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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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memsyehap lasde ot OC2 pnpirgat ingdlae ot csareeni aCO2p ni eth od,lbo ciwhh iegvs uyo a eiorrryaspt dsiasico orrePp ranle nsmconoaptie wlil aneceirs dicbar aesbr dna eercased nx-creteio gngiiv ouy esacerind ciabrb in teh odlbo

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meningitis  redesnacI odolb C3OH uoldc aehv yilase neeb penrdttiere sa iedaercsn ldboo Hp .ewlsla ogiFwOnll your ,anoiexlaptn nseci het pt had dcisoai,s the adensierc CHO3 llwi stuj emak ti a namolr oAe hnrt. Hp ywa ot htkni of eth tqseinou s:i if tehre si esdrecead oxanltehia ude to POCD ->- cadreisen 2CO --> enearsidc C2O opdtnsaterr ni bodlo yb netniger eth sB'CR ihwt boCcinra asnArdeyh dna 3COH si edsrleae toni dlboo mar.tes So dsenareci OC2 -> darceeisn 3OCH nesgei sa this tpye of CO2 sptarortn is 07% fo atlot 2CO ennctto in lbd.oo +27
drmohandes  I hhotutg oyu ocdul rneev ulfyl etmn,poaecs os yuor Hp wlil venre nez rPiymaairl.rom rmopleb = rotsariprye sacdisio โ†’ Hp .owl serpaoCmntoy eltcobaim iasksloal lwli eenasirc bodol H,-C3O btu not oehgun to aeirmzoln ,pH ti liwl stju be 'ssle' o,wl ubt lsilt na adoi.icss +7
mtkilimanjaro  I soal nkhit eaescderd boodl O2CP nda rneiseacd lodob pH era rvey mralsii es(sl O2C ni teh dlboo nmaes sles icda,ic Hp cdoul go u)p eoerhrfte I lderu obth of hmet uto sujt form hatt +1
brise  kAa tish is eth Borh t!cfeef +2


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 +2  upvote downvote
submitted by โˆ—waterloo(126)
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if yuo sola hi,tkn ehwn neoseom has iernadesc 2OC a(s ni isth )aeptnit they ahev irstayrroep AIISCSOD ...rgoihts racseiend oolbd pH ncntao eb eht itrhg aesr.nw

Asol, motcaprsyoen nshmeiacm ofr tirarysorep icoadssi pehanps in reteh .ywas

  • FC:E herwe due to ssma tniaoc eirncsae fo CO2 delsa to eesanric ni +H and 3C-OH t(ub htis is inalmmi - ikel )%3
  • C:IF otsm of hte fbginfuer ephsnap ereh hiwt C2O gongi tnio the lelc.
  • :dyeKni hent orve e,teoimms ehtre lwli be msoe enlar stciemnonopa on(t occrtirone) eerhw eht enkydi lliw start to tle go of H+ dna obsrerba new O3CH to hple sjtdau Hp soarwdt anlo.mr
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 +0  upvote downvote
submitted by usmlehulk(7)
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can neaony aseepl plexina hwy ptoion E cwihh si eaiesncdr ni yrinUar pH si otn eth crrceot er.wnas ecsaeub gdyneroh nsgawti si osla a fomr of negctrcior rtoresayipr sic.sdoai

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wfma888  t-irgh ouy lwli eeascirn xrnietoec of tpsrono hchiw lwli WLREO eth !pH +2
an1  โ†‘ irenu enxerotic fo O3HC tre(essnpre eht kaealinl /pH grhehi Hp) and โ†‘ ruien Hp ear teh maes i.tghn esY, oyu yam rwndoe won wyh the โ†‘ blodo HC3O n'dtid eusac an aslokiasl tub sta'ht ueaesbc the RAYIRPM teffec wsa hte ttnoneire fo C2O nlgadei to dsdraeece dolob pH +
an1  OCH3 is alanelik eadmrcpo ot H is ahtw I nteam to asy ^ +


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 +0  upvote downvote
submitted by medjay7(5)
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eTh itsaese yaw I tnihk fo to ese ihst s :i1) Yuo ear gaternnii a lto fo 2 O2)C eTh ilrinpcpa wya in cwihh we ndif OC2 ni odbol si as HO )33C uoY evha a lto of OHC3

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