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NBME 23 Answers

nbme23/Block 1/Question#50 (43.8 difficulty score)
A 45-year-old woman with coronary artery ...
4.5🔍,📺
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 +6 
submitted by welpdedelp(242),
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0*3 .0.15 hTkin botau ,it erhte si x lwfo thiw an ogynex eontctnnioarc of s--yo to nifd otu hte irdeelyv you tusj tulilymp htme grothete.

yotsubato  One of those questions too simple to believe its actually the right answer +30  
mimi21  Right, I was like this is too simple lol ! im not sure if this is also a good tip but I tend to look at the units they are asking for and double check my math to make sure I end up with them. +7  
osgood-schlatter  what equation is it exactly? +  
arcanumm  Literally did not even conceptualize this question, just looked at the units. +5  
stunna216  when you just multiply the only 2 numbers given in the question together and its actually an answer choice (insert surprised Pikachu meme) +  



 +5 
submitted by sam1(18),
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thaW about eht aildotdani ofwl turghho het uril?ecfcxm

maddy1994  exactly man i got 4.5 and i thought he asked ventricle and left circumflex should be there so i put 5 ...glad someone thought like me.i was just cursing myself for over thinking. +11  
djtallahassee  Yea put 5 here too. they are essentially saying the myocardial oxygen supply to the left ventricle comes from the LAD. Not sure if true or not but figured that the LCX would at least contribute 20% of the blood +1  
justherefortheyield  100% agree. This is definitely a better answer. I assumed the # would be beyond 5 but that it was closest to the right value. +1  



 +3 
submitted by nor16(61),
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lal oshte onn mtash ygus r,hee odnt kspi steeh i,uqnoetss ytr ot reaargn eth ,tsinu hree dyu´o yelisa find otu taht oyu tsju ahev to ypilutlm! eGvi ti a yrt -:)

charcot_bouchard  This was like Filtered Load ques of Renal. Where u multiply icoming fluid (GFR) with the desired substances conc (Px) so FIltered load of A is GFR x Pa Same here. Myocardial O2 supply is Blood flow x Conc of O2 in that blood flow +4  
powerhouseofthecell  For us non math folk, how do you compare the mL/min to mLO2/mL to get mLO2/min? Sorry. Do you just find out that when you have the units beside each other, cross multiplying them gives you the correct one? I need to know this trick. I can't find this on google. +  
abcdefbhiximab  mL/min * mLO2/mL = (mLmLO2)/(mLmin) where the mL's cancel out = mLO2/min +  



 +2 
submitted by thelupuswolf(9),

This question is not good. The math is simple, sure. But the PDA (which is most of the time a branch of the RIGHT coronary artery) supplies 2/3 posterior walls of the ventricles (FA 2019 p.281) which I'm sure is a significant portion of the left ventricle. The LAD specifically does not account for the entirety of the oxygen supply to the left ventricle, but about 45-55% according to wiki. If the question asked, "How much oxygen is delivered to the left ventricle by the LAD" it would have been acceptable.




 +0 
submitted by guillo12(48),
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Fick eplciiO :pnCr= Rate of O2 triutsnunvapmoe/eiocnsro 2O ncnnorotictea

CO anems cicarda utoput ro Fwol of dbloo

charcot_bouchard  This wasnt Fick +1