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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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ooplnlaorP si a ei-oneslvecnt aBet ocblrke. So yoru RH wlli reeeadcs ,(B1) hiwch iwll esuac a tecnporsoyam eirsaecn in PRT.

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home_run_ball  ^ eobvA si larltpiya Ptn prh rlooglo ia:r si neto-clinesev aBet ctek r Be :lboa1 asunoilmitt saseuc cin RH, hoferrete kgincbol it wlil ecd RH nad cde aaCrdci t autBo uetp 2 lstnatmoiiu suscae tosn,aloiavdi ehoteefrr lickbong ti lwil CSEUA NOEDOSUPP 1aahpl tntivacaio ->- eehrortfe ireaisncgn ltota ieprplrhae sncetirsa.e +47
amarousis  os wyh ft od we vige etab elcsrokb rfo enenitohrysp .-- +7
dr_jan_itor  I udwlo soal dad taht eht tpniaet saw vyoslirpue no an 2a hibinotir i),o(ncdilen ciwhh eh nra tou o.f oS eh is duonbneirg no ahtt hitw euepatldrug 1a pctroree icytv.ita gAndid bloltlaae lowud scuea a aegretr degree of openpudos lah,pa arcisngien trp +1
llamastep1  m@soaraisu yheT rae dseu orf synreihtpneo uaceebs het teeoihpynsv etffec of het ededucr CO si teerrga htan ahtt of eth ftefec of teh irasecne of PTR. hserC.e +11
hungrybox  _to_narji@dr gdniAd lbeaoltal wlduo ton secua eooduppns ฮฑ1 acebeus tloaabell nad viaroldlec aer ฮฑ1 okescrbl in tinadido ot engib ccpifnneois ฮฒ roeblkcs egta(r mnea tb,w I leov cussrb h)aah +5
mw126  atBe 1 eblodcak in hte keniyd (GJ )clles owudl aols derecase nrien ,eseaelr cihwh wdulo sloa elhp tihw NH.T 192A0F pg 254 +
rockodude  r_ortaij@dn_ ondilcine is na a2 niaosgt not an 2a irthiobin +1
feanor  I evebeil htta ni ddiotian to eth eyrcsmoantop erineasc ni PTR due to het eceadsrde CO; Btea bersolck hscu sa aoplrnop whchi are octenivsnlee taBe ngiaotsstAn alos aveh na ftefce no eth 2B rcpresteo to a aricent dre,eeg hihwc dwolu lixapne hte ceirenas in eht esudnd R.PT +
feanor  uesdnd caise**ren SP.. eIonrg ym DcOtCygednoo,si)( hasT!nk +
bfinard1  utsJ to piep in ,eher I seusg the dreeacdes enirn yiiatcvt omrf het B1 lbeacokd is gbnei vrneour by the atsaoivildno itnniibiho fo hte B2 ac?dklobe +



 -1  upvote downvote
submitted by โˆ—hungrybox(1277)
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..So. reletlyocitha an lasdetio eardeces ni RH wolud neisreac OC due ot in.c radpeol, ithr?g

But CO sersecdea in htis caes /bc het eceftf of .inc TPR si rome ?urolfepw

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kernicterusthefrog  rxnou:hgby@ N.o sonitgIal ,RH uoy uolwd kloo ta CO leik ist:h =HOCV*SR os if RH or rtseok voemlu og dn,ow CO egso nd.wo eTh hcaeng in eoapdrl 'odntulw ftaecf the CO sa cuhm as the genahc in atre fo wl.of ,oS the aedresce in OC is osllye eud to eht eat1b cbgnkloi ecffte no hte AV oedn ot ecaeesdr .HR +



 -1  upvote downvote
submitted by โˆ—maxillarythirdmolar(45)
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eerhW osed teh eolr of B1 siuomtianlt fo SAAR ocme tino ?ihst Wdlnuto' the 1B aconit eusca sreeecda ?SRAA That ebgni ,iads I can sola ddnateunsr fi ts'tah a nlgo temr githn adn sith is a itenosqu btuao hte eemmdaiit etf.sfc?e..

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