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NBME 15 Answers

nbme15/Block 1/Question#10 (reveal difficulty score)
Which of the following best explains why ...
Deoxyhemoglobin is a better buffer of hydrogen ions than oxyhemoglobin ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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submitted by โˆ—cassdawg(1780)
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enxgobDimoyohle ahs a hirgeh Kap tnha ienyamhoglbxo dna thus ilwl atcpce yhndgreo snio meor daeilry. Tshi is atormtpni ni het iyblita to "rayc"r C2O as hte anmi snaiecmmh fo O2C rrpttnosa is alaulyct ecnsovoirn fo O2C to 3C-OH (2OC + 2HO gt;&- OC-3H + H+), hsut noolmaxedyihbeg seraicr eth H+ leihw -CH3O si ronedattrps in teh amlspa to hte .nuslg lanabnabCmioomegihr is ulacylat lyno uobta 2%0 of het OC2 norpsatrt dna CO2 vdloseisd sa O2C is 10%; oarpsntrt as 3OHC- is ondura 0%7 of teh OC2 ratos.nrtp

reHe si nhorate mgiea fo eth epossrc.

toenhAr nmoattpir tsepca of eth socpser to eakt enot of ttha htey ielk ot sak otuba si het hircdoel .stfhi elCdhiro sevmo eht esopitop oicrteidn sa -CH3O in eht RB.C uTsh ta sutssei eerwh we rea gignnetear -C3OH mrfo 2CO and edne ot mupp it uot of the ecl,l lirohced semov toin the ct.Alle the laelivo eehwr we need to pmup 3HO-C cakb ntio teh CBR ot ntru it into O2,C rceolihd seomv otu fo eth lel.c

terOh naswser:

  • P3B,G2 ilwl bndi dan eslibzatis mdxaeonibelgyho ikagnm ti lses cdatatrte ot gxen,yo sinifght eht lgoabihnem otisdsaiosni evruc gtrhi.
  • binghaeDyxoolme sha a hihegr atayipcc ot fmor lcmnoihiageromabban
  • obliDhameeoxygn ash a ehrgih KpA ahtn eobxyoghlinam (ihts si why ti can accetp hryodgne snoi oemr dylai)re
  • oitmniotCep fro inbgind stei is nto a ramjo imsceanmh fro eth alitybi ot yrcar CO2 sa mots O2C is r"iarde"c by rseiocvnno ot OCH-3
  • iriNtc oxedi ngdbiin si nto a snimehmca of C2O .ryrca
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i_hate_it_here  -&;lt- +5
pakimd  hdgcws saakt@an uyo orf ixanlpinge so lewl agnol wiht pinxlgnaie lla het eswnra tin.opso +2



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