NBME 22 Increased blood HCO3− (NBME Answers)

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NBME 22 Answers

nbme22/Block 2/Question#27 (reveal difficulty score)
A 50-year-old man who has smoked 2 packs of ...
Increased blood HCO3− 🔍 / 📺 / 🌳 / 📖
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submitted by ∗armymed88(49)

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meypasemh adlse to CO2 gatrpipn edglian to rencseia pO2aC in teh ob,dlo icwhh gisev oyu a oiaeyrsrptr ssdoaiic rop Per enlar ptciaeosonmn iwll airscnee acrbdi earsb dna eresaedc oxnr-itcee vginig oyu isdncaere rcbabi in teh dbolo

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meningitis denrcesaI lodob OC3H ulodc aevh siayel neeb eperndrtite as arniedsce odblo pH .swllae gllFnioOw oruy l,eanaitnpxo eiscn eht tp hda oissciad, hte deaiscnre OC3H wlli jtsu ekam it a amlorn pA n r ote.H h way ot hitnk of het oinsqeut :is if eethr is edecrsead xtilnhoaae eud to PODC >-- erecindas O2C >-- erideacsn 2OC rpdtntasreo ni oolbd yb neenirgt teh BCsR' with nbiracCo aeAhyrnsd dna 3COH si eereslda tion bodlo .matesr So dnrcisaee CO2 >- icaerndse 3COH ensegi sa tihs yetp fo O2C nptrorats si 70% fo tltao C2O eotctnn in dolob. +27

drmohandes I tthhogu oyu duocl rneev llfyu esn,apcmote so oyru pH lwil enrve n.rmmiielay aorrPz peomlbr = esrotyrpair sioacdis → Hp wol. otrCsmeapnyo teomliacb oasallkis lliw ereiasnc bodol H3-CO, tub ton hgoenu to iznlroeam Hp, it wlil just be 'ss'le o,lw but tsill na odis.scia +7

mtkilimanjaro I aols iknht cersdaeed olbod CPO2 nad eecisnrad bdolo Hp ear yver iimslar ls(es CO2 in eht odblo amnse less diicc,a Hp uolcd go u)p ethoeerrf I eurdl obht of mthe uto sjut mofr thta +1

brise akA isth si eht ohrB f!tefce +2

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submitted by ∗waterloo(126)

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if uyo alos tn,hik ehnw snomeoe has radnesice 2OC as( in isth pt)naite tyeh haev rysapeotrir SDIAOISC h..roigs.t eedcsiarn dloob Hp aocntn be the itgrh asen.wr

l,osA tyesprmanooc nsceahmmi ofr yrrrisaeotp cidsosai nphespa in reeht ywas.

C:EF wrehe edu to sams tcoian rieanecs fo 2OC lasde ot ariesecn in +H and -OH3C btu( stih is mliinam - kile 3%)
IF:C omst fo eht rgenibffu hnppsea rhee thwi OC2 nigog toni eht l.cle
Kei:ndy tnhe eorv teeo,mmis teher liwl be seom larne aitoosnnmpec nto( ooictcerrn) ewrhe hte niyked liwl artst to tel og fo +H nda abreobsr wen O3CH to ehlp adutsj pH dwtoasr .alrnom

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submitted by usmlehulk(7)

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can nynaoe eelsap lnxpaei yhw tpooin E hhwic is icrsenaed ni Uriaynr pH si nto eht rrcoect rne.swa esecbua grohedyn tgasniw si aosl a frmo fo ocrtgcrein rsrpeirtayo sidacis.o

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wfma888 g-htir yuo lwli nsaereic ierentocx fo tprnoso hwhci lwli WRLOE het H!p +2

an1 ↑ reuin oirxtncee of 3HCO s(rpteesenr the nealkial pH/ irgheh pH) adn ↑ ineru Hp era the emas .tighn ,seY uoy amy dwnroe won hwy hte ↑ oobdl 3OHC 'ntddi secau na lasoiksal utb hatts' aubseec eth IARYRPM feecft swa eth ineettron fo 2OC daigenl ot eeeddscar oldbo pH +

an1 OCH3 si kiaeanll mcrepdao to H is hwat I enatm to yas ^ +

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submitted by medjay7(5)

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hTe estisae awy I htkin of ot see ihts 1si:) ouY ear ianngiret a lto of )O2 C2 heT ciipnaplr way in hcwhi ew fnid C2O in bodol is sa OC3H)3 uoY avhe a lot fo COH3

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