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Retired NBME 22 Answers

nbme22/Block 2/Question#4 (reveal difficulty score)
A previously healthy 60-year-old woman is ...
Increased central venous pressure ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +10  upvote downvote
submitted by โˆ—nwinkelmann(366)
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ihTs aecrtil xiaenspl het giohspyyptaohlo llwe: 3.1pn.niikonvw4olNcg/0wm.4hh//./t/bbw8s:tsoBK.

eTh htirg leercvtni si irarimypl siudeppl by eth ARC hhcwi aosl pisspule eth SA ndoe dna VA ndoe 0(%9 fo setahr ecsubea ehty rae igrht amontn,i)d nidagel ot osls fo tiioyntatcrcl of teh tihrg ,deis adn usht ifdul pdlbuui igscuan eetleavd lacernt nsueov rs.surpee aedeltEv eeussprrs ni eht ilver dan lortap ssteym owdlu laed ot mleyaoetgahp dan fere dfilu coltniuumaac ni the nriee.utpmo

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henoch280  pH.leppl slp hyw is ti nto dceasedre ipaacrlyl toconic s?esruerp +2
whoissaad  @ 8heoc0hn2 Becaues eerth is on chgaen in teh seevll fo porneit in eht dl.oob +11
drzed  ioylcterheatl you ucold lvpeode rveil reaiulf mofr hte aisecrne ni lcetnra neosuv eeprsusr .(e.g ircacad irscho)rsi dan TEHN uyo udwol vdlepeo a eeasdrec in noccoti .epessrur +2
an1  2hno@h08ec het pttnaie adh a VR luifare. This menas doblo lwil tsatr npiloog arbdwcska dreasi( JPV lwil eb e.)sne uBt ot srenaw oyur eqousnti, cooncit epuresrs enhasgc hnew the ibanlum n)erptio( is lw.o hsiT spheapn enwh teh pblorme is ithw the r,veli norailutmint, opr/hcteni etihnricp nidegla ot bu.liaramuin eTh herat lerusst ni a yeprul itoyhtardsc etldear fect.de riHtsocdtay seanm to USPH fudil TOU of het slvsese dan otni het uiess.ts hiTs duwol surtlse in fidlu eentgnri teh mtciysse isseut lhw(oe ydob medea is snee thiw FRH) nad fildu tgenneri inot vriel uedcsa eresedadc airaedng nldaieg to case.tis omeMrize gp 729 rpClyaail fliud ehaegcxn 'A0F202 +1
l0ud_minority  820cehnh@o oasl I nhikt atht diseranec onmpayrlu ilrpyaalc ithrtsdayoc ssrepuer oluwd lenpxai a puerall onuif.fes I guhttoh the emas ihtng adh ot tnkhi autob it rfo a bt.i +



 +4  upvote downvote
submitted by โˆ—titanesxvi(106)
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hTe otehr naswesr are norwg ubse:eca (if I ma grwon lespea oetrrcc m)e

)A ihsT doulw be uetr in a eitantp with reivl ro hcpnoetir odnermsy

)C siTh louwd eb reccrto fi het ew cenraeis yaplalric abyirlmiptee epam(elx ss)spie

)D hisT is eltf rahte laufrie

E) hsTi codlu eb DSAR ton( seru h)otguh

)F iayglnncMa

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 +0  upvote downvote
submitted by โˆ—abhishek021196(120)
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heT higrt nvticlree V)(R ecivsree tis lraritae lbdoo lpsyup rpyiilrma mrof het ihtrg arnyocor rytaer ,CAR() cwhhi aisrse fmor eth rihgt aoncoyrr scpu fo eht aoa.rt Teh isiivodn cuderpos the ocuns ayrert hcwhi uesippls lbodo oflw to eth igrth cavrrutilne fotwluo attr.c eTh rnstaoilia edon S)A( is olsa uldsipep yb teh RAC omrf hte cnsedo nis.divoi sorguiCn ni hte veittruianlcorar orvego, teh ACR neth sievg ffo upelti,ml mlsal behrascn ot sypulp het oiterrna RV feerob indvidgi lterlynami tion the uaetc imlgarna bharcn AM)( htat sunr raytnoriel ganol het aripmhd,ga nda the ioeotrrsp didcgnenes tryera )(PAD ttha nsur oopireyr.slt heT DAP osal uselpspi eth atrirenoirctalvu noed A(V) ni 9%0 of aipnttes, wtih a bahrcn of eht eftl fcmulxcrei ryerta grondvpii lfwo in het rmeearnid of .eptnsita heT PDA lppiesus eth rofreiin awll of hobt ecl,etvrins nad is a etiamnrl ancbhr of hte ARC in %58 of i,psttena utb mya sirae mfro the lfte croroany ourtciilanc in 5%1 of the unal.pootip

hTe pryamri ftecefs fo RV smiaiech dan triancfoni sretlu fmro sceddeear RV .intaiotccyltr This dlsea ot a recudnito ni doolb oflw mofr hte vneous mtsyes to the nl,sug dna ynlfial to teh eltf eisd fo eht treha. heT aillcinc isnsg fo thsi ear denariesc hrtgi sddie heatr ursssepre, drinacsee lrpounaym rterya )(PA oilyctss sprs,eeurs nad cseerdade tfle retrvncliau ledoapr. pymmtsSo mya dniceul eiaphelrpr eadem aplsleyice detntosiin fo hte grujual n,iev ym,exoihap nad honn.eotpsiy

tinlAdlyido,a sa the VR aeiltds teh niomto dan ncfuonti fo eth ailtevrreincntur tumsep si lrdaet.e If hte RV si ddtaeil neadsycro ot elodvora ro if eth palest omyuarcdmi is eoajepirzdd by tslamsnuiuoe fetl tcerlneiv )VL( iiasemhc hte sysmpmot fo htsoynoipen dan aicdacr euilarf mya eb ennu.drcoop If eht mtpeus ithfss etflwrda uigrdn aotlsedi it eimsdep tlfe iruveacntrl giflnli adn sa a uestrl aircadc outtup is cra.deedse sTih is ertmde lsso of ltrvaieniurbc denpcieeedt.renn

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 +0  upvote downvote
submitted by nootnootpenguinn(9)
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Tish biwtees ixelapns ti to:o

A" esreeacd ni cdicraa puotut heerit ued to ecdseraed rhtae tear ro skteor omeluv (.g.,e ni vuernicltra riaulef) letusrs ni boldo nbikcga up onit hte nosvue rtucialcion craiesed(n uvsneo lu)ovem sa sesl bldoo is udmpep onti the rrlieata cncitulirao. hTe stlnteuar naceersi ni hriccota boodl ulvmeo esnserica P.CV"

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