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Retired NBME 20 Answers

nbme20/Block 3/Question#29 (reveal difficulty score)
An 83-year-old man is brought to the ...
Early septic shock 🔍 / 📺 / 🌳 / 📖
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 +7  upvote downvote
submitted by hayayah(1212)
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cpiSte okchs si a ypet of vtsdeutiirbi kscoh ihhcw is dmkaer by simvsea dsnlovtoiaai (d/t ftyinlmmaaro ns)oepsre iguncsa dsereeadc ,VRS csddereea daorple / ,CPPW dna snrdeeaic C.O

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smc213  epSitc ksohc nac laos streepn ihtw tyaiehmohrp C;6&tl3 +3
bethune  Wyh si ti not snrsgtenatotiila lngibed?e +4
beanie368  GI lnegdieb dwolu tnerspe iwht enaedcisr SRV as a oenperss to pivomhyaeol +10
mysteriousmantyping  hWy lwodu tshi not be rlompyuna olmm?esib +1
step1passfail  lnuoamryP ilemsbmo ulwod auesc a eercdaes ni rdaacci uu.ptot rThee is rcsenaied seepusrr in teh hhgi tapocilnm VR hchiw nca gbelu adn ecosmpsr teh VL, sdrceniega ist lrodep.a etHCrO=a tear x keorst mulveo and krseto veuoml si lalyirpta rndtemdeei yb opdalre. If teh luaymonrp mmslbeoi si aelrg u,gnheo it nac sloa butrcsot hte ploarunym lsvsees dna ybstnslquuee otn veah uhogen dbolo ogngi ot hte LA and ,LV uilmyltate nmgiak eht acrdaic otuptu arne .0 +3
chj7  tOu fo lal the feerdnitf peyst of khc,os icradac ptouut si seiarencd nylo ni isudvitirteb ksoch .i(e c,alcnpyhtiaa )esic.pt +1



 +1  upvote downvote
submitted by bfinard1(3)
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naC oonsmee nipxael why crciada uttpuo si hgih in epicts oc?hsk

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drdoom  erctaiBa dan blcirtaea tnonmsecpo ekil( PL)S in aiutcilcron irggter issevam aereels fo ksitocnye -e(nneI,utrikl1 lruneIkn6te-i nad a,NTF) isrneutgl itiaovsaldon. Htera rtea rnsieseac to imananit nectde .BP +1
bfinard1  sI ksteor eumlov nto dcfaetfe by ahtt viemssa nasoivitl?dao I ldwou hkitn fi nosvue metyss is iatvadesold hnet dyuo' vhae deedrcu DVE fmro rddecue ldoob fwlo to thera +
zedora  tBho fo you aer rtoecrc. In piects kchso reeth is a vsmiesa nlodtaviisoa. nI rdreo to scetpanemo rof teh cdurdee odblo ,eprrsues htree si an arcdeneis ahert reta. o,wN einkgpe this ni mni,d twha si hte CO aur?foml OC = HR x VS t?hgRi Lset say redun loramn nnsidoctoi HR is 60 m≈ Sroekt lvumeo is .50 urYo cdacari uupott = 60 x 05 = 3.000 woN in eistpc okchs, uyro arhte aert si mlassivy resaendci btu ouyr esktor elmovu is dacdeseer in.laimylm oS tsle plug ni eth uesb.mnr estL a,sy eudrn pteics hk,sco RH = 510 ;mpa& okrtse oulevm si wno .03 hTe cracdai ottuup si onw ognan be = 015 x 30 = 4500, enhce yuro CO si i.eanescrd nI Spetci cS,koh teh thrae rate si emyavissl nsredicea rcopmdae ot the taoumn fo SV ede.ecdars +
drdoom  1ibd@afrn yB diio,nalatsov I tmsalo exvclliuesy amne eiarrlat lsavnaooi.tid When it omces ot V,C I aywasl korw ckrwbdaa mfro “srtif epcirspnl,”i nda ni my vwei eth fstir pirenlipc fo teh CV ysmtes s,i iintana“M userpssre to natiamni gdoo .”owfl All orhte oamatcdcimoson of teh VC ystems ahsenc(g ni isrt]npoye[ttron,gh im]ynt,opho[rctroe nttcosonsioriavc nda sn)odiavoilta aer in *siecev*r to mnataiinnig oflw.s uihttWo ogdo f,lsow yuo gte teh ngith numah susties elik het taels: otn akcl of xyogen tub maluacocunti fo 2OC (nad the iidtyca thta ogse ihwt t.)i +
drdoom  So, all atth was a lwgdi-nodne ywa fo ygasin ttah arCacid tutOup will meirna gihh nehw eth ydbo si cgprdonui gieerinhhdades-h-tr elevls of CO2 hwen( nasrgo nda eht mmiuen eytsms evha egon oint reivvdoer to npdrseo ot a theatr or to sdadrse nonodapescmtei in omse rhote aptr fo het eys)ms;t het lipmgunetm of aicrCda utuptO srahedl eth nigibengn fo teh en.d It iinesgfis hatt teh sressets ibeng mdpeosi no teh bydo ceedex eht abicsipaetil fo eth esst.my +



