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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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tAfer hte cuff si et,id hte sllce and uestis adtsil ot teh cfuf wlil ietcnnuo niunmgcso ATP (&P-PAtT;ADg,) ubt on rsfeh lbdoo lwil eb eerdeldvi to e”arc“l tahw llwi be na guniacamltcu maunto fo DPA dan eroht stelbtie.oam DAP )seoed=nnA(i si lteisf a pyrxo fo mocuntpsion nda ievsrd ostivolanaid of at!ereisr nEvoi(lotu si a)str!m rnecsagIni A/DenAodenPis in a la“ocl vmt”nnrnoeei is a aislng ot eht odby that a lto fo compustonin is crnruigoc er;eht ts,uh ertieasr dan rlasreetoi luarlanyt tedail ot creneais lobdo lowf aerts dan pew“se aawy” btcoieaml utcso.ybdpr

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lispectedwumbologist  'eoYru a gdoo nam. ahknT yu.o +1
drdoom  So dlag it del!phe +1
seagull  eyvr well tu,p nhatk yuo +2
eosinophil_council  rat!eG +
aisel1787  .gdlo nathk yo!u +
pediculushumanus  lbuteafiu annlxoit!ape +2
rockodude  siht leanxoapitn swa no rap wtih D.r aStart OIM +3
flvent2120  sutJ to dad on to ihst: 2FA020 .gp 792. CHLKA Caiml(uc, +,H denAein,os tcaaLt,e K+) si wonkn to advtiaselo ecmlssu ngurdi esriexce sa elwl sa greuaelt acpsmtityeh nteo fo irseerta ta etsr +3
omarjenny  rD Straat nda mtopaha eldfia aotl poelep ondt' deemncorm htm.e +


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 +10  upvote downvote
submitted by newrose(10)
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aCn soenmeo iralycf yhw aclnoiPsycrt asw orgn?w I nwke het HAKCL gthni ubt orf soem oserna ahd rtbuleo nirlgu uto yrlpcitnsoca nices its' a vtaslraoido

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cassdawg  yM sbte nraesw fro htis is htat het btes nwsear si dnisnaeoe usbeeac ti si kagisn orf cihwh si nlvdiveo in eth schnmiame of traeceiv merheayip whic(h sovnvile rmiisal shanimsemc to neolu)ttiraguao fo oldob f,lwo whhic vvlnoeis .HLACK lhWie tvsadlrosiao ekli GP2I c(ytpcnio)rla ear dlsvtaoosiar ti si seerleda at a aesb evlel by the sgnul adn ildento,emuh and esedrtelaa hegirh esllve in snicesnta cshu as .lamonaitmfin niaPrcoltcsy si ton lsaeedre in itcvaeer aeihprme.y If uyo anwt a eefrrshre otabu iacetv v eavtceri ymape:heri eo4/.+g+Adp/rAo/j:celB2l1.mFtirl+/ni+t%loCmgidoseflolt4paat5nr3l3rhao+tlLoo/s+acwe/ssie/Ri9d/ceseyesop22. ehTy are bhot ddietmae yb cemoitlab tdi.eenmriaste sa enodmiten oaevb. +4
cbreland  I ekpcdi ncotcsyrplia for eht emas s.reaon dienesAn dna the rtoeh CALHK emlistaobte sakem sesne ht.uhgo I gssue sh'att wyh ruyo snteiieav/srre itlade ewhn gnokwri uto +2


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 +7  upvote downvote
submitted by madojo(212)
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I o'ntd konw fi this aws the trghi way i gtutohh uabto it but i reereemdmb L.At.eH Kh..C nhtgsi atht secau iniotadvaosl in ltlekesa elmcus

C - C2o, H - +H, A- eonea,ndsi L - tceaatl -K +K

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drdoom  sThi si gr;aet esteh rae lla riesoxp of lsatboimca, e,i.. e"nt" APT ntnui!socpmo )&TAtPP(A-D;g +1
drdoom  imPtsoasu mtigh eb the neo ttah seon'dt esem to tfi btu llcear atht eclsl vhae na +K+H/ orittrn:ape celsl nca tac sa a isk"n" fro gihh olodb +;H htey ke"ta up" H+ ofr(m oo,dbl tion lec)l tbu ni" hnxaeg"ec hyte vahe to put uto a K+ (to iaatinnm a rmanlo etconi.l)ge-aretrd So, sa bodol caid rsttas to erpec p,u sclel llytucaa tt"amp"te to rigbn ti ackb to remuiquliib yb cgiusnk up +H d(an tignput uto K+, iw,hhc as oyu ryslue rellca ,;) is hte emprtioandn inocat hnwiti les)lc. +3
misterdoctor69  roo,dd@m wlodu yuo losa tenvreu ot ysa that erhet is eenscdari +aN/K+ ePTasA atciyvit in an dnsiarcee elocbatmi steat whihc hitmg aosl ncoterutbi ot egrerat +K elufxf toni het olobd? +
drdoom  oeiorstc@96drmt, o.n uiatsoPms wofl is nderiv yb tsi hilceamc gaitnrde mrf(o iendis elcl, eherw sti tncrocnenatoi si i,ghh ot d)oei.ust If +K xffleu is ,nriedeacs hte tseb ctrpuil oluwd be eth H/++K ietrrntopa hiw(hc t“kase pu” a por,ont utb ahs to ”rrr“denues a as,utmopsi in na patemtt ot mevore acid omfr the olbdo — iiccad oob,dl fo ecuo,sr bineg an ibaienvlte uootcem of vdeevr eblmacoit atste: net TAP cmonoupistn amp&; hhig C2O ud.tionp)cor +


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 +2  upvote downvote
submitted by pmnbp(2)
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lduoc nosomee lspeae inexalp ywh edisoeann si ecor?rct

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drdoom  Afret eht fcuf is tdie, het elscl dna utsies liastd ot eht cuff wlli eitnuonc mugcsoinn PTA (AP)P>-TAD, ubt on frehs oblod lwil eb dervediel ot raec”l“ awth lliw be na angmuacitlcu nmaout fo ADP dan ohert isbtmoet.eal APD onseeiA)=nd( is etislf a ryxpo of cpitnmuosno adn esvrdi daslionvtoia fo rei!seart iuvo(olntE is a!)mrts ngInecasir enDeoAsAnid/P ni a l“oalc eevntrnoimn” is a ilngas ot teh dboy hatt a tol of tncnsopimuo is iorrcgncu tee;hr thus, esreairt adn orieseatrl rltluanay ltdiea to icraenes obodl lwof trsae nad w“epse ”aawy cbiletoma strucbyop.d +1


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