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Retired NBME 20 Answers

 +15  upvote downvote
submitted by hayayah(1212)
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In rerod orf a gdru to be ealdrec yb the kdyein, it mstu stirf be eifdterl ni the .roilugeml sDrgu wthi a ghhi DV vaeh mroe of eht dugr in teh ustsie ttah era tno evllbaaia ot ftdrelie yb the inykd.e urDsg wiht ihgh nrpoiet iidbnng n'tow eb teedfril iehrt.e oS ouy nawt a gudr iwth low dV nda wol nnidgib fi oyu tawn it rcelead via hte esidkny nad rin.ue

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zevvyt  uBt a wlo VD rdoonsrcsep to ihgh smalPa iBngidn enn(CroicntotFaA 332, )902.1 atshT' my ianm sinoufcno twhi hits oeqs.tniu +3
kevin  fI t'is ghih palmsa bngnii,d nhte st'i owl V.d ,But owl DV dot'ens ecelrsnsiya eerquri ihhg pamasl inigb.dn owL dV can mpysli be edu ot ti ibeng a elgar rlpoa mucelelo +3
topgunber  So uoy het nciusoonf si ahtt VD fo 1 mesan it tyass ni teh anrt/icoiucl ltnarsarviuca rn.cmeatmpot hTsi ludwo ekam uoy kithn thta it duowl dbin lhhgyi ot itoprne ni acseebu fo eth wlo V.D utB im mgausnis if it uondb iopnestr it wdlou nto eb caerdle by teh kyis,dne os if tihs dah a low DV c(an eb edlecar ta lmsul)uoger dna if ti buond pmlasa spotinre wyleak alwslo( eht kynied to frtlie the t)esscbnau tneh ti cna be ifedlter tion eht tulaubr m.lnue woN het a.kp eBass nhwe rnaootpedt p(h drune iehtr apk) cemboe rd,hgcae ielwh icsad ta hp rduen htrie apk gte prnateodot ear ,GDNACUERH gneianm in dacici nurei diacs ecbome orme iplhpiolilc nad cna ifdefus otu of eht uraulbt mn.eul If we edam het nriue emro ,aiscb tehn ew nwat to etdntaoepro eth adci p(h ehghri hnta )kpa os it lwli emrnai ctsku ni het labrutu lunme as an on.i +



 +15  upvote downvote
submitted by charcot_bouchard(574)
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paK is Hp ta wihhc nya grud is ta tsi %50 oinediz t.sate

wNo we ear akl nruei e.i nic .Hp hwne g;aHp&tKp it illw haev wot fdfi hapt fro cdiiac urdg am&p; icsab .gdur

cAicid rudg lwil cni its oainieimtnl ni(c zendoii or),mf ibsca dgur will eb orem o.bs bsedora ew dene ot okwn hte gdur si ibcsa ac.ici/d

Now if u kla iruen sti netaimoinil cni. so it aveh ot be dcia.ic or u cna nwok tsi a sdio tals of rudg ihwt NCS yrtrpope .ei tmso iekl oabrhalneitbP ke(aW iadc)

so if paK of dgur is a-6t-- Hp 7 ew liwl rtast gnltmnieiai

btu fi Kap si 0 ew dene to risea Hp of urine ta 11 to trast gaitnltni.amie atth piotn vrpe gudr (a=Kp)6 ldwuo eb lyottla tou fo msy.set

hastt ywh A si eth htgir nas Ka(p = )6

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charcot_bouchard  tCerorinoc : Nto .0 i manes fi pKa is 01 +3
charcot_bouchard  2nd tapdeu : ocnt ot lnaer osohlc agrde mec.h if paK &t;g 7 ti si bsea. nda fi pKa si &l;t 7 ti is d.ica neSci ew sahdiltesbe het dugr hvae ot eb a keaw adci Kpa cant be oerm htna 7. +
dbg  tahnks, tub kPa adn HP rea nto ta all the smae gnhit +2



 +3  upvote downvote
submitted by monoloco(155)
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If you atwn to rlcae a ,gdru ti is lybaropb tebs hatt it nto eb dbonu ot irposetn o(s that ti tsge efd)rleti adn ti ahs a olw ulomve of ntisuriotdib so( it sitn' in teh p,dee drah to recah ue.stssi)

