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Retired NBME 20 Answers

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submitted by hayayah(1212)
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nI redro fro a udrg to be edalecr yb eth ie,dnyk ti sumt tisrf eb ldrfteei ni het loe.mlurgi uDgsr ihwt a ihgh DV veha oemr fo teh ugrd in het stusei taht rea nto aiveblala to etlerdfi yb eth yndk.ie sgrDu hitw gihh peitnro igbindn 'tnwo be iedlfert .ehrtie So uyo anwt a udgr wtih wlo dV dna owl idginbn fi ouy atwn it aleecrd iav hte ydniesk dna ruein.

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zevvyt  utB a low VD rporendscos ot gihh samlPa Bginind AnetnrFoioCtanc( ,233 .9)021 hsTat' my iamn infunosco htiw iths t.isoeuqn +3
kevin  If sit' ihgh mplsaa dgn,inib tenh is't low dV. tBu, wol VD nds'ote seielnaycsr ireuqre ghih alapms dni.bgni oLw Vd can mysilp eb edu to ti bgine a gerla rpaol clloeume +3
topgunber  oS you het unifocson si that DV fo 1 means ti sytas in teh caurc/iintlo avnacisrulatr ermmnta.copt shiT would emka oyu itkhn taht it uldwo dnbi hlyghi to rnpoeti ni abeucse of eht low VD. utB mi agnuissm if it obdnu sneoirtp it lduwo ton eb cldreae by eht kdes,yin os if this dha a low DV cna( be eaedclr at uogus)rmlel nad if ti obdun malaps tsrieopn eklywa llas(wo eht eindyk ot itlfre eth tsscauenb) ethn it can be triefdel onti teh lbatruu uenlm. wNo het p.ka sBeas wehn opdnetroat p(h nuedr tirhe a)pk cembeo gceh,rad lwihe dscai at hp erdnu rheti kap gte ettaprdnoo rea RENAGD,CUH genaimn in icaidc inure diasc ecebom roem lipoipclilh dna anc ffseudi tuo of teh tabrulu nu.lme fI ew dame teh uenri mero icsb,a etnh we wtan ot oetdeotpnar teh aicd (ph iheghr nhat p)ak os ti lwil eiranm sctuk in hte utarlub menlu as na on.i +


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submitted by charcot_bouchard(574)
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apK si Hp at hchiw yan gudr is at tsi %50 ndeozii atest.

owN we rae lak inure e.i cin H.p hnwe Hgta;pp&K ti wlil evah wot fdif athp rfo cadici gdru ;pm&a iscab dr.ug

cdAcii rudg lwil nic ist amnonliieit cni( znioeid ,fmro) bcsia dugr ilwl be orem dosbesaro b. we ened ot nkow teh urgd si isbac aidc/.ci

wNo if u kal rneui its ietinamonli c.in os it evha to be .diccai or u nac nkwo sti a oisd lsat of gdur twhi CNS rpoptyre .ie msto lkei bliathearPbon W(aek idac)

so fi Kap fo dugr is -a-t6- pH 7 ew ilwl tatrs nlnieiimatg

but if pKa is 0 ew dene to rasei pH fo reiun ta 11 ot atrts n.iealgaimttin htta inpto ervp urgd K=)pa(6 odluw eb aolttyl uto of sm.stye

astth wyh A is eth tihgr nsa apK( = )6

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charcot_bouchard  citonCreor : otN 0. i mesna fi aKp is 10 +3
charcot_bouchard  nd2 deuapt : ctno ot elnra shlcoo gadre emc.h if aKp ;g&t 7 it is sea.b nda fi apK si lt;& 7 it si .cdai cSnie ew dsheaelstib hte rgdu evah ot eb a ewak daic aKp ctan be emor ahnt 7. +
dbg  ,aktnsh btu akP nda HP are nto ta lla hte esma nhitg +2


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submitted by monoloco(155)
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fI oyu atwn ot crlae a ,rugd ti si aylrpobb bste hatt ti ont eb nuobd to eponrsit s(o hatt it steg dt)leifre nad it sah a lwo evomlu fo utiisnoidtrb s(o ti i'nts ni eht pee,d rdha ot chrae u.etsss)i

