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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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peionRnsdg ot bz@r’sdiai eonmtmc:

iikglafcnBl of ooldb fmro the ngsul oitn het R lrtnevice is etntcrhgis out eht R esid (idonialt) adn olsa ldoeengrmi the rahet avi orpteyyphrh (hte aehtr has ot pack no mssa ot tejec teh evre ertrgae muanot of dloob lgiipn up mfro n)s.lgu lDnoatii fo hte R ectleirnv us“lpl r”tapa teh sleeav fo the siiprctud l=aevveolrw left tlneasr rrdboe; ewnh teh ehrta si ni sylte,os hte iticrpusd vlseav n’otd mkea good tctcnoa dan ldobo essuhr orfm high rersepus mpocatnmter R)(V to eth owl seupesrr RA)( == picsylntoas urummr

eTh prictudis ummrru etgs ewsor itwh noiriansitp beuaces nehw uyo ask nsoemeo ot eakt a o,dog eedp ahert,b het pmrihghdaa a( rvye sgrnot mu,lsec edie)dn lpuls teh erneti irotcach agce dwon adn udaowtr (eoinnxasp) — ducgiinnl het !erhta Beuecsa eth arhte ge“st upelld mrof lal i”dtirens,oc eht pdictisur tllafese emka vene sels acntcot == bgergi eolh == reom prcdoennuo murmru ruindg ylssteo.

Teh tonpi of mximlaa elsiump (eth trhae )epax is wya leowb the oiiphxd ebuscae tish ’ygsu haret is so igb from het seayr fo noiadlit dna oyhhrreytpp — thst’a olsa wyh S2 sosndu ear ittnsda: het greta essselv (adn erhit evvsl)a rae rubdie eenv erdeep hatn ,usual os you c’tna raeh mteh npgsinpa suth oti(arc ;pam& mlpoinuc ves;vla =)u”bS.2“d

erhat snuod aeasr g=&;t plUppggdmti.govoS2/p9wsLpseF2/s:1.o.eaa/9th

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 +4  upvote downvote
submitted by thisshouldbefree(51)
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2 ckap gci fro 05 ysear = 010 capk erHdaeeya s TmN LE = HFL tllyaemhe poag = FHwn oR fro teh iotntrapm fnng;idi mruumr" thta rassicnee on iinipnas"rto -&g;t shti is itenvcidia fo rgiht edsid m.rmseru

cro louplmane = my inonidetfi si HF sa a elrust of a gnul seedsia

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 +2  upvote downvote
submitted by medstudent123425(2)
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niveG hsi yihtosr fo bgein a rhonicc komesr sih lsugn rae mssede up (eth eezsweh ttah are heard dink of nipto to it ot,)o arolpbby delnagi to ronulypma gTnN/uHl mebslo.rp nAd ttah nca dlea to thrig dised hetar iaulfer hhciw can epnrets itwh a iusrdiptc ergrtiunoiatg chwhi si hte onasy-cistlp rummru htta hete'ry ikgtnla .utoab athT nlgao hitw the tnitgpi aedme dan het ghtemeaaopyl ic(rdcaa i)isrosrch knid of ptoni uoy ni eht ictiroend fo rco mopulle.na

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 +1  upvote downvote
submitted by azibird(279)
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anC oomesen epilxan hte sacplyih ngsinf?id

iCadarc" eaxtnanmiio sshow a agred 6/2 sicslpynoat urumrm ahdre etsb at hte eowrl tefl alstern r,berdo hchwi aisreenc no rpsainii.ont ehT tpnoi of amxalim iumlesp is pltadepa ni eth opisduih-bx e aSa1r dan 2S uossdn rea idatsnt"

I dot'n tanderudsn owh ayn of eseht lduwo eosnprcodr to ocr meaoupnl.l

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drdoom  kilglcfnBai fo obdlo frmo eth sguln oint eth R rnvelecit is nscghrtite otu teh R edis a)tl(ondii nda salo iemdlgeonr eth areht avi yorrpphthye e(th rehat ash ot pkac no sasm to cjtee teh erve rgertae nomtau fo oobld glniip up romf s.un)lg oliDaitn of teh R irecnletv l“lspu atpr”a teh evsale of teh pudcsirti verv`leolaw`= ltfe treslna r`;`roedb when het atehr si in ,soesytl eht rputicsid lasevv ’ontd akem ogdo ttccnao dna boold ssuher romf high euressrp rmeptotnacm (R)V to eht low rpseeusr AR() == iona`sclts`py mm`rr`uu +1
drdoom  ehT srdpctiui rmumur etsg erwos ihwt asiioninprt uebeasc nhwe yuo aks smonoee to aetk a dog,o depe erath,b hte adgaprimh a( veyr rtosng em,lscu )nddiee pulls teh ieentr oarihctc egac ndow dan otu ionxn)s(pae — gicunndil teh tehar! eauBsec hte earth et“sg lulped mrfo lal d,tieoscinr” het irpdcutis aflstele amke vnee sels antccot == grgebi lhoe == mero rpeoncound urumrm uigrnd sysetol. +4
drdoom  heT otinp fo amlamxi usiepml het( thaer apex) si way beolw het piohdix acbseeu hist yu’sg haret si os bgi omrf eth saeyr of ilaodtin nda pypotyrrheh — stt’ha laso ywh eth S2 nosdsu aer ad:nttis teh gtaer esesslv da(n ihter alv)esv aer eibrud enev pereed ahtn ualu,s so ouy nt’ca haer tmeh nipsgpan htus icrot(a ;apm& oiclunmp s;velva ”“dub.S2)= +1
cancelstep  imirSla ot twa'hs enbe ia,ds utb ree'sh woh I derernswA: egae htat a cocpnasiytl rumumr at LL Slrnaet rdBero si ricdtusip iigurea,trtogn rsecneasi hwti asintoinirp ubsacee eidanercs htrig eelncirtv dlraope uwodl icreeans umonat fo eutoiIP ta.rgrMngi ni ibuopxd-ihs arae asenm ttha the trogsnets ncticonaotr is npgehpani bshxdoiiup- iwhhc ahs ot be edu to gthir taruerlnvic phpytryerho left( iruetvlracn phoyrtreyhp wdulo suph IPM owdasrt uieflx) Dlifa.,sa ertstdeac eshewez iybltaerlla are proabylb cveniiadti fo ODCP ofmr ityshro fo imsngko chhwi uowdl ucsea a aconserdy orumpnlya nioeyrhspnte edu ot mhixpayeo and onctaciiosvonstr ni teh ulgsn miy(prra is d,apicioith somt nolmomcy cocurs ni ydo/ndua-eedrlemgig faele.)ms oS sthi psxleani wyh ouy hvae V.nrRmua oHlPy emdae uodwl be kercscal no lnug tncoailstuau and luwdo ipont ot feLt FH, but tno teh eacs .heer A,los PB 8501/0 in a yr-8e6a dol itouthw any nitmoiacde is dlnyfiieet g,hih btu otn ugcnias .AS ilprvriaPel/hree eamed = FRH +6



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