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Retired NBME 22 Answers

nbme22/Block 2/Question#27 (reveal difficulty score)
A 50-year-old man who has smoked 2 packs of ...
Increased blood HCO3โˆ’ ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +11  upvote downvote
submitted by โˆ—armymed88(49)
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yemmepahs salde to C2O gpnirtap lgnieda ot ecnseiar O2apC ni the l,oobd cihwh visge yuo a eyprrarsoit dcssioai rp rPoe elanr iopacontemsn wlli eanisrce dcbira saerb nad eeserdca txcn-eiero ivgnig oyu eensrcdia ibcbar in eth oldob

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meningitis  nscearIed dlboo H3CO odlcu ehva aiyels eebn depeerrintt as drneeaics lbdoo Hp a.lswel olFglwOni uyor iopnnxtael,a csein hte tp had ao,icidss eht edicrnase O3HC wlli stju kaem it a rmlona n orheH. ptA yaw ot kithn of eth siutoenq i:s fi eehrt is asceddere tioxnleaah edu ot CODP --> niredseca 2CO ->- erneascid 2OC orsptdetrna in oblod by netering hte CB'Rs ithw bariCnco hndsaeyrA nad 3HCO si lesadere noti obdol .esrmat oS sniedacer CO2 -> neeircdas HO3C ineesg sa tshi etpy fo OC2 tsrtnroap is %07 fo alott 2OC eontcnt in lboo.d +27
drmohandes  I uthghto you uclod rveen fully ,topcaesemn os uyro pH illw reven imnrlmeziyaoP rra. pmroelb = retosrriapy cosiasid โ†’ pH wol. Ctnamoeypsor omalbicte oiallsksa llwi eensrcia dolob HC,3O- ubt otn huengo to leaorimzn H,p ti illw ujst be 'ls'se wl,o btu llsit an .ssoicadi +7
mtkilimanjaro  I losa kihtn eecadrsed bdool 2PCO and nciaresde bldoo pH rae evyr rlisiam l(ess OC2 in eth odolb amesn less caici,d pH dulco go up) oeetehrrf I ulrde bhto of meth tou sujt ormf ttha +1
brise  akA tshi is het rBoh ft!efec +2


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 +2  upvote downvote
submitted by โˆ—waterloo(126)
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fi yuo lsoa hnkti, nhew moesnoe has srdciaeen OC2 s(a ni thsi ptiat)en hyet veah reporaytsir SAIIDCSO i.h.osgt.r easencrdi odbol Hp notcna eb teh girth .senarw

,sAol tpsaceynmroo naimsehmc for sopirrryeat idcaosis pnsepah ni heter wsay.

  • CEF: rwhee eud ot sams aotcni eareincs of 2OC lsdae ot reasenic in +H nda 3-COH utb( this is mliiman - leik )3%
  • CIF: otms of eht ufebngrfi ppshena here ithw OC2 gngio otni eht lcel.
  • K:nydei enht vero ,teisemom tereh iwll be emso aenrl opicstmenano nt(o toirccer)on eehrw teh yekdni wlli ttsar to let og fo H+ dan robarsbe wne H3OC to lhpe adtujs Hp dtorwsa alonrm.
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 +0  upvote downvote
submitted by usmlehulk(7)
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acn ennyao lepsea aixnple yhw oonipt E wihhc si ceasdrnie in riyrUna pH is tno het ccretor .wnesra scebaeu gydrnoeh sgaitwn is olas a rmfo of rigtrnocec soyrpierrta scoasiid.

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wfma888  ht-rig ouy ilwl recnaesi xienoertc fo trpnoso chhiw wlil EOLWR eth !pH +2
an1  โ†‘ nueir ocxetrien of 3COH seternrpse( het linleaak /pH iehhrg pH) dan โ†‘ ierun Hp are the smae thg.ni ,eYs uyo yma enrwdo now wyh eth โ†‘ dlboo O3HC nd'tdi cueas na klsiaasol tub s'htat uaeebcs teh IARPRYM tceffe swa het tetnnerio of 2CO dlniage to drceadese dlboo Hp +
an1  CH3O is iellakna cmrdopae ot H si hatw I etman ot asy ^ +


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 +0  upvote downvote
submitted by medjay7(5)
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Teh sateesi yaw I tnhki fo ot ees stih is): 1 oYu rae ntegnarii a otl fo 2)OC2 heT iipplarcn awy in ihhcw ew ifdn O2C ni oldbo is as CO 3H)3 You heav a lot fo O3HC

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