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kingtime9119  Btu hatt o'setnd kema ness.e Pgae 332 fo Ftisr idA 2091 tneoiid lcyreal essatt htat gbein slapam noirtep dbnuo erscate the slowte ovumle fo dnrttouiib,si secaebu ton nibge dubon to sitporen nseascrie het hnceac ti lilw hcaer peed otni eth suseits orbeef it asreech het .insydek acpircDynse itwh striF di?A +
haliburton  ym naresgnoi saw origcpnma two g,surd hotb htiw Vd fo 1, eht rdgu tiwh eht lower uabnlmi dniibng duowl be eedarcl trseaf mtgknei@.i I odnt' iknth ryueo' egirsdnicno htta A nda B ahve aquel d.V +8
whyisthis42dollars  eBngi aapmsl obund yam caeter hte westlo Vd, btu it sto'end enma 'tsi iggon ot eb dtrieefl by teh ekniy.d aSme raneos wyh dpb-ureonnito aclcmiu nts'i fdreliet yb the eiy.nkd oreuY' eiggtnt oto hugn up no ,Vd tub t'thas lnoy eon ptra of teh ueqtioan .hree +


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submitted by lispectedwumbologist(122)
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anC byoodems saepel axlpien hyw the Kap ahs ot eb 6 itsdena fo 01?

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masonkingcobra  cieSn an oidinze fomr si dehargc (yb tf)ndieini,o it ilwl not elisya sscor a alnrnopo ipidl ene.mmbar shTu, ti is imarttnop ot oiznrgece het ploettain fo hte rgud to inoezi ni rrode to tperidc its bulolytisi adn teh regeed to hhiwc ti cna be eb.bsrradoe heT regeed of nznoaiitoi si neetieddmr by eht grs’du Kpa adn teh Hp of tis nie.ntervmon Weak adsci nad sabes aer 5%0 zindeoi nda %05 zudnioein wnhe eth usourgdinnr pH uaqesl teh r’guds .pKa At 2 Hp intsu ovabe or owbel eth Kap of eht ,dgur ayernl %100 of eht udgr si idoinez or nndoi.izeu +4
masonkingcobra  lsiycalBa ekaw sdcia rae sbte cdeetrxe in llaeakni iruen, tub wkea asbes aer eedxrcte roem yirdeal in aicd eui.rn +
masonkingcobra  In yamsmr,u bucaees hsti si a akew cdia ta Kpa ,6 inakgm eht neiru knalalie llwi lsretu it tsi ozaoiniitn dan eo.nicrxte zIdeino antc vome ghthrou plidi embsarnme so ncta' teg absorrdeeb dna is iespds o.tu +20
yex  oolinlgFw no bnoscgaoinmrak :npatiaoAnlxe Kap 9-4 nca be hteeir ewka icad ro .aeb aesWk ciad Kap -;47 torgsn cadi paK -kW13e a beas aKp 79-; tognrs ebas paK veaob rsefDif 9etn sH:p hatosm:c 1-2 :dnuoedum 53- aleyr jjune:um -75 tlea :nemuujj 7-9 lmie:u 9tg;& u:nrei a-ke8.45 W casid Kp()a setg esboradb in accdii pH() vseornetminn dna edrlaec ni a.icsb aWek absse tsge bsdoarbe in icbsa snoevtinnrem nda eceldra ni .adiicc STHI DSEO TON PPYAL OT RGTONS BAESS RO ChD!!!AeTI! S btes xnapilntoae for isth is a mhioeBc elrectu rofm Psas Pgrmaor adn it is laaaebliv no obTe,Yuu tis lnog tbu it si orf esru rohwt !it! okoL for 19 tyiriemoschB 1 omfr asPs rogarmP on .eTubYuo +3


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submitted by chandlerbas(118)
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latrhgi stel od hits. soem of teh ectnomms weer ayelrl llwe neapex,dil eovwerh mi gogni to yrt ranheot eturo. etls dael whti paK eisnc the hotre mntmeocs nilpeaexad dV lelw nghuo.e duoks lsf.laeoefl/ls

itrfs tihng si you eavh ot erimentde fi tis an daci or ea.sb 9%0 of eth ietm tis iggno ot be a ewak cdia, ew pismel tond reamolutf cuhm nasoemidtic as ebssa in .ernegal asol its duoism tals nda SCN so ouy wnok ti sha ot be .leiabprnoahtb setp )(1 olw aKp asmne daic -4)7(. yuo smtu nkow tshi. )2( uoy umts know that lla dicas rttas fof talunre dna nteh sole an nio ;&-gt- gncebiom recga.dh dan lla esabs artts ffo hadergc nda enth sole na ion ot mcoeeb anuertl stih( si yhw ew dont eus sibca dgsur eecbsau ihst taenrlu hgcrea hsa a hhgi vd dan soseptdi ni stisues = adb ni el)l.eyrd uoy ntwa grhedca cb tshta hawt si idpchlihryo aka eep ti t.uo )3( next sue thaw i jsutj iads dan pylap ti ot thsi ratch:

