5p4/P:/nl +16
usmleuser007  No cntInfoei - almrno smpet ; vefQer- nspertse whti A pteiant hwit xoeserup to tasew romf rmfa mliaans who evsplde:o a. npsifocince lielsns ,s(agyamli uiea,gft eefrv 1g[0&t; ,]s ady .b torroabliter ahhdea)ce c. omarln oeyulkect ucnto .d tye bhTmoiapocron e. nradsecie lriev ezmsnye +
saulgoodman  hisT tinepta sha .CHF uBt ti ndik fo tors fo emess klei eh's enignrpste thwi a E.P +



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