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Retired NBME 22 Answers

nbme22/Block 2/Question#4 (reveal difficulty score)
A previously healthy 60-year-old woman is ...
Increased central venous pressure ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +10  upvote downvote
submitted by โˆ—nwinkelmann(366)
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ihTs relatic eilspnxa eht hatlpgioshypyoo elw:l Nww.o3/n.hiotmngcw..v1kb:t8h//ib/sB4ls0/K4onp.

Teh thirg vreictnel si irymlpari iupldpes by teh RCA hhcwi salo psuelspi the AS doen dan AV neod 90%( fo hesart sebucae ethy era htgir t)od,nmina nlagied to sslo of airycttoncilt fo hte igrht desi, adn usth iudfl iludpub niucasg daeveelt relcant vunsoe .sreusrep ateldevE ressrepsu ni hte eilvr nad atpolr stsyem dowul laed to goehpylmeata nda erfe fuild oilunuatacmc in eth peemnr.uoti

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henoch280  llpH.epp pls why is it not easceerdd iycpalrla cnitoco epsue?rsr +2
whoissaad  @ hneo28h0c euBesac erhte is on nhagec ni teh evslle fo oeitprn ni the lobdo. +11
drzed  tylirehocaelt uoy ucodl vepeodl iverl aruelfi omfr hte eiaensrc in arletnc ovneus ursrpsee eg.(. dcrcaia ssoiric)rh nda ETNH ouy ldowu eovlpde a dseecaer ni cintooc sereusrp. +2
an1  8@0e2onhhc the pitntae dah a RV aeiuf.rl hiTs ensam obdlo liwl tsatr plognoi bardksacw d(aresi VPJ llwi eb enes). uBt ot nrseaw yuro ,iouqntse ncoitoc sesurrpe cahensg nwhe hte bimnula orn)tp(ie si lo.w Thsi pshpane hwne hte mpeblro si wiht hte ,evrli atinutlnr,imo hciporetn/ cpihreint galneid to ml.auuiniarb Teh taerh ruesslt ni a uyrepl ctrsiodayth dteaelr ecefdt. tHytdsciora aesnm ot SHPU udifl OTU of het evselss adn iotn hte .ssseuit sTih lduow lrtessu in dflui regtnnei the csimetsy uteiss (whelo oybd demae is eens tiwh RHF) adn fldiu etgeninr into ervli udsace creeadsed aaneidrg ngilade to .esstica eim zerMo pg 297 yrialplCa diful cgenaehx FA0'220 +1
l0ud_minority  8@o2eh0hcn also I tinkh tath aesrcdine rmouplyna cyrpallia scrohdttyai surresep wuold lxeniap a puaellr snuf.foie I hgotthu het aems gnthi had ot tiknh ubtoa it for a tib. +



 +4  upvote downvote
submitted by โˆ—titanesxvi(106)
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ehT rohet seanrsw are nrgow bceue:as i(f I am nwrgo seaelp orctcre em)

A) Tish wloud be etru in a attienp tihw rlvei ro iphocrnte dyesmnro

C) isTh wulod be ctrocer fi eth ew crsiaene yalailrcp lrimepityeba pxalme(e esp)iss

)D iThs si lfte eahtr arifleu

)E Tish ucold eb ARDS (nto sure hg)uhot

F) Mnaicygnla

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 +0  upvote downvote
submitted by โˆ—abhishek021196(120)
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Teh ihrgt eclrvtien )(VR ivrecees its irlaaert blood usyppl lmpaiyrir mrof eht right cyorrnoa ertayr A)C(,R cwhhi eairss rfom the rhigt coarnoyr pcus of teh ota.ra eTh oisvidni opdcsrue the uoscn yatrer hwhic ppiuelss oodbl wofl to het irght rrivtaucnle tfowoul t.ract ehT rainstloia oend )(AS is loas sipldpeu by eht ARC mrfo eht eonsdc vdiosnii. Criosnug in eth anitrurleirocavt ovg,ore eht RAC ethn egsvi fof eilmtul,p llmas abnchrse ot ppsyul teh oiatrrne RV ferbeo digivnid mitenyalrl iont teh cteau mrginala abrchn (M)A hatt ursn rolrntaeyi anolg hte rdghmaipa, dan the ispeootrr eecniddgsn etrrya )PD(A atht nrus roe.iolptrys ehT PAD aols peulpssi teh elrutrtaicrinaov done V)(A ni 90% fo t,tneasip ihtw a hracnb of hte tefl mxrcifucel eayrrt pgndirovi wlfo ni hte rdmraiene of nt.seiatp heT ADP lpisespu hte ifrieorn lwla of hotb vtclis,rene nda is a nrmtelia crabhn of eth CRA ni 8%5 fo sietpat,n tbu yam earis omrf the left ryanrooc ilacuctorin in 51% of eth pltn.oapuoi

heT mpryair cseetff fo VR isemiach and rtnoncafii sretlu rmof sercedaed RV yiitnloacr.tct isTh eadsl to a erticnuod in olobd lwof fmor eht nvsuoe messyt to het ungsl, dna ylafnli to eht ftel esid of eht ht.rae Teh nilcacli nsigs of itsh rea rseaenidc higrt esidd tarhe essruerps, nriadscee rpylnomau raeryt (P)A tclisyso uesser,rps dna aesecderd letf craeinulvrt alpero.d ypstoSmm mya icdlneu epriearlhp meaed lalceiypse dnsitoneit fo teh gluajur i,evn yexpmo,hai nad pesi.toyohnn

lnay,diAilotd sa teh RV ieasldt the mitnoo dna ntniuofc of teh neriitvreulrtnca tpmesu si rted.lea If het VR si aedidtl yoscnrade ot dorlaevo ro fi eth tepsal mmorcuayid si pieezdaojdr by msoteuasiunl flet etlenvrci (VL) acihemsi the mpsysmto fo oyinpthones dan acrcaid riaulfe amy be pcn.nedruoo If the spmute sifths dwaflrte rginud liestdoa ti mepdeis flet cvuaeilnrtr ilfginl and sa a telrus dcraaci ttpuou is eeddrea.cs shiT is mdtere slso fo liecnuriartvb eitedn.pcnerdeen

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 +0  upvote downvote
submitted by nootnootpenguinn(9)
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hTis sbtweie lixasnep ti o:to

"A ecaesdre in airdcac puutot etihre ued to saeeddcre heart etar or koerts vmoelu ,e..(g ni nrcelriavtu aulfeir) srtselu ni oobld acbignk up tnoi het snveuo iaintcocrul adnsrei(ec usevon lvmeu)o as sles doolb is dpeump iont hte reairlat tca.lnciioru hTe tlantrseu neraicse in hratcico obldo elovum icaseresn P.C"V

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