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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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gdRinonsep to z@b’sriadi tnmcemo:

ilBfknialgc fo lobdo rfmo hte unsgl oitn hte R ervnlecti si cenrgttihs tuo the R esid atli)dion( nad lsoa enordmlieg het ehart iav yeyhorhtprp the( rhate hsa to kcpa no mass ot jeect eht erev graeret taomun of dlboo iglinp up form g.)lnsu anitDiol of the R rtvleecni sl“lpu ”aatpr the ealves of teh iupcsdirt a=vvelwlreo ftel arsentl bderor; hnew eht erhat is ni esolys,t teh puditscir elsvva t’ond meak odgo canotct adn oldob sehsru orfm ghih ssrurepe rcetotanmmp V)(R ot eht owl sperreus AR)( == syicponsatl rurmum

The tucspiidr muurmr tges sowre ihwt ontrsiipian uceeasb newh ouy kas eosemon ot etak a og,do eped ,abehtr eth aphgriadhm (a evry gtrsno ulmcse, nddiee) usllp the ietern hcoaicrt cega dnwo dna aorudtw (noasepxni) — gucndnlii the eh!rta cBeuesa hte herta “egst dllpeu rmof lal i”odtsnrice, het ptcsuiidr sftealle ekam enve ssle ccntoat == reiggb lohe == orme ponuredonc rumurm udirgn ysslo.te

The poitn fo xlmaiam elispmu eh(t hrtae )axpe si wya bolew het iophixd sabeeuc isht us’gy htaer is os bgi orfm hte yreas of ndailoti nad htyyopphrre — t’saht lsoa ywh 2S soudns aer ndtitas: eht ragte sevless nad( eitrh )vesavl rea bdrieu enve prdeee ntah l,uuas so ouy ncat’ eahr hemt spngainp shut ioc(atr mp&a; pnmlcuoi valsve; S=b)“d.”2u

htrea nsoud rasea &=t;g pg1moa2dtg//psalse.p.F2w9/sUoeigt:hpo9pvS.L

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 +4  upvote downvote
submitted by thisshouldbefree(51)
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2 apck gci rof 50 reyas = 010 kpac NTHeeasydmr ea EL = FHL yapmeeo hlgalt = nwHRoF for hte rtpoantim g;fnniid mmr"ruu that seiarnsce no iiorpant"ins &t-;g isht si dciaivenit of rihgt dsdei mr.mrsue

roc lunalomep = my doniieintf is FH sa a tsreul of a nlug ssdaiee

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 +2  upvote downvote
submitted by medstudent123425(2)
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nvieG his yosriht of biegn a icncrho oekmrs ish usgln rae dsesem up the( wesehze that are adhre nkid of ntopi to it ,oot) robalbpy ldngiea to pyuoramnl nHTuNg/l .elpobmsr Adn thta nca adle ot rhigt iedds athre rauifle hwchi acn espntre hitw a iipudsrct tarnogguetrii chihw si hte so-cnlaspyit uummrr ttah 'hertey gainlkt aub.ot tTah olgna ihwt eht ttpnigi edema dan het gmpataoeyhel d(caacir crirh)ssio dikn fo tiopn oyu ni eht nidrceoit fo orc l.elopanum

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 +1  upvote downvote
submitted by azibird(279)
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nCa enoosem npleixa eht ilhspacy inngsif?d

a"arCdci nnitamieoxa swsoh a rdaeg 6/2 ysiotsnpcla rrummu ahrde esbt ta eth owrel left aternls rrdboe, hhcwi eiraensc on rpiioinant.s The itnop of laimmax iuspmel si dtpeaapl ni het bixip-uhsdo raeS1 a dan 2S sduson rea td"satni

I n'odt runtaensdd owh nya of hetse odluw ronrsodcpe to ocr uenoplmla.

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drdoom  Blkifliagcn of odblo mrof teh nugls noti het R cvietnelr is chnreittgs out hte R esid niolat)i(d adn also gednrelmoi teh ehtra iav hperphytyro (het aetrh ahs ot ckap on ssma to ectej hte ever rtrgeea tnamuo fo bdolo inipgl pu rmfo guln.)s alDoniti fo eth R cnetilrev slpl“u aar”tp the vlease fo hte dticruips =eao``vwllver tlfe nrelats e;dr`r`ob nwhe the ehart is ni syte,slo het pisdcturi lsvaev otnd’ kmea ogdo cttcnoa dna ooldb hsseru rmfo gihh essurerp mptmrcaoten )(RV ot eht olw srsuerep R)(A == is`oypcnt`asl rm``rmuu +1
drdoom  ehT ircudspit urmmru setg oswer htiw iorpniitsna bucsaee nwhe oyu ksa oeomnse to ktae a ogdo, epde teahr,b hte agradimph a( vrye osrgnt e,mulcs ned)die plusl het eitner aoihcctr ecga dnow and uot xis)eo(npna — iinnugdcl the r!thea eBsceua eth eathr segt“ edllup mrfo lal s,”ceirntodi eht rsiduptic ealletsf ekam vene sles aconttc == breggi elho == oemr donperunoc murrum nudgri lts.eyso +4
drdoom  ehT ptnoi fo amlaixm ipelusm the( ehatr x)epa is awy bloew hte dixophi euasceb hits gsu’y threa si os ibg rofm het serya of itndlioa nad eyrhthpyopr — thtas’ slao hwy hte 2S usdnos rea :stiatnd eht gerta selevss (nad rehit )lesvva ear ubrdei neve ereepd naht ualus, so uoy an’ct hrae them spnipnag utsh ro(ctai p&am; ulpcnmoi alvsev; “d2”)uSb.= +1
cancelstep  Salirmi to ahwst' neeb ai,ds but rsehe' hwo I eArswr:egnaee d atht a lyoinpcatcs mumurr at LL lStanre rordBe is ptsurdiic i,gettiragnoru eearcisns with ipirnaitson esubaec nradsceie igrht cniervlet aeoldpr dlwuo ncisraee atunom fo MPogntrueigtiraI. ni -hsibxiuopd aera amsen ttha the tonesrtgs aoittnccnor si ehpganpni xo-pidhisub which ash to eb ude ot rhigt tcrieuvanrl pohhpytrrey (eltf rneltiuracv teoypyrhphr wudlo uphs MIP adstrow eiislal)ff,.xua D aetrdtsce ezwseeh lrliayabtel era bbpaloyr aniditviec fo CPDO rmfo tyiohsr of sinmkog wcihh dulow ausec a oaderycsn umopnaryl inpethoysner deu to hxomieyap nda onscisotairtncvo ni teh lngus mrr(iypa is diopiath,ic tsmo cmmlnooy crsocu ni yiaudereong-dmgd/le mlefe).sa So thsi laxiepns ywh oyu ehav uRyaHom.nlV Pr daeme ulowd be sccalrek no lgnu uuatainlcost dan dlouw pntoi to etLf FH, tub tno the caes ehe.r lo,sA BP 0/5081 ni a yr-86ea old hottuiw yna tmdocieina is dntfileyie g,hih but ton nsuciag AS. aPre/lhlrrivipee eadem = FRH +6



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