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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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tcSipe kohcs si a ypet fo vbrditetiius oshck chwhi is rmdeka by smasevi vaitinldaoos t/(d nmomftlyaair nree)psos nicsuag ecdersade ,VSR cdrseadee earodpl / P,PCW dan arinecsde O.C

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smc213  tSipec ohcsk anc sloa srpeent itwh erhoithpyam 3l;&tC6 +3
bethune  Why si it not tigntiosraalnset geeibnld? +4
beanie368  GI deebigln udwol ntrpees whti ceanirdes VSR sa a posrenes to hleoiymvopa +10
mysteriousmantyping  yWh dluow shti otn be panmulyor olbemism? +1
step1passfail  yaurlmonP ebsmmlio dolwu ecasu a dearcsee in dcaarci tpuuo.t Treeh si iesncadre prseresu ni hte ihgh ptcoalinm VR hwich acn blueg dna oesmrcsp the VL, iencregasd ist o.lardep OreHaCt= aret x kteors oemuvl dan stkreo luomev si raayltpli deeimrtden yb eraodp.l fI teh yumpnoarl moimebsl si aelrg nohug,e ti cna lsao uosttcbr het npoymlrau vselses adn uyetsebslqnu otn hvea enohgu lobod oiggn to eht LA adn L,V itaelmtlyu iamgkn eth daicarc puutto erna 0. +3
chj7  tuO fo lla hte ederitfnf septy fo ohks,c aacricd tutoup si scinadree nyol ni esbitiuvdirt cshok e(i. c,ytlnaiahpca s.tp)eci +1



 +1  upvote downvote
submitted by bfinard1(3)
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nCa onseeom apelxni why icadacr upuott is ghih in sitpce hoc?ks

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drdoom  Bcriaeat and rilacabte tcmnesonop ekil( SLP) in itcnaucirlo ritgerg sasvmei arlseee of okneyitsc -e1Ierl(,unnkti ek6l-unInerti dna T),FNa tlrusinge tolsii.andvao treaH tare enersisca ot ianianmt tdcnee PB. +1
bfinard1  Is rtesko vmuloe ont actdeffe yb atht ismaves onotid?slavia I dulow ntkhi if svonue tyemss si lviadaodste neht odyu' evha dedcuer DVE rfmo eedcrdu lbood owlf ot ehrta +
zedora  tohB fo uoy rae coctr.er In eptsci skohc erhte is a simvase taaovndii.osl nI rroed to eapmncesto rof teh erdcude bodlo ssp,ueerr trehe si an dceeirnsa retah tare. Now, ikepgen tihs ni id,nm wath si eth OC urlomf?a CO = RH x VS g?tiRh setL ays nerdu rmnalo dsnionctoi HR si 06 ;pa&m Skoert uelvom si 5.0 orYu diacacr outtpu = 06 x 05 = .3000 wNo ni tecsip h,skoc yuro rteha tare si lvsyiasm ircesedan tub yruo seotrk uvlmeo si redaesedc a.iimlnmly So tlse plug in eht m.usenrb etsL s,ya udrne ticpse hckos, RH = 510 & ksreot leouvm si onw .03 heT cdiraca pututo is wno gonan eb = 501 x 30 = 0405, nehce oyur CO si ea.ernidsc nI pcSite k,Soch eht rheat eart si maylseisv ecenidasr cpramdeo ot hte mntaou of VS ecered.dsa +
drdoom  idbanrf@1 By oltvaadoiins, I lsatom xsevuilecyl anem areitlar lnatisvood.ai nhWe it emcos to CV, I laywsa okrw adbwakrc romf sifr“t psrip”ice,nl dan ni my view the rstfi lprnipcei fo het VC smesty i,s aiMiantn“ rssreupes to tniaainm ogdo ”.olfw lAl etrho cmioooacmtnads fo the VC tsseym na(ghsce ni y]hogrtpetrnoni[s,t ocoehor]rnpit[tm,y cstnortinioovsac nad nvasd)oailtio aer in cve*esi*r ot nnagintiaim fwslo. oWihutt ogod sfl,wo you teg het ithng hamun sutiess kiel the l:aets ont kalc of gyenox btu noiacucmluta of C2O dn(a eht atdiicy htta goes twhi it.) +
drdoom  ,So all ahtt aws a -dgodleinnw way of ngiysa hatt raCacdi putuOt lliw raienm hihg wneh hte dboy si dgonirucp heni-rseihahgtd-dre vseell of O2C h(wne nsrgoa dan teh mmnuie syemts veha oegn ntio odrveiver to opnsrde to a tetrah ro to sadserd ecdninpeostoma in osme tohre tarp fo the ;mset)sy teh pluiemmtgn of adcCari tuOtup sradehl hte bninigeng of eht .dne tI iisnesifg tath the tresssse engbi osiepmd on the dboy xeeedc eht icaiibpsaetl of teh mest.sy +



 +0  upvote downvote
submitted by calvin_and_hobbes(2)
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hWy si the T oranlm in shit pintea?t I wdlou avhe erepidtdc ilndneyrug foiicnetn — ,ie evref — feerbo evne eylr"a" itscep chso.k I cleedtse isptec chkos ryeplu fro teh lrtcaetbnai olw RSV eipteds ifluds tbu antw ot ntadsndrue mreo abuot hte bsecean fo .ef..rve Ta!knsh

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drdoom  dElyerl (nad sicorom,immmdouepn lryneae)lg od ont utonm rsobut feevr oenssspre ot beacrait nad ohrte mocanimgsios;rr ni eely,lrd siht aorplybb ash to do itwh sd“cliene” of hte anitne iummen mssyte royu( hrampaegc,so itciedndr ell,cs oneyt,socm m&c;a.p, ujts 'dtno fniuoctn sa lwle as tehy usde .t)o In ethor ,dwros fi yuo ()1 dpewi tou oems'soen unmime emssyt nda enth (2) dctejeni rbacieta into trieh rbd,etaolmso oyu n'udlwto oeervsb any ferev hreet.i hTe reenspec of a al”p“cyit rma()nol veerf ni an eyrldle or moscrmmiouedminop attnpie nac be a erups goicrnncne nig:s yeht ihtmg vaeh a gnaigr fnnctoiie no eth d.eiins +
drdoom  ^fmro the i:ealtrc ste“Anb ro lndtueb rfeev onpserse in eht dleylre. eherT si malpe necveide atht a dtbulen erefv rneopses to a sseruoi atr,cbilea irlva, ro lnugaf neoticfni geusgtss a rrooep ponsiogrs anht odse a toursb eefvr esporesn 13][. nI indioadt, htere si a usbtasntila ydbo of ,tada lysotm ormf lnmaai se,doml htta hrgohru—fteev its efetfsc no emmniu aftycm—nonui eb an rntpmtiao soth efdsene amcsimneh []1.4 lgRuoyh 3%–0%02 of elledry nosespr ihtw surosie labteairc or larvi socneitfni lilw rpsetne twih a ueltbnd or nlrytiee tsaben vrfee enseorps ,2,31]”5[. +



 -2  upvote downvote
submitted by spaceboy98(22)
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ehT awy i kolo at ihst si teh ueamtrr.eetp

A ipotreyhchm entapit illw aostlm salyaw pseetnr tiwh ecpsti hscok ebuacse eistcp okchs acn eesrtnp as thbo hepremirtyah or ayiopremhth

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athenathefirst  tDs'one ndous ua.ertacc This paeittn dha a lamorn m.tarterpuee +



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