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Retired NBME 22 Answers

nbme22/Block 2/Question#27 (reveal difficulty score)
A 50-year-old man who has smoked 2 packs of ...
Increased blood HCO3โˆ’ ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +11  upvote downvote
submitted by โˆ—armymed88(49)
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pseymeamh dseal ot O2C tpangpir danegli ot ircseena 2pOaC ni the odbol, whhci sigve you a rrrpasiytoe iscisoda rr oePp rlena conaimotsenp liwl eicsaren icarbd easbr and eredesac oicxerent- vnggii you dcinaesre bacrib in eth dolob

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meningitis  senIercda ldboo 3CHO dlocu evha ielasy nebe pinteredtre as saidcneer dobol pH .aelwls lwnOFoigl ruoy xienoplatn,a ceins the pt dah cids,soia het raeedsinc 3HOC llwi ujst amek ti a olanrm rop .htHnAe wya ot thnki fo hte ntqousei s:i fi reeth is adeseedcr telnhaiaox deu to DOCP >-- dneiecsar 2CO ->- dasrcenei O2C dotptsrnrea ni ldboo yb egnreint teh CBsR' hiwt cibaroCn dresyhanA dan 3COH si eleedsar itno bolod .sraetm So nsdrieaec 2OC -> edscriaen C3OH iensge sa siht ytep of 2OC onrstptra is 70% of altto C2O ntteocn in .bdool +27
drmohandes  I ohtuhgt ouy ulcdo nveer ulfyl psoetmecan, so oruy Hp illw eevrn rerPylizmnaa i.rmo roblpem = tiaysoerprr siicdaso โ†’ Hp low. maoporCynest bitcaomel sllkaiosa ilwl siencrea oobdl ,OH3C- btu ont hnugoe to leazimnor Hp, it illw juts eb 'ls'es lw,o utb tslil an dsasii.oc +7
mtkilimanjaro  I soal kithn scdadeeer lbdoo O2PC nda ndescarei lobdo Hp era rvey sraiiml (slse CO2 ni the dolob menas elss cacdii, Hp cuodl go up) feretoreh I druel obth fo emht tuo ujts omrf tath +1
brise  aAk iths is the roBh e!eftfc +2



 +2  upvote downvote
submitted by โˆ—waterloo(126)
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if yuo sola kniht, nweh soenmoe sah sneiedacr OC2 s(a ni tsih nt)epait tehy vhae aespiortyrr DIIASCSO i.hgo.t.rs seiecnrad lbood Hp tncaon be eht rtihg sewr.na

,oAls toecsmnopray isamnmhce ofr yrptorsiear ssciioda pnpseha in trhee wa.ys

  • FE:C wereh edu ot ssam onacit eaisencr fo O2C dseal to nresieac ni H+ and -3OHC utb( hsti is nmilaim - kile %3)
  • :CIF mots fo eth efrinfgub hsaeppn here htwi 2OC gigon otin hte l.cel
  • :eidnKy neht voer sm,iomete teehr lilw be mose narle ospincmtnoea n(to einc)ctorro hewre het dnyeik lwil satrt to etl og fo H+ nda rberosba wne HCO3 ot leph tdjuas Hp strdowa ranmol.
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 +0  upvote downvote
submitted by usmlehulk(7)
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can nneyao speael ixlepna hwy ooptni E ciwhh is neaedcris in rUaniyr pH is not het cotrecr warsn.e sbaueec ygdrehno gitwsna si lsao a frmo fo ierccntrog earopytrsir siis.doac

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wfma888  irtg-h uyo will erincsea cenxotrei of nsptoro ciwhh iwll ERLWO eht !Hp +2
an1  โ†‘ ernui eeroxicnt fo O3CH snert(rseep hte aklnliea pH/ herihg pH) adn โ†‘ eunri Hp rea het seam gtnih. ,esY yuo aym odenrw onw hyw hte โ†‘ lbodo OCH3 didtn' ceasu an alasloksi tub st'aht eecsuab het PIRAYMR cfefte asw the tnetnreio of OC2 eildnga ot daderscee lodob pH +
an1  OH3C is nalekail ecdarpmo ot H is hatw I aetnm ot yas ^ +



 +0  upvote downvote
submitted by medjay7(5)
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hTe seeatsi ywa I ntkih fo to ese htis )s 1:i ouY ear niarntgei a tlo fo 2OC )2 hTe plinaripc wya in hicwh we infd CO2 in doolb si as 3O HC)3 ouY ehav a otl of HCO3

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