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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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fetAr the fucf si edti, het lescl nad etsuis dilats ot het fcuf wlli icountne sgimncnou TPA (APTP-At;&Dg), tbu on hfsre olbod lilw be ldeideevr ot lr”“cae thwa will eb na acamitcnulug amoutn fo PDA nda rehot bleet.mtosai APD d(eienns=Ao) is ltfsei a pyxor of umpiosnctno nda ivdesr sidlaitvoano of itsarre!e olvotu(nEi is mrat!)s irsnecIgan dAseeinAPnD/o in a l“oalc nvoneni”rmte si a nislga ot the oybd htat a olt fo scmopnounti si cogrnciru eet;rh s,tuh rtaersie adn otaireelrs utllnaayr iaedlt to scneiear dlobo flwo arset dan pwse“e aaw”y acmteobil doyrs.tpucb

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lispectedwumbologist  'roeuY a dogo .mna Tnkha uoy. +1
drdoom  So glda it helpe!d +1
seagull  evyr llwe put, nathk you +2
eosinophil_council  eG!art +
aisel1787  d.gol akhtn you! +
pediculushumanus  tuiblueaf pxeltniano!a +2
rockodude  hits eatpoixnnal saw on rap twhi rD. tataSr MOI +3
flvent2120  usJt ot dad on ot hsti: 0F2A20 gp. 9.27 HCKAL l,iCum(ac +H, eends,noAi Lataec,t K)+ si wknon ot vidtlsaaeo cesmslu rdgnui risxeeec sa llew sa glaeuert ttpemiashyc enot of arreties at etrs +3
omarjenny  Dr Starat adn mtpaaho eldiaf laot lppeeo ndto' creodmmen .meht +



 +10  upvote downvote
submitted by newrose(10)
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anC oeesomn ycialrf ywh icyatPlncosr wsa ?wngro I enwk eht LCAKH hntgi ubt orf osem nsorae adh roublet igunlr tou lciocsayrtpn scnei tis' a saldoritvao

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cassdawg  yM stbe arwsen ofr hsit is that het bets rsaenw si noenaisde subacee ti is kaisgn for ihchw is elvnivod ni teh neimschma fo ecvitrae ryeiempah chihw( venvisol lairmis emmhcsasni ot glaaooutren)iut fo lodob ,fwlo hhiwc lsnovevi L.CKHA heiWl dialorsvoast ilke GI2P cpcylao)n(rti rea loastdoisvar it is leesaerd at a esba evell yb hte glsun nda t,nolhdimeue dna eedtraslea hgiehr lsevle in sncanesit uhcs sa omalna.iiftnm lniytarPcosc si nto erleedas ni vetirace hyie.mpaer fI uyo tnaw a erehsrerf auobt eiactv v etcveari r:hyeeimap 4ro+dangs/e9Loi++3jotesoClaepo/ti4o/pooAy2lp2s1lBoeiiR/er.rdlesA./eralat/5ntllf/i%gt:/2mdwslc+schFcm+e3+. hTey rae htob dedeitam yb caiotbmle tnrmdee.iiesat as nnoedetmi obe.av +4
cbreland  I kiepdc acsitlprcnyo orf het meas norae.s iensneAd adn the ehtor LACHK abmletesiot emaks sense t.hhgou I seusg atsth' ywh oyur trae/isvrensei idealt ewhn gwokrin tou +2



 +7  upvote downvote
submitted by madojo(212)
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I dnto' owkn if hits aws hte trhgi wya i ugtthho oabut it but i reemmerebd t.h.. .LHAeCK hgtnsi htat caeus idavtsoanlio in lalsteek uselmc

C - C,o2 H - +,H A- ee,onaisnd L - talctae -K +K

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drdoom  shTi si gtare; sehte rae lal speroix fo oli,tambcsa .ei., "e"nt PAT !snmootinpcu ;D&T)gAPAtP-( +1
drdoom  musstioPa tgmih eb hte one ttah nstde'o eems ot fti btu aelrcl htat lslce ehva na +HK+/ eiotrntar:p sllec anc act as a "sn"ik rof ighh obdol +H; ythe kat"e up" +H ofmr( odb,ol niot ecll) btu "in hcexn"eag ehty veha ot utp out a K+ ot( mtniiaan a rolamn gc)-teadro.nreeilt ,So sa odlbo icad rttssa ot eperc u,p llesc lytaluac taep"ttm" to gbnri it bkca ot imuiibqrule yb ngkcsiu pu H+ (nad ptgtniu uot ,+K ,chwih as uoy ersuyl carell ;,) is hte noadrpinmet citnoa hnitwi .sll)ec +3
misterdoctor69  o@r,modd oudlw uyo sloa reventu ot yas hatt hetre si edicseanr Ka+/N+ ePasTA aciiyvtt in na anrsedcie aeclimtbo steat hiwch gitmh alos rucnbtitoe to gartree K+ elfxuf itno het obdlo? +
drdoom  md,rc@eortt6s9io o.n sautiosmP ofwl si nrvdie by its aechmlci ngiatedr fmor( enisdi c,lel rweeh its nttiearoocncn si ghh,i ot u)ost.die If K+ flxufe is sdceei,rna eth tbse cpiltur ludow be eth K/++H trterianop hcih(w eksat“ pu” a rtpnoo, but hsa to deeru“rrsn” a ps,tusaoim ni an tmatetp ot veoemr aidc mfor the dloob — cidiac bd,loo fo ero,usc genib na ibevneilta ecotmuo of veevdr etobcliam etat:s tne PAT numnoipcots p;&ma hihg O2C tduo)pno.irc +



 +2  upvote downvote
submitted by pmnbp(2)
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locdu oeemnso lsepae pxeainl yhw doenaenis is rec?rtco

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drdoom  ferAt hte fcfu si ei,dt eth sllce nda siuets ldista to teh fufc lwil connutie ciumsnogn ATP )-P,PTAA(>D tub no esrfh odlbo will be lreeiddve to “erl”ca awth illw eb na ngucmtucliaa tmouna of DPA and oerth aeestot.mlib PDA Andoeis(=ne) si lfetis a yoxpr fo poocnmisntu and risvde ooivinasdtal of ristera!e o(iuEotlnv is tma!sr) giasncnrIe AieeosdPnAD/n in a “oclal etveo”innmnr si a ginlsa ot teh boyd tath a tlo fo pcntnsoioum is ucrognrci teer;h hst,u eairetsr dna letresaoir lurltayna edlita ot seacirne oldob flow tesar nad epse“w y”awa liceabtom tydurs.pocb +1



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