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kingtime9119  tBu taht se'dont mkae e.sens gaPe 323 fo rtFsi Adi 2901 idiotne aylelrc sttaes htta beign amaspl tornpei bnodu reetcas eht leswot mvleou of idiruoinst,tb eseacbu otn iengb dbuno to tpesionr srnacseie eht ecnhac ti ilwl acehr eedp onti the isustes eerfbo ti ceahers het n.dkysie ynrDpcciase with tFris dAi? +
haliburton  my anigseorn saw coiapmrng two srdg,u thbo with Vd fo ,1 eht grud whit eth loewr biamuln ignbdin loudw eb eeladrc srtfae imneg@k.it I 'ntod kihtn o'uyer rsnnieigdoc that A adn B vhae lqeau V.d +8
whyisthis42dollars  gBnei psmala nbuod aym reetac teh lwotes dV, btu it tndo'se mena 'tsi ioggn ot be eedftirl yb teh iydenk. aSme oaenrs why dtbp-oerunoni cauclim ns'it fetreldi yb the nied.yk eY'our gttinge too hgun pu on dV, ubt 'tatsh ylon eno trpa of eht euianqto .ereh +



 +2  upvote downvote
submitted by lispectedwumbologist(122)
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anC obydoems ealpse ilanexp ywh the paK ash ot eb 6 endsiat of 1?0

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masonkingcobra  iecSn an ziondie frmo is gecdhra yb( oinnt)eidif, it wlli tno lesiya scosr a aonlronp lidip ernmemab. uTh,s it is mtoaripnt ot rzegneioc the lpteniato of eth drug to einzio in dreor to trdpcie sit ysllutobii nda eth redeeg to hwhic ti can be s.oberdrbae heT egdree of iainzitnoo si trediemedn by hte ’sugrd paK adn eht Hp of tis .enmrietvnon aWke csaid dan easbs aer 5%0 zodiien dan %50 oznuiiedn wehn het rgdnsriouun Hp eluqas eht gud’sr aKp. At 2 Hp tnsui above ro eowbl eht pKa of hte rugd, enaryl 10%0 fo eth gurd si idoezin or .inoeudzin +4
masonkingcobra  cysBallai weak icsda era tesb texreedc in anialkel ,enrui utb weak bssae era rxdceete rmeo yarledi ni aidc niu.er +
masonkingcobra  nI m,amyrus abecsue stih is a waek dcai at aKp 6, ingmka the inure kieaanll lilw leutrs it tis izoinontai nda ceronetix. inedIzo ntac evom hgrutoh lidip mesenrmab os cnt'a egt aeborsrdbe nda is sedisp .tou +20
yex  ioFlowngl no omnrbginkoacsa exnAaoinl:a tp aKp -94 nac eb rtiehe aewk dcia or bks a.aeWe icda Kpa 4-7; orntgs idac aKp 3Wea1k- easb aKp -9;7 srntog besa pKa eoavb fi te9nrDsef :Hsp oth:msac -12 :nmeududo -35 raeyl j:numeuj 7-5 alet muujn:je 97- iulme: g9;t& nruie: 8a4e-k.W 5 siacd ()apK gest basebdro ni daccii (p)H nmsnitovreen dna dercael in bci.as keWa saebs gste bodebsar in baics nernvetosnmi and drelcae ni dacc.ii THIS OSED TON PPLAY TO NRGOST ASBSE RO CA!! !!IShTeD btes pelntinaoax rfo shti is a cohmeiB uecetrl ofmr ssPa gmPraro dan ti si laiabavel on uobTeYu, sit ogln btu it si ofr user trohw it!! Loko fro 91 toeiBsicyrmh 1 ofmr ssaP agorrPm on eobuuY.T +3



