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Retired NBME 20 Answers

 +15  upvote downvote
submitted by โˆ—hayayah(1212)
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nI eordr rfo a urdg ot eb daelerc by teh dyei,kn ti usmt siftr be ldeftrei in eht glmlr.iuoe srguD ithw a hghi VD haev omre fo teh gudr in teh seitus hatt are ton laabivael ot felrdeit yb het .eyndik rDusg hwit ihgh tnprieo nbgindi t'onw eb ldfeiter hieter. oS you tnwa a drgu hitw wol Vd nad olw gnniidb if you twan ti daecrel iav teh syikedn nad eurni.

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zevvyt  But a lwo VD ososecdrpnr ot ghhi Paslma Bidnnig tntconriCne(AoFa 23,3 .02)91 'Tahts ym imna nfcsiuoon with isth qtinusoe. +3
kevin  fI si't hhig almasp dnnibi,g nhet s'ti lwo dV. ,But lwo VD 'ostdne einsyreclas uqrerei gihh msaalp .igndbin Lwo Vd can spimyl eb deu ot it biegn a gearl rolap ueecloml +3
topgunber  So yuo eth oinsouncf is ttah VD of 1 sname ti tsays ni hte iicatlurnoc/ alvuriacnastr eom.mnpatctr hsTi wdlou ekma oyu thnki atht ti luwod bidn hhylgi to niteorp ni bscuaee of eth lwo .VD But mi smaigsnu if it bndou esirotpn it uwdol tno be eardcle by eth kedin,sy os fi tsih ahd a olw VD ca(n be rcedeal at lgusmlr)oeu and fi ti dubon slpmaa tspireno wlayek (awlslo the knyide ot rltfie het u)tabcesns tneh it cna eb tleirdfe onit eth rutubla .lunme Nwo the ka.p aessB ehwn apodorettn p(h under tireh kpa) eebcom hcaged,r ihlew saidc ta ph duenr rtieh pak etg tdotenarpo ear RUHG,DNACE imagnen in dicaic nreiu sdica becmeo erom ihilpplocil and cna uedifsf uot of eth tlauubr e.ulnm fI ew dmea eht irenu omer isbac, neht ew tawn to otodertapne the dcai (ph hrehgi nhat p)ak os ti will aenimr tkcus in het utarbul elnmu sa na .ion +



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submitted by โˆ—charcot_bouchard(574)
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aKp si Hp ta iwhhc nay dgur is ta its %05 enoizdi e.tsat

woN we ear lka iuern i.e cin .pH nehw &HgtppK;a it will vhae tow ifdf paht for cicaid durg map&; bicas .rdgu

idccAi ugrd will inc sti iiaeiolmntn (cin iodzien o)f,mr acbsi dgru llwi be roem s as.odrobeb ew eend to nkwo eht grud si icabs a.c/iidc

oNw fi u lka reuni sti inaiimetnol cin. os it aveh ot be dcaii.c ro u cna nokw sti a dios aslt fo rgdu whit SNC tprroype i.e tosm elki tnbaoPreaibhl (eWak acd)i

os fi paK of rugd si a--t6- pH 7 ew ilwl sttar netliimagni

tub if pKa si 0 we dene ot aresi pH fo renui at 11 to sttar tga.atmieinnil taht pinot pvre dugr (=Kpa6) uoldw eb lylttoa uto of .tysmes

tstha hyw A is eth tghri sna pK(a = )6

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charcot_bouchard  rieCtcorno : Nto .0 i enams fi paK si 01 +3
charcot_bouchard  d2n datupe : cnto ot nearl hoocsl rdgea hc.em fi apK &t;g 7 it si sab.e and if Kpa is l&t; 7 it si a.idc eniSc we asdseibetlh eth rgud heva to be a kwae adic paK ctna eb omer nhat .7 +
dbg  akt,hsn ubt Pka dna PH era ont ta lla eth msea tghni +2



 +3  upvote downvote
submitted by โˆ—monoloco(155)
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fI uoy wtna ot arcel a ,rdgu it is paobblry ebts htta ti nto be obdnu to tonrspei os( htta it etgs eerd)flti dan ti ash a wlo emoluv of nsriitdtoibu s(o it t'isn in het eepd, ahdr ot hacer ss)iut.es

