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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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cpSiet chsok is a eypt of itsebidutvri chsko whihc is mraked by ievsmas tovsadalinio t(/d iaanmrlmyfto nspes)oer uscagni aeerdecds ,SRV aedeecdrs oeldrpa / C,PWP adn dceraiesn CO.

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smc213  iecptS hcoks nca sola entpres tiwh aoehpmihtry &;tCl36 +3
bethune  yWh is ti otn stagttliisnnreoa eneblgi?d +4
beanie368  IG dbeignel udwol eterpns wtih rsnedecai VRS sa a oensrsep to lhpioamevyo +10
mysteriousmantyping  Wyh lwuod isth not eb umlnorpay omsbelm?i +1
step1passfail  oulaPmynr oimlebms wloud caesu a ereeasdc in cacdari o.ttpuu Teehr si eiesarncd euspersr ni teh hihg imlptacon VR ichhw nca lubge and mspesrco het ,VL egerdciasn ist r.odeapl =eHtCOra trea x ektosr uvmoel dan kotesr ovmlue si ilptyaarl mteendried yb eldrpao. If teh pruomlany ibsmlome is elarg eounh,g ti nca salo tbscruto the lynropmua seselsv nad nqsystleuebu tno haev onhueg odolb onigg to eth LA dan VL, atllytmiue nkaimg eht ccadair utotpu anre .0 +3
chj7  uOt fo all the dftnrefie teysp of ohskc, icarcda pouutt si icedasnre onyl ni devrubiitits ckosh e(i. aicaltpy,nhac ps)ce.it +1


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 +1  upvote downvote
submitted by bfinard1(3)
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naC nomsoee npexlia ywh caadicr puttou si hgih in estcip k?scho

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drdoom  etiBcraa and ctbrialea tponoscmne eikl( L)SP in iuonritclca girrteg maseisv eerelsa of yktsoeinc eltinur1e,nk-I( erIin6-tunkle nda )aTNF, sirlutegn dviolaas.nito rateH tear sesicnrae ot mniaanti nteced B.P +1
bfinard1  Is ekrsot uvelom not ecatdfef yb that svmsiea lnosivdaoiat? I olduw knthi if nuosev mssyet is ddeaoivlsta enht oyd'u vhea eecdudr EDV ormf euedrcd oolbd fwlo ot haret +
zedora  Both fo you aer rce.cort nI isptce hsock theer is a easimvs dvitasolan.oi In orrde to tonceepasm rof teh edcedur oblod serp,sure eehrt si na sceiedran ahert taer. ,Now gnpkiee shti ni md,in thwa is hte CO ?ofumral CO = RH x VS hgRit? Ltes say unred laormn nsdioionct HR si 60 m&a;p etkroS eoulvm is .05 Yrou daiccar tputuo = 06 x 05 = .0003 wNo in itceps skh,oc oryu htrae eart si sislyvam naecrdesi btu oyru retsko uelvmo si aredseecd mylili.mna So lets lgup in the .bsnmrue etsL say, ruedn eitspc ,cohsk HR = 150 & okrset eulomv si onw .30 hTe draciac ututpo is nwo ogann eb = 501 x 30 = 0054, neceh oryu CO is acn.sriede nI Scpeit k,cSho hte erhta arte is slsiamyev eeicsardn dopmcear to the matnuo fo SV ercdd.esae +
drdoom  1@rfnibad yB itanid,oosvla I otmlsa lvieuyscxle eman earrlati a.idvstoailno Wneh ti sceom to V,C I swyaal kowr adkcwabr romf irft“s nlrcs”,ieppi adn ni ym iwve het sritf rnpieipcl fo the VC ssyemt si, aiMinant“ rpussrese to inmnaait dogo of”lw. llA ethor iomncastaodcmo fo het VC emssyt snh(cgae ni tttre[ohgsyrnpio,n] rrtpyoc[,imhnoot]e otristvncacoinos dan atinliaod)vso ear ni s*ereciv* to iginnnimata ofswl. Wuthito ogdo ,sflow ouy get eht tihgn ahnum tsseisu ikel het ast:el tno alck of neyxog tbu amuucctilaon of OC2 n(ad eht iicyadt atht geos hiwt i.t) +
drdoom  ,oS all htat asw a ldgeodnw-in way fo aniygs thta caidCra utptuO lliw aeirnm hhig wneh teh doby si gorpndciu hgrhrdteshie-a-nied lsevel fo 2OC (wnhe gosran adn the muniem essytm vahe nego otni idrvveore to epsrnod ot a trehta ro to sddrase scmeinpadeonot ni omse oreth tarp of hte t)ymse;s het mtneipuglm fo idrcaCa tputOu rshadle het ginnnegbi of eth den. It fiisesgin htat het rssseest egbni iseodmp on eht bdyo edxeec teh taciealiibps of eth .ysetms +


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 +0  upvote downvote
submitted by calvin_and_hobbes(2)
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hyW is teh T lnmroa in tshi ?inteatp I ldwuo ahev etdedirpc lyenunidgr onnicteif — ei, eerfv — rfeoeb eenv ya"l"er itepcs .sokhc I elcdtsee cstepi hckso eplury rof eth bcatinlrtea lwo RVS tpsiede dsflui btu nwat ot nesddnartu rmoe abuto eht senaecb of er..f.ev saT!nhk

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drdoom  rledylE n(ad mdmm,scepnioirouom ylaenlrg)e od ont monut tuosrb evref possrenes to etiraabc and eohtr scniormsi;rmago in yle,ledr thsi rbloybap ahs ot od twhi slece“nid” of teh tenani numime esytsm uroy( gahrscpoe,am ctdinerid lescl, mo,yesontc &cma;p., tjsu on'td cioftnun sa well as yhte eusd to). In rhteo dsro,w if uyo )(1 depwi otu sooenmse' numime sysmet and then ()2 deentcji rbiceata toni ihert obs,emdtloar you u'owltnd eerobsv nay erefv eiet.rh eTh rsenceep fo a tpa“ly”ic lmn(a)or freev in na elyedrl ro rmioumpcnemsmiood tniepta can be a euspr oncrecingn :sing hety imhgt eahv a agrngi cofientni no teh ise.nid +
drdoom  o^fmr hte cia:eltr eAtbns“ ro nlbteud evfre snpesore in het ll.eeydr eTehr si elapm nceeidev htat a lebtndu evrfe snpersoe to a eruossi etbra,cial ,vrial ro ufgnal toefnicni etsgsusg a oporer rsooispgn hant esdo a rsbout eevfr eeosprsn .[]13 In an,odidti eerht is a lsstabuanti yodb fo aadt, lsotym fmro malnai lmo,eds hatt hrreho—eugvtf tsi sfcteef on muimne onfiua—ytmnc eb an mtnpoitra shto senfede sinhcemma 1][4. hlguoRy 3%–0%02 fo lydreel snespro htiw uoseris carbateli ro riavl scntifieon lwil enptres hiwt a betndul or rytlneie nebast evefr esrenpso 2”]13[,.5, +


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 -2  upvote downvote
submitted by spaceboy98(22)
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eTh wya i olok ta hsti is het tereeautpmr.

A hthpreimocy tniteap lliw lotmas aswayl reptsen hwti pescit hkcos seecabu epistc hcsko nac tneepsr as btoh eihtmahpryre ro hteroihyapm

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athenathefirst  snDt'oe nosdu uercaatc. hTis tnpitae dah a lomran e.aetreprutm +


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