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NBME 22 Answers

nbme22/Block 2/Question#21 (reveal difficulty score)
A newborn has cyanosis, tachypnea, and ...
Respiratory acidosis and metabolic acidosis ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +7  upvote downvote
submitted by โˆ—privwill(27)
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Stpe by tsp:e

  1. Hp = owl = iosdacsi
  2. 3HCO = wlo = siodsaci
  3. OC2 = gihh = sisdaico

o,S twah 'vIe eanrdel is ,taht ni cns,eees lmcieobat oasdicsi ysaawl estak iotriryp in ehste aonss.rcie 'Its iednvte atht the esoprn si tno spcteona,gmin tbu ouy atwn to tclelucaa anyawy yb nisgu Wrniet = .15 3CO()H + 8 .
I f yuo aactclleu uyo lilw ees that eht exepcted si 35.0.

  1. fI OC2 is hrhgei than teeedcxp = oontmtniacc yrstorpeair sidsioca
  2. If 2OC si elwor atnh epdtceex = cmotanoitcn satryriepor ollskaias

ereH ti is ehighr than tcexpeed )56( so tincmotacon posiyraertr siadi.cso

I esgsu if ouy daenwt ot atrts whti eht spietyorarr sdiscioa you we'odluv tekna inot doensinotaicr atth acbneartbio 'ovuhseld ogen up ot peosctnam.e tI dd'tin os 'ist pnecaeo.dtusmn Nto suer if ee'rsht a oflaumr ot tacuclael eht htero sfuft

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makinallkindzofgainz  n'dot gretof to add het /-+ 2 to het ned fo eti'snWr lmfr.oau Yuo evah a tyin regan ni hwihc C2O nca afll inhtwi +2
cbreland  I terdats wiht yerrirasopt ocisdasi nda toguthh taht any mepatosnoinc udlow ehva an carsneied H.C-3O -3HOC si welro ahnt mranol ,velesl so atht ludow eanm tem. saodiisc sa wl.el oN mhta eidvolvn leki oyu uledlad to +1



 +2  upvote downvote
submitted by โˆ—impostersyndromel1000(42)
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rFo teh psmiel emddn,i fi Hp dna C2O ear igvnom ni psoeiotp itcrneisod tsi p.terrsyairo Heer, pH is wlo dan 2CO si h,ihg os eryarRpoist iAsocsd.i Tehn oedlok at riab,cB detcnio it wsa boelw rlnm.oa If mnalor duolw veah sceonh nsomatcupedne tbu csnei ti rdceseaed I seadmsu emoablict osd.siaci lr,lOaev wderi Q cb aapeycnth owuld neam nieatilreopnhyvt hhcwi si trcsepe asli.skaol Btu ingss of aekw snseoper eclmuss ro rrpaortseiy stisrsde hwich wodlu be senbirpseol di.coissa Ao,sl WOL Hp twih mlsapa ciBarb etnewbe -3~83 nasem idxeM scsdiAio (AF 0912 gp )058 os cdoul osal jtsu kcip eth oen iwht ohtb s.odAsici

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thatmd  ahnkt ou!y!! +



 +1  upvote downvote
submitted by โˆ—armymed88(49)
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A llteti ahtm p. r.eHeh si lwo --g;t& csaisido 2Op C is ihhg -&tg-; ayoesrrript omlrNa intepoocsanm dolhsu be hgroyul a 1 t(u)eac ot (i)hcocr4n eaeirnsc in raibcb rpe eeryv 01 ceeisnar in C.O2.p tsI lreow rhee, so rllaeyc otn docetesnpma dan dtacnidie iatiodalnd rodp ni da-c-irg;t b& dda on meatb siaoidcs

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hello  Hm, ahwt od uoy mnea by lom"anr aesiocpmn"on?t Are uyo ntlkaig uaobt hte cbraib douhls eb e?eancrsid rAe you sganiy taht a amnolr naseinmctopo oduwl eb eboclaitm asoll?skia oudWl tmbaoecil sksallaoi be an esirance ni a?bribc +2
kateinwonderland  oHw do yuo nokw ihwch neo sah ibgrge ubroitoinnct in tihs nsatiitou herew eehrts' eiadncers 2CO dan ecdderesa ,O-CH tobh cnigtdinia ocisdis??a +
yb_26  rlnoma eikydn opceomatnisn ouwld eb na esaiernc ni iabbrc oroiranspebt &=tg; erscdinea muser rb.caib ihTs pt has olw usrem abribc gt&;= teruncrnco ltiocmeba disiaocs +



 +0  upvote downvote
submitted by nicsar(1)
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o2cP Is h,igh cdossi;ai Resriptyaor so.scidia

If nCmdoaestpe 3=ฮ”wle-HlO C, tih(rrEcvtyEyo )emnaocipostnฮ”OC2P1,/0 )12~(5655(1-0~2.0/)=4 &g;;tg&t ,H419C3--ฮ”==5O2 tno m,eacodenpst neev esls H3-C;O ebdmoniC btimalceo .iocsdais

for, ynediK s.oaencpntmoi esu 34~ seitdan of ~21 in cyerotcyihrct oaict.m ansdeonnp hiwt s,thi eht paG ewtneeb ellw eotsdpnmeca dna the esca veen rafhert.

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