+2 = %99

1+ = %90

1- = %10

2- = 1%

het sfrti ubemnr eetrpssenr hte rdnfeeeifc eenwteb pH nad apK a(pK si gienv yb the etnuisoq s,)laywa Hp is hatw uyo agnhcde ehnw uyo zaaklediln hte e.irnu os rfo ihst tqonusei it dluwo eb: Hap-pK = hhig siacb alvue 7;g(t&) minus pka ( wkae icda 4)7.-

own het nscoed rpgtecneae eesestrprn the peneagcret of dtscoiedias o.norpt os rfo na da,ic yteh wlli obecme dca,hrge sith nmaes ttah fi teh encdefifer bnetwee eth hp dna Kpa si evro +1 neth %09 fo the cdia lilw og rmfo teluarn to agder.ch if hte ph si 2+ rarteeg nhat AKp tnhe %99 of the adci iwll hvea stlo tsi trpnoo nad ecbmeo drchaeg

elts uzmeiamrs tis:h rewe dtol tsi a akew iacd = kaa pKa tbweeen -4.7 ew tanw ot etg to taek eht eakw cdia mfor sti tlreuna rmfo tion a dhrceag fmor to teg dri fo t.i so we anlaiklzae hte nuri,e saeuceb abses rae hiegrh pH you lilw etg a roem + numebr sthu the ewak acdi illw og morf ltunare ot grcdhea and be rdetx.eec

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submitted by strugglebus(189)
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I saw nnoeirdwg fi it swa ot awlol orf laaript CNS teaterionnp neisc eth urdg si sdyspeulop esduopps to veah CNS teecff

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submitted by sha2507(0)
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rof ewka pspk aid=cHa + olg AA(-)(/H) kaa eshnrendo scblaaehsh neqa uofiit yuo slveo tsi,h uyl'lo teg ttha pH - pka = AAd-o)Ha/ln g(() tneh ignaa you illw egt 10 to wopre hp - kap = -H.AA/ [fRere ot ilnk ni mn cmwost]noe nidgnsocier tath eth ph of our obyd is .73 ngmth,osew ie cna olesv rfo pak 01 nad kpa 6 sniug sthi htfoulm.Taar is rfo apk 6 and obyd ph .37, it illw eb 10 to the worpe of 3,1. wuldo enma atth H/AA taori is a ivseiopt rmebu,n ypiimlng thta A- g&t; .AH wea eshr fro hnwe pak si ,01 teh H-/AA onatri si 10 ot wpoer of -2.7, iegnnma that &HAAg;-.t

nAd sa yaardel tnedmenio ni het obeva osenm,tmc we dene na coiinc ,fmro ot inetaemli eth ugd,r it owuld eb efdrrpree if eht kap si 6 sa ni htta ae,sc n(oAci)i- lwodu eb in omre rcnotoe.naitcn

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sha2507  dgu-ssh:nedoywfc/kain-oyiwsroaeu/dphieoc/iict-fflufesrptq/rlihar-uamaufhbwstiv/ernesli-iea./p-mcsmnepeobr/.hta-ract/n-bskbfree r to hist ioedv, ot atdnunersd it a ltietl btet,er nda orf eht lfmaour itwh teh aet,bl pkis to 6:72 +


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submitted by kingtime9119(0)
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[emcnmto mdvoe ot t]scmnobmeu

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submitted by sway(0)
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so tahw fi stih aws indserev rweeh the gudr ni oqutnesi aws a abse dan htta rineu was dfii.acidie kown the Kpa dolwu deen to be &tg7; btu whta outba hte Hp

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submitted by haliburton(224)
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mtomce[n ovdem ot mmestocun]b

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