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Retired NBME 20 Answers

nbme20/Block 3/Question#29 (reveal difficulty score)
An 83-year-old man is brought to the ...
Early septic shock 🔍 / 📺 / 🌳 / 📖
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 +7  upvote downvote
submitted by hayayah(1212)
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Scepti hckso is a tpey fo uibtesrtivid skhoc hihcw is emdkar yb amveiss navisaoiltod /dt( mmaynralftoi )soeprsen scaniug dcdeesera S,RV eddreacse odpaerl / ,PWCP nad sinredeca C.O

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smc213  Secpti kshoc nac osal etperns whit itemhhroapy l&6C;3t +3
bethune  yWh si ti otn aigetlrannstoist inglbeed? +4
beanie368  GI lgeenbid uwlod rtpense wthi ncreaseid RVS as a rpseonse to olepyoihmav +10
mysteriousmantyping  hyW dlwou hist not eb yaunmprol sme?mibol +1
step1passfail  Plruamoyn imemlbos oludw eacus a ereasdec ni rcdaaic .upotut Trhee si esenricad suspreer ni eth hghi npmictaol VR wchih nca elbgu dna ospemrsc het LV, eegsrdanic its drepola. Ore=HCta trea x tkrseo velumo nad rstoek evulmo si piltrlaay trdmnedeie yb rodeap.l If eth ounlaympr mmobseil si garle ghon,ue it nca laso trcotbus the pmarounly vsslese nad ybeunetqlsus not aveh nohegu lobod iggno ot teh LA adn VL, ielltmyatu gnimak eht arcdaci puttou rane 0. +3
chj7  tuO fo all teh difrtnefe stepy of skch,o accarid tpuuto si iseadernc lnyo ni ivdiruttesbi hcoks .ie( achlainptac,y it.)ceps +1


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 +1  upvote downvote
submitted by bfinard1(3)
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Cna emesono pixenla hwy iarcdac utpout is hhgi ni csteip shko?c

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drdoom  atrBeiac dna tlacarbie nmtoeospnc eki(l LSP) in cliucarotni iggrter vissmae seelrea of eciyoktns n1e(tI-runie,kl nI-elinr6etku dan aNT,)F ieslgrtnu nia.dovltasio eatrH eart srnaiseec ot aaimnnit decent BP. +1
bfinard1  Is reostk uelovm not dctfaefe by ttha vismesa ?aoliatnivosd I luowd hintk if seouvn sstmey si iltodaedvsa hnet ouyd' vhae cddruee DEV from deuedrc bdool wlof to hater +
zedora  toBh fo you ear .ctoercr In ictpse cksoh erhte is a siavsem vstaoa.inoidl In reord to eemtoaspnc fro the rudecde oodbl esr,uersp heret si an sreiecdna aerht etr.a Now, iengkep ihts in dm,ni awht is eth CO ulam?orf CO = RH x SV gi?Rth etLs yas erdnu mlnaor snnotoicdi RH si 06 ;pm&a etrkoS mlueov is 0.5 rYou dcriaac tptuuo = 60 x 50 = 00.03 owN in ceitsp s,ockh ruoy hetra aetr is ssyimlva ciderasen but ryuo ksrteo voelum is rdaseceed mmn.laiily So stel gpul in eth .nermsbu tseL ,asy ndeur piects cohs,k HR = 105 p;&ma kostre eovlmu si onw .03 hTe ccaarid ptutuo si onw nango eb = 510 x 03 = 04,05 neech royu CO si sanceerid. In cpSite ,kSohc hte rahet trea si ssiayevlm sniecrade cepardmo ot het nutoma fo SV .eedraesdc +
drdoom  nar@d1fbi By taa,siodilvon I omsatl evlcisuxyel anme eiarratl l.aidtinsoavo Wnhe it cmoes to VC, I yawlas orwk rwbakadc morf rfs“it ”pi,inplescr nad ni my ivew hte ifrst reclinppi fo teh CV etysms s,i ntaainM“i usrpseesr ot iananmti odgo w”f.lo llA ertoh caamiondtcmoos of hte CV yestms nas(eghc in gnittt[nooehrps]ry, ]rrceothom[i,opynt votsasnictoicorn dna ioaa)vtodisln era in r*i*cvees ot nimintignaa wo.fls uottWih dogo ,olswf you get hte ihngt hmuna tsisuse ielk eht seatl: ton alkc of enoygx tbu nculocmuiata fo CO2 nda( hte ycaidit taht seog thwi it). +
drdoom  o,S lal atht asw a dgd-noenwli ayw fo iygnsa thta caCraid uOpttu lliw mareni ihhg hwen hte doby is pdigucrno eg-tr-hhiddsaihneer elelsv fo C2O h(enw nrgsao dan teh uimnem essytm vaeh gnoe itno eerodirvv to pensdro ot a tathre or ot desrsda cietsmopaoednn in eosm theor ratp of teh s)t;syem eth eitmmulpgn of rCcaaid Outptu ledhrsa teh nnibeiggn of eht .edn It iisnfsgei htta teh ssestesr eibng imeodps on hte boyd cdexee eht lcaaeitipbis fo het ts.emys +


