NBME 22 Increased blood HCO3− (NBME Answers)

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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 HCO3− 🔍 / 📺 / 🌳 / 📖
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submitted by ∗armymed88(49)

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eahpysmme slead ot 2OC npirgtap enadgil ot ierescna C2pOa in hte l,bdoo chiwh ivsge uoy a rtyiprerosa saidsoic rpre oP alern onoseticnpam wlil ercenasi racdbi erbsa and reecaesd octneri-xe vgigni oyu eeasrcdni biabrc in the boold

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meningitis nIcaeserd odbol 3COH cdolu vaeh yaseli eenb etrrtipende as dnsaecier dbolo Hp alsle.w ilwlgnFOo ryuo nao,telnaixp seinc hte tp ahd icsdias,o eht riednasce HOC3 iwll ustj akem ti a oralmn p . he rtnHAo way ot inkth of het otiqesnu si: fi ehert si sreaedced linheaotxa ude to PCDO ->- cesidearn C2O ->- eaeisdncr CO2 torerdpsnat in odlbo yb regetinn hte BCRs' twih bnaCocri edahrnysA dan 3OCH is eesaldre iton ldobo sarmet. oS eacsrdnei CO2 -> rensecdia 3COH iegesn sa hist ytep of 2CO rnraspott si 07% fo otatl C2O tneonct in lob.do +27

drmohandes I hthgtou you lucod evnre lufly caneom,epts so yruo Hp illw rveen rramilrzaPy mnoei. mebolrp = raspoyrtrie oisdcais → pH o.wl yposCrmteano lcmetoiab sklisaola llwi anceeris dloob -3CH,O but otn egnuoh to elzoianmr p,H ti ilwl tjus eb l's'es ow,l tub illst an od.scisia +7

mtkilimanjaro I olsa iknht eseredacd oodlb O2CP adn resaniecd odolb pH aer vyre laisimr e(ssl O2C ni the boldo enasm lsse adi,cci pH olcud go )pu terohfeer I elurd hotb of meth uto usjt ofmr atht +1

brise Aka hsti si the rhBo tfefc!e +2

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submitted by ∗waterloo(126)

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if you saol tihn,k ehwn oeemnso hsa iarndeecs C2O sa( ni tsih nap)ttie eyht aevh yorerpsairt ASIIOSDC .gio.h.srt eaedrisnc doblo Hp contna eb teh rhtig rwesn.a

,sAol neoymtocarsp mhcnmaies rfo esyrptraroi iacoisds ahespnp in rheet yws.a

E:FC hrwee ued ot asms incato inearecs fo 2CO dalse ot neerisca in +H dan COH-3 btu( stih is mmailni - lkie )3%
FCI: tmos fo het rnbffuegi nhppeas ereh hitw O2C giong ntoi het .clle
endiK:y neth vreo emo,itmes eehtr ilwl eb some arlne tanicnpemoos on(t cro)inceotr hwere teh yidnek wlli rastt to tle og fo H+ nda rbeaorbs enw C3HO ot lpeh tduasj pH srtwaod rolanm.

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submitted by usmlehulk(7)

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cna enyaon esplae eilnxpa hyw tonipo E whcih is irnecsdae ni yirarUn pH is ont eht eocrrtc .wsnrae ueacbse nehgydro aisgtwn is oasl a mrfo fo tneicorcrg ripsyatorer cioi.ssad

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wfma888 rht-ig oyu lilw ersiaenc oreencitx fo pnortso iwchh lwli OWELR teh !pH +2

an1 ↑ neriu ocetxreni of OC3H rtsrs(eeepn the leakanil p/H geirhh pH) adn ↑ einru Hp era eht meas gi.nth e,sY uoy yma dnerow nwo why the ↑ odolb HCO3 'dnitd scaeu na kasilasol utb s'that uaeecbs teh RYPMIAR fecfet was teh onttnriee fo 2CO daelign ot dseacdere ldoob pH +

an1 C3HO si leaalkni apcmorde to H is wtah I emnta ot asy ^ +

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submitted by medjay7(5)

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Teh sseeati ywa I hknit fo to see ihst is: 1) oYu are eigtinarn a olt of C)22 O Teh icplnarip ayw ni chiwh we idnf 2CO ni loobd is as HO3C3) uYo hvea a lot fo H3OC

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