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Retired NBME 20 Answers

nbme20/Block 2/Question#17 (reveal difficulty score)
A 57-year old man has a hemoglobin ...
Chronic obstructive pulmonary disease ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: hemeonc polycythemia

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 +17  upvote downvote
submitted by โˆ—hayayah(1212)
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siTh si rieceavt ymylceaphoti eav,r chwhi si due to hgih uieattdl ro ulng eisdsae. aSO2 si l,ow adn OPE is d.nceaeisr

heontAr ayw to rpaaochp eht oteqsiun is loikngo ta eht blodo res.ma t'sI trtpey aornml o(n ,yketsoemyacrga on dnsareeci merunb fo lttsp,aeel on od,rs oigtnnh ,lbue ect). A olobd rmsae form a CDOP tatipen wlli eb moarnl. Jtus na dicsarnee rbumne of CRBs ued to the eraedsnic PEO lgindae ot aseecnrdi .bgH

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mbourne  You 'hdoltsnu alcl it eiacretv cyiytpohmael r,v""ae as ayicoephtyml raev is a rteaespe seedais hwti tnreleiy rteienfdf eogltoiy. iTsh si eRiavetc imehyyto,lcaP ro sa tneaorh operst s,iad ipeaarporpt ateubosl yyaohetpmcil coenradys ot orinchc ixyaoph. +24
j44n  i udjpem no tmplylacodiseys ningihtk it was PV edu to het jka w itoatmnu but you tccieyllhan tge teadelve tyerhiveng ni hatt ttanmoui os it owuld eb orme tnha just CRsB' +
beetbox  I losa htohutg it wsa .VP oHw can we ltel etraevci ehyiltpmayoc omrf acautl P,V if VP deos not wsoh ehort dksin fo bdloo elcl ocunst dasrei tbu tsju na aeotils fo CRB eirs? +1
l0ud_minority  I tgo hist wngro tub hree ym slBdriee nataao fof hte nfamitoroni ni hte aspseag how nca wHo nac ouy eaitdtfenirfe hits mrof tpproapaiinre aeubtols phyaylocmti?e tcnaasaleorPip ydmroens si isaaseotcd twih acnsrec shuc sa ataeoelucHpllr mC.acrnaio eiHatrdeyr oechtsmorhoaism cna eaelv to ivlre src.osrihi s'ahTt why I hsoec .C Btu I wsa .wnogr +1
epiglotitties  I'm uc,ensdfo oiytcamylPeh eVra n'staw ni eth arnsew occesih, )D was smdylyeotipscla yemnrdso iwhch I no'td itkhn is eth amse sa eplrvroltfayieomie osdr-drise which luncedi V,P eltanssEi boyhmhorTcemita nad fr.losysbiMoe-i rO rae yeht teh aems h?ngti? Al so oebbte@,x het yaw to ltle craevtie tlcohamyyipe morf VP is by ingoolk at PO.E In eaitrcev ti si evdtleae adn is tahw si ladnieg ot teh eeciarsn in B,sCR nda ni VP eht icsneare ni CBRs si due to eoacsiplnt omainfrsntrtao of RBC socesurrp NOT xsesce OE.P +



 +9  upvote downvote
submitted by โˆ—alexb(53)
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I dosunefc poadmysteilsylc neroydms htwi ayrirpm elyormoifsibs ecubsae I ttoghuh 32- of heots BCRs kelood kile rrepotad elcs.l utJs klie hnew yeth hosw na agmie for ubuosll hoegippmdi nda eeshrt' esom iedwr sncdoe rip hgrthou eht /dlmaadrslrembeu elary nagkmi em thkin t'si tno BP vnee oghuht I no'td wnok hwta lese it oduwl e.b fml

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whoissaad  daeM the msae tasmike +9
targetusmle  i ottuhhg txyecla eht sam!!e 2 ellsc klodeo ekil trea opdr llsec /: +2
ilovemypuppies2295  I ttuhogh eerht ewre rtea opdr lcles to.o emedSe eilk ti ouhdls eb a lpisateaam .nhte hO elwl +
lynn  I did eth a,sme ubt linokgo ta 9A1F gp 423 it says enefcv"etfii smaetspoehiio ;-t&-g tecesfd ni elcl mutatrinoa of hdlonpiynmo i.na"leeg You acn get boiebld oespl,riunht ro fi ti ssderpgore to LAM u'yod ees euar s.dro gnohtNi tuboa rtea prod llse.c heTn no gp 460 rtea rodp scell dwulo eb snee ni bsfeil,soyroim nad bsyolsip ltsashiaaesm +
waterloo  I tghohut eht mes,a ubt I khtin taht odwul eb sifbio,lmsryeo ont ayy.emcssoltlidp Hb si ylreal hihg ehre to.o tPetyr iktycr rfo emht ot tpu atth t,eerh eyas keen j.ker +1
jawnmeechell  leineytngIstr nohegu, nigoegacn liydmoe ealsatimpa is eth old aemn orf loyssi,fmerobi itwh anei"ggc"no igbne nsoyounyms wtih ciito."hipad" r(o did rvneoeey leaaryd onwk iths) +1
bfinard1  irmyaPr islyisrfmooeb si a iteoremaiplylferov irodsrde tno a ymtaleossilcdpy dmsreoyn +



 -6  upvote downvote
submitted by โˆ—strugglebus(189)
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tP has yitlamypecho vare yalemirlivetopefo(r sde)rrodi ude ot chniocr apoyhxi edndcui yb D.COP yldiMoe imtaealsap si eaxtr adyulmerl mhaiooisepets deu ot ioesbsryim.lfo aHderriety roteshocommshai udolw have nbee oevpnr by a nsrpsaui eblu stnai. pnepsmriHslye dluwo have ucaesd decdeears CB,Rs nda opmedlsacsylyi ermodyns uwodl hvea onhsw uAre odsr ro .lbsats

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neonem  Rgiht, I hnikt hsti wolud be tsju aedllc arprieppo"at tlauobes actmyo"ih,lype areeshw yemtiachlypo rave is eud ot a nlagnaitm JKA2 imutoant nad doluw eb treemd a ytep of chincro riparvtloeifomlyee residdor. +14
utap2001  eptsyclsodyiaMl drmeoyssn SM)(D si also ecllad eumeiklaPer, yaliyolp.saedsm n i SMD, ryou nobe rwroam ntd'seo ekam genohu of thees htleayh oodbl .leslc a,Idetsn ti eamsk nraoambl elscl taht t'rnae llufy vpoededle ma)s.Aiu( rmet the ooiictndn eodes,pvl ruoy ebno rrwoam egts gadlaylur kaetn orev yb hte ametmrui dloob sl,lce hwhic 'nodt wkro y.herlprpT eo coonitdin nca eovdlep yllswo tnienodl() or qiclyku vgs,ieeg()ars dna in eosm eplepo ti acn peevlod otin a epty of lukaeaemi callde euatc deloymi eakamuile )L(M.A +



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