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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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etSpci oskch si a peyt fo irueisttdibv chosk cihhw si akermd by svemias soiavaotilnd /(dt iytmmlfaorna enesp)ros anigcus eredscade ,VRS edeeracds epodarl / P,WPC dan rasnedice O.C

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smc213  eptciS kscoh acn laso espentr whti yateomhrhip 3;t&6lC +3
bethune  Why is it ton aatsiogtnsnitlre bd?nlegie +4
beanie368  IG bgneidel lwoud tpnseer whit aiescnerd RSV sa a nserpeos ot mlovphioaye +10
mysteriousmantyping  yhW udolw tsih not eb pulrnaoym smebm?oil +1
step1passfail  rylnPumoa meilbosm wlduo cuesa a eersedac in iaarccd uuott.p herTe is icrnaeeds rerspeus ni the hgih ionlpacmt RV cwihh acn ugbel dan rpcemsso the L,V deniceargs tsi o.arepdl CH=eartO erta x sketor mvleou dna tersok luevmo is tiyprllaa edrtienemd yb ed.raolp I f eht lrpomynau mbioemls is aegrl ,unhoge ti acn osal otcrtsbu teh pyroaunlm velssse and qtleyenssubu otn evah ueohng bdolo gnogi ot the AL and L,V ttuimylale inkagm teh arccdia upottu erna 0. +3
chj7  utO fo all eht nfedrietf tepsy fo hsoc,k cidacra tupout is dsereacin lyno ni iiesttbudrvi ohcsk .ie( pin,tchalayca cpsei.)t +1


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 +1  upvote downvote
submitted by bfinard1(3)
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Can esenoom anxlipe hwy crcaadi uotupt is ghih in pictes kc?osh

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drdoom  tiBaacer nda irabtacel nscootemnp kli(e LS)P in nilacurotci igerrgt assevmi ereales fo eoictyksn 1(krenteiI,-uln ulirnk-6tIeen adn T,aNF) teinrlusg aalio.idnvots aHtre raet sasneecri ot anminait cnetde BP. +1
bfinard1  sI rokset ulvemo otn cetadffe by atth semvasi iintodslaa?vo I oluwd ntikh if vnuseo ysemts is lovadaetsid nhet uoy'd vaeh ceduder VDE omrf eduercd olobd wlfo to arteh +
zedora  ohBt fo you era tce.orrc nI tcseip chkso eehtr is a msiesva doainoisv.lta nI eordr ot pcoeastemn fro het decdeur oblod srpsreue, rtehe is na dnercesai herta a.ert Nwo, iekpgen hsti in ,mdin hatw si het OC olmua?fr CO = RH x VS ?Rghit Lets ysa uredn nmaorl itoniondcs RH si 06 mp;a& rokSte luvmeo is 0.5 Yruo rcaiadc uutpot = 06 x 05 = 000.3 wNo in ctpise ho,csk uoyr aterh aert is aiysmlvs aicsrdene utb oruy estokr uvlmeo is sdecdaeer ylia.mimnl So stel uplg ni the usn.remb Ltes y,sa urden ceitps c,khso RH = 510 &apm; oetskr luomev is own 3.0 heT rciadca tuupto is won oagnn be = 105 x 03 = 0450, neehc oury OC si erd.nseaci In ipSetc coS,hk het eraht reta is msylseaiv dinercaes coardemp to hte otnamu of VS dcreeda.es +
drdoom  a1r@dbfni yB linostdoavai, I lasmto xlesvelcuyi anem ralateri aslaiooidtvn. ehWn ti escom to C,V I sayalw owkr rcawkdab fmro r“fsti nrieisp”,pcl dna ni ym viwe eth fstri celirppin of teh CV smtyse ,is a“aiiMtnn prerusses to nitaianm oodg .fwol” All tohre inacodoomcmsat fo het VC sysemt gse(hanc in nrre,[itgty]thnpoos [,yirtoteohpnmoc]r ciictnnvotoosrsa adn oiasidvlnao)t are in evs**irec ot taniniainmg fl.ows httioWu ogdo lsofw, you egt the nhtgi uhnma ssseitu kiel hte :alste not lkca fo exonyg tbu uiocmnatlacu fo C2O n(ad het iidacyt taht esog iwht .)ti +
drdoom  oS, lal htat aws a dgd-leoinwn awy of sgiany tath iacradC tuutpO lliw irmean hhig hnew hte boyd is dunoprgic --ddiithgesheranhre levlse of CO2 hn(we sngora nad the mmenui ssmeyt vaeh eong tion reveoidvr ot npsdeor ot a ehtrat or ot dssraed sanipmeoetocnd ni oesm horet ratp of eth msy)t;se teh lnpugmteim fo raadiCc tptuOu rsedhal eht bneiggnni of het e.nd It eisfigsin atth the setserss ibgne eimspdo no hte ydob eecdxe hte tsabliiiacpe fo hte ysest.m +


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 +0  upvote downvote
submitted by calvin_and_hobbes(2)
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yWh is eht T romnal in tshi titanpe? I loudw vhea itcdepred glderniyun oiecintnf — ei, everf — fboeer eenv "r"ylae pestci .skcho I eedcelst teipsc khcos purely rfo hte lrnticaabte olw RSV ieedtsp fdluis utb nwat ot dneunatrsd more oabtu eth seacenb of rvf...ee Tsnkh!a

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drdoom  ydleErl n(da m,ciomnmdisoepourm nrlaly)eeg do ont omutn torusb eervf ssnrpoees to tebriaca and teohr osagimicnrorsm; in ee,dryll htis lybrpboa has ot od tihw ”cilsede“n of the aentni emunmi eysstm yu(ro echomprsgaa, retidndic sel,lc so,yntceom ;.c,& sjut todn' nfoitucn as lewl as tyeh uesd .)ot In treoh sr,wdo if ouy 1() iwdpe tou en'smoose menmiu ysemst nda tenh (2) tdniejce baactrie ntoi theri l,sdbtmaroeo you wtdno'ul vrseobe yna fvere eter.hi ehT enesrepc of a yalip“t”c (mo)raln frvee in an eyrleld ro crnosmimpeiommuod iatetnp acn be a spuer ongcnriecn sin:g ythe imhtg avhe a iarngg eciitonnf no the es.diin +
drdoom  ^rofm eht rcia:etl nsbetA“ or enudltb erevf ernpesos in the d.rleyel erThe is pamel cneevdei thta a dbntelu rfvee oesprsen to a useosir cielrb,taa ,alriv or funlga fienotnic ugsstsge a eoorrp snsproigo nhta edso a ustrob vfere pseosenr ]31.[ In idtao,ind tehre is a taubslasnti odyb fo da,ta mtsoyl mofr alnmia lsdme,o atht ehog—ufhvrert ist ctffese no eiunmm nc—toyminauf eb na ioprtmtna tosh ednefse escminahm 4][.1 oyulgRh 020%%–3 of lryldee espnsor wtih esuisor eciralbta or vilra nocseiftin wlil epsrent hwit a ubtledn ro eitleyrn bsaten verfe osnreeps 5,23],1[.” +


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 -2  upvote downvote
submitted by spaceboy98(22)
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Teh ywa i olko at tshi si teh teerump.tare

A hyrthipmeoc etapnit will oatslm aywlsa nsrtpee ihwt cpties ohsck cuaebse itescp cksoh can esenprt as hbto rehaterymhip ro orhpmiehtay

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athenathefirst  n'tDsoe dsnuo ruceact.a ihTs tneaitp ahd a rmnola uaettme.rper +


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