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Retired NBME 18 Answers

nbme18/Block 2/Question#28 (reveal difficulty score)
A 68-year-old man comes to the physician ...
Cor pulmonale 🔍 / 📺 / 🌳 / 📖
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 +11  upvote downvote
submitted by drdoom(1206)
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gponRindse ot aisdz@rb’i mmoetcn:

iclgankifBl of ldobo orfm het ulgns inot eth R tinrcveel is ecgsnitrth tou eth R idse ta(ilndi)o dan soal rdimegenol the eahtr avi pphoteyhyrr (het atrhe ahs to pcak no sasm to cjete hte erve tgerear mnouta of lobdo piling pu rfmo ngl.u)s naiDliot of eth R erncvleti l“uspl p”traa eth vselea of hte ucpitdrsi al=veveorwl lfte lsnerat orerdb; wenh eth ather is ni eoty,ssl eht ptdicuris vvasel dtno’ ekam ogdo cctnota adn oblod uhsesr romf high seeuprrs mnmtcopeatr )(VR ot the lwo eerspsur R)A( == taycolsnspi murrum

eTh spircuitd mrrmuu gtes resow twih triiposiann seaeubc nwhe yuo aks neoeoms to atek a good, deep ehrabt, het igprhdhaam (a ervy sntgor cluesm, )ededni plusl the nrieet ohictrca ecga nodw and trudoaw (ixpaonens) — nuincgdil the heatr! sBaecue teh hatre se“gt dlulpe rfom lal e,nri”dotisc hte idtpcsuri llesfate emka enve lsse taocnct == gbiger hoel == orem cornodpuen mrrumu gnduri les.tyso

Teh ptoni of mmaaxil lsmpeui h(te hatre )apex si ywa lboew teh xpodhii eucabse siht uyg’s rthea si so ibg frmo hte ryesa of tidnilao and pprhyyetorh — hst’at laso hyw 2S soduns rae ndisatt: hte trega vselsse dan( itrhe ev)salv era urbide evne depree hnat ua,sul so ouy ’ctna hrea emht siappngn thsu orct(ai pm;a& oumlipcn avl;ves S.”2d)“b=u

rhtae dnous reasa ;&=gt pa2/htowd.ss:/tiUSaFsLgo/p9mgppoeg.12lv9.pe

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 +4  upvote downvote
submitted by thisshouldbefree(51)
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2 apkc igc rof 05 yaers = 001 capk NTadmaye eH rse LE = HLF logy atmeehpal = ow FnHR rof eht ittnmoarp ifindn;g ru"mumr taht ricsaense on ris"iotinnap &;g-t isth si tidcinaive of ihgtr seddi rm.umsre

cro eplunoaml = ym dotinieifn is HF as a eusrtl of a lgun aedisse

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 +2  upvote downvote
submitted by medstudent123425(2)
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eGnvi sih rtisyoh of igneb a nohircc skrome his lnugs ear esdsme up (eth heeszew hatt rea drahe kdni of otipn to ti o,t)o lyboarbp ldaegni to ruylapnmo Tlu/NgnH olrs.ebmp Adn atth anc ldea ot tihgr eddis rheta lriuaef chhwi cna ntepres thiw a pdrtuiisc iianoreutgrgt hwich is het pyosca-lisnt umrrum htat r'etyhe nlkgait t.obua htTa nolga hwti the ginttpi damee dan teh oeeyhtaplgam ri(dacac rsrcioihs) inkd of opnti yuo ni teh iodeircnt fo rco lunpeao.lm

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 +1  upvote downvote
submitted by azibird(279)
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Can meesnoo iealpxn het lihpycas ind?sgfni

ic"Crada nmoxieaitna hwsso a redga 2/6 ctaopssiyln rumumr redah btes at eht welro ftle snraetl rberd,o chihw iercnaes no riioa.pinsnt The tionp fo lamxaim imuples is dalepatp in eth bdoxshu-ipi aS1rae nad S2 sdsnou rea nadtsi"t

I 'nodt etdnsrnadu hwo yna of tehes wduol sdrornepoc ot orc uamenlol.p

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drdoom  nBfklciagli of lbdoo mfor hte nsgul noit eht R ierecvtnl is hrnsgtecit uto hte R sdei i()ntodail dan olsa rgoenelmdi teh haetr avi yheryportph e(ht treha sah to pakc on smas to eetjc eth vree eaerrtg mantou fo dolob pignli up mrfo g)ls.nu tDioilna of het R revcielnt supll“ ”atpra the valese of eht tprcdiius e=eovavlwl``r lfet lrasnet bodr`;`er enwh eht aerth is ni eyossl,t the udisitcrp vlevas nt’od kmae gdoo toccnat and obldo sehsru rmof gihh esespurr nomamtrcept )(VR ot teh wol essuerpr R)(A == tl`p`yonicsas mr`mru`u +1
drdoom  eTh spiruticd mmurru tegs eswor itwh iirnnspaito ceaebus nhwe uoy sak mnsoeoe to taek a odog, eped tah,ebr eht ipaaghrmd (a eryv gornts em,slcu dnd)eie llsup hte eterni iorcthca cega wdno dan uot iapn(eo)nsx — cignlindu teh atreh! aseeuBc eth htrae t“egs edullp fmro lal t,inedic”ros eth ircutdspi fealslet emka nvee ssle ocnctta == bgerig oleh == roem nocoeuprdn mmrruu igdnru sel.oyst +4
drdoom  heT itnop fo miamxal lspueim (hte areht p)aex si way lwbeo the ipdoixh besuaec shit gu’ys eahtr is so bgi romf eht reays of iladtnio and rhrypyhtpeo — aths’t aosl why the S2 susond are :tntaids het aretg sesvels nad( tierh svl)vea aer beiurd neve drepee nhta s,uual os you natc’ hare tehm npaspgin tshu o(taicr &pam; ulcionpm ;eavlvs ”d2“u=b.)S +1
cancelstep  imarilS ot ashtw' eebn is,ad utb esehr' how I w:regsneedeAr a atth a ylnpsticaco mrurmu ta LL arSnetl edBrro is cudrtipsi tt,iriragougen csesraien hwit ansitioripn useebca eienardsc irgth civrntele opdlrea dolwu anierces amtnou of IePiMga.gutorirtn in pixhbi-soud aare ansme thta teh genotsstr ncoatrnoitc si pnaephnig -dbuiiohpxs ichhw sah ot eb ude ot rihtg lturvnriaec tyhroehppyr f(tle aivurcnerlt phetyhopyrr lowdu sphu MPI atwdros .saDi if)fael,xlu stetdraec eeszehw iaylbtlrael are bylrpabo ecvditniia fo CODP morf hysotri of smngkoi whchi oluwd escau a srednayoc ynuprlmoa inoyrthesepn deu ot ioehxympa adn notctscnoiasoivr ni eth gnlus rrami(yp is aihpii,otcd smto cmomlnoy uscocr ni -ergu/gmoelnaeddyid fesm)le.a oS ihts xleiaspn yhw you vahe aVuo.Rnr PHylm dmeea duwol be craksecl on lung tianuuolasct nad doulw nitop ot fteL ,FH tub ont hte acse rhe.e olA,s BP /05801 in a -6a8rey dlo whottiu ayn aidtiemnoc is yinteedlif hih,g utb ton iucgasn AS. laPeevlh/ieirrrp edema = FRH +6



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