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Retired NBME 24 Answers

nbme24/Block 3/Question#2 (reveal difficulty score)
A 28-year-old man has a blood pressure cuff ...
Adenosine 🔍 / 📺 / 🌳 / 📖
tags: biochem metabolism acid_base blood_physiology

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 +95  upvote downvote
submitted by drdoom(1206)
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fArte het fufc is tdie, het scell dna sisetu ialsdt ot eth fucf liwl ncueinot ningcmsuo APT (Dg&tTA;PPA-), ubt on frseh obold liwl eb reedeivdl ot cr”a“el twah iwll be na antucicalmug mntuoa fo PAD and rehot ottil.aemebs ADP sedeni)=nA(o is elsfit a xoyrp of otunisoncpm nda dviser tivlosiaaond fo re!estiar (tiEnvloou si !tm)sra ensgcIainr eendnso/iPAAD in a co“lal ”neemnrotnvi si a gliasn to hte byod tath a lot of nipsntcuomo si currcigon eeht;r ,usht tarreise and eliareotrs lryutanal etiald ot ancrisee lbodo olwf artse dan ees“pw aa”wy ialbceomt spdubyot.rc

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lispectedwumbologist  eour'Y a ogod am.n hnTak y.ou +1
drdoom  So glda it !epehdl +1
seagull  yver ewll ,put hntak yuo +2
eosinophil_council  tG!ear +
aisel1787  dolg. anhtk yo!u +
pediculushumanus  bluetiauf oixan!enpalt +2
rockodude  itsh onpeantilxa asw no apr wiht Dr. trSaat IMO +3
flvent2120  Jtsu to dad no ot iths: F2A200 g.p 92.7 KCLAH iau(C,mcl ,H+ enonsie,Ad acett,aL K)+ si nnowk ot evoldstaia eumlscs dgniru rcsexiee as lelw as uareglte amthptcisey nteo fo erirseat at setr +3
omarjenny  rD aSttra adn ompahat ldeifa laot elppoe dtn'o rceomednm m.teh +


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 +10  upvote downvote
submitted by newrose(10)
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nCa eonsmoe lcifayr hyw cailtosyrPcn saw gronw? I kenw eth AKCHL tignh utb for omes reosna dha teulrob nguilr otu nacptlcyoris insce ist' a tsrloiaoavd

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cassdawg  My sbte asnwer for htis si tath hte steb nesarw is odeasnnie bcasuee it si nsiagk fro whihc si eivvlnod ni teh emicshnam fo cieaterv eirypemah (hhwci nlsvieov imiarls smichneams ot iage)rtaoluunto fo lobdo lf,ow whcih oinlvsev .AKCLH hielW rdoilosvsata ilke I2PG ctl)icoa(pynr era aivtsrdasolo it is aedsleer at a bsea llvee by the nsugl dna loindeemu,th nad saeletrdea ehgirh svleel in ntncsseia uhcs sa m.lianmitfnoa clocPtsiyanr si ont deeeaslr in evreacti eyem.arihp If uyo tnwa a shferrere otabu aceitv v eavtcire epr:maheyi csB+eilcF+d+/otCoier1+iA4s/wgt.a3Rh/yps2oao3/lld/emoLf52gli4oeeAoale:/eao2t9rmn+tppdrln+tle/s/c%jslsoir.. yeTh era hbot emtiadde by meoticalb ranteieteis.dm as deontmeni va.obe +4
cbreland  I dkpiec cscnpotlrayi fro eth msea snoear. Aeendsin dna the htroe LCHAK istltmaeboe mkesa seens ugt.ohh I usgse hts'ta hwy uoyr /resivrstaieen aedilt nhew iwnrkog tou +2


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 +7  upvote downvote
submitted by madojo(212)
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I t'nod wokn if hsit aws het itrhg way i uhgtoth batou ti utb i edemrbreme Het.ChA...K L gtnish htat aceus iildvasanoto ni elkeltsa musecl

C - o,C2 H - H,+ A- ,eisnoeadn L - ealctat -K K+

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drdoom  hTsi si egrat; stehe are all spoxeir of ti,alscboam .e.,i ""nte TPA itcspmo!ounn )TA&DP;AtgP-( +1
drdoom  iasmPusot mgtih be eht neo atth etons'd mese ot fit ubt llacre ttha lcesl aevh na +K/+H rtatrn:peio llsec cna atc sa a "ski"n for hihg obodl H+; they ak"et p"u +H or(mf bo,odl iton llce) ubt in" cngxee"ha yeth eahv to put out a K+ (to innaaimt a raonml egtor-t)adi.elecrn ,oS as dolbo icda tarsts to pecre u,p lclse yatculal tpa"tte"m to binrg ti ckba ot riuebuiimql yb cuignsk pu +H dn(a tipngtu tuo +K, hchi,w as you uyrsel claler );, si the aetdmrpinon intaco hwinti le)csl. +3
misterdoctor69  md@rodo, uwldo ouy osla nveture ot asy atth rehte si enarsecdi Na+K/+ aPAesT attiivyc in an erdecnasi imaoceltb setta iwchh imght aslo toubeitrcn to etearrg K+ xefluf ntoi eht lbdo?o +
drdoom  @9dct,orsomteri6 o.n Pmsaosiut ofwl is nervid yb tsi aieclmhc nrdgteai of(rm idnsei ec,ll erehw tis niotenracntco si ,ihgh ot dutis.)eo fI +K fuexlf si dscnr,eeai the estb luprict luodw eb eht ++KH/ prtaerinot wih(hc skt“ea ”up a ro,otpn tub sah to surr”edne“r a m,ptuoaiss ni na tettpma to merveo dica fmor hte lodbo — dcicai doblo, fo esu,cro egnbi an ilineatebv eumcoot of vedver boiemcatl etsa:t nte TPA psmioctunno pma&; ighh O2C id)tp.oronuc +


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 +2  upvote downvote
submitted by pmnbp(2)
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lduoc meoseno esealp anieplx yhw dosnieane si rtcc?reo

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drdoom  Aetrf eht cffu si ,eidt teh lcesl adn sestui altdis ot teh ffuc iwll tienoucn igmsnocun PTA ,D-P>P)(TAA btu no reshf ooldb iwll eb drdveleie to ”rae“lc wtha iwll be an anlcucaumgit auomtn fo PAD adn hoetr iebtlmset.ao DPA ee(n)Ainds=o is etslif a rpyox of onucminotsp nad vrieds slvatnaoodii fo rearti!es lnvtEuio(o si rm)!ast ciInensgar /ienPAoedsnAD ni a ll“cao im”vrnntenoe si a nsagil ot teh doby ttah a tol fo ctmisonunop si gnrricocu r;hete t,suh rietresa nda rieetrosla allayrtnu ideatl ot iceaersn dobol flow eatsr and spe“ew aayw” mteicaolb dsu.pycrtob +1


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