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NBME 23 Answers

nbme23/Block 4/Question#41 (reveal difficulty score)
Electrophysiology of the heart is studied in ...
Ablation of the atrioventricular node 🔍 / 📺 / 🌳 / 📖
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 +7  upvote downvote
submitted by amirmullick3(76)
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ECG r.ngiTasc eTh etiasdnc tbeeewn SQR leeomsxpc si tonyucniulos oautb 6 bos,xe so etar si ehe aTdfustci.fn is a dr3 reeged coklb eherw het atrai and rcnvstliee aer gntbaei ninyldpeenedt of rhoheaetc dna teh RR si lveuaqtnei all .oThglena 2nd SQR xoepmcl si SREPU rwrao,n nad htesro rea sola o,rrawn ihcwh snema heyetr iilaronpdgze nahkst to eundlb fo .Hsi

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homersul  tlsil ltglshyi edcsofnu ywh idn'td oyu kicp aiosaltnir d?eno ahTs't suulyla reydosted in fiAb to nral'si'ome hte HR +



 +5  upvote downvote
submitted by aladar50(41)
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orF the ,GEC I tiliailny htughot it wsa nd2 regdee pTye 1 sabuece it mdseee thta teh PR ntvlaersi reew rsaceninig uitln a ateb wsa pdde,rpo ubt if uyo okol ta it ,lcsoeyl mose of hte P savwe eewr dheind in het QSR mselx.ocep fI yuo nitoec tt,ha tneh oyu anc ese ttah ehter ewre eagrurl P wseva nda uglrera SRQ cpols,exme tub reteh swa a mpecolet itnooadisisc enetbwe them cwhih saemn it was dr3 deerge atehr b,olck so het ewnsar aws lainbota enar eht AV dnoe.

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yotsubato  wnesra asw tblniaoa aner eht AV .onde No it w.asnt tI was btaloani FO HET VA ndeo le.ifts hchWi daefk me o.ut +9
makinallkindzofgainz  hTe tgnenta by suer h"tbbrw"a yssa hatt terhe si "rp ignhnlnteeg rervyilgoe"pss utb ehetr is n.Tosi th si 3rd dreeeg AV kclo.b ehT P avswe charm tuo tioetnylcssn at itrhe own tea,r dna eht RQS psecemlxo mrhca out ta tireh won a.etr Teehr is lcepotem asitdoocinsi weetenb het P ewavs nda QRS .epolmsxce yThe veah no rit.sihoelpna ishT is atlxcey thaw uoy ulowd ese if oyu dabatle eth AV e.ndo ehT AS oedn luwdo toiecnnu ot to reatec P .svwae heT budlen fo siH ouwdl ietnocnu ot taeregne lijncuanot (mrlnoa k)golnio SRQ .ecmlsexpo +6



 +5  upvote downvote
submitted by sajaqua1(607)
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onW'tldu oltat AV daonl ontlaaib reodyst ot tatcrtuhoiymihy fo eth makepr?aec Ttha udlwo neam that eoblw eht VA noed the htmyrh wuold eb voidprde by a tureacirnlv ,foic dna ehtos lsuyalu tecera iewd QSR ecex.opsml

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haliburton  taht asw ym anngisore sa le.wl segus .otn +
yotsubato  tSythi EMNB rarmagm sitkser aga.in +1
charcot_bouchard  oN. oN y.usg Belund of shi locdtea below VA dnoe adn ti anc raeenetg .mupisel it llsca intncoju epcesa thymrh nda aowrrn m.ecxplo oeBwl shit si uei,jrnkp elbdnu crnhab ap&m; lnueavricrt cuemsl. setho era wedi ocxempl +20
abhishek021196  oerdl-eTAeg(Vrehhec iTd m)lpet obkc  tiaar nad eltnvciers teba entnpdeidenly fo heca tr.oeh P daewv san RQS csplxeoem tno aiyhtrhlcylm oasai.dstec atlAri eart ;u&tgrc ietvranl raet. Ulluyas eatdter with kaac.emrep naC be bus dayec L3ym aseieds +2



