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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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teSicp khsco si a ytep fo ettirdvbiisu ocshk hihcw is dakrem by msviesa aosnidavliot (t/d ynatfilmmrao nsposeer) cusgnia caedsered ,VRS desaceerd ldaproe / PPWC, nda enrasecid CO.

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smc213  Spciet kscho acn lsoa enertsp iwth hoptyharemi 6;tCl&3 +3
bethune  Why si ti ton tlseasntrtaignoi nled?ebgi +4
beanie368  GI ienedlgb dwluo epnerts wtih irasenedc SRV sa a psnosree ot iyohepvmoal +10
mysteriousmantyping  hyW wodlu htsi ont eb unpaylmro lemsmi?ob +1
step1passfail  uyPolnmra bimlmeos wldou sucea a esdareec in acircda p.uutto rheTe si eecrdsani erprseus in eth ghih aomplncit RV hiwhc acn gbleu adn psrecoms the ,LV eaensdricg sti aepodl.r HC=etarO erat x eskotr olmveu and osertk uloemv si patlaylir dmrnteeeid yb peardol. I f hte ylpuonmra limmbose is grlea ugn,ohe ti nac laso tstubcro teh alpomrnuy esvsesl nad usqtbnseeylu ont heav ghnoue oodbl igngo to teh AL adn ,LV mlaluettiy gnmaik eth iadcrac potutu nrae .0 +3
chj7  Otu fo lla teh drtfniefe psety fo oshkc, aiccard putotu si dcseerina nyol in vuditistbrei skcho .e(i ynhcla,aiapct sp)icet. +1


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 +1  upvote downvote
submitted by bfinard1(3)
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naC enoesmo ilpneax ywh acdairc ttpouu is hihg ni picets h?scok

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drdoom  rcaatBie dan aterbcila mcenopostn lk(ie SL)P ni talcnoiriuc ierrgtg eaismsv eeesral fo yikestnco r,-ekntIun(li1e re6tiul-knenI nad aTNF), rusgtlnie advnisoltoai. rateH erta rniesscea to nainmiat etencd BP. +1
bfinard1  Is roktse mvoelu not faedectf yb atth ssimeva oiaosai?vldtn I doluw ithnk if oneusv stemsy is atdivoslaed ehtn 'yudo hvea dderceu DVE omfr drdeecu olobd olfw to rteha +
zedora  tBho fo uoy rea trcreoc. nI stiecp hscko eethr si a ssmeiva vaodnaols.tii nI rreod ot nmcpaeoset for eth rduceed oblod eu,spersr three is an eieacndsr thear .tare ,oNw pkgeein thsi in ,dimn tawh si teh CO amul?orf OC = RH x VS ?giRth tLes asy erund lrnaom idnitocnso HR is 06 &a;pm kotSer vemulo is 5.0 roYu caadric outtpu = 60 x 50 = 000.3 oNw in ipects h,okcs yoru ahert erat si slmvsyai dcnesriea btu uryo kserot lumove is eardecesd inlimayml. oS tles glup ni the nmrubs.e setL ,ays urdne ietpcs kosh,c HR = 150 apm&; reotks oluvme si now .30 The aairdcc uotput si now agnno eb = 150 x 03 = 540,0 nehce uyor OC is eadcnir.se In iSctep ,oSckh hte arhte aret is assemvlyi inecsdear rdpeamco ot hte unatmo fo VS dasrecde.e +
drdoom  fnd1rib@a By aodiiotanv,sl I atlmos xilycsuveel amen rrtiaeal daotosin.aivl nWhe ti ecsom to VC, I syaawl wrko adwkcrab omfr fsit“r ”pclrnieis,p dan in my wevi hte frist lprnipice fo teh VC estysm ,si nitaniMa“ uprsseres ot itnaaimn good f.low” lAl herot cmcotaooanidms of het VC msteys cseg(anh ni nt]tg[eirst,nroopyh totorhcepiy]mr,on[ itrvsisncnocooat adn tsidoo)anavli are ni vscer*e*i to igininnmtaa w.lsof tWtoiuh odog lwfso, ouy egt het ihgtn mahnu stessui lkie eht a:stel not aklc of ogxeyn ubt licomunatauc of CO2 (nad teh iaydcti ahtt soeg hiwt .ti) +
drdoom  So, all htta swa a iendo-ndlwg wya fo yisnga htat aricaCd tupOtu wlil rimaen ighh ehwn hte bdoy is rduocnpgi hned-ishieretd-aghr velels fo 2OC n(whe gsnora dna the imunme esmtys eavh gnoe iont drvvioere to rpnosde to a tetrah ro to desrads cmiaenendtosop ni soem rhote ptra of het e;sst)ym eth tlmenugpmi fo cCriaad ttpOuu rsalhde hte eggnninbi fo teh e.dn It iefisisng thta hte setrsses ibnge eompdis no eth ybod eexdce hte iltbisaepcai of teh mteyss. +


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 +0  upvote downvote
submitted by calvin_and_hobbes(2)
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hyW si eth T mranlo ni iths anpe?tit I ldwuo ehva cddeprtei egrnlnduiy toenifnci — ,ei refev — eberfo eevn "yal"er tiscep kosc.h I edlesetc cpesit sochk lpyure ofr eht tbrticelana lwo RVS desitep dlufsi tbu antw to tarnduedns oemr tabuo teh esanceb fo ..e.evfr khns!aT

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drdoom  lredlyE a(nd mroeodmcmosn,muiip aneelly)rg do tno nuomt rsbuot fever rpsoneses ot rebiatca and ehtor norgrcmi;oimass in ey,dellr ihts lbapbryo sha to do ihwt eldsi”nce“ fo het eiannt imumne etmsys uro(y rgsacpoahm,e ntcdidire ,ecsll syo,metcno ;,cmap.& ustj d'otn nncufoti as well sa teyh edsu ).ot In orthe wo,rds fi uyo 1)( widep uot nsm'ooees mmunei eymsst adn neht )(2 iendctej taebcria niot erith bseaotdom,lr ouy t'dunlwo oebvers ayn revfe er.heti ehT repensec of a lcyt“”aip or)a(nml erefv ni an edllery or pdsmemomomcniurio iatntep nac be a puser cinnecongr nsgi: eyht mhitg eavh a raiggn ofiennitc no eht nei.sdi +
drdoom  rmfo^ teh lite:arc sneAbt“ or tlduebn refev osepesrn in teh reeyld.l Tereh is lpeam cvndeiee hatt a uenldbt freev repesson to a urseios bilratce,a a,rliv ro fgnaul otcnienfi ssteggsu a ooerrp irssnpgoo hnta eods a uortbs veref sreeospn ].31[ In ,toddniia eehtr is a iuattsnaslb dyob of tad,a ymslto fmro anmial oms,edl ttah uehvegohftrr— ist tecsffe on iuemnm autmnnf—yoci eb an tomrtpina shot endfees maicehsnm ][1.4 Rloyhug %0–230% fo ldlerye ensorsp wiht urssieo braaietlc or ailvr nofnciesti liwl eetnspr twhi a udlbnte ro ityelern stenab evrfe pseoenrs ]”5.[,,321 +


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 -2  upvote downvote
submitted by spaceboy98(22)
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Teh ayw i okol at tshi is eth mraue.ettepr

A irhpomchyet tntapie lwil aolsmt sawlay nrstpee hwit tcpsei khcso becesua epcsti hksoc cna enspetr as tbho harermyipeth or mpyeahtirho

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athenathefirst  s'Donet dunso tcauacre. hTis panetit adh a monrla tteeea.rpmru +


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