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Retired NBME 21 Answers

nbme21/Block 2/Question#5 (reveal difficulty score)
A 2-week-old male newborn has a patent ductus ...
Higher than normal left ventricular cardiac output 🔍 / 📺 / 🌳 / 📖
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 +9  upvote downvote
submitted by ∗d_holles(218)
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see'rH an neeexltcl eiagm rmof MASSOB fi eplpeo rea vignha ycfiuifldt nivusiziagl t:ish .Q/mphrm/mR/timchugVtWa/:so

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lovebug  very uelph!fl ts!khna +


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 +6  upvote downvote
submitted by jotajota94(14)
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PDA wfosl rfom rtaao to onurlymap eraryt nacsdegeri Taed oh.eforfatrlree aarccdi optuut cneiaerss

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seagull  tdeosn ar-pdelo losa aseecred cwhhi uldwo prdo eth O..C? +
hungrybox  eual@slg I kthni ti wlodu irecasne orpdale c/b orem odlob si gogin tnoi het onulryapm irastree >- nglsu >- noalpmuyr sinve >- eeualytvnl ermo lbdoo ni tlfe mtrearniveictlu/ -> nci podalre +63


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 +6  upvote downvote
submitted by heavy_neighborhood(6)
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PDA wlsfo fmro het toarA t=;g=& molnayruP errt,iesa by ssignpa het RV so heret si no anchge in 2O in eht .RV

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felxordigitorum  ehT "atse"l fmro the aaotr nrdgui leaidtos rueqsrie eicednars cdaraic pttouu to pnsa.etcoem xElmryete eatemrpur nntsfai ehva idelmit abyliit to arniesec esotrk uelovm and utsh ues derescnai rehta eatr to iesnaecr acdiarc .utotup m.vpw0/BhNotK/i74oi.:/5lcbhw3/b.tkg.on/n8swns +2


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 +2  upvote downvote
submitted by ∗didelphus(70)
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A PAD lnsisteleya rsceaet a wolh-fghi ehrat riuelaf oiatitusn in teh bb.ya iceSn a oncftair of eth VL tuutop si rrdnuete otthwiu acrnegih eth o,ydb ni drero to atmiainn a omlnar CO ot het dboy hte ltfe relvneitc mstu mupp a ghihre eom.vlu shTi ludow laos uecas hehgri nath nralom lyonrpuma cllyaipra w.olf

I inkht smoe fo het tohre qiuntoes ear igtnetg at eht adei ttah ew d'ton nkow hte ieiondcrt fo flwo ofr s.reu If het wfol asw oatn-&atg;l-ug,sr hte itecmsys 2OP wodlu be aolrmn nda RV 2OP .hghi tBu if s'it tsie,oppo eht oispeotp wdolu eb .rute

Seinc PADs rea tmeaidinna yb PGE,2 atht dulwo bortuincte ot a low alreehprip saauvrlc easir.nctes

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didelphus  *hentroa eurs eotnd tath htis lundo'wt mcatip VR enxgoy usebaec eth oobdl si dddea ot hte yluopmrna yarr,te wchhi ahs texeid the RV. +3


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 +0  upvote downvote
submitted by moneysacs(3)
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Wyh si sedo a ADP freat rtbhi esulrt ni he"hgri ahtn oalrmn left ucaterlivnr iccarad upo"utt rove riesndeac higt"r laincetrvru "2P?O Deso the lupm yertra ;-t&g- atroa hntsu bcmeoe devrerse trfae rh,tbi os ihehgr neoygx traao lobod uoldw oflw kbac otin hte thrgi n?vcelietr I gte htta mreo obold dwolu be uepdmp ot the etlf riln,eevtc iunglestr ni HVR,H/VL btu dno't utdnrsaned teh 2O ibt.

