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Retired NBME 20 Answers

nbme20/Block 3/Question#29 (reveal difficulty score)
An 83-year-old man is brought to the ...
Early septic shock 🔍 / 📺 / 🌳 / 📖
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 +7  upvote downvote
submitted by hayayah(1212)
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ipStce skohc si a ptye fo itebuirtidvs khosc iwchh is rekmad yb vessmai ntlviodsiaoa t(d/ lommyniafrat pson)eers auscngi rsedaceed RS,V dedseraec pdalreo / PW,PC nad sndarecie OC.

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smc213  pcSeit ckohs anc lsoa ertnsep itwh tmaphroeyih 3;C&6lt +3
bethune  yhW si ti tno nliossrgntetaait ?nglieedb +4
beanie368  IG glneiedb lwoud sernpet wtih sdecriean RVS as a eoerspns ot mpieayolhvo +10
mysteriousmantyping  yWh udowl sthi ont be rnpmaouyl bsmem?lio +1
step1passfail  aomurylPn lsbiomme owdul auces a csreaeed ni rdaaicc o.tptuu Trehe is srecdenai uspsrree ni eth ghih lpmicaotn RV icwhh cna eblug nda sprecsom teh V,L saigncdeer ist adre.opl =trCaOHe eatr x oetsrk omvuel nad korste leovmu is ayliaprlt eednrmdite by prldo.ea If eth lruanmyop sbeloimm si relga ,neuhog ti anc soal truosctb het lrynmpaou elvssse dna uqulbnteesys otn aehv ehognu bolod igogn to the AL and ,VL mteiutylal amnigk hte iacrcad ttoupu near 0. +3
chj7  uOt fo all eth eirffetdn tpeys of ck,soh aicardc utptou is iracneesd yoln ni vbtiretiiuds okshc (ei. hclciyna,ptaa ipce.st) +1


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 +1  upvote downvote
submitted by bfinard1(3)
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nCa emoosen laxpnie ywh raicacd tuoupt is hihg in itescp ?ksoch

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drdoom  racetaBi adn aierbactl scmoopetnn ile(k LPS) ni alccitnuiro errgtig svimesa lrseeae fo cioytnsek nl(ner1tkI,-iue n-enreltiI6ku and ,T)NFa segrntuli daoi.tavnolis arteH rtea ascerinse ot inmaitna edcten PB. +1
bfinard1  Is krotse levuom ton tdcaffee yb tath iessmva lndtovo?isaai I udlwo hnkit fi suevon ytsmes si iasodelavtd tneh 'uody hvae ueredcd VDE romf cdedreu olodb fowl ot hetar +
zedora  Btho of uoy are crtco.re In tcsiep hckso eehrt si a mevsisa otaidil.navso nI erodr to sntapeeomc fro teh dcueerd loobd ersurs,ep teehr si na sieneracd terha taer. o,Nw ekgneip tihs ni ,imnd hatw is het CO fm?alruo OC = HR x VS g?Rhit tLes say rneud marnlo oidositncn RH si 60 p&a;m oertSk umlove is .50 oYru ardicca outtpu = 06 x 05 = 300.0 owN in iepcst ok,chs yoru hraet etra si liaysmsv nedcaeris but yuor koerts lveumo is eaeddsrec liiam.lnym oS tsle gupl ni het mnb.urse seLt ys,a uernd ictpes hscko, RH = 501 p;am& etkosr vmuoel is own 30. eTh ccidaar ottuup is nwo gnano be = 150 x 30 = 0,045 ehnec uyro OC si sdca.eiren In ptSice chSk,o het rhate arte is svmesylai eraidcnes daepmorc ot eht unmota of VS rsaddee.ce +
drdoom  @ridn1fab yB ainild,sotova I amtosl ulelsvixcey aemn earitlar sadotn.valoii hWne ti emsco ot C,V I aywasl wokr wdabkarc rfmo “sfirt n,prlecs”pii and in ym ivwe hte tirfs lnrppeiic of het CV tmeyss si, iaMitnna“ srseeuprs ot ainmatni gdoo f.wo”l llA hreot dcmmocosaniota fo the VC eytssm secgn(ha in ropino,[n]trsythetg e,ohrcrntyt[oopmi] oiatssitonccvorn adn )nvladoasioti ear in *cvr*eesi to anmgtiianin f.slow ihWtuot oogd owf,ls oyu teg eht tginh nmauh stiesus elik hte etsla: ont lcak fo xneyog but iaoccatunmlu of 2CO and( the aictidy atht gseo hiwt ti.) +
drdoom  So, all taht saw a weloid-ndng ayw of iayngs atth cidraCa puuttO iwll arnmie ghhi ehwn eth dboy si gnucdirop sdhhede-hiegrni-tra vlseel fo OC2 (henw sagnor adn hte emuimn syetms ahve ngeo inot drvvrieoe to rsonped ot a ehtatr or ot rssddae detaonmisncpoe ni esmo hoter part fo hte em)s;yst teh tgnilmmeup fo diCrcaa uuOtpt lsdhare hte gnbinnige fo the .den tI isgesfiin taht eth resssest bgnie impdeos on eht doyb deexec hte ieisltpabcia fo the emtsys. +


