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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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ptecSi kcohs is a ypet of drtuvisitieb ohskc hcwih si eamkdr by vesasim ntlvdsiiaaoo /(td amformnitlay ens)ospre iagunsc edesrdace S,RV dredcasee deaoplr / ,CWPP dan erdsnecia .OC

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smc213  pectSi ohsck can soal sternep htwi rtyhepmioha 6l;3&Ct +3
bethune  hWy si ti ont otrasgalttinesin been?igld +4
beanie368  GI dgbneeil dwulo eeptrsn ihtw inesdreac SVR as a erosspne to pvmlehooayi +10
mysteriousmantyping  Wyh lwuod tihs tno be pulnaoyrm liebomsm? +1
step1passfail  nalmryPuo imlomesb duolw ucase a sdeaeerc ni aciacrd ouup.tt eeThr si icreaedsn rerpuess in the ghih otmilcapn VR ihhwc nac lbgeu adn psemorcs eht VL, arcesiengd tis l.pardoe OCHtaer= aert x kotres lvmoeu dan trkoes oulvme is aayrtllip eirtddeenm yb apd.oelr fI eth prlonmayu eimolmsb is lgaer ,nugohe ti can sola cotbsurt teh mrulpnyao evslsse adn uetsluyesqbn ont ahev uohegn dlobo nggio ot eth LA nda LV, ltulieymta gankim hte aciarcd tuptou eanr .0 +3
chj7  Otu fo all the refendtfi eptsy of s,hock rccidaa tpuuot si cinraeesd onyl ni sirtbutivdei ckhso ei.( hacacnlpyait, spe.ic)t +1


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 +1  upvote downvote
submitted by bfinard1(3)
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anC someeon xleiapn hyw ricdaac utpout is hgih ni petsci ckoh?s

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drdoom  creBatai dan cabirlaet ocponmntse (kile )LSP in luiriaccton tigregr svmasei rseeeal of kyocsetin -linutne(,Iekr1 neletiuk6-rnI nad ,aT)NF trsgeuiln iosdaoani.vlt eaHrt taer raeessinc ot iaanmnti edcetn .BP +1
bfinard1  Is erksto ouemvl otn tcdfaeef yb thta saimvse ltvoiaasdion? I udwol iknht if nuveos yetssm is aeovdadsilt hnet youd' ehav reduedc DEV ofrm cdderue dolbo lwfo to tehra +
zedora  ohtB of yuo rae cortce.r In sciept hoksc rheet si a asvimes ova.osldiniat nI order to tapecsmeon for hte udcerde oodlb prr,ussee erhet is an irceedasn aehrt art.e w,oN eknegip shit in n,mdi thwa si hte CO r?fmlaou OC = HR x VS h?gitR sLte ysa rdnue mnrola ntndscoiio HR si 06 &;pma rokSet veumol si .50 ruYo drcacia oupttu = 60 x 05 = .3000 woN ni icepst hock,s yrou tahre etra si myisvasl snedricae tbu ruyo oskret ouvelm is raeeddecs mnyl.amiil oS stel pgul in eht ursne.mb stLe s,ay uernd iectsp schko, HR = 150 ma;p& krseto ueomlv si onw 30. Teh racicda tuoptu si won onnga be = 510 x 30 = 0,405 hncee yoru OC is aedcseir.n nI cpteiS hoSk,c teh areht rtea si evsmailys csanerdei demaocpr ot teh ntumoa fo SV dea.cedrse +
drdoom  ndir1baf@ yB t,ioliovdasan I stolma uyelxlsvcei enam etlrraai i.sadvtiolnoa Wenh it emsoc to ,CV I yalsaw wkor crabdwak mrof f“tsir ec,rislpinp” nad in my iewv hte sfirt pceinpril of teh VC ysmtes s,i Mitnnaa“i erpsessur to atmnaini doog o”fw.l llA rohte ciaadonctmosom fo hte CV symtes ahcnse(g ni g]ts[i,yotroephnnrt ty[h,orcop]tnmeiro sttovcciaironons and ltvdan)iioaos aer in ce*isrv*e to aitinmanign sowlf. oiuWhtt oodg sflw,o yuo tge het gniht unhma sissuet ikel teh et:lsa ton akcl of oxneyg but acaumtonlciu fo OC2 d(an eht iitycda htat soeg itwh i.)t +
drdoom  o,S all that was a oedgnwid-nl awy fo iygsna thta adciCar uupOtt iwll areinm hghi hnwe het ydbo is dupnrcigo dderir-htei-shehgna slevel of C2O hew(n rgnsoa dan eht immeun tmessy vahe nego niot reviodver ot onerdps ot a ehatrt or ot saddsre ecneamiodoptsn in omes thoer prta of the )st;yesm hte ipeumntmgl fo iCadcra uttOpu ldrhaes het iinbgengn of hte e.dn It sfsngiiie thta hte eesstrss begni oismped on the ydbo dexece eth bitsailiacep fo het .mtsyes +


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 +0  upvote downvote
submitted by calvin_and_hobbes(2)
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Why si teh T lrmoan ni tshi nttpa?ei I owldu aevh rcpedetid enuglridny nfioecint — e,i revfe — eoebrf neve "r"yael psicte o.schk I deseelct cstipe hksco uplyre for eth lcnatbertia wol SRV tspiede islduf tbu awtn to tudnasrned roem uabot the cnaesbe fo e.r.evf. Tshnk!a

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drdoom  Eyledlr (dna m,msmoinompodeiruc aelegy)lrn od nto utnmo turosb eevfr possnsere ot iratcbae dan eorth rmmniag;soicors in erydel,l itsh bypoarlb sah ot do iwth een”clds“i fo het tnaein nuemim ysetms (oruy rcgsh,oaepma irdiednct lsl,ce ,ystmoecno .&c;mpa, ujts tno'd cnuntoif sa llew sa tyhe ueds .)to In eohtr ordws, fi oyu 1() dpiew uot esosnme'o mnimeu tsmesy nda nhet (2) njtciede eacatibr toni htrie eooablsdmr,t uyo 'tlundwo rsboeev nya erfve r.ieteh heT seeepcrn fo a tial”“ycp )n(marlo rfeve in na drleyel or pmseumiomndoicmro panteti can be a rseup rcnnenoigc ins:g yhte gihtm veha a gnirga inieotfcn on teh di.iesn +
drdoom  o^rmf het t:alrcie b“tsnAe or teulbnd efrev eesporsn in teh ll.ydeer heTer si laemp endiveec taht a nulbdet feevr eosenprs to a sreisuo ar,ilbtcae lra,iv ro gnaflu intfeoinc essggstu a oeprro ogornsspi atnh seod a obtsru erevf rseepsno ]13[. In otid,ndia teehr is a tstnuabasil ydbo fo aadt, ymsotl form imanal ,omleds hatt rhgeo—huerfvt sti ecfsfet no umimne fmtnuyoac—in eb an otnpaimrt soht neesdef aciesmhmn 4].[1 oyhuRgl 2%3–%00 of lelredy sorpesn hiwt ruioses iartcable ro ivlar ntnfosieic will prsntee twih a uebtnld ro tiynelre tebsan verfe rseopnse 25,”[3,1]. +


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 -2  upvote downvote
submitted by spaceboy98(22)
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eTh yaw i look at this si teh euepmrrtt.ae

A thoiprhmcey nieptat iwll osmatl aaywls npeesrt wtih epicts okshc ecabesu ipcest shkco nca peesrtn as tobh ryertaihepmh ro mhtihoerayp

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athenathefirst  neDo'st nduso u.aetccar hsTi aepttin dah a lrmoan utt.marepeer +


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