need help with your account or subscription? click here to email us (or see the contact page)
join telegramNEW! discord
jump to exam page:
🔑login 🔒register ⋅ ☎️contact ⋅ leaderboard links youtube ⋅ ⛳membership alerts tags ⋅ 📊scores 🔮score predictor
search for anything ⋅ score predictor (“predict me!”)

You must be logged in to vote!
Retired NBME 22 Answers

nbme22/Block 3/Question#38 (reveal difficulty score)
A 73-year-old man comes to the physician with ...
Blood pressure 🔍 / 📺 / 🌳 / 📖
tags: pulm repeat

 Login (or register) to see more


 +7  upvote downvote
submitted by trump2020(3)
The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member ⋅ $279$49

Yuo gsuy era way nnerighoivkt .shti cCrnohi oaxhypi easscu inpntoerheys edu ot SNS vntacatiio dan EPO toiup.ncord

unscramble the site ⋅ become a member ⋅ $279$49
teepot123  pye +


You must be logged in to vote!

 +5  upvote downvote
submitted by ∗drpatinoire(19)
The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member ⋅ $279$49

Gusy I ahev ortahen otthuh.g

vniGgi horte eihcsco rae botua shi hoter ralnabom aeslvu s(ecredani nrte,caei scg,leuo criu ad)ci, I seugs the sienoutq is eginstt us hciwh fo sehet lsauve llwi eprvomi fi ihs SAO si rmpevdio yb CA.PP

cnSei SAO is eon fo eht smto proamtnit secusa fo idatpiioch senhorepitny, it luhosd omce ot su ahtt eonc his OSA si ae,rtedt hsi srenetpihnoy lilw vpemiro nsoo.

oS reddece"sa PB" idaenst of ohert amrabnol .uelsav

(Tasnhk ot ym nsdfeir ofr niihntg em aotub his)!t

unscramble the site ⋅ become a member ⋅ $279$49
dodgerslakers15  Tshi si het roctecr wya of ginhkitn atbou itsh on.equtsi n^auPm ylro ypgsyohlio si tno .essnycear ehT otro fo het osnqeiut is aksnig what illw oirvepm rveo iemt ithw ernaettmt fo pesel panae, ichwh is obldo rs,serpeu givne hatt psele aepna uaessc eesncidar tycaihmpest note nad oerrfeeth iysmcest .HNT eTh ntmtaerte fo lesep aneap hwti AP,CP llwi lphe ecredu ischtymtpae enot adn evro ei,tm rempiov B.P +2


You must be logged in to vote!

 +5  upvote downvote
submitted by madeforupvoting2(16)
The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member ⋅ $279$49

PAPC eeniscrsa ilanptelurra reusresp sa eth laeetdve yaawir srersepu si astrdettmni to roeht ngthsi in teh vyaict gn(ul shsuep no arpulel /pivcaeysatc hihwc cna hten hsup no orhet ssc.tu)rreut iTsh cna elda ot pmoeocirnss fo vsei,n nignilucd the enav aavc &-;tg adcrdesee nouevs trnrue ;gt&- seadredce pb fmr(o adeecsdre eordp)a.l shTi si lrsamii to wtah asepnph ndirgu aslvvaal xrneoti(e pehs)sa hotguh the ovptseii upsserer si rdidpveo by a maecihn mupp daients fo miandlaob rmaa/scuglshi.empd I itknh retah rtea klleyi csaesrein sdtnaei fo desreace sa a coaopytrmens re.seonps

H’seer one eist htta ilaexnsp it ewll the( f“ree” tetnonc is nhgueo dna oblyrbap dryeala ceexeds the pehdt noe mtigh ened ot ok)nw ctl/tt//e-peekfanra-r-f-mnsacimclptitsxenoolnmcci:efohi/chayetauortyho.av

unscramble the site ⋅ become a member ⋅ $279$49
dodgerslakers15  yuPalnmro golsihypoy is otn ecneassyr e.reh hTe orot of the qosenitu si agskin hwat wlli pvreomi vore temi twhi etntrmeta of lepes aaen,p hwchi si oblod usspre,re iveng htta elesp aepan euscsa airnesdce mtpetihacys eont and hreoerfet ciyetsms H.TN Teh ttmteaern fo eples napae hitw APPC, lliw pehl educre tmpstehyaic eont dan roev me,ti rmpeiov B.P +15

Guys don’t forget that in OSA, periods of apnea results in increased sympathetic tone, hypoxia causing pulmonary hypoxia vasoconstriction, thoracic movement without inspiration increasing negative intrathoracic pressure ==> all these factors leads to hypertension in OSA.

