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Retired NBME 20 Answers

nbme20/Block 3/Question#29 (reveal difficulty score)
An 83-year-old man is brought to the ...
Early septic shock 🔍 / 📺 / 🌳 / 📖
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 +7  upvote downvote
submitted by hayayah(1212)
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etiSpc shcok si a ptye of utvbtiesrdii hoksc ihchw si mardek yb eaimvss vtaoosalniid t/d( oitanfmaymrl ns)sopeer saincgu ecrdaesde ,RVS seadercde apldero / PW,CP and eeaindcrs C.O

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smc213  itSepc shokc nca salo psreten wtih mhhaotireyp &t3;Cl6 +3
bethune  Wyh is ti ont rntistasgoaenlit lngeeid?b +4
beanie368  GI nebleidg duwlo eerstnp hiwt eedcnisar VSR sa a nopreses to hlaeypiomov +10
mysteriousmantyping  Why uldwo tihs ont eb muanlroyp ?beilmoms +1
step1passfail  ymlaunPor mieolmsb lduwo auces a csreadee ni cicrada uu.topt eherT is reiandces esrsuepr in eht ihgh ticmanlpo VR hiwhc anc eugbl adn rcsmesop eth ,VL iasgndrece sit ra.loped He=CrOat reta x teksor lomvue dan srotek emlouv si iaprayllt eeerniddtm yb poaer.ld If the uralonpmy emmsblio is ergla goh,nue it cna soal rotuctbs eth onprmlyua levssse adn qubutleysnes not hvae hougne dbloo igong ot eth AL and LV, itltlaemyu gamnki teh icdarca uptuto naer 0. +3
chj7  tuO fo lal het dffiteenr typse of ksho,c ccidaar pututo si edrcsinea lony ni rsiibuteivdt shokc .(ie cynhlaat,iacp )i.epsct +1


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 +1  upvote downvote
submitted by bfinard1(3)
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Can nesmooe alxnpie why cdcaira utupto si hgih in teicsp coh?ks

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drdoom  Brcaitea and atalbierc tnpseoocnm eki(l SPL) ni utniclrcaoi tggrrei siesmva eeresal fo tekoicsyn e,luekItn(1ri-n runnk6-Ieelit dna aNF,T) ilnguster idn.viosolata atreH rtea aseinrces to imaainnt endect P.B +1
bfinard1  sI etrsok evloum ont tecffade by hatt smeasiv a?aoiintodslv I wlodu hiknt fi ouevns sytesm is oltiddeaavs thne uy'od evha cueeddr EDV fmor erdcedu loobd lowf to tehar +
zedora  Btho fo you rea orrct.ec In ectpsi cskho rteeh si a smiaevs doi.iatlvason In eodrr ot mpeocetsan orf the ruedcde olodb usrespr,e rteeh is na irecnaesd harte .eart Nwo, keinpeg shti in mdn,i hwat si het OC lf?morau CO = RH x VS Right? teLs ysa derun raomln ootdsicinn RH is 60 a;mp& otkeSr omvleu is .50 uroY adcrcai ututpo = 60 x 05 = 0030. owN in etcspi cshk,o ryou hreat arte si liymsavs snaerdcei ubt yrou ktsore vlueom si eerecsdda iam.nllymi So ltse gpul ni eth bnms.reu tesL ays, rdune stpcie hcsok, RH = 510 ;am&p trseok vmeoul si won .30 heT araidcc tuptuo si wno nogan eb = 501 x 03 = 50,40 ehenc rouy CO si neeis.rdca In Spetic kcSoh, het arteh atre is simlsyvae escdianre omardpce ot the otaunm fo VS deaderec.s +
drdoom  bia@1fdrn By lasi,tidaovno I omastl eelylusxvci aemn rilratea sioat.oilnavd ehWn ti smeco to ,VC I awlsay work acbarkwd omrf “stfir eli,c”pnsrip nda in my ievw teh rtifs rpipcelni fo het CV tsesym ,si itani“Man esessurrp ot anmaitni odgo ”wlf.o lAl trheo ocnsoimdataomc of hte VC smtyes hgea(csn in to]iptgst[reh,noynr corptmn]eoyrthoi[, ctssconnovariito nda )isvaadnlioot are ni vs*eire*c ot ginmaaitinn l.osfw Wtiouth dgoo osfw,l uyo etg the ghtin hmnau tssusie ikel eht ltas:e nto akcl of gonyxe tub cmntuclaouia of 2OC (adn eht ctiadiy atth sgoe itwh .)ti +
drdoom  ,oS lla ttah wsa a nilgnodw-ed ywa of aingys that airaCdc uuptOt ilwl ranime ihhg hewn hte doyb si nopcdrgiu h-derhhdesirgeati-n vslele fo O2C e(hnw onrsag nda het uimnme sytmes eahv goen iton vvrrodeie to rpeosnd to a httare or ot arddess dpestoioenancm in mose horet rtpa fo eth mt;e)yss het ilmpunegtm of ricdCaa uOttpu rhsedal teh eignignnb of hte .den It insesfgii ttah eht ssrstsee ngebi mdoipse on het yodb cexdee eth batcpeilsiai fo teh msseyt. +


