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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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ciSpet hscko si a etyp of ttuvesiriibd hskoc hiwch si drmkea by asmisev avdsaiionlot t(/d oanmlftrymai er)oessnp niascug eersddeca RV,S erseddaec ldeaorp / WP,CP and niecrased C.O

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smc213  ctSpei kochs acn asol ntesrep thwi hremyotaihp &3t;C6l +3
bethune  yhW is ti tno tnlgtienoassitra dieebgl?n +4
beanie368  GI idnlegbe dowlu peesrtn wthi diceaensr RVS sa a epsresno ot piaylehmovo +10
mysteriousmantyping  hWy lowdu stih ton eb mlourypan bi?loemsm +1
step1passfail  yuronaPlm ioslmmbe wlodu escau a asedeerc in cdcarai u.putto erThe is risdecnea rpersesu in the hghi oilancmpt VR ihhwc can elbug nad osepmsrc hte ,VL idegecsanr ist ora.dple =rOaCHet aret x oretsk ulvmeo and teorsk mleovu is irypaatll ndretmidee yb lop.raed fI the paymnrulo omibemsl si eargl ehog,nu ti acn aslo csurtotb eht aumplyorn slsseev dan neesblutqyus ton ahev nhgeou olodb gnigo to eht LA nad L,V lutlytiame inmkag het icrcada ptouut naer 0. +3
chj7  utO of lal het fenterifd syept fo sho,kc icdcraa pouutt si nraicsdee lnoy in esrtviidtiub scohk ei.( pailyaccnah,t p.tic)es +1


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 +1  upvote downvote
submitted by bfinard1(3)
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nCa eoenoms nelapix ywh cairdca upottu is hihg in siecpt ?sochk

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drdoom  itcraBae dna elcitaarb ntmsnocepo (ilke )PSL in cirotlaucin irgtreg vassmie rsaelee of cnoisykte 1utkilenIe-(nr, nniuk-re6Ilte dan )aT,FN rlesgtuni dsiataonloi.v Hetra rate ssaecinre ot miaantni dntcee .BP +1
bfinard1  sI ersokt eluomv ont tfceaefd by tath vmassei ni?liotvsaaod I woudl inthk fi svenou ymsest is oetdaidslva hent 'doyu vaeh ercedud EVD rfmo eurcedd odblo ofwl ot rheat +
zedora  oBth fo ouy aer rrct.oce nI esicpt hokcs tereh is a ievssam naii.dvlosoat nI rredo to pseentmaco for het cdudere dolob pe,resrus ehret si an dsreicnea rehat raet. ,wNo kpiegne shit ni ,dmin atwh is het OC ?aouflmr CO = HR x VS ?hitgR sLet ysa dnure onalrm csodininot RH si 06 ;& Seorkt ulmoev si 0.5 urYo ridcaac ttupou = 06 x 50 = 0.003 oNw in tecpis sco,hk oryu ehtar erat is symsvila eercsnadi utb uyro srteko leovum is eceerddsa niialylmm. oS tels lpug ni het .ebnrusm seLt as,y rednu pticse sk,och HR = 150 pma;& sktoer eolvum si nwo 0.3 Teh rdaiacc ouutpt si nwo agnno eb = 501 x 03 = 5,040 eehnc uyro CO is cen.esrida nI eticSp ,okchS hte haetr erat si sivslamye drnaciees mopceadr ot eth muatno of SV casedrd.ee +
drdoom  rnbdaf@1i By vsnldiaaoit,o I lmaots vclexiluyes enma latiraer d.osoiaiatvnl Wenh it ceosm ot V,C I awylsa wkor daakcrbw ofmr ts“fri pps”riielnc, and ni ym wiev hte tsfir piinlrecp fo teh CV smytes ,is antM“iain ueesrpsrs to aaiitmnn godo lowf.” lAl etroh dacooaimotcsmn fo the VC msstey c(eahsgn ni ht,]ryro[setnogptin iorrtomep[ocynt,]h csvioantoroticsn dan liaaido)otnvs ear ni eiv**recs to ianinimtnga lsow.f outthiW godo w,ofls uyo etg the gnthi manuh stuiess lkei eth aesl:t not lcak of ngexyo tbu ctucuaoimnla of CO2 na(d eth tidayci hatt seog wiht ).ti +
drdoom  S,o lal htta wsa a go-neddnliw ywa fo ingays ttah aaicdCr tutupO llwi mnarei hhig ewhn eht doyb is udpocrnig idensd-herrg-itheah ellsve fo CO2 (hnwe sarong and het mmunie msytes eahv ngoe noti oedevvrri to nrodpse ot a tehrat ro to rsdeasd ipeanndcmsoeot ni osme hoter ratp fo eth tsemy;)s hte gmlpituenm of aadirCc ttpuOu resadhl het gbnngniie fo eth dne. tI fsgieniis htta teh serstess inbge dsomiep no the boyd dcxeee teh ieibpcalaits of eth emts.sy +


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 +0  upvote downvote
submitted by calvin_and_hobbes(2)
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hWy is eth T moarnl ni hits i?teatnp I uwold aveh repdedict uidyrenngl niecinfot — ie, feevr — feeobr neev ae"y"rl ecitsp oskch. I teecleds piesct okhcs ulyper orf eht irltbnateac olw VSR seedtip sdufli btu natw ot redasundtn mero oatub eth aescneb fo eef.r.v. as!hTkn

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drdoom  yEdller (nad odcr,eoiinmsmmopum nrgyaele)l od ton mnotu brsout efevr sopsesnre to taecbair dna hotre gars;irmimoscno in yllr,dee isht ablbyopr ahs ot od whit ”nideesl“c fo eht inenta nmeumi stmesy o(yru argsh,amepco ieidcntrd s,lelc eco,ysmtno &pma;.c, ustj tn'do fcntioun sa wlel sa eyht seud t)o. In orteh wr,sdo if uoy )1( eiwpd uot eosmosn'e iuemnm ymtses dna neht (2) jedtneic teaaicbr into thire ,mabtsdoroel you dw'olntu evoesrb nay everf eetih.r The ecerpesn of a apilyct”“ aml(no)r revef ni an delreyl ro dcnmpmirooesuimom eitantp cna eb a psrue cinroecnng n:gis teyh mhigt veah a naigrg itncifone on eth si.edni +
drdoom  ^fmor het reilt:ca eAtnbs“ or tlduenb evefr ernossep in eht eyle.drl ehTre si lmpea inevecde ahtt a dntubel eefrv pserneos ot a rsieuso eb,iltraca aivlr, ro lfunag ocifniten gssegtsu a eporor nsgposrio anht oeds a trubso eevrf epesonrs .[1]3 In iodati,dn etrhe is a saltunabits body fo aatd, sytlom rmof mlinaa omlsde, taht goetu—rhverhf tis fetfsec no unimem ucnm—noafyti eb an mtatoinpr ohts nseedef eicmmnhsa .]41[ Rughloy %3020%– of lyderel porsnes ithw rousise abcertail ro avilr ecnisftnio llwi senpter hiwt a unletdb ro iytrelen neatsb eervf erpnsose ,531”.],[2 +


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 -2  upvote downvote
submitted by spaceboy98(22)
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The ywa i okol ta stih si the merteutar.pe

A itmhoyrchep tipneta lwil omtals awalsy snptree ithw scipet oskch saeuceb tsicep kohsc anc epernts as tboh pieryarehtmh ro yahhmipreot

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athenathefirst  tD'neos nudos .utcacrae Thsi ptienta dha a namlro rteupma.eret +


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