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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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cpeSti ohcsk is a tpye fo ivistuibtder hskoc cihhw si rdkeam by essmiva viinltasaodo d/(t lyfitrnoamma seoenps)r sgcuian esecddare SRV, decaesder oelpadr / WCP,P and ricasneed CO.

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smc213  Spetci chkso nca osla esnpter itwh maihrhpoeyt &t3lC6; +3
bethune  Wyh si ti otn snattnitairgseol ?nedbglie +4
beanie368  GI neldiegb oulwd erpsetn htwi dsieeranc VSR as a rosnesep ot avioelyhmpo +10
mysteriousmantyping  Wyh udwol ihst ont be aymplnour lmisbome? +1
step1passfail  aumlonyrP msbmoile uwldo esauc a esaceerd in cdcaria ut.upto Treeh si reisacned rusrpsee in eth ihhg olatncipm VR which anc guebl nda oecspsrm eht LV, iesnaercdg tis .radoepl etaHCO=r rtae x oketrs meoluv adn ksoter eomuvl is apyllrtai midedntree yb earpdlo. fI eth prmuaylno oimmesbl is argle neohgu, it acn aslo bttorscu the oyrnmpaul sveesls dan unqebuesslyt ont veha enghuo lobdo nggoi to het LA adn ,LV tlaiyltemu imnagk eht riccaad optutu rena 0. +3
chj7  tOu fo lal eth dfrnefeti etsyp of ckso,h rcaicad otuptu si nreesiadc olny ni dvitruibiset csohk e(i. ,hpilataynacc p.)istec +1


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 +1  upvote downvote
submitted by bfinard1(3)
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naC oonmese npxelai hwy ccaadir uutpot si hhig in tipesc csokh?

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drdoom  ctraiBea nad ateliacrb ocosnmetnp il(ke )PLS in occniualtir rtreigg seaivsm aersele of ytesockni ,el1in-erIt(kun ktnu6eIler-in dan ,)NFaT lnguietsr to.lsiadnvoia etHar rate cenrsesai ot nmtinaia denect .PB +1
bfinard1  sI sertok mevolu tno fcftaede yb hatt iaesvms ivlt?aisonado I dulwo tiknh fi usneov metyss si vdatseidlao nteh duy'o aevh decrude VDE from crddeue lodob wflo ot rhtea +
zedora  otBh fo uoy era errc.tco nI cpties sohck teerh is a issmeva v.ltdasiiaono In doerr ot oepatmnecs rfo eht derecdu dloob r,eussrpe teehr is na escdieanr aterh rae.t ,woN ipeengk tihs in in,dm thaw si teh OC flr?umoa OC = HR x VS gih?Rt Lste say nedur mnrloa osntcinido HR is 06 pm&;a erStok eovulm is 50. ruoY caicrad pttuuo = 06 x 05 = 0300. woN ni icpste khocs, ryou arhte arte is yassvlmi ienadecsr ubt ryuo etkosr vlmeuo si ceraddsee mnimli.lya oS lste ulgp in het ubrnes.m Lste ,asy udnre spicte hck,so RH = 105 &pma; keotrs oeulvm si nwo 03. hTe aaccird otuput si wno onnag be = 510 x 03 = 00,54 ehnce yrou OC is racie.neds In ecitSp c,oSkh het aerth erat is milseyasv eaicensrd rpodeacm to eht oumant of SV dcr.easdee +
drdoom  r1@nafidb By ats,vaidoonli I altmos xieyvscelul mnea laaitrer i.naltoidoavs Wenh ti coems ot V,C I lswaya rkow cdbwarak rofm isrf“t cppisnrie,”l dna in ym veiw eth sifrt pnilreipc of hte VC sytesm is, ti“Mianna sresprsue ot taniaimn odgo wlf.”o llA hotre daconoimsmaotc of hte VC tymess hgcneas( ni tosrn][oe,ngyhptrit pnhyort,ort]icmo[e rnnototacissvico nda )iadilonatsov are ni *recvs*ei to imatingnnia f.lsow tthiWuo oodg ,fwslo yuo tge teh hgnit amhun seussit ekil het et:lsa ton lakc of engxoy tbu ilmcnucatuao fo OC2 (nad hte aiydtci atht esgo whit )t.i +
drdoom  o,S lal ttha aws a wgdnenoil-d awy of giyasn htat aicCdra Otutup lilw rnaime hhgi hnwe eth odyb is ircodpgnu aghhds-eieih-ndertr lesvel of C2O h(wne oagsrn nad eht einmmu yssmet veah oneg iotn eerroivvd ot sdnopre ot a tareth or to asesrdd stemopnaidneoc in smeo toher rpat fo the mstse;y) eth eingpulmtm of iarCdca ttOuup aedrhls the eggniinbn of eht en.d tI eniigsisf tath the sssstere ibgen iesdomp on eht dbyo xdeeec eht ltcieaabispi of hte esys.tm +


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 +0  upvote downvote
submitted by calvin_and_hobbes(2)
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hWy si het T almron in ihts iap?tnet I dwlou hvea icedepdtr nedyrniulg iofnictne — i,e vreef — fberoe evne elya""r tespic s.hcok I etcledse cstiep skohc rulpey rfo het tlirtcnaabe wol SVR pitseed sfuidl tub atwn ot rndsadnuet orme buato eth eesncba fo e..r.vef ahkns!T

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drdoom  dyeEllr a(nd opmmd,rsoienmmuoic ayge)nlelr od not nmtuo usortb erfev soneepssr to tireacab nad trheo oiscinao;msgmrr ni ld,eyerl tish paoblrby ahs ot od htiw ndlees“”ci of hte eainnt meiunm eytsms (yruo osepa,agmhrc drcnteiid lcse,l yoeo,nsctm ;mc&p,.a ujst no'dt ufoncint as llwe sa hyte sdeu .t)o nI ohert drow,s if yuo )1( pweid otu eoss'meno mienmu msytse nda thne )(2 enditjec bcieraat nito htire etlbarsomdo, uyo ownult'd orvbsee nay ervfe hr.itee heT eeesncpr fo a a“tpy”ilc larom)n( frvee in an yldreel or dprnosomiemcmiuom epntiat nca be a sepur oniccnergn igsn: yeht tghim avhe a ignrag foinctine on the snde.ii +
drdoom  ^ofmr hte ait:rlce etsb“nA ro eutlnbd rfeve snesoepr ni het eeylrdl. ehreT si eapml cievdnee ttah a ltnudbe eevrf rsnpseoe ot a oriseus ela,aticrb iav,lr or ulangf oeficnitn gseusstg a rporeo rspoingso nath oesd a osturb eefrv essrepon .1][3 In ,nidatiod rethe is a ailasstnubt odyb of td,aa tmsyol from aamiln delsm,o tath —thuegrohrvfe tsi csffeet no uienmm nytcmnua—ofi be an tmtiornap tosh deeesfn msihanemc ].14[ uRyhglo 02%3%–0 of lyedrel respons tiwh oeussri tiracblae ro alvir snofniietc iwll rnpeset hwti a blduetn or yrteienl etbans feerv srpsnoee [,]13”2.5, +


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 -2  upvote downvote
submitted by spaceboy98(22)
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Teh wya i oklo at hsti si eth eartt.pmuree

A mcpiotrhyeh tniepat lwil taolsm aswyal eprnset tiwh scepit choks eabusec eticsp hckos nca serpten sa bhto eearprhhiymt ro mpohiertyah

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athenathefirst  entosD' nsuod .acaruect Thsi tniptae adh a mrnola rptmearetu.e +


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