To remove all this we give CPAP, which results in decrease in BP over long period. (It is not only about increasing intrathoracic pressure and reducing BP)

+16/- apurva(101)

You must be logged in to vote!

 +4  upvote downvote
submitted by ∗meningitis(643)
The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member ⋅ $279$49

oAuthhlg t’is auotb P,VP htsi igarehenrsc elpedh me nadnrsdetu absic ps,hy I ohpe shti seplh eoryeevn in semo ay.w

ya:kTeaaw iDnurg ,PPV suvneo rnetur draesec,es acircad puttou aee,sdscer dan hetra ssueprres aedresce ni het ghitr ised fo eht r.ehat

hWy eosd VPP ceederas ensuov reur?tn

  • aiacncrhiortt eepsursr eompessrsc aerh,t ugicnas odolb tno ot urenrt

ssuaCe ofr eesddrace flet eravctunilr ttuopu ndiurg ieivl:ntnato

  • Sgithfin of nceuatrivtarrnli spmetu to ftLe eud to iaesndcer VR lveumo
  • rsDeeceda oenvus utnrer
  • nahgCse ni sahret ayltbii to ttcnaocr ued ot spiivtoe eesprurs
  • kacl fo O2 ot eatrh

moralN tnepoomraycs isamhsnecm ofr iaitgnnmain CO adn BP drunig PV?P

  • aeesinrcd RH ot nepesmaotc for saeceedrd VS
  • ieesadcrn VRS to mnntaaii PB

threO sPiichgoylo :nssopeers

  • dcDeaeesr acrerleb irsefnoup sesrpure ’(ysbdo sepnoser to a lfal in PCP si ot eiars sstiycme oldob erueprss and ilated arclrebe lodob ves)sesl
  • eedscreaD rnale seinofpru d(reIancse H,AD SA,RA dan enttiPa hsa ealrn bosemrpl so edesacirn erentniaci dan ruci cd)ai
  • Pselobis alntmnuritio asee(crndi guceslo avi ogoslcenneiseug c)t.e
unscramble the site ⋅ become a member ⋅ $279$49
meningitis  ysorr tuaob eth fnrtoiatmg, htey ewer pesdusop ot be teublls tno icl.tai +30
drdoom  lskoo godo to me! ); ntasdie fo asrksties tyr iugns teh lusp igns for oerrnedud ls;sit the smyset etgs ndofecus sesoiemmt eabcseu eht iasrktse si olas ofr aitlcsi 😊 +2
meningitis  e,Yha I cneitod s: O, h I idtdn wkon teh + gsni ddi ah!tt rVye mhcu edp,eiatprca I will ytr ahtt tnex te.mi +1


You must be logged in to vote!

 +2  upvote downvote
submitted by noselex(9)
The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member ⋅ $279$49

I aurnstddne lsepe aeanp lowud sceua aoyihxp dna easicern in SSN tc.iyaitv So temtnrate odwlu curede PB and aretH Ra.et I was tcksu nbwteee teh owt tnoo.spi hWy aws teh easwnr lobdo srsepreu dan not HR? I ooglgde ndauro a ibt nda fundo utsieds taht owsh rdpo ni obht HR dna P.B I seusg PB dspor er?om aCn ooseemn peleas alxin.pe

unscramble the site ⋅ become a member ⋅ $279$49
madeforupvoting2  PPAC aicssnree rterlanuiapl rpsersue as eth veeetdal iywraa uspreesr is stdatnetmri ot htero inthsg ni het icvtya nug(l hepuss no lerupla tye/ivaccspa cihhw nca ethn hspu no hreot tu.scrr)eust sThi anc ldea to emipnsoorsc fo insv,e lcgdninui hte vaen vcaa >- eedraescd ousnve rneurt -> eardseced bp (rofm aderdesce dae)pro.l ishT is sraimli to whta nspheap dgniru alvvalas iroe(nxet eh)psas thgouh eth vtspoiei ssrepreu si vdiepord by a caeminh ppmu snteadi of andbomail ciamg.adrsmuhpels/ I nkhti taher etar elikly eescainsr tdnsaei of dacreese as a cnsmateoropy .noer esHrse s’pe one esit thta eanxlisp it wlel het( e”ref“ enocttn is nguoeh dna lybaobpr aeyladr eedecsx hte pehdt eno ihmtg edne ot wokn) maccopi-vmaaiirhryn/n.scheto/hauce:efeenplcl-cootit/kafrsmaxfyt/ttoltn-e- +4
apolla24  I usges inecs hagsnec in RH aer hsuc a aertstinn nohepnoenm and yuo ylon avhe tnusisdea iencsera ni HR ewhn rixnceeigs ro ikel telauyc xgpnieneceri smoe cmiaeld yeergmnce vs PB atht cna eb leeedtav rfo nglo irpdeso of imest wthi no cee.sftf eTerfhore na rtmvnoiemep in PB si orem anrm.ioptt ’sahTt ym t.aek +1


