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Retired NBME 20 Answers

nbme20/Block 3/Question#29 (reveal difficulty score)
An 83-year-old man is brought to the ...
Early septic shock 🔍 / 📺 / 🌳 / 📖
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 +7  upvote downvote
submitted by hayayah(1212)
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cptieS chsko is a eypt of uibrtsevdiit skhoc cihwh is kremda by esmsavi voaiasointld dt/( fynoamairmtl sps)enroe naicusg eardseedc VR,S ddeerscea dperlao / WC,PP dna inseerdca .CO

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smc213  cSiept cohsk nca lsoa prsetne tiwh ayporimhhet ;t63lC& +3
bethune  Why si ti tno oiltsetnaisarngt delbi?gen +4
beanie368  IG deigbenl wuodl etenpsr ihtw eiendsrac RSV as a npoeerss ot meaooyivlhp +10
mysteriousmantyping  hyW owldu isth ton eb lyrupaonm smoimb?el +1
step1passfail  Pomaynulr oimlmbes odulw cusea a ereescda ni aaridcc utto.pu ehrTe is dinaesecr susrepre in teh high icaopmlnt VR hciwh acn geblu and esrcsmpo eht VL, anrdeeicgs sit rdpelao. COHater= taer x tresko eolvum nda rktoes mleuvo si alylatrip intdedmere by .aeodprl fI the anrumylpo mieslmob si laerg g,unhoe it cna lsoa orbusctt eth loyamunrp eesvlss and ysnbtqeeuusl tno avhe hgoune odolb ggion ot eth AL dna V,L mlituelyta gmknai hte cardaic putuot near .0 +3
chj7  utO of lal teh nferdfiet ytpes fo okcsh, dciacar puuott si nesrecida olny ni buiitivstred cksho i(.e ctpnlcaaha,yi ts)eip.c +1


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 +1  upvote downvote
submitted by bfinard1(3)
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Can emonoes elixpna why idacarc totpuu is ihgh ni ctespi h?ocks

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drdoom  eiartBca dna eabtcialr scomnpetno (ekli )SPL ni iucicartlon trreigg ssaimev rlaeees of koicnyets nulIt(iknere1-, kurntIee6li-n nda T,a)FN ilruetngs aonodts.aviil eraHt rate siraensec to aninaitm etnced .BP +1
bfinard1  sI stoerk muvleo ton ceffaetd by ttha vasemsi sdiatioa?vonl I lwoud hknit if eouvns sestym si dtlasdoavei hetn 'ouyd ehva duredce VED rfmo ceudrde bodlo flow ot rahte +
zedora  Btoh of yuo rea r.crceto nI tceips schok etreh is a amiesvs osanioltdv.ia nI reodr to apscemntoe rof eth cdudree bodol rups,esre tehre si na cnaeiedrs hreta r.aet ,Now enpikeg hist in nmd,i wtah si eth CO ?aurfoml OC = RH x SV Ri?htg seLt ays undre oranlm stindcioon HR is 60 pa;&m rekSot muelvo si 05. rYou iaarccd tutpuo = 60 x 50 = 0003. oNw in ceipst o,ckhs ryou terah erta si vlasisym eaendcsri tub uoyr tsroek umloev si dearsedec my.lmiilan So tsle gpul ni the ur.enbms seLt sya, dneur ictpse hosck, RH = 150 &apm; oetksr vomuel si onw 30. heT dacrcia tutopu is own anogn be = 105 x 30 = 5040, nehec oury OC is eairens.cd nI tcpeiS c,kohS the hater erat is ailevsyms esdrneica cedrpoam ot eht nuomat fo VS sedcre.ead +
drdoom  braid@nf1 yB s,laaoidvtoin I ltsoam xieuylslvce mean rielarat dlainovsaoit. nWeh ti moces ot ,VC I alwsya wokr kabdacrw fmro “tfris lip,ispren”c dna ni ym wevi het sfirt liincpepr fo teh VC sysmet ,si iiMnan“at essesrurp ot niitanma doog lfo.”w llA heort ooinatomsmadcc fo hte CV tyssem (cehgsan ni gesrnyot]otri,[thnp [itenoymror,to]pch inisocrotvantocs nad aoin)taildvos aer ni *rces*vie to atniniaingm .lsofw tiuoWht good l,fwso yuo egt eht higtn nhmau siutess leik teh te:sal ont ackl fo oegnxy but tmncuouaclai fo OC2 n(da hte dayicit hatt sgeo tiwh )ti. +
drdoom  oS, lal atht was a ne-idgndwlo wya fo gasiny atth Ccariad tOutpu will neirma ihgh hewn teh bdoy is ugrpnicdo rreanisiddteheh-hg- esllev fo O2C ewhn( orsnga dna eth emumin stysme evah geon noti vivrodeer to rsonepd ot a thrtae ro to ddrases oipmcantdeenso in mose toher tarp fo the stme)sy; eth pmnimulget of dacairC Ouutpt rshdeal the igeningnb fo eth end. It gifiesnis ttha eht etrssses biegn pemdiso on eth doby eedxce eth eipaibacstil of the t.msyse +


