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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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tfeAr eht fufc is i,etd the lcsel nda ussite tsldai to eht ucff iwll noictneu songcnium ATP (gt;-ADAP&TP,) tub on ersfh blodo lilw be lederdive to “ae”rcl awth iwll eb na agicntcalmuu natuom fo PAD and othre t.slbteaemoi PAD eA=d(noi)sne is itlsef a xrypo fo imouposntnc dna idvrse vliaiodtsnoa fo ai!sretre tluoinov(E is msa!r)t giIrcennas AoPe/senDAdin ni a clao“l tm”oeeinnvrn si a aglins ot eth body ttha a tol of usntoopminc is rircongcu ;three ,hstu eeritrsa and oiaerrtsel ylnultaar idealt to aeicnsre olobd fwol teras dan epw“se ”waay oameltcib uo.crtpbsyd

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lispectedwumbologist  r'uYeo a godo .mna ahnTk you. +1
drdoom  So lagd ti hlepde! +1
seagull  vyer lewl ,utp tnhak uoy +2
eosinophil_council  r!aeGt +
aisel1787  gld.o aktnh uyo! +
pediculushumanus  eibutlfua xntaonplaei! +2
rockodude  htsi nexinoatapl aws on rpa ithw .Dr Sratta IOM +3
flvent2120  tuJs to dda on to isth: F0A202 .pg 729. KAHCL c,aC(imul H,+ Asnoeined, taae,Ltc )+K is wnokn to viodsteala lcsemsu iudngr eeircsxe sa lewl as atulerge aemtcyishtp etno fo eirtesar at tesr +3
omarjenny  rD ttrSaa nad amhtopa aedfli olat plepeo td'on cnoemredm ehm.t +



 +10  upvote downvote
submitted by newrose(10)
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Cna eosoemn afyilrc wyh Pyoatscirnlc was w?nrgo I knwe the CLHAK ginht btu rof semo anesro dah leutobr rgnilu otu psitnoyalcrc eicsn sti' a odaivarotls

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cassdawg  My ebts rwesna fro hits is ttha hte sebt nrwsea is neeniosda seabceu ti is snagik ofr which is nlvivode ni het enammcihs fo caevrite iepmehray chh(wi vnvslioe irsilma nehamsimsc to olnurtaiuet)gao fo oobdl ,flow hhciw ivonvsel .HLKAC Wlehi srsaoalotdiv lkie 2GPI tpya(lno)icrc are vtssaorioald it si leseadre ta a besa ellev yb het slung dna endtohuli,me and eaesltdrea hgihre slelve in censantis chus as li.nfamotinam acPyctlornis is otn eleesard ni riatevce ym.reaephi fI uyo ntwa a eehrrfser aubto ctivae v rvecteai rapiyeehm: ceictpi2ltl1hAFa.r29oesA/wt4+:+//r3lp/Lo2sirlpcCl%s/./itsnmooslldg+/Raedrinoloe54jaoe3sooe+/ymfed++Batge. heTy rea otbh tieddame by almceoibt tseitei.edmanr as teomdnein baoev. +4
cbreland  I iekdpc yccnpsoriatl fro eth asme .osnare ndsenAei nda teh rtoeh LHAKC istoaeemltb smeka snsee .hhgotu I sgues hastt' why uroy ssenevairiet/r alitde nhwe kwiongr otu +2



 +7  upvote downvote
submitted by madojo(212)
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I ontd' know fi isht saw the hitgr wya i ogttuhh taobu ti ubt i eebmrremde .Ath.K He..LC hnsitg ttah ueacs iladovsntoia in lkeleast elmscu

C - 2,oC H - H+, -A aesneo,idn L - ltaatce -K +K

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drdoom  hTsi is g;trea ethse rea lal pesxroi fo acablotism, i.e,. nt"e" PAT nmotuco!ispn ;D(-gtAA)P&PT +1
drdoom  moPuassti gmthi eb eht neo thta 'stoden esem ot ift but erlcal tath scell hvea na +H/K+ eapnritort: llecs nac cta as a s"ik"n orf hghi olobd H;+ ehyt e"akt up" H+ mf(or ,dobol noti c)ell utb "ni ceax"ehgn yteh ahve to upt tuo a K+ o(t iaaimtnn a aomlnr )etato.lr-digecern oS, sa boldo cdia rtssat ot ecrpe pu, llesc yaulcatl tet"tpam" to nibgr it abck ot emiquruilbi yb uginkcs pu H+ (nda inutptg uto ,+K cihwh, sa ouy rseuly llcear ;), si eth rtpaodneinm ontiac inthiw elsc)l. +3
misterdoctor69  dmrd,@oo wloud uoy laos enevtur ot say ttah hrete is edearcins a++N/K PaTAes tivaycit in na isecnerda tioaemcbl eatst hichw gtmhi slao ceittubonr ot aegrrte K+ xlffue iont hte dol?bo +
drdoom  d9teos@orcit6m,r n.o moPsisuta ofwl is vdeinr by its cmhicale itndegra mro(f eniisd cell, erhew its otocnnitncera is ,high to ie.oduts) If K+ ufexlf is encr,aidse hte etbs tripucl lduow be the +/K+H eaprtotrin (cwhhi keta“s ”up a nopo,tr but ahs to sunre“”drre a smoituspa, ni na ettpatm ot reoemv cdia fmor teh lobdo — cdicai b,oldo fo c,reuso neigb na teeliavnib ctemuoo fo dveevr ebimalcot atst:e nte PAT inucpoomsnt ≈m ighh C2O .nipodcotur) +



 +2  upvote downvote
submitted by pmnbp(2)
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lduco snoeoem saelep eianxlp ywh eoeanndis is cte?rcro

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drdoom  Artef teh ffcu is ,tied eth lcels dna issuet idlast ot teh fcfu illw tocunein nmgnosiuc PTA >)DATPA-,(P tub no ersfh doblo wlil eb lvddeerei ot e”lra“c hatw iwll eb na igctauamucln tnmaou fo DAP dan rthoe taebelis.mot DAP nd)ieA=(osen si itsefl a pyxor fo pcostomiunn and resdvi vnoadstolaii fo sareeitr! uiEnvo(tlo is mr)!ast isngnaecrI DnAenAesPdo/i in a olac“l einmotvrne”n is a aginls ot the oydb taht a otl fo ctunimosopn is gcrrciuon e;hret u,sht rreesati dna rletorasei ltyaralnu teilad ot asicerne odbol lwfo aetrs and “eepsw way”a otbmalice ocbusr.tdyp +1



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