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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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Tihs arlctei lpxeians teh tyhgoohpisolyap llew: .k/wlhc83/bn.vpN0tsb:mg1/hw.BKwin.sioto4/4on/.

Teh tgrih cvniteler si iaiymrprl siuplped by the RCA whchi osla ssueplip hte AS ndeo adn AV oned 0(9% fo tarshe ecusbea yhte rae rgthi i,monnda)t gianeld ot sols of iotiltcrtcyan of the rtihg ,ides dan htsu iuldf lipbuud scgnaui taledvee crnealt evsnuo .rereupss Eevlaedt erprssuse in teh rvlie dan ortalp ytesms loduw aeld to ataplgeymheo nad eref ilufd uamocanultci ni eth upt.eneoirm

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henoch280  plHepl.p lsp hwy is ti nto rdedecase apallcyir ccoiont epruse?rs +2
whoissaad  @ 0ehho2nc8 aeuBsec ehtre is on angech ni hte vleles fo ipernot ni eht obl.do +11
drzed  yerlleoathtic uyo locud levodep evril ifluare fmor eht enrceais ni ntclear voesnu surrpees g(..e adiracc sh)iirrsoc dna HNET yuo wlduo elpeovd a draseece in cnoicto ssp.erreu +2
an1  0h8ce@2ohn hte tiptean adh a VR li.fuare This snaem dlboo illw ttsra inolpgo bwasdrack (iresda JPV ilwl be n)s.ee tuB ot wnares ouyr qinsoteu, ictncoo seruresp aschneg nwhe teh lnmibua (oprtne)i si ow.l ihTs phsapen newh eth lompreb si iwht eth ie,rvl t,otmriunailn ph/rcinote necipirth naldeig to i.nrualiambu Teh tareh tlsrues in a rplyue sitohycdart edrealt ecd.tfe sHtdiaortcy mnase ot UPHS dfuli TUO of teh lsseevs dan inot the esu.sist hsTi lwdou stlsrue ni fdlui gtieennr hte esitsycm uteiss hlwo(e obdy deaem is snee hwti F)HR adn dufil tgieernn itno vlrie dceaus dreaedesc redianag edginla to steasic. oizm Mere gp 792 rpylCaali fudli cenxghea 220AF'0 +1
l0ud_minority  hn@2och8e0 osal I tnhki that reeaicsdn myrlpaoun liraplayc sdotctyarhi suseerpr woldu elxipna a rellupa fi.nsefuo I hgutoth eht aems thngi dha to ithkn uboat ti ofr a i.tb +



 +4  upvote downvote
submitted by โˆ—titanesxvi(106)
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eTh toehr snrwsae era gwnor a:ecsube i(f I am ogrwn psaele rtoecrc me)

)A ishT wodlu be erut in a enptati tiwh rvlie or tehcrinop oemrdysn

)C Tsih uldwo be rroecct if hte we iaesercn pcilrlyaa ermtybielpia (lmxaepe s)psesi

)D sThi is tfle rheat earfuli

)E Tihs oucld be RSDA no(t urse uhog)ht

F) inygcnaalM

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 +0  upvote downvote
submitted by โˆ—abhishek021196(119)
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The gihtr tnvecirle R)(V civreees sti reilaart oobdl pysulp rlipmyiar ofrm the irthg croryona ytrera (,CRA) chihw iarses omfr hte grtih cryroaon cusp of het arta.o eTh nidoiivs rpsduceo eth usonc eyrrat chiwh selippsu bolod oflw ot the rgiht eanvrruiltc folotwu ttrc.a ehT naloiirsat eodn )S(A si olas pdeliups by het RAC rmof teh codesn vd.oiniis iCsorugn in het aetrniiruacvlort ,veogro eth CAR hnet igsev off pli,mutle aslml acnebhsr to pyplsu eht orentira VR freobe didginvi ilntayreml iotn teh atuec alrimang hcarbn ()AM taht nusr otlneiryra onlag eht rdgmap,hia and teh sptooirer gndncisdee earyrt DAP() ttah nurs ioltr.eorpsy heT APD lsoa eppulsis eth anircierrtutolav dneo )(VA in %90 fo pnst,eiat twhi a bnhacr of eht tlfe muxcefcirl atrery drpniiovg fwol in hte armrenied of spintea.t The ADP euppissl teh roiirefn lwal of bhto ,vltenricse nda is a rtnmaiel nbhacr of eht RCA in 5%8 fo nt,eatips utb yma iares romf teh elft onyacorr uaritcoicnl ni %51 of the pni.optaulo

Teh priramy tsefefc of VR hciaesmi nda anionirtcf ruelst rfmo eddrsacee RV tit.cynaolcrti Tish sdlae ot a diroecutn ni ooldb owlf rofm the vesnuo ssmeyt ot het nsug,l adn lynailf to teh tefl ides of hte htre.a heT cnilcila sgnis fo sthi ear nradciees trhig isedd retah ps,sreseur aiecdnsre myapuolnr ryrate )AP( ytcoslsi eessrspr,u and deesrdeca etfl viuaecnltrr dpaorel. tspSmmoy yam lcidune pileerraph eeadm pecaylsile nitesdnito of eth jalgruu iv,ne phi,yaoxme and nhpon.teyios

dat,ldynAolii sa eht VR deilsta the omnoti nda ocuniftn of hte vltriateurircenn emtusp is retedla. fI eht VR is tdiedla osdeycnar to orlvaode ro fi eht pslaet uraymdiocm si iaedjodrzpe by muoletuansis tfel invelcetr L(V) chiismae the stopsmmy of onpeohinyst nda rcaicad reaflui aym be ooerdpnunc. fI het mutspe sshtfi fatlrwed nuigrd edsaltoi ti smedpei elft nvetlicrura gfilinl dan sa a slrteu aadircc tpoutu si .eecdaerds Tshi si reemtd sols fo iarcvrelbitnu erenenidnetcdpe.

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 +0  upvote downvote
submitted by nootnootpenguinn(9)
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iTsh ebsiwte lesanpxi it oto:

"A ederasce ni raadcci uottup ehrtie due to adesredce areth reta or eosrkt vlomue (g..,e in lirvcutanre ua)flier esslrtu ni lbdoo kbaginc up otin teh ousevn lncicutorai eerdcs(ina sovune veo)mlu sa slse blodo is eudppm iton eht irratela cincolar.iut hTe ertalnust sreecani ni tciahocr loobd muvole enaiessrc ".VPC

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