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 +0  upvote downvote
submitted by calvin_and_hobbes(2)
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yhW is the T lnamor in hsti ?pintaet I loduw vhea epdtdrcei lnduniegyr inftceoin — ,ei vreef — obefre enev rel""ay itepcs soch.k I stelcede setipc csohk reuply rof eth bratnlciate olw RVS pestdei uildsf btu tawn to udntrndeas omer oabut the beeancs of .vre.fe. !naTksh

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drdoom  Eelyrdl n(ad umoom,ipemcnodsrim ye)nerlgal do not omunt obtsru vefer opersness ot carbtiea and otehr ;rsooigrcimsanm in ,dlreley ihst pyrbabol ash to od with elseic“n”d fo hte anenit euminm tsesmy ur(yo csa,goeapmrh dicrdniet ,llecs nyemot,soc ,m.ca&p; ujst tn'od unofntic as lewl sa yeht ueds to). In thore rows,d if uoy 1() edpiw uot e'omesson mimeun esmtsy and hent )(2 enedcijt btecaari iton rtehi t,msoerldboa you 'nldtwuo bosreve nya evfre ei.rthe hTe resnepce of a yt”pal“ic rl)(mnoa ervfe in an releyld or imemimoucdroompsn ttainep anc be a eprus rcgcneonni n:gis hyte gmhit hvae a agignr oiictnnef on teh siei.nd +
drdoom  rmof^ hte ira:telc be“ntsA ro edbntul ferev roepsens ni het eyl.ledr hrTee is mplae eecdvine htta a eutnldb erfev npessroe to a ieosurs icae,altrb l,ariv or fuanlg oiitncnef ssegutsg a orrepo opigorssn nhat seod a tsobur rfeev sreneosp [31.] In oiitna,dd eerth si a aauibtnltss dbyo fo ,atad otlysm ormf almina oemds,l ahtt tvfghrohreu—e sit ceftfes no mmneui a—cifoyutmnn be an roainttmp htso eefdsne ameimchsn 1.][4 lRohugy 0%32–%0 of reedlly serosnp wtih soesuir ralaibect or arvli nefniistoc iwll rnesept whit a tbdeuln ro irnyelet tnbsea refve peernsos ,.]2,51”3[ +


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 -2  upvote downvote
submitted by spaceboy98(22)
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ehT ywa i olok ta thsi si teh et.umreearpt

A ichopeymtrh titepan lilw oamstl lwayas enspert thwi septci khcos acubsee scpiet kosch can eerpsnt as tohb ymeeahtrrhpi or tomaeyprihh

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athenathefirst  nDoset' dsoun atcrea.cu hTis ttipane dha a rmolna prurtae.teem +


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