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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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rAtfe eth cuff si ,idte teh elcsl dan tsesiu dstlai to hte cfuf will ceuontni oumcnigns APT (TgP&tA;PA-D), btu no rfhse lbood ilwl be edeildrev ot alre”“c thaw llwi eb na ccmingulatua nmutao of DPA nda eorth mst.bieotael APD Ae=(dsn)eoni si leisft a porxy of onstupimcon and vdeisr lsoainaivdot fo rt!aesire u(tElnvoio si ams)tr! nIecigasnr nosdeDPeA/Ain in a c“olal r”etovnnnime is a ilsang to the bdoy ahtt a otl fo ntiosnomcup si nircougcr ;ehrte su,ht ritesrea nda rretasolie latlauynr tidael ot rsenciea lobod lwof stare dan “epesw ”aywa icbmolate pu.srycbotd

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lispectedwumbologist  Yeo'ur a doog n.am khnaT o.uy +1
drdoom  So dagl ti lhdepe! +1
seagull  yrve llwe utp, nahkt oyu +2
eosinophil_council  aretG! +
aisel1787  odlg. nhatk y!ou +
pediculushumanus  liuaeftub a!naonlptxei +2
rockodude  ihts iapatxeonln was on arp hwti .Dr traSat MOI +3
flvent2120  Jtus to dad on to sti:h 020F2A g.p 79.2 CHLKA imu(,aClc +,H seei,nAndo ,cttaeLa )+K si kwnon to oveaatdlis mlcuess rugdni scrxeiee as lewl as uegertla thcmiapeyst onte of raierest ta srte +3
omarjenny  Dr Strtaa nad apamhto idaelf aotl elpope on'td oecdmrmen tehm. +



 +10  upvote downvote
submitted by newrose(10)
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Can omeneso cfliyra hyw clntioPasyrc swa o?wrgn I enwk hte KLHCA ghitn btu rfo oems eaonrs hda blrutoe nuligr tuo sclctpornyia nices s'it a dirasolvtao

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cassdawg  yM sbet nwsear rfo stih is ahtt the tesb aswner is neoseinad eabceus it is skinag fro chihw si ieonvldv in teh meanihsmc fo teeacvir ehympaire (whchi osvenliv samliir sihecmanms ot gelai)ortotuaun fo olbod ,fwlo chwih ivsolenv L.HACK hiWle asvlotdsiaor elik 2PIG nlrtop(yci)ac rea tavisrlaodos it is darelsee ta a abse ellev yb het nlgsu and emd,ehnitolu adn teardesael rihehg lveesl ni stnniecas uhsc sa aiotfnnlmam.i asocrylcPnit si tno areselde in eitveacr py.iaremhe If oyu tawn a rhfesrree uoabt veacti v ceivtare :peahimrye tiF/B/ddons:+coodegoma/tL5llortl/92ef%lagohl+ipc.e3werC+/r/pa+/tlj1oss4p4ie+s2RnA+iAecemlooiay3/strle.2s. eThy aer htob edameidt yb blatmcoie ntd.teeasiirme sa emtdoinne ob.eav +4
cbreland  I ideckp sraticycnolp orf eht esam osear.n nnAsiede nda hte rtheo KHLCA somtiaebetl eskma sesen u.hotgh I usgse 'astht ywh uryo ireere/vntsisa daelit when igrnowk uot +2



 +7  upvote downvote
submitted by madojo(212)
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I 'tond nwko fi iths aws the rgtih way i hgothtu otbau ti utb i eeemrmedbr ..Ht.hK.CA eL gtsinh that scuae staalvdnoiio in tkalseel emlscu

C - 2Co, H - +H, A- enis,ednoa L - tctaale -K K+

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drdoom  iThs is ga;etr sethe ear all piseorx of oc,misatbal .i.e, e"nt" APT pncnooiut!ms -AgTP()A;P&Dt +1
drdoom  tosmPuias imhtg be eht eno atht stn'oed eesm ot tfi ubt lracel that lscel vhea na K+/H+ otiratp:rne leslc nac act as a s"k"in rof ihgh obldo +H; ethy eat"k u"p +H omr(f dob,lo toin )clle btu "in ne"ceaxgh yteh evah to ptu out a +K t(o naiaimtn a oalmnr .elitdrnegca)roe-t o,S as lodob icda rttass to ecepr ,pu lscel uyltlaac p"tem"tat to nbirg ti kbca to luribqeimui yb cuigskn pu H+ d(an tutgnpi out K+, whi,ch sa you esylru lreacl ;), si hte mpnrtaeinod acnoit nwhtii se)cll. +3
misterdoctor69  mrdd@oo, oudlw uyo lsao evtuner to asy tath ehret is srnciaede /NK+a+ sAaPeT yitcivat ni na deesnicra mctlbeaio attes hwich tmigh loas iettrnocub to gerrtae +K eufxfl iton eht ?doblo +
drdoom  tseotdr6orc,m@i9 on. sioutmsPa lfow si eivndr yb its cmlacieh grtdinea rmo(f idsnie lcl,e wereh its rtcenintoocna is hh,gi to teuo).sid fI +K efluxf si re,asndeci teh stbe uticlpr lwoud eb eth H/K++ toratepirn wchh(i kaest“ pu” a opr,nto but sah ot dse“r”unrre a soaiu,pstm in an atmttep to vrmeoe acdi orfm eht odlbo — iiadcc b,olod fo seor,uc gibne na leteaviibn ctoeumo fo dveerv cebaiomlt ats:et etn ATP ntumocniosp ≈m hgih CO2 crit)doonu.p +



 +2  upvote downvote
submitted by pmnbp(2)
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doucl nomseeo ealsep nlapeix wyh onndisaee is ?rorccet

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drdoom  Atrfe het uffc si it,de eht llces dan tuiess ltsiad ot the uffc liwl eciotnun cmugonnis ATP PD()ATAP,>- tub no hsefr oobld wlil be vdredleie to rca”“el hwat wlli eb an umcaltuniagc atomun of PAD nad ohetr oba.tmeeilts DAP s(n=)odeeniA si ltiefs a yxrpo of spuinmontoc nda vreisd ivoldasntiao of etiesr!ra o(uEontvil is st)rma! igaIscnern oAe/eDPsAdnni in a l“coal teon”nivrnme is a laisng ot eht ybdo htat a tol fo umcstpninoo si rgunccori rht;ee u,ths ateisrer nda rreteisalo uaarnltly ditlea ot incasere dbloo wolf raste adn “seepw waya” abomieltc d.cusobrtpy +1



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