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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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ersHe' an lexceetln igema form MSOABS fi leepop ear iaghnv icyfuftdli usilziganiv sti:h W/hmro/QhVmpi//:Rmgtmuacts.

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lovebug  revy hlfpl!ue sh!nkat +


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 +6  upvote downvote
submitted by jotajota94(14)
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APD lowfs rfom atoar to mylparnou trreya agcsindeer feteeTarfoad.orle rh cardcai ttuopu isaenrsec

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seagull  odsent oaepdl-r aols eceareds which luowd pdro teh ?..CO +
hungrybox  ulsl@gae I itkhn ti wolud cereains pedalro /bc rmeo oodbl si ggion iotn the ryampuonl rtaieser >- sungl >- yunrmlaop sevni >- elnveautly orem loodb ni lfte ien/tlurievtacrm -> cni elaodpr +63


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 +6  upvote downvote
submitted by heavy_neighborhood(6)
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PDA lwfos fmor the artAo gt&==; nlromyauP esait,rre yb psagnis eth RV so herte is no ecnahg in O2 in eth .VR

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felxordigitorum  hTe ""sltae rmfo hte tarao ruigdn tesidloa rusqiere necsiared craadci tutpou ot .otespnecam yeetmxElr ruemptaer ntnisfa aevh iidlmte ilitayb to rnaieesc ertsko umvole nda suht seu acendires raeht aert ot cainsree cdairca t.tuupo 03/tw/mtlwkb.poBg4v5n7.wN8s:sici.h.h/o/o/nbKn +2


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 +2  upvote downvote
submitted by ∗didelphus(70)
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A APD yeilealsnts certesa a -owhghlfi heatr auriefl iiutosatn in eth aby.b cienS a ifactnro of the LV puttuo is dteurren utotwih igehanrc hte dyo,b in deror ot iinmtnaa a rlmona CO ot het ydob eht etfl ilecenrtv tsum pupm a rheihg voeul.m iThs loudw oasl sauec ghhier nhat almnro umraynpol pyarlcila ow.fl

I knthi omse of hte rhote qenstuio era gnetitg ta het deai ahtt ew ont'd kwon hte eoitcirnd of wolf orf ruse. If het flow was ta-rl-o,gguna&;ts hte esmistcy P2O udwlo eb onrmla adn RV P2O hi.gh tBu fi st'i i,eopospt het oepipots uldow be te.ru

nciSe AsDP era antaiiemdn by GP2E, tath ldowu retbonictu ot a wlo pihreaerpl aasvculr eitrecsns.a

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didelphus  tae*rnho seur tdone that ihts t'dwloun patimc VR ygnoxe usbacee eht olbdo is daedd ot het lrnmpuaoy ta,eryr chwhi has iedext teh VR. +3


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 +0  upvote downvote
submitted by moneysacs(3)
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yhW is dsoe a DPA erfta itbhr lurtes in ehgih"r anht lnmroa flte tvreunacirl dcaraic t"uptou vreo eascdenri rgt"hi crlnvuitear P"O2? Does the pulm rerayt &t--g; rtoaa nuhts meeboc eerresvd aterf rh,itb so hrgehi yenxog traoa loodb luwdo lwfo akbc toni hte hgrit eivclert?n I gte thta erom olodb luwdo eb pmuedp to teh tefl lrceintv,e rgnutleis ni /,HHVVRL but tno'd udntrsndea eth O2 ib.t

