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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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iScpte ksohc is a pety fo idbuvtisiert shokc cwhih si drmeka yb aisesmv iaalovndtios (dt/ myfarmlatoin seprn)eso uacgsin csedraeed ,RSV edeearcds edporla / CPP,W nda rdiesance .CO

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smc213  tcSpie oskhc can olsa nteerps wthi myhoteripha t&63C;l +3
bethune  hyW is it ton gsaaintisntletor gle?bnide +4
beanie368  GI eiebdgln duolw nrspete tiwh saenceidr SRV sa a nsserepo ot ivamoephlyo +10
mysteriousmantyping  hWy odlwu tihs not eb mpuylaonr bseimol?m +1
step1passfail  Poyanruml lombesim owdul uaesc a eecrsaed in raccida o.tpuut reTeh is enacseidr srspeeur in the ghih aitcmnopl VR cwhhi cna glube and rpcoemss eht V,L rsecdiange sit aldpre.o HCrtOa=e reat x ertosk veolmu nad seorkt lvmeuo si rtllyaiap dretmenide by da.rpleo f I the mlaryounp msbolmei is ealgr nhouge, it nac laos brtoctsu eth ouyrpnmal selesvs adn esnltquubeys ont hvea uhngeo oblod iggno to eth AL nad V,L leaytiulmt kaimgn teh diracca tuoupt nrea .0 +3
chj7  Otu of lla eht feitfrdne seytp of kc,hos cracdai utoutp is eanicsedr yoln ni terbuvsiitdi khcos (.ie aitcaphl,aycn .)pteisc +1


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 +1  upvote downvote
submitted by bfinard1(3)
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aCn eoosnem pexnali ywh cdaacri ottupu si hhig in siptce k?hocs

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drdoom  aeiBrcta dan riatclbae eomspnncot (elki SL)P in ircnuoiatlc rtrgeig vaimsse ealsree fo cyoesnitk ieelnr-(kn1I,ut ileInue6-tkrn nad aNT,F) lresgiunt ionlo.ditvsaa aretH trea escsnriea ot tminaina ndteec B.P +1
bfinard1  Is oktres mvlueo otn cdaeetff yb htat vaesmsi dvsan?lotiaoi I lduwo itnhk fi usoven tsemys is eadvtilsoda tnhe ouyd' ahve ecuerdd EDV fomr cdeuedr obold flwo ot eatrh +
zedora  thoB of uyo aer c.oretcr In epscti hkosc teerh is a vsamise donsalva.itio In redro ot npemtocase orf the duderce ldobo s,reusrep heetr is an arnsedice ertah ater. o,Nw eigkpne tish ni di,mn htaw si hte CO m?lruaof CO = HR x VS tigh?R tsLe ays endur rlanom cosoniidnt HR si 60 ;am&p etroSk euolvm si 50. uYor cacdair upoutt = 60 x 50 = 0.003 Now ni picset cksho, ruoy tehar aert si msiysval aeidcenrs tub your skrote movleu is ecdseread nmmiil.yal So slte glpu ni eht rebmnsu. Lset asy, uenrd scipte schko, RH = 150 apm;& toerks mvuloe is now 3.0 hTe raciadc uopttu si won ganno be = 150 x 30 = 0,450 nehce oryu OC si ceedrian.s In Sctepi cSho,k eth athre etra si lvsysiema rcdneeisa pecrdaom to eth otuamn of VS ecdaders.e +
drdoom  irfabd1@n By odai,tnsvaiol I oslmat lxveysiulec mean reralait oniailtasdo.v hnWe ti semoc ot C,V I lwaays wrko bawarckd mrfo “irsft lc”pipernis, nad in ym vewi het trsif icenlirpp fo hte VC tysmse ,is at“ainniM ursssrpee ot aimtanin oogd flo”.w llA terho asaccnommtiodo fo eth VC seymst cngseha( ni reynrtoihtto,spng[] ei]oyr[o,crphmtotn iconvsrsttnocioa nad otdnisvliao)a are in cvs*re*ei ot antmiannigi l.wsfo uihttWo odgo s,wflo yuo egt teh nhitg nmuha stuesis ekli het et:las ont lcak of xegnyo tub cmuclnuatoai fo 2CO a(nd het caytdii tath oges ihwt .ti) +
drdoom  o,S all atth saw a egil-dndown yaw fo igsayn hatt Craadic ttpOuu illw nmraei ihhg when het ydbo is nrocpuigd er-ehte-hnaidshgird elvlse of C2O e(nwh aonrgs dna eht nmimeu ssymet avhe engo noti deiverorv to esdronp ot a aehttr or ot aesdrds cnmdsiotneoeap ni meos treho rtpa of eht m;ye)sst eht meltpngumi fo irCadac tptuuO hsedarl eht iegingbnn fo eth end. tI ssgeiinfi atht het tesersss ibnge msodpie on the yodb eeecdx het lcbaisipatei of eht ts.meys +


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 +0  upvote downvote
submitted by calvin_and_hobbes(2)
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yWh is eht T nmraol ni shit pt?enait I ulodw hvea iceptdder lnneryugdi iitfnocne — ie, efver — eberof eenv "ayler" ectips ckhs.o I steedecl tscepi kchos pryule orf hte blitcanaret owl RSV detepsi dflisu ubt wnat to snneudartd emro aobut eth asceebn of .ervfe.. Tans!hk

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drdoom  elrElyd a(dn cr,mipmoiusomemnod el)ganylre do ton onmtu bortsu ferve esseonsrp ot rciaabte and hetro acogsmsr;oirimn in dy,eerll itsh bapoyblr hsa ot od htiw esnc”i“led fo teh tnenai ienumm estsym r(oyu hacserm,apgo rtiidncde llesc, my,oosetcn a;&mp,c. juts dnt'o nouncfit as wlle sa eyht ueds o)t. nI rohte osrd,w fi uyo 1() diwep out oeossm'ne mniume smtsey nad neth ()2 nedcteij tcreaiab toin itrhe olemdas,brto oyu duwtnol' rsveoeb yan feerv .ieethr hTe esrcneep fo a ”tia“cply nmaol)(r fveer in an yelldre ro muieorocinsmpmdom atpiten can be a peusr cinrnecong sni:g they mthgi ehav a rggina cnofeniit no eth edin.is +
drdoom  o^mrf het tierl:ac “btseAn or tnbleud verfe sprnoese ni teh ryelel.d heerT is plaem nvdeciee htta a neltubd eefvr norsseep to a issorue ra,teibcal lva,ri ro gnalfu noeicnfti tuegssgs a orrpeo iosrgsonp ntha deso a ortsub revfe osesnpre .]31[ In naii,otdd teher si a tnlsiauasbt dboy fo atad, mstoyl mfor mlnaia eosl,md taht hr—hretugfove ist seftcfe on ummien atiunmcyn—fo be na tnpriotma ohst seedefn miesmhcan 41][. oyghulR 0%3%–20 fo elledry ssonrpe tihw useorsi ecalibrta or lvira stonficine lwil tnseerp ithw a btdneul or yierltne satnbe efrev sorpense 35.”[21],, +


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 -2  upvote downvote
submitted by spaceboy98(22)
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Teh way i look at tish is eht .arermeetptu

A yhrchtpomie tapeitn wlli tasmlo aysalw eptrsne thwi setipc khcso aeecbsu itcpes scokh can etrpens as obth arheeyrpmith ro haeipyhmotr

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athenathefirst  tsDnoe' udnso acurtac.e Tshi tanpeti adh a armoln pta.eerrmtue +


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