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 +0  upvote downvote
submitted by calvin_and_hobbes(2)
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Wyh is hte T aronlm in hist atent?ip I udwol evah reeptdcdi yunenlrdig fcinotine — ,ei fever — febreo vene "era"ly pitesc co.khs I eecstedl iepcts ockhs pulyre ofr eth ritlteaabnc wol RSV etsedpi udlsif tub twan to teudrnsnad erom utoab the cbeanes of rv..fe.e ksnaTh!

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drdoom  lderEly and( rmemdipo,mmuoscnio gllyrea)en do not uontm srutbo rfeev oessnrsep ot ecrbatia dan oreth ignsoimrrsmca;o ni eldeyl,r isht ypbrlboa sah to do hiwt dcies“nl”e of teh atienn iunmme tmeyss (royu mrh,pgacesao enrdicdit clesl, ytm,conose cpm;,&a. utsj 'dnot oticnufn sa lwel sa tyhe esdu .to) In thero rswo,d if uyo ()1 weipd otu seonso'em nmuime smtesy nad neth ()2 enjeitcd raetcabi toin hietr oedoralsmt,b yuo nwtu'old eseorvb nay efvre he.iert ehT ecreneps fo a “”pltacyi r)onmal( efrve in an yedrell ro redpionmisommmuoc ettaipn nac eb a serpu engicrocnn n:igs yeht ghitm ahve a rgiagn iicfnneot on eht ini.sed +
drdoom  rmo^f hte ale:tric Asbtne“ or tlbnedu efrve epoernss ni het yr.eldel reeTh is aelpm eecnvedi ttah a tbldune vfree ersesnop ot a serious a,itrbelac rlv,ai ro ulgfan ifnconiet stggsseu a rroepo osipsgonr hant esod a trobus fveer senpsero ]1[3. In idtnodia, three is a nssaaitubtl yodb fo ta,da ostmly omrf imanla me,odsl ahtt rhuvef—rheogt tis fseftec on uimmen nnty—ocuafim eb na opiatntmr hots eedefns mnahmecis [.]41 hyougRl %0%2–03 fo leelryd srpnsoe wtih iosersu lciataebr or virla nioneicfst illw rnsptee thwi a deulbnt or yltneier tsenba vreef pnsroese ,2,.3]”[15 +


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 -2  upvote downvote
submitted by spaceboy98(22)
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ehT yaw i ookl at hist is het rupre.atemet

A mhoprthciey ntepait lilw latosm saaylw etrsepn ithw tspcie ocskh eausbce scetpi ksohc anc estpenr as thbo tiyphmreerha ro yhthraimeop

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athenathefirst  sotDne' dunso accear.ut hisT naietpt had a nolarm tuteae.mrrep +


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