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Retired NBME 22 Answers

nbme22/Block 3/Question#6 (reveal difficulty score)
A 50-year-old man is admitted to the hospital ...
Intracellular [Na+]: increased;
Intracellular [K+]: decreased;
Intracellular [Ca2+]: increased ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +6  upvote downvote
submitted by โˆ—titanesxvi(106)
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eoph hist amgei lpeh ot eantdsnurd ti, het pmusp dt'on wrok aebsuec aclk fo PAT

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an1  r.aSDttra lasexipn siht laeyrl la yms.reumw:l ninoTpor iduoets the lecl nemsa atth hte mnrbmaee msut veha bene madeag rebirveeslr(i dmeaag) rfo ti to akle ut.o This dsael to ferliua of teh N/aK ePaTsA m.ppu aN dbusil up dinies dna aertw soollwf naiugcs urhtref cell lilgenws aembenrm m.adaeg Ca olsa dubsli pu es.niid K ilwl uldbi pu teoidus eesabcu tis nlmoalyr upssdope ot be mepudp ni ubt teh mupp is neo.kbr sA,ol lelcar ofrm FA atht yeerlapakHmi is snee htwi OD ABSLB;S lelc yilss +2


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 +5  upvote downvote
submitted by โˆ—dodgerslakers15(22)
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In lulralec hacmsiei, eht +N/a+K seAaTP umpp sotsp krngiwo eud ot eedasedcr TAP se.lvle sl,eotnnCuqye dusiom is not epdupm tuo and omitsasup is tno epumpd tion het lecl, ladngei to an laimcnotuuac fo dimosu in eht lcle adn autmosisp uditoes the lel.c hr,Fumeroret hte ripocmlassca mrelutiuc -PAesaCTa pump safil, hhiwc sldea to na ireencas in lmacuci ni eth clel.

otoBtm ien,l mhcicise tuse:si htree si a ulibdup fo dumosi dna uacmlic ni eht ecl.l

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madamestep  I laso ilek ot bmrremee thsi iva het stefecf ehty caseu. owL TPA โ†’ KNa/ PsTeAa tnac do its higtn so uyo egt Na fetl in eth .lelc Weatr ollwfso Na โ†’ laureCll glelwsn.i +C2a eTPsaA tcna rkow rudnig an MI, ebrrmmee htta yuo etg atcrnotionc scroesin in a TISEM gnrdiu hruos 124.- toniaotncCr si form eht dreiacnse a+2C. +


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 +1  upvote downvote
submitted by โˆ—oznefu(22)
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I get atth the nrswea is rtrocec fro a lrrebiseve yunijr rehew hreet is clle enlilwsg abeucse fo the redeaiscn nlerclliaarut aN+ dna 2+aC edu ot irmeipad /NKa dan asroiapcsmlc utrmiclue tyaivcit ...

tBu if trhee era idcnarees cdrciaa nsyzeme in eht obdlo aicdniting elcl tdeah nda ebemmnra aamgde, toulndwโ€™ the llrtircuneaal etllteoysrec eb wol icens tyeh rea eesderla tion eht ol?odb

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lord_voss  tnornpoi = eibversrelri rujnyi adn enbreamm gmaead >- high lrulaxarteelc oitannccoetnr fo Na+ and ++Ca esscau thbo to mveo toin clel roghuht amegadd mbmenrae adn ghhi ctnerulailalr +K eveasl eht lelc +13
rogeliogs  oQtnisue is sgakin utoba eth nhscgea in teh eyryicomocastd dan my sdcnoe rnipettntrieoa asw ahtt ehyt aer nkgsai hte hcgensa befero yeht ue"rrp"ut adn eribleta threi netnotc in eth dobol cogupdrin nreaesic eeznsym ni the .eitatpn efhorTere casebeu is a iisecchm psseocr = rdetiuocn of O2 = owl TPA = imnimtrpae fo KN/a saPATe = asecneri eeadseN-car K aclrraitlunle = bolkc /aNaC grnhceeax = ecesrnia Ca eethric.lalrn luat ames fecfte sa gixodin +5
allodynia  athW llwi hpenap to aN dan ac cntatneicornoc nweh ereth si an siilvrebrere ?irnyuj +
baja_blast  ionalal@yd hoaamPt g.p 4 sah a relaly ogdo mmrsyua of .iths nI s,ohtr +Na nad Ca+2 hbot esrcaine rlrlctaeaiyluln ni na iervereslbri ni.yjur +


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 +1  upvote downvote
submitted by delamj(3)
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I outhhgt hits wsa a pyetrt odgo rumasym ormf aikwideip.

pteSs -41 nepixal teh nuosqi:et

  1. Lakc of yoxeng ssueac eth rytm'siey]c[dacoo oanlmr cpersos rfo imgnak TPA ofr eygnre ot alif.
  2. ehT lecl tsschewi to anaercibo b,lmoamtise uodrgnpci ccital acd.i
  3. tTaP-nirleA noi topntrras smpup ila,f gnascui eth clle to bcemoe pladeroez,di wglloain in,so dnliinguc cmaluci a2)(C+, ot ofwl iton hte l.lce
  4. The ion pupms nca no ronleg proatsrtn cliuamc out fo het cll,e dna alturrlilcnea mlcuaic evlels get oot .ihhg
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 +0  upvote downvote
submitted by โˆ—mtkilimanjaro(18)
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htronAe wya to tnkih outab tshi is tsuj htta eserdedca 2O salde ot cuftniyodns fo eht Ka/+N+ PeTsAa sa sorthe have tnoednmie.

sThi is yrptet chmu aenciltdi ot teh chnmaiesm of ixiodgn, ihwhc bosklc the /NKa sPeATa dan ccumail aacuelsuctm ni eht ecll sebaeuc ti cant be nxhgcedae for elxltacalreru Na+ ch(wih is ton urlclelnaitra deu to eecietvfd /aKN TP)eAas

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 -4  upvote downvote
submitted by โˆ—sbryant6(205)
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fI you oknw eht AMO fo dngiixo uyo ulhsdo eb leba to get hist tqnusieo gi.thr

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sbryant6  .ijtlpic:letih/dsynewahco/sb.gueurp.si/m/msgiesominDmrcoctltpp/-doottaf +


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