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Retired NBME 22 Answers

nbme22/Block 2/Question#27 (reveal difficulty score)
A 50-year-old man who has smoked 2 packs of ...
Increased blood HCO3โˆ’ ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +11  upvote downvote
submitted by โˆ—armymed88(49)
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mpeaeshmy ealsd to CO2 tgpnpair anidleg to eaicnres OapC2 in the bldoo, ihchw ivseg yuo a rsiotyaerpr aosicdis rorepP lerna eomiptscnaon lliw asrieecn crdiba earbs dna ecdesrae neoiec-xrt vngiig you cinadseer arbcbi in het dbool

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meningitis  Ieansrced bdolo HO3C oludc aveh ayeils nebe itpeetrrned as csraedeni blodo Hp wae.sll iFollgnOw yoru n,aiptaxnleo icsne teh tp dha aioicd,ss hte descaenri COH3 iwll tjsu ekma ti a olnmra A tHe p.r noh ayw to inhkt fo hte sqneiotu si: fi hrete si ecerdasde lxtihaaone deu to PDCO --> sdcineear CO2 --> csniaered 2CO prsneartodt ni blood by netegrin the CsR'B ithw inCaocrb aAshrynde and COH3 si elresead onit lobod str.eam oS edinsraec CO2 -> aniredsce HOC3 esiegn sa isht etpy fo CO2 orpttsran is 0%7 of tolta C2O toncnet ni l.doob +27
drmohandes  I uhoghtt uoy loduc ervne yfllu sanmcp,eoet os uyro Hp iwll vener rizPyalrn.mioeam r pbeolrm = pritsroeayr ocaisdis โ†’ Hp o.wl Coaynsemtopr bicmaetol ilasoklsa lwli eeiancsr lodbo HC-,3O tub not gneouh to nlimezroa H,p ti illw juts eb l'ses' owl, utb tilsl na soids.aci +7
mtkilimanjaro  I aosl hktni ecedredsa loodb OP2C and sdceeirna oldob pH ear rvey lamiirs (elss 2CO ni eht odlob neasm lsse idcica, pH dclou og p)u etfeorhre I rdleu thbo of mhte tuo stuj mofr tath +1
brise  Aak ihts si eht Broh !efefct +2


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 +2  upvote downvote
submitted by โˆ—waterloo(126)
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fi oyu lsoa inthk, hnwe ooesmen ash creisaden 2OC as( ni tihs tpt)enia hety ahev ortrepisyar SDCIAOSI s.t..ohgri ciandesre obodl Hp naoctn eb eht ghrti .nsaewr

o,Als copnmyeratso ncmehamis ofr yparsirroet iisadcso henapsp in reeth wsa.y

  • CF:E erewh ued to assm nacito cneriaes of 2OC aedls to ncareesi in +H dan CO3H- ut(b siht si naimiml - liek %)3
  • I:CF otsm fo het nurbgefif sehapnp here twih 2OC oiggn inot eth .cell
  • eKdni:y etnh voer memti,seo ereth lilw be eoms lraen sntopoianmce o(tn etoiconrr)c hwere eht deiykn lwil tsatr ot let og of H+ nad eborbrsa wen HOC3 ot hlpe udjsat Hp rwdsota nrao.lm
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 +0  upvote downvote
submitted by usmlehulk(7)
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nca eonyan asplee iexnpal hyw tionpo E hwchi si eicadesrn in aUirnyr Hp is otn het trercco aw.nser eucaebs hgdrenyo ainswgt is sloa a fomr fo rrtccenogi rtriprasoey io.casisd

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wfma888  th-irg ouy wlli esniecar icroneext fo rtpnsoo cihhw will LWEOR het !Hp +2
an1  โ†‘ enuri eeicronxt fo CHO3 ener(psters the eaakilln pH/ rhehgi Hp) dna โ†‘ eniur pH are eht meas nhgt.i sY,e you mya wnroed nwo yhw eth โ†‘ bdolo CO3H d'idtn csaeu na sioasllak ubt t'hast ucaebse the MIYARPR feftce swa het rtenoeitn fo 2OC ianeldg ot edsdearce bdool Hp +
an1  HOC3 is alnileka morecpad to H is ahwt I mtaen to say ^ +


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 +0  upvote downvote
submitted by medjay7(5)
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hTe aiesest yaw I intkh of ot ese iths ) 1s:i uoY are rntgaeini a otl fo 2C O2) eTh cnaplpiri ayw in whhic ew nfdi O2C in odolb si as 3 HO3)C Yuo have a tol fo HCO3

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