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Retired NBME 19 Answers

nbme19/Block 4/Question#17 (reveal difficulty score)
60 yo man, 20-year history of hypertension; ...
Cardiac output: decreased; CVP: increased 🔍 / 📺 / 🌳 / 📖
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submitted by metformality(15)
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Tihs npaitte hiwt a iyhostr hicnocr nnpieyreohst si most ilkely enfufgris omrf fetl ahtre aiuerlf ce(sdeader riaadcc ,u)totupo igusanc eht olodb ot kacb pu in the ngsul er(Ccaksl aer daher alyrl,ieltab stherossn of )tbaher adn that elntrgsiu tino dieasnrce traoflaed rfo the irhtg ieds of eht hreat, irsgian eht suserepr in eth girht hetra shea,crbm cihwh tge misattdnter kcba to nealctr e.vin

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anjum  essrhston fo hertab = Ltfe rhtae aelifru +3
cassdawg  Teh awy I apodcerpha het qnoistue wsa a leiltt ieedtfrnf: I elearzdi it asw eathr laefriu nda tlef uowld acues glnu kaucbp and hgtir het suneov cbaku.p hneW nsaidsrdeg teh +6
cassdawg  h*et qoisteun my gnikntih saw CO = SHR;xV in eathr urafiel ew are ont pgmipnu as umch loodb so erlow SV nad( no tpo fo ttha hsi RH is tno aencidsre adn I nhitk het owl oodbl rpresuse ndiesctia todcepmensead htaer ea)ulrif so OC si fyliedinte d.oweerl hnTe PCV dlwou hvea ot be rasnieecd aecbues atth is how we teg teh deaem da(n uabpkc ntio the uonsev ytmess rcisnease .CPV) +1
chaosawaits  gsca@,sadw I aecdoraphp ti eryv yil.arislm The etsb mmieeatdi raoitincd thta siht si incadorgice hscok is het epslu ersruesp 30( m)gHm. Nalrmo PP = -6004 gmH.m eforTh,ere you wkno ttha OC ahs bene dsormciome.p eTh demea iatdscnei htat CVP nueesm(meatr of teh vneae evaca sPh)Ba iaenrdse.c +
an1  suecbae isht uyg has lscakecr dan kealn ame,ed we nwok htat etehr is FLH DNA FRH yeesrpectilv. teh otsm momnoc casue fo FRH si claulayt .FLH oS sleacrkc enam atth idlfu is lcuagatmunic ni hte .ngul heWer iwll it kabc pu? VR adn AR acguins ierednasc VP.C eckalsrC eman FH,L dan het eth LV 'snit oirkgnw ew,ll eth aacdric otuptu lwli resdecea for rseu +



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