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usmleuser007  1) hehirg nhat mrnalo OC b/c boodl si tsunehd rfmo taaro to rnmpoaylu rreae.tis This dbloo is addde to hte oevlum ttha swa upedmp tnio teh yrmoulnpa sarretie by eht R.V oNw nweh hte yaeextdong oobld urnster ot the LA & ,VL teh O2 ntotecn dlwuo eb terager d/t rgihhe oodlb emluvo. solA ofr ttah esam oreans roem doolb si irutennrg ot teh LV (d/t VL evlmuo lpus fratiocn of RV lumv.)eo ihsT cadnserei the >Ch-- g O .t iR fLet nshtsu aehv atel inyassoc cb/ eht VR si sguihnp gntsaai eht scxese euerprss edtereagn yb teh L.V iThs elsda ot giemsrneenE onSydemr sa VR elnrsaeg and phuess tagsani teh ereurpss frmo het VL in eht .ADP suhT tgihisnf tLef to htirg ot igrht ot eftL nda htus eth elat osscayin +2
temmy  The tomanay is tr-yanrouaomlap nmaeurytorplry-a tens-vilfe tli-umaretf lteric neetvocNi htat teh obldo did otn mcoe cossar eth thirg ethra ta lla dna usbeeca of the EFLT OT HIGRT snhut of eht ,PAD ew dda emro lvueom ot hte TFLE esi.d cnHee hte nrdaeices lfet ultviracner puutot +2


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

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necrotizingfasciitis  igonG ffo of het mstecnmo eloepp aveh tedspo aoebv & idkna nrbgingi signth te:r oetg A hPD slfow mrfo toara to yurlnmpao srtre,iea ihchw eresrsve etafr hrit.b sihT ensam egxtd-daoynee lbdoo ofwl frmo teh maruylnpo treaeirs to the aroat & sles moulev begin tnes to hte LF sdie of eth r.tahe hi T s uessltr in a drdecaees daretofal secabeu eerth si sesl odbol liwfgno from teh sgunl to lrfeli- teh LF n,irtcleev & teh teahr is sltil gipunmp twhi the eams focer sa rfebe,o so hte esam lvmueo of olodb is e,iglavn tub lses ni irnneetg hte LF ised of hte hr. at roemF e,ehr you esu OC = SV x RS H V = opdlaer - oadareflt ihcw(h is eeascrded deu to eht iA )PsDT h sreults in VS bngie rglrea hnta ml,naor os newh yuo ulgp thta tion CO = SV x HR yuo get a igrheh mernub rof daircca p.uuott +
didelphus  eTh ctdusu osuearsitr foslw omrf PA >-- toaar ni roteu to bpyssa hte n,gslu ichhw ahev teeyremxl ihhg tsnecersia ot lo.fw hsTi eevesrsr efrta thirb ued to a odrp in PEG2 wh(ihc asw dluppsie yb het aptlce)an nda eecnrsai in sieldde-ft ycmtesis es.saiecntr oS a PAD claitylyp lfows traoa >-- PA ia(usmgsn rehte era on theor de.ct)efs +


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submitted by jandj19(0)
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sThi is a yerv oclo cotncpe eiedxpnal ni eth Radpi iveRew oyhlagotp oob,k gpae 7.25

feLe-ddsit ot dhsrii-tegd htare tshusn lustesr ni eumovl oldoerva ni eht rhigt ides fo the era,th ciwhh reniecass LV eoulmv lp(odra)e ude ot remo lbodo untrginer fmor het ightr rehta ot hte etlf her.at An enseirac in VL draoepl si ualqe orem acridac optuut adn mroe rokw fro eht rhaet. taLre in ifel that lwli alde ot na neccicert ptey fo HLV hwti raeceeds cacadir ,otuput pymuarnlo pnnyeesihotr dan a iornccnect RHV deu to hhgi dtaroaefl that het htgri thear sha to pmup tsgaain.

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 -1  upvote downvote
submitted by djinn(6)
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oLw laaeotfrd ;g&t hgih CO

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 -2  upvote downvote
submitted by ∗hello(429)
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iTsh is het atclau oeccrtr t:xiaponanle

PDA esascu bdloo to wflo mrfo esnieddcgn aorat to atetpn sutudc iursoaetrs ntio yomuplanr inicrcutloa t"fh)gtlo(-e"-rti

ehT "ts"ela form hte oraat ugdirn ltiadsoe eesriuqr deenaicsr cciarda oupttu ot socempnaet to iervled dataueeq moatnu fo oodlb ot estr fo ybdo

Scro:ue /on/kw/:nsb5.nocg.BhovK/.lmh.is3tN4b0pww7t8/i

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fkstpashls  I'ts L to R +2


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