NBME 22 Insertion of transvenous pacemaker (NBME Answers)

Retired NBME 22 Answers

nbme22/Block 2/Question#29 (reveal difficulty score)
A 79-year-old man is brought to the emergency ...
Insertion of transvenous pacemaker 🔍 / 📺 / 🌳 / 📖
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+4 upvote downvote
submitted by ∗mattnatomy(46)

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A krPaeemac is teh errtcoc meertttna ofr 3dr erdeeg VA b.klco kMeas it os hte aaitr nad teercvsnli atbe ni yc.ns

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leaf_house hWy ound'tlw uoy od a sphoranasegleta ,ohce utsj ot alsetshib awht yreu'o lngedai iw?ht +

greentea733 I iknth ncsie yuo erdalya idd an EGC and uyo kwon 'sit ofr esur d3r gdeere VA l,ckbo TEE obpblyar l'ouwdnt eahngc eth mmaeeanngt ta l,al so you uwn'todl awnt to seoxep pt to txare risk of a reuropced wvoe(erh niomr ti mya ).eb I eefl elki mreo vsiaeinv tegsnti taylpyicl is ont hte ecroctr anrwse wenh uoy acn ivoad ti, sa a nerglae .temhe +5

orthonerd _@aeeosfulh - Weheevrn wot mgnaiig sttse ahtt ear ialsimr htiw cdndvaea lcilanci iencisod amngki tools igneb usde ot ideced whchi eon to do E(ET sv E)TT- I lyeanglre ssamue that I nca teeimnail tohb sa a ohciec- yacpleiels ni tihs ceas reewh the iediifnevt xT si a ioehc.c +2

+1 upvote downvote
submitted by ∗usmleboy(19)

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ouCld sonomee anexpil why racida"C iznactoaeitterh thwi nsett tpaecen"ml si riercot?cn

My hguttho epsrsoc aws hatt isth ygu ahs na oucilonsc of ish RAC ;g&-t- nkcknoig uto his VA oned ;--> 3rd regeed AV .lcobk losA sih pusel is 04 ihcwh utssegg a ARC aniofctnri sa lw.le

heT aornes I tnew htwi ihst is bcaeuse eh otg ot the opliatsh tiihwn 03 istmenu nda eyht upt shit nmaoritonif sirft dna emda ti seem npom.ratti If hsi ARC cdoul eb pendeo ,pu htne het gemada locud be .evseerrlib

I etg the eeac,kramp tbu tfris I flee elki yuo ludwo tatemtp to cedcluoun het slesev nad vieg ti eoms nr.tegiyit

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hajdusa taTh icceho is roirteccn caeuseb uoy tc'na easums that he ash na lnsuioocc ormf eht oiroinfantm ttah yuo heevarT. eh nca eb nyam otgeilosie fo a hrtae lc,bok adn hyet od ont vaeh ot be ecmicihs in nrutea - rfo pxeamel heert aer rtednffei ebriscom ttha cna eascu herat bkcol .too ldolaAdni, ity fi sthi yug were ot vaeh na CRA csiolcoun duoy' lleyki ees edieevnc of mceihisa ro nfaoincirt on the CEG btu teh oynl ifgdsnni re'we niegv rae arbdidrcaay dna 3rd dereeg lbcko. p Heo htis pse!lh +2

mtkilimanjaro Ao,ls het otw dcairca ineaztriotcha oostpni luodw aymiultetl usrtel ni a lsriiam com.tueo Is't klei owh het eorspt vobea niomtneed the otw migniag are yrve iilmsra that yuo acn rlue hmte .uot +

an1 VA blcok nertamtte si htiw a ekmr.ceapa hStrgati fmro .AF heT olny meit d'you ntwa to do ngettsni si wenh hrtee is onisstse )t;&g07(% indlgea ot ,nagani ro na MI. hTseo ulodc eb pttoineal nltsriffadeei heer tbu yteh atlf out aisd he hda an AV bckol os it's tno het steb o.hacpapr soA,l het RAC ileppssu the SA ,eond eht ADP epuslisp teh AV .deon VA lobkc si deu ot AV nd,eo kicS snuis synomrde wudlo eb due to SA onde rdepodp( P avwe ahetrr hnta .RSQ +1

+0 upvote downvote
submitted by ∗doso2222(12)

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Ftirs 2 rathe cskolb &--t;g ON TTtENsR1TM(A E gedere dna n2d dgeree Mbtoiz pyet )I

satL 2 aethr sbockl ;&-tg- AREnE(CP 2KdAM eeedrg itzbMo epyt II nad d3r dee)erg

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