 +3  upvote downvote
submitted by fallenistand(27)
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siTh ueiqtsno si igksan hwat luodw seuca isht! PR ivtealrn mnssgie up is an eisus at the AV n.eod So btlaanig hte VA deno wuodl eascu ahret o.cklb

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 +2  upvote downvote
submitted by mutteringly(33)
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UW isQutneo I:d is e9gt1n67T a yrev siliarm eoncpct dan ipsrdoev a garte iploeaantnx rof sit!h

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 +2  upvote downvote
submitted by krewfoo99(115)
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nI brados adn endby,o It is iads ahtt hdrit eegrde ehatr lbcok si ude ot olkcb ni het ISH kriePujen teym.ss So hwy ulodw tanlbaoi fo AV done casue ihts esieds?a

ntdouWl oetnisrdutc fo atrp fo left etenvclir be a retbet narwse ?

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brbwhat  aHd eht esam u,dtob edRa hte tarp agian and nfdou pe sh.Tity 2 Is ueascd whne krenpjiu is gnnahgi by a tahder nad rferoehet soem spemlsui ,dccdtneou msoe Coth bn. is sduaec by iurnekjp nto uonncdctig spulsmie frmo ,san seom rloew mkaeaprce ie runijkep ro sih is dpeioraglnsi yb ltsife chnee nrclevitse etba indnle.yentedp Teerh si KOCBL ni iujerknp rof ctouicdonn romf aAsonn mg. onpitos hte yoln htgni atth alsisehbtes hsit oclkb si vna ioatna.bl +



 +1  upvote downvote
submitted by methylased(20)
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galeRur mrhtyh oc(tnu eht xbo,es yeerth' s,eam) 1 cdduenocnut p vwae whit eurrgla mryhth t-&g-; atira and eincrstvle abngeit yteedpldennin llyi(ke stlnreevic lctr by euPji-i)nsrHk &tg;-- eeopltcm r)(d3 ahtre colkb g-&t;- VNA tabnaiol ihst( is tallcayu ndoe for stp wtih ibAf eeismosm)t

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 +0  upvote downvote
submitted by endochondral1(24)
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I thguhto aaonlibt fo eht av ndeo wsa a tx orf a fib ont harte b?kclo

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underd0g  The qusieton sksa fro teh CSEAU fo eth rhate bolck, tno ttn.eaterm +



 +0  upvote downvote
submitted by osgoodschlatter10(41)
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I khint eht qutnisoe resrfe ot a eraocsin acdsue yb latniabo of a traiaucprl gnerio of eht .haert

fI yuo olko lcfrelyau rthee rae emos -turerapme raervuitcln ebats ro( erhrat stju 1.) amet-ruPer tnrcliaeuvr tseba nca be casedu yb tialnabo of het AV odne esinc teh VA nedo si siespneborl rfo rhhytm rlcootn yb cgnlnioolrt het enbrum of AS ndeo psimesul that ear tnidettmars to eht nieaurlcvtr icerltclea er.owntk

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 +0  upvote downvote
submitted by kard(52)
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Ptaneits woh nergoud na AV node nitoabla are aols tdlmiapne ihwt a eaaemkpcr ot phle atimnani a rlanom raeth a.ter .xT for etlecmpo oBclk

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 -2  upvote downvote
submitted by goodkarmaonly(2)
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Teh GCE wsosh a bzoitM eyTp 1 lcbko rignogon(lp RP loofdelw by a edpdopr seTweaev .h sobckl yuuslla esari sa a touyrdbpc of a osatnliycdfnu AV no,de os abtianol ta eht AV edno is het omts arepoipprta reansw ni tsih esca

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kcyanide101  iThs solok erom lkei a botimz epyt 1. Yuo nac eoapcrm eht gce adiresng ot hatt on .AF... iFstr Derege BH ap&;m iozbtM ytpe 1 aer asuylul VA e.om...brlsp Wheli zboiMt pyet 2 dna 3rd reedeg aer SIH kurpneij fbier sssieu +



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