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kingtime9119  tBu tath do'tesn aemk sse.ne Page 233 of tsFir Adi 2091 eiiotdn yrelcla ttaess thta nbgei malpas iretopn bnoud eecrtas teh oewtsl oulmev of s,turnibtiodi eucasbe tno nibeg uobnd ot sorntpei eesasncri teh nehcca it lwli rceha pede tion eht susstei erofeb ti resaech teh isyde.nk yepacsrcinD ihtw tirFs ?Aid +
haliburton  my asonrgnei asw grcopnmai owt ,rusgd obht wtih Vd of 1, eth rdug twhi teh wlroe ilamnbu nngdiib wlduo eb rlecade stefar @kengti.mi I o'dnt thnik er'yuo gonnidrcies ahtt A nad B hvae auqle Vd. +8
whyisthis42dollars  gBnie pasmal dunbo mya retcea the sowetl V,d tub it 'deotsn enma t'si oggin to be edrfilte yb het dke.yin mSea roaens yhw onuiprnboet-d umailcc is'tn drtfeeli by het .yedink roe'Yu gentgit too ungh up on dV, btu 'tshta loyn one atpr of eth aeiqtonu reh.e +



 +2  upvote downvote
submitted by โˆ—lispectedwumbologist(122)
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aCn seymbodo lspeae elianpx yhw teh Kap has to eb 6 iantdse of 1?0

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masonkingcobra  cSine na iezodin rfom si hcrdgae by( iftdn,o)eiin it lilw tno isyeal crsos a alornnpo ipild amneeb.mr sT,hu it is miatntpor ot ercngezio hte eitnloapt of eht udrg to enziio in rreod to cterdpi sti obiltuiyls nad het erdege ot which it nca be asb.oreedrb ehT eederg fo onaniitzio si edeinmdert by teh urdsgโ€™ apK nad hte Hp fo ist eeninrnmo.tv eaWk idcsa and ssbea aer %05 idiezno and %05 neidoizun hwne het goidnnruusr Hp aqluse the sugdโ€™r K.pa At 2 pH tinus abvoe or lbwoe eth pKa fo the dugr, raelny 010% of eht ugrd is zoinied or nidoiuez.n +4
masonkingcobra  lByasilca wake dsica ear bste eetecrxd ni ealklnia ,nruei utb kawe ssbea ear exeetrcd omre diyearl in idac er.uin +
masonkingcobra  nI rmmsuay, ebcsaue sith si a wake daci ta pKa 6, kgmnia eht eurin nliakela liwl lturse it ist tozanoinii dan nc.retxoei dInzioe tcan move ruhhtog pidli snrambeem os tna'c etg drrsoaeebb nad si pdiess ou.t +20
yex  Fnoillowg on bgaonaonrkmsci anA: ipoxeanlt paK 94- anc eb etirhe weka adci ro sea.b eWka dcai aKp 4-7; trsong idca paK W3-a 1ek ebsa Kap -7;9 rsgnto esab pKa evaob s9etnffDire Hps: cmoasht: 1-2 edmundou: 53- ylrea ju:jnmue 7-5 t ela uu:emjnj 79- iumle: 9g;t& enuri: e84a5-Wk . iacsd pa(K) egst asdeobbr ni acdiic p)(H rtnensmeonvi dan eeadclr in cas.ib aekW ebsas sget oasebdrb in sacbi vmirnneosnte dan ecaedrl ni cicd.ia ISTH SODE TON APLPY TO SORNTG ABSSE OR he!D! SATIC!! bset anlaotpxine for itsh is a imoBche certule from sasP ramogPr adn ti is laeabavli no ubuYeoT, sti nolg tub it is rof sure rhtwo t!!i Look orf 19 oertimiycsBh 1 mfor assP arPrmog on bYuu.oTe +3



 +2  upvote downvote
submitted by โˆ—chandlerbas(118)
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igtharl slte od ths.i oems of teh ncommste wree lareyl ellw lanxipde,e evrwheo mi gigon to try htoaenr eu.rot elst dlea wthi Kpa sniec the ertoh mnctomse xlaienadep dV lelw hengu.o dosku fsofslla./leel

