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Retired NBME 20 Answers

nbme20/Block 4/Question#25 (reveal difficulty score)
A 52-year-old man is brought to the emergency ...
Increased total peripheral resistance and decreased cardiac output ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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submitted by โˆ—strugglebus(189)
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ollnaorPop si a s-oneencveilt eatB rkcebol. So uory HR lwil caereeds ,()1B ciwhh iwll acues a toorcaeymnps sinercea in TP.R

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home_run_ball  ^ bAveo is aaillptyr o l:oropga ntriPrl h si vennos-eeiltc Beta cBebolr:ta ke1 lamtntoiusi assuec nci ,HR ohteerfre gbkolcin ti ilwl cde HR dan ecd acdaCri tua Bop t etu 2 titnilsmoau seuasc dinvoi,lasota ertroheef bioglkcn it wlli SUCEA OSONPDEPU h1apal ovanicttia --> tfeeroerh csiniarneg latto ialreprehp ercista.sen +47
amarousis  so hyw ft do ew evgi aebt rboecslk ofr isheeponrynt .-- +7
dr_jan_itor  I lduwo soal add ttah eht tpnatei aws rsplioyeuv on na a2 onhbitiri n,c(oni)dlei wcihh eh rna otu f.o oS he si rbigeudnon no ttah wtih utlaeudgerp 1a ocrtrepe cy.iatitv dAgidn lolaltabe loduw eucsa a gereart deeger of unpopeods a,alhp aingincesr rpt +1
llamastep1  asauimsro@ Tehy are esdu ofr ypenhotrneis auseceb eht heiystenopv cfefte fo teh duredce CO is eatgerr anht that of teh eefcft fo hte niresace of R.TP ehe.Csr +11
hungrybox  ortn@ajrdi__ iAgdnd llbotelaa wudol tno secua dnpesouop 1ฮฑ ecsabeu alleotlba dna daevoclrli aer ฮฑ1 belksroc ni aotdnidi ot gbnei encfpcinois ฮฒ brksleoc agret( naem ,twb I lveo csbrsu haah) +5
mw126  eBat 1 klbaeocd in teh keydni GJ( sclel) owdlu also ecsrdeea renin aels,ree ihcwh owlud oasl eplh whti NH.T 0A219F pg 254 +
rockodude  _tjriordan@_ lciienndo is na a2 iagston nto na 2a tniiirobh +1
feanor  I evlbeie htta ni nodaiidt ot het retnyaomsopc ersneiac in PRT edu ot hte ceesedard C;O aBte ocbkslre cush sa aorlpopn hwich aer ielenvcseton teaB tniAatsnosg sola veah na tcfeef on teh 2B erpocetrs ot a ietnacr edrgee, cwhhi uldwo elxiapn teh aicresne ni hte dndues .RTP +
feanor  dneusd aeic*re*ns P.S. gnoIer my nide(g)D,CsOtoyoc T!khsan +
bfinard1  utJs ot eipp ni ,ereh I segus teh csrdaeede nrein yatcivti omfr eth 1B adklcebo si gnieb revrnuo by eth daotainsvilo nbinhotiii of the 2B do?bcklae +



 -1  upvote downvote
submitted by โˆ—hungrybox(1277)
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...oS lrciahettyleo na dtasloei csdreeae ni RH luowd neseacri OC ued ot cni. pdroe,la h?gtri

But CO sseeaedcr ni tihs aces bc/ the ftecfe of .inc TPR is omer uropef?wl

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kernicterusthefrog  ung:hb@yoxr oN. ionlsIagt R,H uyo udlow lkoo ta OC klei :tish VC=ROS*H so if RH ro skrteo muovel og wnod, OC ogse odwn. Teh chenga in erpldoa otudwn'l aftcef het OC sa cuhm as teh nechag ni reta of .olwf oS, eht aecesdre ni CO is lsoeyl due to hte bt1ea gcbnkoil ecftfe on eht VA endo ot dceresae .HR +



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submitted by โˆ—maxillarythirdmolar(45)
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ehreW deso het olre of 1B ttliunsmaio fo ARSA come iton ihst? Wdton'ul the 1B aicotn cause ecesaedr RSA?A aTth gineb ai,sd I nca slao dusdnrnate if t'aths a onlg trme githn nda ihst is a nqsiuote uoabt het ameimdiet eesf?t.f..c

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