 +0  upvote downvote
submitted by calvin_and_hobbes(2)
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hWy is het T ornmla in tshi tiean?tp I loudw have edptreicd inergndluy tofcineni — ie, rvefe — ereofb evne r"eal"y ptisec koh.cs I eldceets itespc hscko elrpyu fro the ntrcalatibe lwo SVR isdetpe iusdlf ubt awtn ot untsdedarn rmeo tboau teh nebecsa of efv..e.r aknsT!h

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drdoom  rdleylE ad(n rciommndispoeou,mm al)reeylng do not otumn sturbo eefvr peessrnso ot rtcbeaai adn oethr msrgicsoiman;ro ni elrlyd,e sthi larybbpo sha to do hitw lndcse”“ie fo the tnenia unemmi stmyse r(oyu rgsamhp,acoe iticdedrn clsel, mn,eotsoyc .pa&,;cm ujst dnt'o uinftonc as lewl sa hyet sdue o.)t In etrho r,wods fi oyu ()1 pidwe tuo moson'ees mimenu smytse and nthe 2() deinjetc iaetcrba oint ireht tamobrd,leso yuo wdlotu'n rsboeve yna ferev e.hiret The npereesc fo a yilpa“t”c nmo)l(ra eevfr in an lelyedr or dnmomiscuoiremomp petnita acn be a upsre recngioncn isn:g ehyt mhitg hvae a argngi ontniiecf no hte iide.ns +
drdoom  fm^or eth citr:eal tAnsbe“ ro lundteb ervfe rsnesoep ni teh dleey.lr erThe is palem deievcne atth a btdunel fevre snpsreoe ot a sureios t,leiacrba ,rilav ro uagnlf innoicetf ssutgesg a eroopr ornogsips hnta esod a rtbous fevre rsnepseo ][1.3 nI aitodidn, ereht is a abnlsattius dbyo fo taad, mstloy rmfo liaamn elsdom, that hf—ugroevreht tsi eetfsfc no imemun ftaonuim—nyc eb an nripttaom host efednes amncmhsie .[1]4 hlguyRo %0–203% of ryeldle psnreso wiht essouir eraitlcab or vlair ftnneiiocs ilwl eptenrs whit a udnlteb or yeitlern atbsen veefr srepnseo 52[,.]1”3, +



 -2  upvote downvote
submitted by spaceboy98(22)
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ehT ywa i olko at stih is het matteprrue.e

A tihomyhcrpe pnettai lliw asotlm aalwsy nprtese wtih scpeti ohksc eabcuse cetspi hksoc nca nrteesp sa ohtb rtempirheayh or aptemihrohy

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athenathefirst  Dsoe'nt dunos ucrata.ce ihTs ipetnat had a lomran r.umpaeterte +



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