You must be logged in to vote!

 +2  upvote downvote
submitted by ∗cathartic_medstu(37)
The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member ⋅ $279$49

anC eseoomn certroc my isnrnoeag :reeh

I swa hkiintgn oipsivte iaawyr errpeuss wlli erseniac levaalro inaevttnoli dna sdaeerce ixphyao cndeudi plamnrouy cto.iicantssvoorn ,Tuhs VR refta dola udlwo eeeascrd g&;=t rome aeldorp ot VL dna mreo dcaaicr tuot.up Then dtu'olwn BP secdrae?e

Ayn hlep is a.eierdppatc ashknT.

unscramble the site ⋅ become a member ⋅ $279$49
pg32  I usjt ghotuth fo ti sa o:lfowsl he has ighh BP due ot yplrumoan stnancstoorciovi as well as erdisadpew smptctieyha avnoaiictt as( fi eh is igneb plliyatar renlgtdsa all het ime,t beauesc he llbaciasy s.i) gceiranIsn gnexoionyta wlli xlrae shi umanpyolr talersuuavc nad secderae apimctetysh monatlisiut otgrtohuuh eht byo,d digneal to a prdo ni bdloo r.sruspee +1


You must be logged in to vote!

 -5  upvote downvote
submitted by ∗welpdedelp(270)
The site was recently locked🔒
It can be re-accessed by making a purchase.

Purchase your membership here
unscramble the site ⋅ become a member ⋅ $279$49

Ideacrens atanarcilinr eesurprs tath selrstu ni husi'Cgns adtri fo reenciads oodlb speers,ru gaeiurrlr rghabin,et dan yarida.arbcd hsT,u hhig O2C ucenisd nuchgsi itdra dan if oyu eivg PP nthe ti lilw ereudcd ,2OC dna ehtn odnw terlaeug the mahyisttcpe vncco.atironstois illainyOgr hte ainrb dha so mhuc 2CO htta ti pdazzes otu adn trdie to saneiecr eht PB ni derro to shup eorm xetyeagdno lbood ot eht ibarn.

-kKAmpp:Sg/Ctgjpr5.ZtsiqUa.J/a3A:/s/fgcemtsbemlwoi.hd

unscramble the site ⋅ become a member ⋅ $279$49
lispectedwumbologist  4y"ic arr"Bada8 d mpb l lo +
lispectedwumbologist  The irhopysetnen in sutctorbevi lpese eanpa si edu ot ardescein icpstaetyhm toen otn esdiearnc rraailinanct sseeurpr loma +1
meningitis  o@isucgbildwtlesotmep : eB reatum eughno ot oertcrc mh/heir dan oemv no, tno ulagh ta .rmieh/h +16
namesthegame22  lsPue erta yma eb fdcfeate by suegsr of atmcehpiyst aiytcvit iugrdn ancpei s,sepodei ovhre,ew ihst hlinrtpoesai has eebn ssel dlaery otmdereatdsn anht taht wtneeeb apnea eayp.dnin thonres +


You must be logged in to vote!

Must-See Comments from nbme22

sacredazn on Unrearranged immunoglobulin gene
seagull on Decreased binding of RNA polymerase
seagull on Anticholinergic
mcl on Area labeled ‘D’
liverdietrying on Release of stored thyroid hormone from a ...
kernicterusthefrog on Displacement
keycompany on Negative nitrogen balance
joha961 on Displacement
imgdoc on Area labeled ‘C’ (Abducens nucleus, right)
alwaysanonymous on 25 mL/cm H2O
drdoom on 1 in 600
seagull on Glutamine
yotsubato on Phase variation
bubbles on Acute retroviral infection

one does not simply “walk into mordor”
NBME Answers LLC © MMXXI
search for anything NEW!