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Retired NBME 24 Answers

nbme24/Block 1/Question#27 (reveal difficulty score)
A 10-year-old girl with a lifelong history of ...
Palpable right ventricular lift ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +28  upvote downvote
submitted by โˆ—lsmarshall(465)
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lsaa"ntrearP eaevh i)(lft rscuoc igrdnu irtgh uevcirtnral rhptopyyreh .(ie. elgnnemaetr) or yevr leryra veesre tfel ailtra elte.mran"nge RV hroyhptepyr cna be snee os liayse ceseabu eth RV si at teh eirnotar aucrefs of the ceh.ts

In hits apnitet odlbo orfm AL to VL eersaecsd ni tsruaionta, os ti si nggio mseero.ehw mFro het O2 .tsa ew anc ueddec there si rlyabpbo a VDS sdinaec(re RV rsspereu ldouw cesua VRH nda rrpaatansle )h.eave mFrt,rroueh the eegnittv si lkeyli irbgsecdin egoltarty fo tollaf cdaeus( yb rrpoaoetunresi smcelpedtnai of eth dunuiblnaifr uptsm.e) nI Tte l,sespl RV twufolo is oto toecbdutrs nad ietnpta egts onsicysa and ;t&LgR tninsghu suaSqt eesacinr V,SR gidcsrenae RLg;&t gtnsu,hin inputtg eomr bodlo guothrh auoprlymn ritcicu dan evglneiri n.iossayc

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seagull  im' yeptrt sreu uoyr a frpo nda ont a dtt.nesu +30
nor16  eseteehvsln,r we era rfueglat for aon!neaxplit +1
niboonsh  I bemreemr geensi a euqitsno dibceres easraranltp lfti ni eht oncxett of lump htn. sitll otg stih wrgno oth mfl +
anotherstudent  diD ym snetqoui evah a ytp?o It sysa 2O isrunaaott ni the trhig ecitlrenv si ,70 cihhw is qluea to hte Rgthi miuatr nad anev cav.a It ayss the 2O aartntiuos ni eth felt leiecnvrt si %28, hhiwc is a ercaesde rmfo eth LA )(95 tub otn elauq to teh R,V cwhih is ywh I gtohhtu eetrh tasnw' a DVS, I ussdmae rethe swa a ewrid htsun rmof het VL ot some other p.art lWil 2O torntaiaus otn waaysl i?eazelqu +1
pseudomonalisa  hTsi si a htgir ot tfle SVD ued ot teh muicopln sisosetn trspeen ni Tlrteoayg of .alltFo O2 tas ilwl be olw )70( ni teh rthig vnrltecei, adn rfmo rhete ll'ti teenr eht flte ilenrcvte dna mix wthi ysfrelh eeogxndayt bdloo cngmio mrof the tfle riaumt .(59) useaBec of hte ingix,m hte O2 sat fo olbdo in hte tfle iertnevlc iwll be ersemweho in teh lddmei fo 07 dna 59 82( ni htsi sa)ec. ureo'Y ,torccer htogu,h thta smot rthoe sVSD era flet ot ihrgt dan du'yo ees reetagr O2 tsa ni the ghrti cvieenltr ni hatt csae ton( sreu fi it seluqaize twih eht tefl celrnviet h)huogt. +1
furkan7  I edso not eend to rMeoq.lsrvoiez,aeue ni elft ot tgrih thselt,nfu es'nlvrcite O2 itaortanus si coles to 001% +
an1  If the VL olbod is iongg toin the ,VR wyh d'tind 'its 2O tsa res?neiac retenhi did eth oynplurma .srertya' I egera t'is ,FTO tub eth stsa lyerla d'ont ekam sense orf a DV...S +



 +1  upvote downvote
submitted by โˆ—humble_station(85)
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eNctoi podr fo 2O ttiusnaroa fomr LA 9)%5( to VL (%07) &;map aulqe O2 unsottarai etwneeb LV 7%)(0 amp;& RV 70%)( ;t-&-g VDS is tpsreen

oNctie hte ursreeps fo eht RV (6)102/ โ€“ aNrmlo RV sersrpeu is 5/52 ihcwh tsindacie narecedis epsesurr auecebs fo the iaeesndrc uvoeml fo oolbd omcgni rfom eht VL oghthru eht DVS

erGad 4 urrmum is a lppalbea llrthi mtso eyilkl deu ot RVH mfor hte ardveloeod wokr

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thotcandy  lsiscca rsmgeiennee nrdsymeo +



 +0  upvote downvote
submitted by โˆ—drpatinoire(19)
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I tsuj antw ot temonin hatt dkis tustqagni is vrey much isestgggnu a FOT ni .MSU.Eoll.L dAn her ouypnrlam mruumr gtsseugs orplumnay ,issosent wcihh uehtfrr suotrpps .FTO

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peqmd  oNt scalsnyire.e ttiSunaqg ustj esphl to erciaens rapodel ;t&=g hsit iwll ndaxpe teh tfel rdaccai raemscbh dan uderce RL;&-tg .tfsih st'I a nergeal lriceppni ot g-&RL;t ntshu tahre eeftscd ton escpicfi ot eno eedssia +
ineedhelpwitmed  attgiqusn rcesesnai aelrtof..a.d dme@qp negaircins teh VSR lilw sacue omer olbdo ot go tuhhrgo ot mlpu yrtaer +3



 +0  upvote downvote
submitted by โˆ—fagaga23(1)
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I'st OTF and lla tub i'nst rhete VL rgelnaneemt ni cigTFO(asun a asohotpde-b )hnao tsartCent &R;gLt nthus liwl lavooder LV nad aucse aiotnldi

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fagaga23  o,k tog ti. heT s"opdte-h"abo aethr is tauylcla deu ot VR ghaee "Ttnnlerem eot of het btoo si redmof yb eht autpnpigowinr-d iacdcar e,xpa ihhwc meksa na acteu anelg wiht teh m.daihargp Teh ptnrdueu dcriaac xaep si dsabicer ot hitgr lcnvuraerit ohtyperyhrp nda cuoscr ni 65% fo setinpat twih F"OT +



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