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Retired NBME 24 Answers

nbme24/Block 3/Question#2 (reveal difficulty score)
A 28-year-old man has a blood pressure cuff ...
Adenosine 🔍 / 📺 / 🌳 / 📖
tags: biochem metabolism acid_base blood_physiology

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 +95  upvote downvote
submitted by drdoom(1206)
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erAft eht ffcu si t,die the selcl nda uteiss stiald to hte uffc ilwl nncuteoi gnnmsiocu PTA (AP-;PgA&DtT), tbu on fesrh odobl liwl eb eveeldird ot ecalr“” thwa lliw eb na cmulacagitun otaumn fo ADP and threo tieaesol.tbm DPA senoA(d=en)i si istelf a rxyop of sptcoimnnuo adn ersvdi aiotvnsaoidl fo iesretr!a olt(uEvnoi is s)ramt! niscIgnera snAdeDnPoeiA/ ni a co“all tom”irnnneev is a snagil ot het dbyo taht a lot of cotpiosnumn si ugcnirroc ;rhete th,us siererta and ireostrlea lralynuat dialte to aeiscrne odolb lwof traes dna w“psee wya”a eotbmialc tocsrb.ydpu

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lispectedwumbologist  oruY'e a ogod ma.n Tankh uo.y +1
drdoom  So gadl it lpedhe! +1
seagull  ervy elwl ptu, tnkah oyu +2
eosinophil_council  a!reGt +
aisel1787  g.dol tkhan y!ou +
pediculushumanus  eluuifatb xa!nenltiaop +2
rockodude  ihst lxaanpetnio was no apr tihw .Dr tSatra IMO +3
flvent2120  Juts ot dad on to this: FA2002 g.p .729 ALCKH iuaC,lc(m H+, sdeneiAon, Let,aact )+K is nknow ot aaivdeotsl semlcus gdirun seerxcie as elwl as auletgre hattpsmyeic teno fo srirteea ta tsre +3
omarjenny  rD aStart and mahpoat fldeia tloa lppeeo d'ont crmeomdne hetm. +



 +10  upvote downvote
submitted by newrose(10)
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Cna soenome lycarif ywh cilconPysart saw nwor?g I ewnk the KLCAH hntig utb orf esmo oranse dha ulobter rgilun tuo rlanpcyoitsc einsc its' a lasdotviora

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cassdawg  My best wsaern for htsi is tath eth estb enswar is neaidnsoe seuceba it si igansk for ichwh is ndovvlei ni the smnmahcei of rvecaiet iyrapehme h(hicw sveonliv amsriil esnhicmsma to tultr)eonaauigo of bodlo ,fowl whchi olsvnive KAL.CH iWleh aavdortolsis ikel 2GIP tcloay(ir)pcn rae loaosradsivt it si saeldree at a sabe lveel by hte gslun nda nuo,thleeidm dna eeeataldrs rhheig evesll ni tassinecn csuh sa tiinal.famnom ctnsProyacil si ton eadsreel ni eaitervc .yapmieerh fI you want a efhrrerse atoub vtaeci v evtciare m:piyraehe ejLgdo+l9l5wsms1di:seBctslamep/c+/i+srpl/efoAoeh+yeAaoaloalrtpoF2/o/ll/rn/4eC4r22st3i++iicog%/.3dRet.otn. Tyeh era hotb tededaim yb bltmceaoi iainedetret.ms as tonmdenie .vboea +4
cbreland  I kpcdie yapstlccrino for the mase asnreo. Aenidnse adn eht heort CLAKH eembilatots eamsk snsee hoghut. I sgsue ahtts' hwy oury trasrsv/eneiei iateld hnew orikwgn uot +2



 +7  upvote downvote
submitted by madojo(212)
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I dnto' nwko fi tshi asw hte igrht wya i ohgtuth aubto ti btu i ereeebmmdr tLe.h.CA. .HK sngthi ttha ceasu dtaovloiiasn in lketlaes lcuesm

C - o,C2 H - H,+ -A ,edanosnei L - ltctaea K- K+

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drdoom  hTsi is trae;g etshe aer all sipoxre fo ,bcisamatol ei.,. "ent" PAT inco!ntumops Dg&P)(-TAAPt; +1
drdoom  ssaumPtoi mitgh be teh one ahtt sdno'et eesm to tif tub rcelal ahtt elcls have an ++KH/ nrreo:tiapt lscle nca tac sa a s""kin fro ihgh olbod +;H yeht k"tae up" +H rfo(m ,obold iton l)elc ubt "in h"aecxgen yhte aveh ot put tuo a K+ o(t iatminna a loramn cno.tridtaegrl-ee) o,S sa blood aidc rstast ot ecepr p,u clles tlauacly tpta"m"et ot girbn it cbka ot iquerimiulb by csngiuk pu H+ n(ad pinutgt tuo ,+K ,iwhhc sa yuo ylresu ceallr ;,) is the mnindretoap noicta nwhiti sllc.)e +3
misterdoctor69  m@dood,r lwudo ouy loas urnevte ot ysa that htree is iandrseec aN/+K+ ATseaP vctyiait ni an eaeicrnds laiomcebt taets hhcwi htimg also oenittcbur ot arergte +K lefuxf into eth o?bdol +
drdoom  oos@cr6,ermtit9d o.n iPstuaoms olwf is rdnevi yb ist icmceahl tniderag mrfo( nsidie lelc, heerw sit nnitrcaeontco si hi,gh to iesudto.) If +K felfxu si ic,daseern eht bset prctliu lowdu be eht +H+K/ oairtrenpt hi(hcw etksa“ up” a ,tpnoro ubt ahs to ”reserud“rn a ,uotsmaips ni na maepttt ot emorve acid romf teh boodl — iccaid ,lbood fo esorc,u bieng na ilateeinbv ceoomtu fo edvrev aoielbtcm tts:ae nte APT nnopcumtiso a;p&m hghi CO2 ct.dion)roup +



 +2  upvote downvote
submitted by pmnbp(2)
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oclud esmeoon aeselp npaleix ywh eodsinnae is rcctroe?

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drdoom  ferAt teh ffcu si td,ei het llecs nda siuset alisdt to teh ffuc lliw necontui nscmnoiug APT )(A-P>P,DTA ubt no efrhs lbodo wlil be ievedlrde to el”a“rc waht lwil be na imgcnualtauc omntua of APD dna otrhe bilstmoa.eet PAD s(eoinen=dA) si fleist a yorxp fo untoocmipns nad evdsri iadooltnisav fo e!itrsaer ou(Eiontvl is !sr)amt ngesnaIirc sPoeeAni/AnDd ni a olc“al tirmvenenn”o si a lsgnai to hte boyd htat a tol of cospmotinnu is iucrcgorn ee;hrt hus,t saetrrei dna ileersorat nuralltya itdlae ot easecrni oldbo owlf rseta dna s“wpee aya”w ebmtiocla utyspo.rbdc +1



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