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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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ctSeip khcso is a epty of trtdesvbiuii okhcs hwchi si rakdme yb isesmav asioavdointl (/dt ayfmnromailt esnperos) acsunig erseddcea SVR, rdedecesa pledaro / P,CPW and necedrisa OC.

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smc213  cpitSe shkco can aols ptrenes whit ptiehymorha 6;3&tlC +3
bethune  Why si ti ont anesargltitsntio liebnged? +4
beanie368  GI egliebdn duowl stpeern hwti ernadseci SVR sa a eespsron ot yahpleiomvo +10
mysteriousmantyping  yhW douwl htsi otn be alroynpum loebmim?s +1
step1passfail  nPaumroyl lsmobmie udwol aucse a ardeseec ni aaccdri ptu.uto eTrhe is discaeenr eusepsrr ni the hhig oamiltcnp VR hhwci cna ugelb adn permsocs het ,LV egdnecsair its dla.repo OarH=Cet tare x otsekr oeulvm dan rtoesk olvuem si rtlaipaly tneeemirdd by pdaolre. f I het roumanply obimslem si aeglr euhog,n ti acn alos brotutsc eht yluanropm eelsvss nda usyultnbsqee nto aevh oehngu dloob iggon ot the AL dan ,LV eulatiyltm agknim teh racadic ptoutu eran 0. +3
chj7  tOu of lal hte efrnditef ypets fo ,ohcks aaccrdi uttopu si dcsaierne yoln ni vstiiietdbru hkcos ie.( apcahyaic,ltn c)t.spie +1



 +1  upvote downvote
submitted by bfinard1(3)
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Cna seenomo xpeialn wyh dacairc uputto si ghhi in etpcsi koc?sh

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drdoom  acirteBa and aaibrlcte entmopnsoc ekl(i LP)S ni noctclriaiu rreggit imasesv eslerea of esitcnyko -uketr1lnin,e(I n-Ietnukril6e and aN,TF) nrgsuitel diliota.ovsna ertaH eart ncsreeias to mniiatan edenct .BP +1
bfinard1  sI setkro ulmvoe ton eeacfftd by thta mssiave iaotv?asdloin I dlouw nhkti fi onuesv myests si laivedsodta hent uoy'd vahe crudede EDV ofmr durcede bolod flwo to etrah +
zedora  Boht fo you era tccreo.r In eipstc cshko eethr is a vsamise d.istlovaonia In drroe to psaeecmnot ofr eth eeddrcu blodo ,sruperse etehr is an ricsendae erhat era.t oN,w kpgneie tsih in mi,dn thwa is het CO alrfou?m OC = RH x SV thgi?R stLe sya nrued ramnlo onocdiisnt RH is 06 apm;& ekrtoS uemlvo is 0.5 ourY aaicdrc tpuuto = 06 x 05 = 0030. Nwo ni ptseci kcohs, yuro ahter tare si yislvams sdeareinc but uoyr keorts lmeuov is dseardcee iiaylm.lmn oS slte ugpl ni teh n.mubesr Ltes ,say renud tsecip hosc,k RH = 510 pm&;a rkesot lovmue si own .03 The cidacar uputot is wno gonna be = 105 x 30 = 0504, enech yuor OC is saieedr.cn nI cpteiS ohck,S eht ehart etar si esiaymlvs eraicesnd crdameop ot hte oatumn fo SV eserded.ac +
drdoom  nbi1far@d By oo,vitndilsaa I tomlsa xvslcuyliee nmae etraairl dots.iolanaiv Whne it mcsoe ot C,V I ywaasl rwok drkabwca orfm tirsf“ rsipe,clinp” dan ni ym ewiv eth tifrs lppecirni of hte CV metyss is, Man“tiina suseerprs ot tanaimni dgoo fol.w” All throe odommcictaonas fo the VC mstyse en(schag in y[o,sthngprritnt]oe hrcpoi]eytomon,[tr acivrsoconisontt dna tva)noloidais aer in ve**csire to gaiintnmnia l.wfos tWtohui doog lwso,f uoy teg eth nhitg mhnau seuitss ilek teh :tasel tno kacl of gxoeyn btu oiutlncumaca of O2C ad(n hte tdayiic thta eogs iwth .)it +
drdoom  ,oS all taht wsa a ennglid-wdo way of ignasy thta cadirCa ututOp will minare hihg ehnw eht dybo si pdunicrgo -dsen-hdehtrirhgaei lveesl fo 2CO nh(we narsgo nda the muinem sytsme avhe egon toni rivedvoer ot nspdreo ot a ettahr ro to asdserd tepcdsnmeinooa in smoe ohert prat of teh ys;)mets the nmpiuglemt fo rCcdaai uOputt dslhare eht bgengnnii fo teh n.de It infgsisie thta teh sertssse gbine oesipmd no the boyd deexce the iabtiispcale of eht sesmty. +



 +0  upvote downvote
submitted by calvin_and_hobbes(2)
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Wyh si the T lnoarm in isht ipett?an I duolw ehva idcrepdte rdiyngnelu nntcfeiio — ,ie ferev — feboer enve yrael"" scipte o.cksh I eletceds tpcsie schko epryul orf teh lrtabtacien wol SVR iepsted ifldsu tbu antw to rdnetasdun roem btaou the abeencs fo v.r..fee !ankhTs

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drdoom  llEreyd (adn rosocnpmiummmdeio, )ylreanelg od otn noumt otrbsu reefv pssersoen to cirbatae nda tohre aioso;msnrmgicr ni ly,ldree sthi lpbbrayo ash ot do thiw enie”“ldsc fo hte ntnaei ummnie yssmet or(uy asaopmgc,hre tidcrndie elcl,s oyneoctsm, ,.p;cma& ujts ndot' itonfnuc as llwe sa yteh dsue )o.t nI torhe orsdw, if uyo 1() ipedw otu s'moeoens mmeuni tymses nad tenh 2() eintecjd trabeaci iotn herti etsoomarl,db ouy olntu'wd oerebsv ayn frvee e.rehit heT cnpreees fo a paiy“”ltc lroa(nm) refev in na edllery ro ridonismmocmoepmu tnatpie cna be a pseru igrnnnoecc sig:n hyte ihgmt aevh a airggn eniiftcno no the .ndiies +
drdoom  r^ofm het i:elctra A“enbts ro ebnutdl fever posenres ni eht yeedrll. eherT si mpela deiceenv thta a ledubnt reevf pensrseo ot a erusosi tlae,rciba alr,vi ro lafugn nnciteiof gtsseugs a orerpo opgnossir thna eods a rtbuos evref onsprese ].31[ nI idoit,adn ereth is a stntulsaaib dybo of ,aatd solytm orfm lmniaa ls,odem hatt rveght—foureh tsi ftefcse no nmmieu macityno—fun be na ntrpaomit hsto sfdenee hmcmaneis 4.[1] gRuolyh 30%–%20 fo dyrelle eposrsn ihtw eorussi aitbelrac ro ailvr seinicfont lliw tpsrene ihtw a nutdelb ro nyrteeli tsnaeb vreef eroesnsp 23[”,],1.5 +



 -2  upvote downvote
submitted by spaceboy98(22)
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The way i loko ta itsh is hte epteaurtm.er

A ehtcyrpohim ntteipa iwll aslmto aslway trepnes hitw sptiec hoksc seaubce esictp hocsk can tpnesre as both teehypamihrr ro ehhpiamotry

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athenathefirst  nteso'D onusd cterca.au hTsi anitept had a onrlma apreee.rttmu +



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