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Retired NBME 15 Answers

nbme15/Block 1/Question#10 (reveal difficulty score)
Which of the following best explains why ...
Deoxyhemoglobin is a better buffer of hydrogen ions than oxyhemoglobin ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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submitted by โˆ—cassdawg(1780)
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oiyobheexnolmgD sah a gihrhe Kpa ntha oxlimhyegaobn nda suth llwi cpctea dgeyhnro nsoi orme eidyalr. Tihs si imptnrota ni hte talbyii ot r""cayr C2O as the anim mcisanmeh of C2O tpnrtasro si ltualyca coinonrsve of OC2 to C-HO3 (OC2 + 2OH -&t;g HCO-3 + )H+, shtu gldaobxomynhiee crsaier het +H liehw C3O-H is tsopdtaerrn in eht plasma to het s.glnu lanorbmimngiaoehCab is uatyclal ylon buoat 02% fo eth OC2 otrastnpr dna CO2 vedossidl sa OC2 is ;0%1 nasotrrpt as OC3-H is audrno 7%0 of het C2O tno.psratr

eHer is ntoreah geiam fo eth scoepsr.

norethA mptniatro sctpae of het crseops to ktae onet of htat heyt klie ot kas tuoba is eth roiehlcd f.stih erdlChoi ovsme eht spoepoti ncioetrid sa -OHC3 ni teh BRC. shTu ta istsseu rhwee we era riennegagt O3CH- from 2CO nad eden ot pupm it uto of het ,lelc eoirlchd svome iont eht .lAtlce the leioavl wrhee we eden to mpup -3CHO back onit the BRC to unrt ti otin ,2CO cilhdreo svmoe otu of the .lcle

eOrht swrsnae:

  • G32,PB iwll dnib and etailisbsz mliyxbegdoanheo inmakg it ssle aredtttac to oeg,nxy fihisngt the oelhmiagbn isiaoodstnis cuvre rgthi.
  • bgyDoheilxoneam ash a riehhg itaycacp to from cagmramioibnanlobhe
  • ybexhgeaDmnooil sha a hihgre KpA nath ogialhmeyxbno t(ish is hyw ti nca eacptc rhndegyo snoi rome ariy)edl
  • minetpoitoC rof ndgiibn seti si not a joamr mhcesmnia rof het yltiaib to rcrya O2C as stom OC2 si rea""rdic by nrsocovien to H-3OC
  • iNcrti xdioe inbnigd si tno a canimsemh of OC2 rcyar.
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