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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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smeaemyph ealsd to OC2 prptgain ilgande to seaincer OCa2p ni hte db,loo whcih egsvi uyo a ptyserroari idossiac rPeorp enral mstnoniceopa lliw enaercsi acdibr aerbs adn sceedear nxoteci-er ggivni you sneicdear arbbic ni teh olbdo

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meningitis  ascrdneeI lbodo OCH3 dclou veha iesayl eneb rdernipttee as ciereadsn doblo Hp slwale. lOFgnoliw ryuo exnaiopa,tln cseni eth tp adh a,icosisd eht diesecran HO3C wlil tjus emak ti a nrlmao p htr eA. n oH way ot tnikh of hte qtsouien :si fi herte is eseaeddcr iloxnateha deu to DPCO --> scdarniee OC2 --> denciears C2O ptsnaodterr in oobdl by entgiren eth C'BsR twih bniaCrco ahsnyAedr nad 3COH is laeerdse itno oldbo tmr.eas oS canredise O2C -> enreidcsa 3HOC gisene sa hits epty fo 2OC oarrtsnpt is 7%0 fo tatlo CO2 ntcteon in .lobod +27
drmohandes  I hutghto you udocl reenv lluyf mtcs,opaene so ruyo Hp illw erven zr.ainerrPmiolm ya oebmrlp = oriarteyspr isscoiad โ†’ pH .owl psnaoyCotmre mebolciat soallsaik lwil cnaserie lbdoo C,O-3H utb ton eghoun ot oaelmzirn Hp, ti iwll tsuj be lss'e' ,wlo ubt llsti na saidcois. +7
mtkilimanjaro  I aols nkith acrdesdee loodb PCO2 dna nsriadece boldo Hp rea evyr ailimsr (elss OC2 in eth loobd nmase elss iidacc, pH uocdl og pu) tehrefero I udler tboh of emth out tsju mofr ttah +1
brise  Aak hits si het rhBo e!feftc +2


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 +2  upvote downvote
submitted by โˆ—waterloo(126)
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if oyu slao kihtn, nweh nesmoeo ahs edrnaseci OC2 sa( ni htis neat)tip yhte evha rrprseyoiat SCDIOAIS .or..higts ecisraedn loodb Hp cotann eb eht tghri wsera.n

o,Als onmsaecptyor imnhamesc for opreryasitr ciiaossd pshnepa in rehte wsy.a

  • CF:E hewer deu to msas aictno ncseeari fo CO2 elsad ot iareencs in H+ and C3-HO utb( isht si ilimamn - klie 3)%
  • CFI: sotm of teh fnbrgefiu haspenp heer wiht CO2 ginog niot the clle.
  • e:yiKdn hnte oevr seo,timem hteer will be osme lrena osacoimetnpn ton( ienotocr)cr where hte dynike ilwl attsr ot lte go of +H dan eoasrbbr enw C3HO to hlpe stajdu Hp oradwts .arlomn
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 +0  upvote downvote
submitted by usmlehulk(7)
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acn naeyno elapes naipelx hyw ptooin E hhwic is aednsrice in ynrraUi Hp si ont het rectocr nars.ew eceausb noherydg itanswg is oals a morf fo tinrccoger rtriapoeyrs sid.soica

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wfma888  t-irgh you lwil eecsinar exiconter fo tpoorsn ihcwh wlli EWOLR het !Hp +2
an1  โ†‘ eruni coterexin of OHC3 ssepe(rtner the nleakali p/H gihehr )pH dan โ†‘ eurni Hp aer hte asem hn.tig ,eYs oyu yam rwdoen own wyh teh โ†‘ doblo HOC3 ntddi' seacu an aolsksila but hta'st buceaes eht RAMYRIP ecefft asw eht ntoienetr of O2C liganed ot acdreeesd bodol pH +
an1  3HCO si aillknae ormcdpea to H is thwa I nemat ot say ^ +


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 +0  upvote downvote
submitted by medjay7(5)
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Teh aesetsi yaw I inthk of to ese ihst s:1 )i uoY are tinreiagn a tlo fo C2)2O Teh rcnipilap yaw in cihhw ew dnfi 2CO in ldobo si sa 3CH3)O ouY heva a tol of HC3O

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