trsif thgni si oyu aehv to eenetmdri if tis an icad or aseb. 0%9 of the meit ist goign to be a wkea cai,d we eslimp tond oumrtlfea umch cimaitonesd sa sesba in elnegr.a olsa sti msouid stla adn NCS os ouy ownk ti hsa to be hpnlt.ibaraebo pste )(1 wlo aKp nmase adic .)(-74 ouy stmu oknw its.h )2( uoy mtus wonk that all sacdi attrs off laetrun nad nhet seol na ino ;&-t-g ieocngmb ergachd. dna lal sbaes ttars fof garehdc and hten osle na nio to ceoebm alrnetu hits( is yhw ew tndo seu csbai gsrud ceeusab siht ltaurne eargch ahs a hhig dv and ospditse in ssiseut = dab ni dl.elre)y you watn regcdah bc attsh htaw si choiyrihlpd aak eep ti u.ot )(3 tnxe eus athw i ustjj idsa adn lypap it ot sthi acrt:h

+2 = 99%

+1 = 0%9

1- = 0%1

2- = 1%

hte itsrf ruembn etsnprsree eth nideecreff eeebnwt pH dan Kpa apK( si venig by the uoqtiesn a),awlsy Hp si waht ouy cngaehd ewnh uoy aknedzllia eht nie.ur so fro sthi entsiuqo it luwdo :be p-pHKa = gihh cbasi ealuv g&t7(;) uinsm apk ( kwea idac 4)-.7

onw teh cesnod categpnree rerestpnse het eatpngcere fo sodiedtaisc ronp.to os rof na a,cid tehy lliw cmoebe hedr,acg ihts nmsea htta if teh feeferdcni wteeneb hte ph dna Kap is rove 1+ nhte 90% fo the diac wlli go romf lnatrue ot garcdhe. fi eht hp is 2+ tereagr nath pKA neht %99 fo hte aidc lwli veah sotl ist potorn and emcobe drghcae

slet zrsemiamu i:sht weer todl sti a eawk cdai = aak pKa twbenee .47- we wtna to tge ot aetk hte ewak idac rmfo its unetarl mfor niot a hraecdg ormf to tge rid of ti. os we zaallnieak het e,unir seuaecb sabes ear hehrgi Hp you illw tge a roem + urmneb sthu het aewk caid illw og rofm etlnrua ot edhagcr dan eb e.exdecrt

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submitted by โˆ—strugglebus(189)
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I saw dnwoergin fi ti wsa to alwlo orf lpritaa NSC onnteeptrai ecsni eht grud si suysoledpp pdespous to vahe CSN fcefte

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submitted by sha2507(0)
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ofr kawe pask=ca pdHi + lgo )A/(A-H() aka snodeerhn cbelashhas eiuifon taq uyo sloev t,his uol'yl teg ahtt Hp - akp = (doA/a)Hn-g)lA( ethn agnai oyu lilw get 10 to owepr hp - akp = /HA.A- Rref[e ot nilk in etow] smnocnm nigdsnrecio htat het ph fo rou oybd is 7.3 gtwsmihneeo, nac levos rfo pak 01 dan apk 6 ngisu tshi rmth.oula Taf is for kap 6 nda ydbo ph 7,.3 ti lliw be 10 ot eht rpoew fo .31, udwlo mnea ahtt /AAH otrai si a isoietvp eu,rbnm lymigpin ahtt A- g&;t HA. ewesrah orf henw pka is ,01 eht /AA-H tirona is 10 ot rwoep of 72-., nemgian thta &.H-g;AAt

dnA as aaldrey ontimende ni teh oeabv s,eocntmm ew ende na oicnic ,frmo ot enlmeiati het udg,r it dluow be eprederfr if het apk si 6 sa ni ttah e,sac ciA-n)(io uwldo be in rmeo eccno.noiatrnt

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sha2507  e/chss-aduhfbpmpl-f-ibehsdyyouomar.niuaiklcain/aef-rst/eownwr-tiotc-tinukatfe-rbnqiesci/h.wrcspehu:eda/ob/iagflesr//vmr-spr efer to tsih ide,vo ot deutdsnran it a itllet tebter, nda orf eht morlafu wthi eht btel,a sikp ot :267 +



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submitted by kingtime9119(0)
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[oectmmn oedvm ot mnesotu]bcm

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submitted by sway(0)
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so waht fi htsi asw renvieds ewhre eth durg in uqionest swa a saeb nad atht uenir aws edadiifcii. konw eth Kap owdul eend ot be ;&t7g utb thwa uobat hte Hp

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submitted by โˆ—haliburton(224)
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ocmmten[ movde ot ucombt]mesn

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