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usmleuser007  )1 hhgeir ahnt lmnaro CO /cb bldoo is ntdhsue mfro ataor ot ayopnrmul .triesera ihsT ldoob si ddeda to teh lmuoev atth aws ppumde iton eht yopluranm rtesirae by the R.V oNw hwen eht eeoxtdagny dbolo tuernrs ot het LA & ,LV the 2O conetnt wuldo be targere /td rihheg ldboo lv.meou Aosl rfo htta smea snoera eorm doobl is ruergtnin ot eht VL d/(t LV olemuv slpu ncirtaof fo RV euom.v)l Thsi resceidan hte .- t>-hCiO Rg teLf nhtuss veha ealt iyscnaos /cb the VR si hnguisp sgatian het ecesxs ssreprue treendeag yb hte .LV iThs sldea ot rmeEeienngs nSeomrdy as RV reslgane nda speshu sanitga hte srruepse omrf hte LV in het ADP. Tsuh hginstif teLf to ghtir to rgthi to teLf nda htus the leat siyoncas +2
temmy  The ntyamao si rpamuaooy-ratln apnleroaytruy-mr fenvlsti-e i-tratflmue crnlet ioNevcite thta the bldoo idd nto meoc orcsas the hirgt herta at lal adn bcueeas fo hte FTLE OT GITHR sntuh of het APD, ew add mero muleov to the ELFT sid.e eecHn hte ndiecasre left utclnarriev ptotuu +2


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 +0  upvote downvote
submitted by ∗masonkingcobra(408)
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Lkni

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necrotizingfasciitis  gGion ffo fo teh mnecsotm opepel have dosept obaev & dnkai nggbnrii tnshig e AP: h Dt tgreo swofl mfor ratoa to npmraloyu arties,er hwhci rreseves aetfr ihb.rt ishT snmea e-yaexdoendtg oodbl fwlo fmor het runlyamop ratreise to eth otaar & sles elmouv ingeb tens to teh FL sdie fo het arh.te sh Ti lssurte in a dacdeeers adltefroa acbseeu heetr si lsse dlobo fgownli rmof eth gusnl ot rl-life eth FL ,rlcveneti & eth reath si sltli gppuimn ithw het aems crofe sa befo,er so hte asem ovmule of dloob is anglei,v tub essl in tgernein het FL isde fo teh . rmr eaF o th r,eeh yuo ues OC = SV x R VHS = reoapld - ardeafotl ch(iwh si daedcsree edu ot teh h TPi A )sD ultsers ni SV being lragre naht ,lrnamo os hwne oyu uglp atth inot OC = VS x HR uoy teg a hirghe rbmeun fro raccdia .output +
didelphus  ehT uusdtc iarrssteou lfows mfro PA --> rtaao in rtuoe ot ssyabp teh s,nglu wcihh ehav eylmtxeer ihhg scanseirte to wofl. shTi ereevssr raetf birth ude ot a oprd ni 2EGP hhwi(c aws eipplsud by eth npaaectl) nad nsecerai ni d-tidelsfe itcssyme secsrtan.ei So a PDA ylcliyapt owfls taora ->- PA igumnsa(s heert rae on trohe ds)ect.ef +


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 +0  upvote downvote
submitted by jandj19(0)
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siTh is a ryve colo eptccno inedpxlae in eht aRidp ewRive lpaoyhtgo book, gaep 257.

diLdte-esf to -rhigtdieds harte ntshus rsusetl in olemuv doarvelo in het ighrt sdie of eht het,ra hhcwi eiacersns VL evlumo or(ldae)p ued to mreo doblo ntiegrrun rfmo the hrigt ahtre ot eht eftl ar.eht An iscanree in LV predaol si qelau eomr raciadc pttuuo dna eomr wkor rof the ta.ehr Ltera ni flie that lilw dael ot an irnceetcc peyt of HVL wtih aderseec irccaad u,utpto ronlumayp neryothnpsei nad a rcoiccnetn HRV ued ot ghhi teoaflrda htat teh hgrit erhta ahs ot ppum atigsan.

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 -1  upvote downvote
submitted by djinn(6)
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woL fdraolate gt;& hihg CO

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 -2  upvote downvote
submitted by ∗hello(429)
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ishT si teh ulacat ecrortc iapnolxanet:

PDA ssceau dlobo ot flow ormf desngneicd roata ot ettpna utucds sestouarri nito yamlruopn icrtilauonc (tlgtor--efht)"i"

heT ""teasl frmo the traoa griudn tlidaseo ieuesrqr aedsecrni carcdia tuoupt ot meeapncots ot deivelr aaeutedq tnaumo of oobdl ot srte fo yobd

Suoer:c K:cb/nwp.i/is0m.n5l7g3ovtwsh..n///8N4kbothwBo

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fkstpashls  'tsI L ot R +2


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