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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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aseymhmpe dalse to OC2 rtpngpai geanlid to seciaenr pC2aO ni the oo,ldb hhcwi svgei ouy a srityaeprro dsosiaic rpPr eo nlare oepacosinmnt ilwl nrieacse irdacb sareb and cseadere eori-xntec gvinig uyo reancsedi baircb ni teh oobdl

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meningitis  Iseacdrne olodb 3OHC dulco haev lesayi eneb endtirrtpee sa dcnaserei doblo pH elaw.sl ogFllnwiO royu iaelt,xponna icesn hte tp ahd ,oiscidsa het eeicrnads CHO3 lliw tjsu mkae ti a rlmnao rA. t pnHeoh wya ot ihknt of teh uietnqso is: fi etehr si reseadced aelnohiaxt eud ot PDCO >-- ncereidsa O2C --> dseairnec C2O ntesparrodt in doolb yb ngiernte eht s'BCR iwth aiCrocbn yhrenAdsa dan 3OCH is eedrseal tion oolbd artm.es So ascnrdeie 2CO -> cinesedra COH3 gsneie as htsi ptye fo 2CO trtsoaprn si 70% of toatl O2C tocetnn in obdl.o +27
drmohandes  I oguhtth ouy uocld reven lulfy apmto,ecnes so oyru Hp lliw ernve ryr. zlimiPeanorma blrpome = ysaorripret odaisics โ†’ pH owl. syoanormCept mobcietla kioallass wlli crnseeai lobod O,3-CH btu not uhengo ot amilzeonr Hp, ti lilw sutj be 'lses' ,wol btu lilts na idsao.ics +7
mtkilimanjaro  I lsao kitnh aeedcrsde lobod C2PO adn aneisdecr lodob pH rae ryve marilsi slse( 2CO in teh obldo amsen essl ca,dcii Hp odcul go p)u oehrtrfee I uredl both of hemt uto tujs rmfo atht +1
brise  akA htsi si eth orhB cfeetf! +2


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 +2  upvote downvote
submitted by โˆ—waterloo(126)
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fi yuo olas ih,ntk enhw noemsoe sha csiardene C2O s(a ni sith ptani)te heyt avhe rripyraoets DOISCSIA g.orst.ih. ecnsiedra lodbo Hp otnnac be eth hgrti wer.ans

o,slA yemncprsaoot mancsemih rof rsortreaypi saoicsdi pesnahp ni ethre a.ysw

  • E:CF hwree ude to mssa contia inceears of O2C sldea to caeesrni ni H+ dan C-HO3 t(bu sthi si minalmi - ikle 3)%
  • :IFC stom of eth euiffgbrn apnphes ereh twhi 2CO oging tnio eht lcl.e
  • edinK:y hnte reov oietes,mm rteeh wlli be semo ralen npoaitmensco n(ot o)eonrrccti rwhee teh kindye illw rtsat ot tle go of H+ and rrebosab nwe 3HCO ot pehl ustadj pH drwatso no.malr
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 +0  upvote downvote
submitted by usmlehulk(7)
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cna enaoyn espela alipexn ywh inoopt E hciwh si ecsdreani in aUriryn Hp is not hte cetrroc eas.nrw bsucaee doghyrne tanswig is laos a form of rorticceng srtaeriopry ia.dcisos

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wfma888  -gitrh yuo lliw esrcneai rcxntoeei of ooptnrs which liwl LWORE eth H!p +2
an1  โ†‘ enriu nreoecitx of HOC3 r(etnpesrse eht naklalei p/H ieghhr H)p nad โ†‘ unire Hp era het eams nigth. ,Yes ouy mya orewdn own hyw teh โ†‘ dbool 3HCO n'tdid scuae an kloasalsi utb 'tasht esauecb eht RMYARIP feecft aws hte iettnnoer of OC2 indeagl to erecadeds odolb pH +
an1  HOC3 si aankleil rcaeopdm to H si twha I menat to sya ^ +


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 +0  upvote downvote
submitted by medjay7(5)
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ehT tisasee ywa I ktnhi of to ees ihst 1 ):is uoY are gtieirann a lot fo 2CO) 2 eTh lacinirpp ayw ni hcwhi ew dnif OC2 ni boold si as )3H OC3 Yuo avhe a lto of H3OC

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