 +2  upvote downvote
submitted by chandlerbas(118)
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rhitagl estl do i.hst meos fo het oncmmset ewer ayerll llwe lidaexep,n veerwho im giong ot ryt trohaen ur.oet ltse eald htwi Kap iscne hte herto octmnmse axneiedalp Vd well onhgu.e uoskd aol.elsfef/sll

srtif nihtg si oyu vaeh to emnireetd if its an acid or e.asb %90 fo the tiem its iggno ot eb a ewak ,iacd ew limesp otnd ltfueamor cmuh ioemdnstcai as sbeas ni enr.glae aosl ist diuosm ltsa dan NCS os uoy kwon it ash to be onhtpbriala.eb estp (1) owl pKa mneas daci (.47)- you mtsu ownk shti. ()2 yuo utsm owkn htta lal acdsi srtat fof letnaru and hnte elos na nio --t&;g gnembioc g.cerdha nda lal absse sttar ffo acdegrh dna nteh leso an nio to mboeec elatrnu hsit( si wyh ew ondt eus bicas rsudg eesbuca this nlutaer chearg has a ihhg vd and dosietps in uisstes = dab ni lyreled.) ouy watn dceragh cb sthat wtah si hlihricodyp aka pee it u.ot ()3 txne seu whta i jjtus iads dna yaplp ti to stih c:thar

+2 = %99

+1 = %09

1- = %01

2- = %1

eht srfit nuemrb rterepssne het rendcefief benetwe Hp dna Kap pK(a si nevig by eht sqnteoiu aaw,y)ls pH si ahtw ouy dganhce newh yuo alaedznkil eth nru.ei os orf tsih ontuiqes it uowdl :be pp-KHa = hhig iascb aveul 7&)(gt; sunmi kap ( wkea cdia .)-47

wno het oncsde engerapetc stpersenre het eeeanrcptg fo eissdiaotdc toonpr. so rof na ia,dc yeht lliw eomebc rhc,edga hist saenm ttah if het fidfecenre tebnwee hte ph dna Kap si over +1 hetn 0%9 of eth dcia liwl og frmo rualtne to dhgca.re if teh hp si +2 aregret thna KpA thne 9%9 of eht ciad wlil hvae stlo its norpto adn oemecb chdager

tels earzimmus h:sti wree odtl ist a ekaw acid = aak apK tbneeew -47. ew twna ot gte to eatk eth aewk iadc mrof its etnular mfor onti a eghdcar morf ot etg rid fo .it so ew lalzaniake eht ure,ni suebcea esabs are rhehig Hp oyu will gte a erom + mebrnu utsh het ewak acid will og rmof atuenlr to ceghadr nda eb ereect.xd

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submitted by strugglebus(189)
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I aws nrwoeingd if ti saw to olwla ofr alartpi SCN pnoneirtaet ncsei teh dugr si psduepyosl odepsups to hvae SCN teffce

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submitted by sha2507(0)
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rof kwea acskpH=i adp + glo /A)()AH-( aak nrhnseedo alchsbahse oiqtueinaf you oslve t,ish lo'luy tge atht Hp - pka = / (A(go)dlAH-a)n neht inaag uoy wlil gte 01 ot pweor hp - kap = AH-/.A [rRfee to nikl in mnmocne]s two ediognnircs tath eht hp fo uro doby is .37 , ngwmeitheso nca oelvs rfo kap 01 and pka 6 gnisu sith aalTtr uofmh. si ofr kap 6 dna dybo hp 37., ti lilw be 01 ot teh reopw of 3,1. dolwu mean ttah AHA/ atoir is a topeivis nmreub, mliinygp ttha A- t&g; A.H wehraes rof ewhn apk is 0,1 eth -A/AH intrao is 01 to eprwo fo 72.-, mnainge tath H&-t.Ag;A

ndA sa ryledaa ontmieden in teh oebva csm,otenm ew nede an ocnici romf, ot eeniltiam hte ru,dg ti odwlu be refedrepr fi eht kap is 6 sa ni taht eac,s ic(-i)onA dowlu eb ni meor ie.tcrncnntoao

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sha2507  -ileoecchso-hhbisauiarbsitmpmc-a-i/arelnnsc-//gvnw/--nrqy-d/euktafc:heipe/t/asabwopoirauhsideiswffrsy.nrlubtemtrudof/.kpfeerre f ot hist ioed,v to edutdnrsna ti a elttil tbee,rt nda ofr het foulmra tihw teh atelb, ispk to :267 +



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submitted by kingtime9119(0)
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[ncmmeto mevdo to ]uscnmbotem

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submitted by sway(0)
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so twah fi shit was drsnivee rheew het rgdu ni tionsuqe wsa a esab dan ttah rniue was i.iiiddceaf onkw het apK luowd ende ot eb g&;t7 utb tawh utabo eht pH

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submitted by haliburton(224)
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ce[ommtn edmov ot bmst]moenuc

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