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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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Sepitc ochsk is a tpey of rvtsedbtiiiu cksoh hchwi si mdrkae by iasmesv aisodntlvoai /(dt mayiatlrfonm )prosesne siugacn esedrdaec ,RSV dceraesde proleda / CP,WP nad asedneirc C.O

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smc213  piteSc khsoc anc oals teprsen iwth moptyhhaier &3;lC6t +3
bethune  hyW si it tno sstentaritngioal ndieeb?lg +4
beanie368  IG nedbigle lowud present wiht sdnreciae SVR as a nrspesoe to hlvmoyapoie +10
mysteriousmantyping  Wyh lowdu hist ont eb nuymroapl ?lmmsoeib +1
step1passfail  mnruPaylo milmoesb wldou euacs a dscreeea in diarcac utu.pot Tehre si isadnreec erpsseru ni eth ihgh tmciplnao VR hhiwc nca ulebg dna eoscsrpm het V,L ecrasendgi its ao.lrpde reHaCt=O etra x oktrse eluovm and ortske uvoelm is tplyirala eetdmndrei by alp.reod f I het aunmpylro mislombe is aerlg ognueh, ti nac loas tcorubts eht nrpuyamlo seevlss nad nelyteubsuqs otn veha hgneuo dbloo niggo ot eth AL adn V,L taltmyluei amigkn eht iaacdrc tptouu enar .0 +3
chj7  Out fo lla teh deniffter stepy fo sc,hok carcdia ttouup si csderniae ylno in tiidstviuebr chkso i(e. c,ptaacinalyh t.secpi) +1


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 +1  upvote downvote
submitted by bfinard1(3)
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nCa oeomsen xpienla wyh aacdcri ttpouu is gihh ni esictp kscho?

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drdoom  crtiBeaa nda tracaielb ctompsonen el(ki )LSP ni ciriauolnct eggirrt msisaev eerales fo ysceokint kturl,(enien1I- knelire6-ntIu dan NFT,)a gurltiesn vaia.sdtionol eatrH eatr enceairss ot mniaaitn endetc P.B +1
bfinard1  Is stoekr uvmoel not tfcdaeef yb taht ssviame o?vidsnltiaoa I uwold knhti if svenou mtysse si ataslddvieo tenh doyu' aehv ueddcer VED rfmo educerd bdloo fwlo ot eathr +
zedora  hoBt fo ouy are c.orrect nI tespic okhcs there si a eassmiv nli.oovidasta In oerrd to oepsmcenat ofr hte deerudc odlob rpuree,ss ereht si an cisadenre thera r.ate ow,N kignepe hist in in,md hwta si hte CO m?afoulr OC = RH x SV hR?git tLse asy rnued mlaonr sdotiinnco HR si 60 m;ap& rtkeSo luveom si 0.5 oruY irccaad utoupt = 06 x 50 = 0030. Now ni ietscp ock,hs ouyr rhaet aret is maiysslv ceasdnrei btu oury ksreto oumlev is ceedesdar ylaiil.mnm So slet ulgp ni the bsmeurn. tesL ,sya erdnu psctei o,hcks HR = 510 ap&m; krsteo lovemu is wno 30. hTe crcaida utoptu is own gaonn be = 501 x 30 = 50,40 eehcn oury CO is sreeiacnd. In tpiceS k,cohS het rthae tera si ylssvamei cdarenies ocmdarep to eht matnuo of SV .sddcaeree +
drdoom  rdf@ib1an By laaood,sntivi I smolta yeclsxlvieu nmea tralarie toain.dovlasi Wneh ti mseco to ,VC I asaywl kwro bdwracka from rtsf“i se,iprpn”icl nda in ym eiwv eth rsfti nicppelri fo eth VC syestm s,i nni“atMia srsueresp ot inantima dgoo wl.”fo All ertoh oaoimomadsncct fo eht CV sytsem (sagehcn in [tttopo],nriergsynh nco[tpmi]oroetyhr, ntsnocsoiirovatc and )ioiaodtsvanl aer in *seecr*vi ot gnntmainaii slw.of Wthoiut gdoo ls,wfo you get hte nghti anmuh esitssu liek het stle:a otn lakc of gynxeo ubt lucaocnmitau fo O2C (dna het acitydi htat geso with .it) +
drdoom  So, lal htat was a ogdwnn-eidl way fo giysan ahtt Caaidcr Outptu iwll rmanei hhgi ehwn hte body is purdcgnoi hh-digrde-sehtaneri lvseel of CO2 ehn(w ganosr and eht inemmu sysemt hvea gone toni ivvrdoere to orpedns ot a rthtae ro to sdrasde poenatecodinms ni moes ohtre arpt of the m;ets)sy het mtupgielmn of ciardCa uutptO lerdash eth ngignenbi of het ed.n It isfesigin htta eht esssstre ngbie mdpeois on het body deeexc the aiselabictip fo het ssm.ety +


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 +0  upvote downvote
submitted by calvin_and_hobbes(2)
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yWh si het T oamrln in iths ttpaien? I dowlu haev eeptidcrd uenngdilyr fcionniet — ,ie fever — eerobf neve lyre""a cispte koh.sc I edetslce peitsc sokhc ueplyr rfo teh tatnelrbaci wlo VRS detespi fusdli ubt wnta to asudnrnetd orem oatbu het ansebec fo f...veer Tk!asnh

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drdoom  eEdllyr and( omupoomnsdeim,mirc ylnrl)eeag do tno umnot ruostb eervf peeossnsr ot aiaertbc nad ehort iorcmsisnogam;r in erlld,ey shit rbyapolb sha ot od whit n”“cedlsei of eth aitenn inumem tsmsye r(oyu c,rmgaopsaeh idnridtce lsl,ec ,oonesmytc &.ma,pc; jsut dno't tfounnci sa lwle as ythe sedu ot.) nI oetrh r,wods if you 1() dipwe uto onoe'essm ueminm ytmess and etnh 2)( eednctji btraeaci nito ehrit ormldotbas,e uyo dwtn'lou oebsver yan efver eir.eth hTe nepecser fo a cti“”plya rolman() evref in an ledylre ro mcooensdmimumoipr neittpa acn eb a rpues engnonricc g:sin yhet htgmi hvae a ngagir itnociefn no hte indise. +
drdoom  ^omrf hte alcre:it A“bnest ro tldnebu rveef enossper in the e.dlleyr rTeeh si pmlae iecdenev ahtt a udltenb efevr ssproeen ot a rsoisue cai,tleabr il,var or fnugal otcfnneii tgsesusg a oroerp nsprsgooi tahn esod a suobtr rfvee osepsren 3[]1. nI tiioan,dd trhee is a silbattsuan boyd fo at,ad moyslt rmof ainalm sdmo,le htta rtfeugohe—vhr tis setfecf on neimum cofuyatimnn— be an pnttrmaoi osth sfneede miceanmhs ].4[1 oyghuRl 0203%–% of dyllree roenpss tihw eroiuss iatearlbc ro lairv nicotnisef wlil tsnreep hitw a dutelnb or ylnreiet betnsa feerv enssrope 2,]”,1.3[5 +


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 -2  upvote downvote
submitted by spaceboy98(22)
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Teh yaw i loko ta thsi si hte rter.pteameu

A cyrhhtpoeim tipnate illw astmlo awyals sepnter wthi esitcp osckh cbseeua petisc oksch anc ptnseer as otbh peratrmhyieh or thyhpmaieor

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athenathefirst  e'nsotD dunso taea.rccu shTi aietpnt had a arlonm rre.pmauette +


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