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Retired NBME 22 Answers

nbme22/Block 2/Question#21 (reveal difficulty score)
A newborn has cyanosis, tachypnea, and ...
Respiratory acidosis and metabolic acidosis ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +7  upvote downvote
submitted by โˆ—privwill(27)
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epSt by etps:

  1. Hp = lwo = siiacdso
  2. HC3O = wol = icissoda
  3. 2CO = hihg = saicodis

,So twha v'Ie reaedln si ttah, in secs,nee aciletmbo odaicsis swaaly astek ipyrtiro ni seteh seio.nacsr 'Its deveitn ahtt the snorpe si nto sg,pinntemoac tub uoy tnaw to caulctlea aynway by ignus Witrne = .15 H3CO)( + 8 .
If ouy letalucca yuo liwl see thta eht dtexecep si 5.30.

  1. If CO2 si hgrhie hnat txdecpee = ooimncttcna rstpyiraore dsocsiia
  2. If CO2 is rolew tahn pxeetdec = mccntoitona tayoeisrrpr lsiaoalks

reHe it is rehhgi htan edecptex )(56 os ncotictoamn iptysaorrre osi.iacds

I suesg fi yuo wdtane ot ratst ithw the srtpryieroa doiissca ouy wuodevl' eantk otni enocidntoaris htta iaorbnaebct h'vedolsu ngoe up ot seecpa.mnot tI 'dtidn so 'tis pdmsc.teanueno tNo sure fi ht'esre a ufaorlm to luleccaat eht rothe ffstu

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makinallkindzofgainz  tndo' rgtfoe to dda eht -+/ 2 to eth dne of rnsWti'e mofa.rlu Yuo aevh a ynti agenr ni hwich 2CO anc llaf hiitwn +2
cbreland  I atrstde tihw sipratyorre idsciosa dan htghtou taht nay csniametpoon ulodw avhe an iacnrseed 3-.COH HOC-3 si rowle ahtn orlmna lvlee,s so tath uwdlo nmea .tem diacioss sa ellw. oN tmha vnoeildv ilek oyu elddaul ot +1



 +2  upvote downvote
submitted by โˆ—impostersyndromel1000(42)
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orF het ilpmes d,inmed if pH dan C2O rae vnimgo ni pospiote dscotnieri ist opreyats.irr erHe, Hp is low nad OC2 si ,ighh so isopreRtrya ois.Acsdi hneT lkdeoo at rcBi,ba dcetoni ti swa obewl ronmla. If rmlnoa wlodu avhe nchose epnumnseodtac tbu inces ti sceaedder I aseumds teicmloab dscsai.oi Olvrl,ea ewidr Q bc tecnyaaph olduw amen pnalevttyernhioi ihchw si sctpeer sslo.alaki tuB ingss of kwae peonsres lsumecs or arripoestry tissreds hicwh lowud be issorepnlbe iodcs.isa Al,so WLO Hp hwit mapsla arbciB bwtenee 338~- snmea Mdexi iisodAcs (FA 9201 pg 508) os cudlo soal ujst kicp eht eon tiwh htob sicsdo.iA

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thatmd  atnkh u!!!oy +



 +1  upvote downvote
submitted by โˆ—armymed88(49)
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A ltilet amht ..epeHrh is owl ;-t-&g ssoadiic p2CO is hhig ;g&--t rpiretsoyar rlamoN onmspteoaicn lhodsu eb rgoyulh a 1 eu)a(ct to crh4()ncoi isreanec in ciabbr pre yerev 01 ieecrnas in .CO.2p tIs lerow ,ehre so caeryll ont mceaopnedts and tanddicie didialnota oprd ni ribtdgc;-& a- dda no mebta odsiaics

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hello  Hm, whta od uoy eman by anr"lmo oea?"mipstocnn rAe uyo lkangti oaubt the bcibra sohudl eb edrse?niac reA ouy sgyain htta a manlro sptocmoaneni udowl eb tamlbieco lasa?lisko oWudl etcoblima lakissloa eb na iceersan in ?abicbr +2
kateinwonderland  oHw do you nkwo chwih neo sah eirggb otincotirnbu in iths niosttiau ehwer tr'hees arsendcie O2C dna eadseerdc CH,O- tobh giiicdtnan ?oiscsd?ia +
yb_26  mlrona yndeik ioocspaetnnm uowld be na cnriesea in icbrba orpibaoernts &;=gt rncaeeisd uesrm r.babci ihsT tp sha olw ersum bbrcai t;&g= nnructcoer ciaemoltb sacdoiis +



 +0  upvote downvote
submitted by nicsar(1)
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c2oP Is h,ihg saoiiscd; rsreioyptaR aico.sisd

fI mnetadseCop elH Ow-ฮ”,lC=3 rEcotEyvy(riht emoas)niotcnp,ฮ”1O/P2C0 2(1~)(=5/2)1~5-06504. &g;tg&;t 14,39=2ฮ”C5HO--= t on dmet,epnacos neev slse 3;CH-O eodCnimb ematcliob oiadicss.

of,r yidnKe ptensmionoc.a sue 4~3 enadist fo ~21 in ocyitrerchyct deoapa mcot.innns thwi stih, the pGa beeenwt lelw ednetpscaom nad het sace enev frehrta.

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