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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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shiT rlaecti epnlxisa teh ophlyiosogpyath :lelw 8sb//0wo/o1i/sh4tbtKmwgnp.i3n.NhB:l./kvwc.o4n.

hTe igthr vntirecle si airpirylm uspldeip yb eth CRA hchwi aosl pepiulss hte AS ndeo adn VA oden 90(% fo trseha cbeeuas yhte rea hritg iamno)n,td dlaegin to slos of cctitoyntlari fo eth trgih e,sid and hsut dlfiu pbiudul cgnusia dtveeeal nretcal veusno epur.sers tldevEea eprsseusr ni eth lrvie nad rotpal ysetms owlud adle to eleoapmtyagh nad erfe fidlu umncaacoutli ni het ner.ueoitmp

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henoch280  pl.peHpl lsp ywh si ti not acerdedes pilrlaayc otcinoc useerps?r +2
whoissaad  @ 82hnce0ho Buesaec hreet is on neagch ni het elsevl fo rnpotei ni het b.dolo +11
drzed  iloaeclhteytr you locud peeovld lvrei feiralu frmo teh rcasenie ni cealtnr neusvo ueerrpss .(.eg rcacaid hc)riorsis nda THNE uoy wdoul vpledoe a deacerse ni ncoicot uepres.sr +2
an1  0@n2c8ehoh teh tpteian dah a RV raflie.u isTh nesam obldo will tstra npliogo rwaabcsdk sad(rie JVP lwil eb e).esn utB ot seanwr yuor oit,sqnue cinotco rsrepeus chsngae wneh eht aiubmln rp)eton(i is .low ishT hanspep ehwn hte ombplre is with eht eivlr, i,itmntonrlau ec/phtrion rpiticnhe ngdleia ot luma.buranii ehT retah stlrseu ni a luepry rhdyotcisat eareltd tdefc.e roydHiatcst smane to HPUS ldiuf UTO of hte esvless nda iont eth .sseutis hTsi udolw rssuelt ni dulfi nenetgir teh tcseyims sseitu w(hleo obdy aeedm is nsee whit FHR) nad iflud trgienen iton ielvr descua ecedsreda nageaidr adenigl ot t.eassic irMmee oz pg 792 lalCpayir lduif axneecgh 2'0AF20 +1
l0ud_minority  @2c8eonhh0 olsa I hnkit ahtt rieesdacn alurpymno aarycplli dtoicsyatrh rpessrue wlduo expialn a uelalrp e.fnifosu I htthoug eht mesa tnigh dah to kihtn utoba it fro a t.bi +



 +4  upvote downvote
submitted by โˆ—titanesxvi(106)
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Teh hroet nswrsea era wngro bseacue: fi( I am orwgn lasepe oetrcrc )me

A) isTh odulw be etur in a pattien ihtw rveil or erhoinpct onsmeryd

C) ihTs lwuod eb recroct if teh ew eecanirs ialplyarc tyrliiabeepm mexeal(p p)sssie

D) Tshi is tfel teahr irelufa

E) sihT loucd eb RDAS o(nt erus hgoht)u

)F gicnlaaynM

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 +0  upvote downvote
submitted by โˆ—abhishek021196(120)
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The rihgt lcnevriet RV() ceeirves its lerratai oodlb uslypp liapiryrm form het igrht rrcnoayo tryrea ,CA(R) hchiw ssarie morf het hrigt rnacyroo cpsu fo eht oraa.t The vinidsio cordepsu teh couns erytar wihch lisepsup ldboo fowl to eth hrtgi rveuiltracn uowtofl t.rtac The arltsoiani oden )S(A is aosl pldiupes by hte RCA morf hte dnseco nd.sviiio grusniCo in hte raviruaotitlcrne eorv,go het ACR hent ivges off pulemt,li lmals csrabhen to ppsuly the oniraert VR rbeeof iiigddnv ntllamyeir noit eht eutac ginmalra ahnrcb M)A( hatt unsr ityeaonlrr algon hte ,hragipdam nda the orioprste dcnesgdine treyra AP)(D htta nsru liosrpreot.y Teh ADP oasl ilsupspe the ilnoaueartvitcrr oned )VA( ni %09 of iptent,sa iwth a carnbh of het tefl umccefilrx eayrtr rgvodiinp lwof ni eth iraednemr of tapnet.is Teh APD epulspsi teh forneiir lawl fo tboh nlviesetr,c dan is a eirnamtl rhabnc fo eht RAC in %58 of nttasei,p ubt mya arsie frmo eth lfet aronoryc lontcuiciar in 51% fo het toulppaon.i

heT raipmry csfeetf fo RV miesicah nda oicraniftn uelsrt fmor adreedcse VR itcytr.tianlco sihT ldesa to a reoicndut ni olbod wolf rmof teh eunsov myesst to het g,luns and ylfilna ot the ltef ides of the aeht.r eTh clicnail isgns of sith ear cindrasee grtih sidde reath up,sreesrs nasdicere uypramnol yeartr A)P( ylstiosc epsus,srer adn ddeecaser flte iarultncerv a.dporle psyoSmmt yam celdniu lpaeirpehr mdeea lcseelaypi tnietniosd fo teh arjuglu ev,in aomihxpye, and np.tioohnsye

iinAytla,lddo sa eht VR lteaids teh tnmioo nad ofnuctin fo eht icutretrirlnenva etumsp si .aedeltr If hte VR is tiedlad nosydarec to odlrovea or if the atleps midmroyuac is azojrddiepe by tnmleosuuasi etlf crneiletv )(LV esmhiiac eth smmostpy of oonhitypnse and dacairc leraifu aym be ednur.oponc fI eth stpmue ftsish tewfldra ndruig silatoed it eiemdsp tlfe lnarutirevc iiglnfl nda as a turels cdacair tpouut si .ecsedaerd ihTs si meerdt sols of viebrnuicartl tnenenerepie.ddc

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 +0  upvote downvote
submitted by nootnootpenguinn(9)
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hsiT bsewtei seixplna it t:oo

"A dcreaees ni arccdai tpouut etrihe ude ot eesdedarc trahe taer or kterso elvuom (.e.,g ni vlrcniureta erfiu)la ssturel in dbolo acknigb up toin het oevsnu cituoraclni ende(icras unovse oluvme) sa sels obodl si pumedp otni teh rtaareli ltiaucocni.r heT aenrttslu iasrceen ni ctcahori oolbd oeulmv eissnreac "CV.P

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