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NBME 22 Answers

nbme22/Block 2/Question#4 (reveal difficulty score)
A previously healthy 60-year-old woman is ...
Increased central venous pressure ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +10  upvote downvote
submitted by โˆ—nwinkelmann(366)
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siTh leacrit panixsle teh thayoyplisogpoh l:lwe p/40gohb.n1.Bo:tbN8vniKi.hsomk/tc4ww/3/.nsl/w.

eTh hgirt rtceeivnl is raripilym luipdspe yb teh RAC cihhw aols isleppsu eth AS neod adn AV dneo (90% fo rhetas besacue yeth era rtgih nondim)a,t lgained ot sols fo ltarcntotiyic of the ihrgt dsei, nad thsu idflu luupbid asigucn eeelavtd rnalcte suevon r.psueers eEaltved errspeuss in teh vrile dan aolrpt sytesm wodlu deal to eagtylapmohe dan reef fudil aiutmloccuan ni het .ietrmunpoe

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henoch280  Hlppepl. slp hwy is it not edredcsea aiaprycll nocctio ?erpsseru +2
whoissaad  @ eo82n0hhc esucBae erhet is on ghcean in the llvees fo orntpie ni eth obdol. +11
drzed  tlcieahoylret uyo odlcu ledvoep reliv ireluaf mfor teh neaecsir in aenltrc veouns prsesreu (eg.. acaicdr )rioscirsh adn NEHT oyu doluw vedploe a ecdseear in occoitn upses.rer +2
an1  hc280@oneh the iapettn dha a VR .irlfuae sihT mesna oldbo lilw rtsat olngipo cskdawbar ardse(i JVP liwl be .nse)e uBt to rswnae oruy qotenius, tiococn rersspue chegasn hewn eht niumalb )r(ptoine si wo.l This pnhpesa henw teh pmreblo si tiwh teh riel,v natit,munorli ro/pcenthi ipinethcr denilag to iibuul.aranm eTh taher elrsuts ni a epulyr ttahdyoicrs etarled e.tfdce Hircastodty nsame ot HSUP uifld TUO of the slvssee dna tion hte euit.sss iThs duwol sleusrt in lufid gintrnee teh eytcssim istuse leo(hw doby edaem si eens hiwt RFH) and iuldf tnneirge otni vleir ucdesa eeedscdar aarneidg nagldie ot ssec.ati me Moezir gp 972 pyriaCall dlufi hxancgee FA02'02 +1
l0ud_minority  h0o8hn2ce@ laso I nikth hatt areedcsin nropluaym aclalpryi ytsacdhirot espesrur owdlu pxeinal a plurela usenffoi. I hhgtuot teh seam nihtg hda ot hitkn bouta ti orf a i.bt +



 +4  upvote downvote
submitted by โˆ—titanesxvi(106)
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The oethr asnrews are gworn e:aucebs if( I ma gorwn plsaee ecrtocr m)e

)A hiTs lwuod eb etru ni a ettinpa wtih elrvi ro pihrntceo dmnyrose

C) hTsi wuldo eb ocrtrec if the we ranciees clialarpy bmeeliypitar xamepl(e episs)s

D) shiT si eftl terah efruila

E) sThi could be RDAS (otn reus uhgoth)

)F agynaclinM

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 +0  upvote downvote
submitted by โˆ—abhishek021196(119)
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heT rhigt lievtcrne VR() eresivce sti raateilr doobl lpypus irprylami mrfo eht higrt rconoyra yrreta A)(RC, cwhhi siasre romf hte rgtih rocornya ucps fo eht tra.oa heT sivindoi rsupedco the unocs yterar wchih lpuspesi bdolo fwol to the rgiht uinletrvcra ulotfow t.rtac Teh aoriatlnsi edon S()A is oals eupdislp yb eth RCA mofr eth ndosce niidsvo.i rigusonC ni eht cvittearrrlanoui v,rogeo het ACR tehn gsive off llutmi,pe allsm ebarscnh ot pplyus het aeriotrn VR forebe vdniigdi llmyertina inot the ecuat lgmarina arcnhb MA)( htat nrsu etroraliyn galno eht apmgi,dhra nda het eproiostr degecdinsn yretra (PAD) tath nrus pyerro.solti hTe DAP salo ppislseu teh avtuiornetriarlc odne AV() ni %09 of ,tisntepa hitw a nhrcab fo het letf cixumrlcef ratrey npoidvgir wfol in eth ierdaemnr of sipteta.n heT PDA sipuelps eth rniofrie wlal fo hobt tevcsni,erl nad is a rneltiam hcbarn of het ACR ni 85% of ,ittnpeas tub yam aesri mofr eht lfet oyrcnoar ilcontiarcu ni 5%1 of eht .lioappoutn

heT pirarmy eecffts fo VR schiimea dna crofianint uerslt omfr drcdeeesa RV ylintracitto.c ishT lseda ot a eiudtorcn in dloob olwf rfom eht ouensv emsyst ot eht g,nlsu dna lnlifya ot hte left eids fo eht .ehtra eTh iclcanli nssgi fo ihts rae ecadsenri hgirt dides ertah rr,psussee eaecdisnr rmlpauyno yetarr )AP( yticsslo ,eusrspres and eaedsercd etlf ltrrncuaevi .aprodle pomytsmS may ulenidc eelahrppri ameed llpeecsyai steiditnno of teh uugjlar inve, xpamioye,h dan ieonos.tpyhn

iiyAlatdldo,n sa het RV ldisaet hte tiomon and onnufcit of het nteuvlrencatiirr smeput si tl.erdea If eth RV is eailddt cyorenasd to lrevodao or if eht tlesap umrmadiyco si oradzidjepe by omsteauunisl lfet relitvcen VL() sahemiic het psommsty fo seoinyotnph dna daacirc auflrie yma be r.eucpndono fI the pemust fsisht tedrlwaf rgudni deisatol it eidpsme ftel elarinvrcut igfllni nad as a telusr caidarc uuptot si da.edrseec Tish is retdem slos fo tucbrnreailiv ndecdeeteren.ipn

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 +0  upvote downvote
submitted by nootnootpenguinn(9)
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hTsi wtsebei peilxsna ti o:to

A" aeedcers ni ardicca utputo etheir deu ot seddercae haetr tare or rskeot emlouv ,..eg( ni viteurrlcan fliu)ear elusstr in dloob nikbagc up inot het enuvso laccironuit c(senradei eunovs ev)ulom as ssle bldoo is demupp toin the triaealr u.latinicroc The ltstneuar snaeiecr in iocahtrc lobdo mlveuo ersasenic PC"V.

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