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 +0  upvote downvote
submitted by calvin_and_hobbes(2)
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yhW si teh T lanrmo in iths nta?ptie I owuld vhae teprdiecd endryniglu oninfitec — ei, refev — eerbfo vnee ely""ar picste so.hkc I selecedt tpicse okchs pulrye orf the bnettaacilr low SRV tedseip fdsliu tbu antw to drndtuenas more tbauo eth nsebeac of ..fev.er ha!Tsnk

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drdoom  lryedEl adn( dpo,ueosoinmricmmm anr)lelyge do ton outmn strbou fevre soeepssrn ot ibecatar nad otrhe mngisocrirmo;sa ni lr,yelde hsit oyplrbba sha to do wthi de“s”incle of het natien menmiu smyste ouy(r rohcpgaame,s deindicrt ,elscl tny,coemso a.m;&pc, jstu dnto' uicfonnt sa well sa thye usde to.) nI reoth wsrod, if uyo 1() wepdi tou oemess'no iunemm ysmest and ehnt (2) jntedice ratcieab ntoi tihre ,rsoolmeatbd ouy dwno'ltu orbeves nay vreef e.itrhe The erepsnce fo a p“y”ltcai mrnla)(o veref ni na yelrlde or odcpsimurioeonmmm tetipna can be a erups cnorcienng :nisg teyh himtg ehva a agrgni onetifnic on eht ides.in +
drdoom  ^from eth t:raeicl Ats“nbe or lbundet frvee ospnsere ni hte e.rlyeld Teerh is alepm edviceen hatt a dlubetn erfve osrsepen to a sierosu iaactrel,b vri,la ro alugfn ticnnfeoi tsgegssu a oroerp grnpiosso thna dseo a ortsub vrefe ernespso 1.][3 In ntaddii,o ehter si a ttbnslsuiaa oydb fo atda, toylms omfr malain ,doemls ttah foreevhtrug—h tis ecestff no mniemu otauf—icmnny eb an omptnitra oths sdeefne eimmnachs 4.[]1 yhulRog 0–3%2%0 of lreydle snrosep tihw orsueis ltacbraie or rvali cnofntsiie wlil rspetne tiwh a dutnbel or iyertlne besatn veefr nersopes ”25[.,,3]1 +


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 -2  upvote downvote
submitted by spaceboy98(22)
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ehT ayw i oklo at htsi is eth urepatemetr.

A heythcirmpo tntiaep ilwl toasml sayawl resptne htiw setpci oskch ecauebs eistcp oskch nac prseten sa hbot aehierytmrph ro ehmhritayop

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athenathefirst  'tenDos ndous .rcacaeut sThi ipnetta adh a lnrmao tprteaer.uem +


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