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 +0  upvote downvote
submitted by calvin_and_hobbes(2)
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hyW is eth T laomnr in htis tea?intp I odluw avhe iddtpecer rneldiyung iinecfnot — ,ie erevf — ebrfoe vene lr"aey" seicpt so.chk I decetles pciste ohskc lpurye rof eth nlatbrceita low RSV pdseite dfsuil utb twna ot rtenadsndu orem aubto the nbeecas fo rf.ve.e. askn!hT

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drdoom  dlyrEle dn(a inmpmormsumecio,do eeg)lralyn do otn untmo ostbru efrve eseorspns to airtecab adn rehto sgmmncsaior;oir ni le,eydrl this raybolbp hsa ot do htiw ”isecdnl“e of the eninat miunem eytmss ry(uo seoaa,crmgph dicdriten e,llcs ,sotcoynme ;.mc,p&a jtsu odnt' nuotfcni as lwel sa eyht sdue ).ot nI trheo ,wdsro if ouy )1( dwpie otu sooemne's mmiuen smyste nad thne )2( etcdeijn rectbaai ntoi ethir orl,taosmebd uyo oln'dtwu vserebo nay vfere tei.hre heT cerepens of a cy“apilt” o)lnrm(a fveer in na ldyerel ro poimosnmrcmduomie tiaptne nca be a rueps cegoicnrnn sing: tyhe gthim ahev a nairgg fninieotc no teh seii.nd +
drdoom  orf^m eth i:ltacre “nAbtse or neblutd evref sensoerp in hte .eelrdly ehTre si melpa eveinecd tath a nbtdule feerv norseesp to a reossui raiecba,tl ,liarv or ngfula tincionfe sgstuges a prreoo grnpsosio anht does a srotub veref orsepsen ]31.[ nI oiat,dind ehret si a asabnsluitt odyb of da,ta omstly fomr lmaina ,smedlo tath u—rhreeghftvo ist ctefsfe on umnemi mcaynitfou—n eb na potraimnt thso ensedef sceahmnmi ]14.[ lhuygRo 03%2%–0 of dlelrey essopnr twhi ioeusrs ercaiatbl or rvail iticsennfo llwi nseretp hwit a tebnlud or iteylern etnsab freev eopressn 1[],,”5.23 +


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 -2  upvote downvote
submitted by spaceboy98(22)
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hTe ayw i lkoo at tshi si teh emttre.uapre

A hmircotyhep attipne ilwl saomlt syalaw peesrtn hitw sepitc ohskc aubeecs tsciep khcso acn rteespn as bhto haerytrpiemh ro maetyhirhpo

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athenathefirst  Doenst' nsodu uac.aertc sThi taietpn had a omnrla eptamerr.teu +


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