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Retired NBME 21 Answers

nbme21/Block 4/Question#33 (reveal difficulty score)
A female newborn delivered at 26 weeks' ...
Retina ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +8  upvote downvote
submitted by โˆ—hyoscyamine(59)
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AF gp 172. oTo hcmu nanooytgxei nac acseu rfee railcda aegadm iglaned to ntyiheapotr fo apmutrrtyie

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mmm21  akOy i gtmhi eb ,rtdarede but ywh i cโ€™nta drtsaenudn ahtt yhte r anskgi utaob hte nhigt ttah si eadamdg ? ๐Ÿ˜‚๐Ÿ˜‚ +8
sahusema  Seyurlois! eTh noiesutq sysa "eht loag fo mnttearet si eth priotntcoe of ichwh of eth ogwllifon ssu"cr?rteut fI oot uhmc O2 aaedgms het ia,ntre hwo si htis eermttnat spodseup ot eb eevorpcitt to eth it?nare +2
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burak  yeth dd'itn gvie teh ntatpei if2o 00%1, tqisouen skas hte aernos rfo ti. btu ni a rvey siptud way +31
naught  elmuppaSelnt 2O mya laos euacs bohnyopalcrumnro ssidplaya or rltrnitavunaerci rhmreehoag mirlgena( tmxa,ir etladoc ni arclbirntuveus eozn OTN oorhdic lupsx)e +1
fkstpashls  %9-925 tnis' ,ighh but 'tis gnueoh to teg vnyithereg else nedxga.yoet sueaBec ist' not 001% ihhg wofl eht seitarn o'tdn rvae-uvilzrocsae dan ldea to dhegem,goaaremrha/ adn stih klei aht.t +1
soccerfan23  In orhte ..re.sw.hodt sieuoqnt si saacbyill sginka ywh tyeh gave the tnetipa a oi2f fo 52-99% idnesta of 0.1%0 hTe ronesa si ueacesb 10%0 yogexn lwoud aeld to intphyoeart fo armre.upytti Teh rwoel 2-599% yxgoen leelvs ecotrtp hte nretai frmo dgem.aa The gnoidwr fo het tnoqeusi ssuck oht .imo +3
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Wikipedia pathophysiology section of "retinopathy of prematurity" explains this pretty well. Retinal vessel maturity is incomplete in premature infants--the process of continuing this maturation in these babies is directed towards growth of vessels in O2 deprived areas, but if O2 is being supplemented, this process is hindered. Therefore when O2 supplementation is removed, excessive vessel proliferation going into the vitreous humor (not where it is supposed to be) leads to retinopathy of prematurity (defined as "disorganized growth of retinal blood vessels leading to scarring and retinal detachment")

+7/- beanie368(27)

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submitted by โˆ—mcl(671)
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hcnro"ic hihg exngoy snostuaitar cna elvryased cffate gunl nad yee uoesocmt of tprmree f ."nisantlink

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submitted by โˆ—divya(75)
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raeeg htwi b 'h.keteyraru ygrnti to sya ahtt irmpayr goal of atteetmnr iwth tlnlauepmpse o2 is ot kema eusr etehr si no rntaile emgad.a

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submitted by โˆ—ergogenic22(401)
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hyw is octneproti of eth dhrooic lexs,up mfro ravnrrltnceituia ptruure eocadsnyr ot lreanimg matirx ahmheogrer nto a opbiesls rsan?we

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whoissaad  esy smae tunoqeis, othb rhnytaoepit and liuertcarinvtarn gehaoemrm nac ucroc due ot gihh nogexy e.sel.lv +
cienfuegos  I etminkalys cseoh cdroioh lpusex oo,t sebad no kwii esems tsih is ostm momnoc uaesc of HIV ni etmr it:asnfn VIH ni het emertpr rbnai slluauy isares mofr teh gilermna rtimxa erwehas IHV in het rtem nntfsai atirnsgeio mrof the hrdocio upxe.sl erHeo,vw it is rtrlylaiapcu ncommo ni eertampur saintfn or tseho of vrye lwo hrtib .h.i.ewgt Mtos rltvcraieuantnir ereghamhsor cruco ni het sfrti 72 husro aetrf rbhti. ehT rsik is redasenci ithw ues fo oeotxrrlecapra mbmarnee naoyoxenigt in rmprtee .tn naisfaarBapt.k.env/tse/tiniawerr_cos:ureebgmhthnpkiriIelrai/#ogwhdi/i +
burak  hroocdi lpeusx si itfeerndf ahnt imlgrnea mtiaxr +
meryen13  ltenrai mharrgeoeh is moer nommco ahtt VHI nvee if ouy ntkih ttha ti udocl emaagd cooidrh ascple osadcyenr ot nlreigam maixrt .oehhrmearg 1ms3ppm/ti.6h1bwco/:ei.b//unnwt0.g.4w1vdhn8l +


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 -4  upvote downvote
submitted by โˆ—lilmonkey(63)
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enyoAn negrdai tish qnsieout

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