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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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Aetfr teh fcfu is ,idte the clsel adn tisesu dilats ot eht fcfu lwli nnioutce nonsucmgi PTA (DT-gA&tAP;P), ubt on frshe dbool illw eb elreeddiv to eca”“lr what lwil eb na cualicumgnat tomanu fo APD and torhe isem.abotelt DPA isoA)en(=end si fltesi a xpory fo pumocnnoits nda ridevs otidasivloan of etisraer! utE(lvoino is as)!rtm cnaIsinreg /oDAAeneidsPn in a cao“ll ”vmeoinrtenn si a snlgia to eth doby atht a tol of snmptconuio si rcgoncrui ;rehet ,tuhs isrteare and irsoaltere atayrnlul dietla ot ceainsre dbolo folw raset and psw“ee ”awya acmlboite sy.urtdpbco

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lispectedwumbologist  'Yuroe a godo ma.n Taknh u.yo +1
drdoom  So dgla it l!peehd +1
seagull  yrve ellw ut,p tkhna yuo +2
eosinophil_council  a!etGr +
aisel1787  dlgo. ntkha uoy! +
pediculushumanus  euilftbua xtpn!anaelio +2
rockodude  hits nonxalaipte asw no rpa itwh r.D atSart IMO +3
flvent2120  sJut ot dad no ot ish:t 002FA2 gp. 729. KAHCL mcu,lC(ai ,+H snAdeioen, actaL,et K)+ is nknow to eiasatldov lcssemu iurgdn eriexsce sa well as ruategel sheiaytmtpc ento fo saeirter ta erst +3
omarjenny  Dr trtaSa nad tmpaaoh fadeli talo ploeep todn' cmneerodm em.th +



 +10  upvote downvote
submitted by newrose(10)
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Can noseoem rlcfiya yhw rtPoacnyilcs aws wo?nrg I nwke het LHCAK nhigt utb ofr eosm seorna dah bureotl urling uto pcctlinrosay iscen ts'i a taisvldaroo

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cassdawg  yM ebst ewanrs orf sith is htat the stbe erwnsa is iasenodne ceesuab it is ngakis for hichw is ionvedvl in het hemasinmc fo vaiectre reeayhipm (ichhw iolnvevs silamri caeismhmsn ot ttaa)rieunlooug fo oodbl fwl,o iwchh novsivle CLAKH. Weihl avlisostardo ikel 2PGI nacir)(tcoylp ear lvtsdasroioa it si lsdareee ta a seba lelve yb the snglu nda mheeol,tuind and saeetraedl hreihg lsevel in asenintcs such as mmfaota.nniil aytrcnlPocis is otn daerslee ni etirevca myhareiep. fI oyu nwta a refreresh obatu eitavc v crevaiet yiem:eharp +stlL2r+o32po4ej/ti2.cctieeAa3Bs9d/o+.p+lAy:tm4ll5ca/leCrsloafn+nootswsRe+leih/o1/mri%Frg//lsegdpo/deoai. They aer obht edadmtie yb mlbacoite traietie.semdn sa neimeotdn e.obva +4
cbreland  I kepcid naycilprscot fro eth asme aonrs.e Aedensni adn teh rhote KHCLA otalebismet amkse esnse ohhgtu. I uesgs 'ahtts why oyur etevsrineais/r letaid wehn onigrkw tou +2



 +7  upvote downvote
submitted by madojo(212)
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I 'dont ownk fi hist was eht ihgtr wya i hhoutgt atuob it but i memeerdbre .teHA LC...Kh itgnsh htta seauc vodiaaotsnli ni kelselta lsmceu

C - 2,Co H - ,H+ A- eedisano,n L - acatetl K- K+

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drdoom  iTsh si grtea; teseh era lla oxsprie fo bastolmcia, ..,ei ""nte TPA pnsotcom!nui DP)tT;-&A(PgA +1
drdoom  ioPmsaust gthim be hte eno that to'dsen smee ot tif tbu lelrac htat leslc veah an H+K/+ rtipre:onat scell anc tac sa a ""nkis rof hgih oblod H+; yhet tka"e up" H+ mrof( ,lbdoo tion )llce ubt ni" henxca"ge yhet ahve to tpu otu a +K o(t tanianmi a mlonar .lrrcgtneeo-i)daet oS, sa boodl acid ttsasr to eerpc up, lclse lyclauta ptem"ta"t ot rgbin it akcb to leiqiruimub yb sigunkc up H+ (nad ttgpuni otu ,+K hwich, sa you suyelr leclar ;), si het drtmeonpnia iactno nihiwt c.e)sll +3
misterdoctor69  mdro@od, olduw you osla rvtneeu to say ttha rhete si nirseaced a/K+N+ PaeAsT tiytcvia in an edrnesaci tmeibloca aestt chihw imgth soal itnbutocre ot greaetr +K ufflxe into eth ?oblod +
drdoom  edro6mitsortc9@, o.n ismPotsau wlof si dnevir yb tis ilamhcce itadreng om(rf ndiies ec,ll erwhe sti tinonaccnrtoe is ihg,h ot tsd)io.ue fI +K feuxfl is eeaid,crns teh estb lctirpu duowl eb teh ++H/K anieoptrtr i(wchh “aekst ”pu a ,optorn but ash to rduernes”r“ a sposiuat,m ni na ettmpat ot veorme dcai rfom eht blood — icdaic dlo,ob fo oes,ruc inegb na nitvilebae moeocut fo vedrve oalbeitcm st:eat etn TPA cinoptunosm ↦ ihhg CO2 otp)unrc.doi +



 +2  upvote downvote
submitted by pmnbp(2)
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ulcod nemooes seelap xinplae hwy odaninsee is rec?roct

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drdoom  ftAre the fufc si ,tdie eht celsl dna siutes ltisda ot eht cuff liwl nucnetio iognnsumc TPA ,)PAAPT(->D but no efsrh oodlb wlli eb evdieedlr to r“”cale tawh wlli eb an ualutgnmaicc naumto of ADP dna tehro amiltbseoe.t PDA es=i(enno)Ad si lisetf a xoyrp fo cimnonustop nad eivsrd nvoadoliasit of irrseate! Ev(uliotno is )!atsrm ncrigenIas dPnesA/eDoniA ni a “claol nieoten”mnvr si a insagl ot hte oydb tath a tol of sotuomnnicp is ccuinrorg ;ethre st,uh aiesrrte dan esrroeatli lanarltuy etadli ot seeriacn oodbl owfl asert dan ee“wps ya”wa ieoltbcma y.udrcotpsb +1



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