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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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Stpcie chsko si a ypte fo iiderustvtib okchs hicwh is mkader yb ievamss doalvsiitoan (/td lnmymifatoar oe)rnspse cinagus erdsecdea ,SVR drseacdee lpodaer / ,PCPW adn ieedascrn CO.

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smc213  Steipc skcoh acn aslo ptnseer thwi aiohtmeyhpr tl6C&3; +3
bethune  yhW is ti nto oarntltnsasgieti beelnig?d +4
beanie368  IG gneildeb wodul nsepetr wthi nerecaisd SRV as a poensesr to omhveiaolpy +10
mysteriousmantyping  yWh uoldw tihs nto eb nyularmop bm?eomlsi +1
step1passfail  nylmPurao slmmiobe wdluo ecuas a aedeesrc in idcacra tu.tpou eerTh si eeandicsr usperrse in the gihh alomntcip RV ciwhh acn gbule nda cpessrmo eht ,VL iencdrgaes tis oerpadl. tH=rOaeC tare x tskroe meouvl dan eoktrs emulov is tlyarailp reietdmned yb lpdrao.e f I the nluporamy biemslom si raleg o,uegnh ti cna aols bcrtstuo het rnymoplau slvsees dan ebsesyqulunt nto ahev uoheng boldo iogng ot hte AL adn L,V tumlyiaetl nmikag het acridca tpotuu rane .0 +3
chj7  uOt fo lal eht dfreeintf yptes of skhc,o acciadr potutu si easdnrice onyl in veriiubitdts coksh (e.i cilanpah,ycta t)scpei. +1


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 +1  upvote downvote
submitted by bfinard1(3)
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aCn enoesom nxiepal hwy aiccrda tutpou si high in cpiste hokc?s

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drdoom  ctriBaea adn iebtrlaac pcnooenmts lki(e SP)L ni couintarlic igerrtg aeimvss relsaee of kotycnise I-ueeni(ntklr1, 6tkeIi-nlnrue nad N,)TaF ntreislug anatovdsl.iio Htare erat erscseina ot mnatniia ctened BP. +1
bfinard1  sI ekrots umlove nto ffteceda by thta svimaes novdasoi?lita I uwold itnkh if euvnso eysmts is lsaveitddoa thne ou'dy have ducrdee VDE orfm rddeceu oobld lfow to erhta +
zedora  tBho of uoy are toec.rrc In tescip sckoh treeh si a imassev aa.ltovsniiod nI roerd ot pcemoanset rfo het rcedeud doolb ,rrspeesu ethre si an eierdcsan atehr ear.t No,w igkpene tish in nm,id twha is hte CO oafl?rum OC = RH x SV gRiht? eLst sya reudn aolnrm itonosidcn RH is 06 apm&; rStkoe veuoml is .50 rYuo cdarcia utoupt = 06 x 05 = 003.0 woN in picset c,okhs uryo rheat reat is syvlsmia naedreics tub your seokrt elmvou si sedadecre iyni.mlmal So eslt lupg ni the nurmse.b Lset ,say rndeu ecispt s,hkoc RH = 051 mp;a& terkos muevol si wno 0.3 hTe caicrda tuutpo is nwo ngaon eb = 051 x 30 = ,0504 cheen uyro CO si ieeacdsn.r nI Specti ckoh,S teh erhat etra si iyemsalsv saeidrcne ormapdec ot eht munoat of VS escr.dedae +
drdoom  @fnra1bdi yB ntadilvaoo,si I taolsm lueivylscxe mnae artrilae as.voldoinait ehnW it mseoc to V,C I ywlaas rkwo krdwcaab ofrm tfr“is r,sepcil”npi nda ni ym vewi het ifrts eiplncrip fo teh CV ssmtye is, a“Mitinan ssrreesup to inamtina odgo f”wol. All oetrh tcsomaoanocidm of the VC ssteym ghns(ace ni enrsngopiht]yt,t[ro ]enrohyti,prot[omc itisovnccooastrn nda lvitanodasi)o rae ni evsr*ce*i to iagnntaiimn .folws Wihtout ogod swlf,o ouy gte the hintg umhna tuissse ilke teh lt:ase ont cakl fo oenygx ubt aimuccanuotl fo 2OC da(n teh dtaciyi that gose ihtw i.)t +
drdoom  S,o lal atht was a oddnnl-wegi wya fo sinagy that idraCac tOuptu liwl ainmre hghi hnew eht bdyo is dipngocur -reraiehdngsedhthi- elsevl fo C2O h(new agonsr nda the meiumn estsmy haev eogn niot odrrevive to ernspdo ot a ttrahe ro to rsdeasd acponemsditeon in esmo treoh rpat of hte et;ysm)s hte itpmnlumge fo arCdcai uOtptu dlrshae eth iebninngg fo hte nde. tI sgensiiif taht the ressesst nbieg mopside on het byod execed het eaiialpcbsti fo het ye.msts +


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 +0  upvote downvote
submitted by calvin_and_hobbes(2)
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yhW si teh T mnolar in sith it?eaptn I dulow vahe ddctepire ydnigernlu ocfiteinn — ei, evrfe — efoebr neve lyrea"" cietps ckhs.o I stcdeeel cispte khsco upreyl fro the ilnctaeatrb owl SRV dspieet lisudf utb tawn to tusdnrenad eorm btoua eht nbeesca fo .r.efe.v kThnas!

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drdoom  ryEdlle a(nd micmeoosiupnrmod,m l)neyrlgae od ont motun ursbto freev pesnsrsoe ot ctaebrai nda heotr mocgisor;rsinma in l,elrdey itsh yplobbra hsa to od wthi i“lnedsc”e of teh aentni nimeum ssyemt ury(o mho,creasapg idenditcr lsel,c cotyoes,mn &c.;amp, ujts n'tdo fnnuocti as wlle as they euds .o)t nI treoh ,orwds fi uoy 1)( iwped tuo o'esensom nuemim messty dna htne 2() jndteice biateacr otni iehrt b,dasoeotmrl you ltuwnd'o voebesr nay frvee ehiret. The encrpese of a c“iptly”a m(nrol)a revfe ni an rlleyed or mdmiceursoommnipo ntaetpi acn eb a suepr cngceiornn s:ign htey ghmit veah a narggi iiteonfcn no het ienisd. +
drdoom  of^mr teh cateri:l snebtA“ ro dnutlbe feerv rnsspeoe ni the reydle.l Trhee is mpela iedeecvn ahtt a ubedtnl efver eerosnsp to a rouseis taacel,bir ,rivla ro afnlgu nofiitnec segsustg a poeror prgosonis tanh esdo a tbosru revfe reopesns ][3.1 nI daidt,ino etreh is a sulstbaanti bdoy of a,dta tymlso ofrm mniaal ,demosl htat evh—trefourgh tsi fstefce on eimumn —omciutafnny be na notatirmp ohst nefesde imanehcsm 41].[ hyRloug 0–20%%3 fo yledlre psonesr itwh uesoris liaracbet or avrli tioenficsn lilw enteprs with a nuletbd ro nelrieyt tbnase erevf sreopnes [,,]3.21”5 +


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 -2  upvote downvote
submitted by spaceboy98(22)
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eTh ywa i kloo at isht is eht umrtptea.ree

A yihthcmeopr petitan lwli olamst waayls seerntp hitw tiscpe oshck esebacu pietcs cksoh nac peesrtn sa htob mehtrirpehay or herhoiytpma

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athenathefirst  Dneo'ts dosnu ruacat.ce ishT itaenpt dha a noraml me.eeurtaprt +


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