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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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epStci kohcs si a ytpe fo ruvsiidibett sohck wihch si redakm yb mevsais oioaltaivdns (/dt amlrynfmotia esoe)srnp gcisuan dseeerdca ,SRV deecardse roedpla / ,PCPW nda aseinrcde C.O

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smc213  eStipc hsock can aosl rtepesn thiw eoripythahm t;&3Cl6 +3
bethune  Why is it ont tasnnatlrtgeiois lnbe?dgie +4
beanie368  GI dneglbie dwuol ernspte ithw sniceraed RVS as a eenssrop to hyopavieolm +10
mysteriousmantyping  yhW odwlu hsit otn eb mrlunopay m?iemobls +1
step1passfail  rulPomnya imombles olwdu uaecs a desreaec in raadcic uutopt. Teehr si ienrcesad serusrep in eth hghi actoplinm VR whhci nca bguel and mropcess teh V,L nadsrgeice tis rdloa.pe tea=OrHC etar x okestr eulmov adn oketrs veumlo si ylaaptirl meitnddere yb re.opadl If the mlnyropua lomiebsm is agerl hon,egu ti cna slao truosbtc eth alupmrony vsslees and qlbnyuustees tno ehav oehung doobl iggno ot eht AL nda V,L yaelumittl nmaigk teh cadicar putuot naer 0. +3
chj7  utO fo lla hte retendiff sypet fo o,skhc aiccrda tptuuo is ciesandre oynl in ivutiberitds sckho ie(. y,tailahpaccn ei).cpst +1


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 +1  upvote downvote
submitted by bfinard1(3)
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naC emeoosn apnxlie why ardcaci puuott is ghhi in cispet khs?co

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drdoom  aeaBctri adn laitbreca cnsmonepot ekil( )LPS in tirialnocuc girtgre amsvesi eeaersl fo yektncosi ukin1tnlee(,I-r ee-Iitknr6lun and FN),Ta ugeitrsln od.ivlasantio Htare reat esnsiearc to nnmtaaii tdnece .PB +1
bfinard1  sI ktoesr loemuv otn ffedctae yb htat eamisvs ditnlaoovsai? I duwol inthk if eovsnu emssyt si asetdadolvi tehn d'uyo hvae deurdce DVE from ddrecue lobdo wlof ot ethar +
zedora  tohB fo oyu aer oer.cctr nI stiepc sokch hetre si a eaisvsm iai.dosloatvn In rdroe ot mocpetnsae ofr the eeurddc obldo su,psreer eterh si an dcsraeeni herta tre.a o,wN pigeken stih in m,dni athw si het OC fmuo?alr OC = HR x VS t?Rihg tLes yas rendu romnal oditnsnico HR is 06 apm&; Sektro vlmueo is 50. ouYr raacdic potutu = 60 x 50 = 000.3 woN ni istecp ,okcsh oyru rahet aret si vmyslsia ediesncar but oyur trkseo uoveml is decrseaed .iliymmnla oS tsle lpgu in hte umbnr.es esLt ,say drune sctepi ,sckoh HR = 510 map&; soetrk lvomue si nwo 3.0 heT cradiac topuut is own anogn be = 501 x 30 = 54,00 nheec yuor CO si aceine.sdr In eSctip kSoch, hte eathr erat si yslvsiema eendcasri dpeaomrc to teh nauomt of VS sareecd.ed +
drdoom  ndira1f@b yB ov,ntiiadoasl I lmasto scvyiexulle mena laarrite lntv.iasadioo ehnW ti cesmo ot ,VC I lwaysa wokr abadrcwk ofrm sr“ift n,prpiciel”s adn ni my iwev eht siftr iirplpenc of het VC ssytme is, tiinan“Ma rrspeesus to ntimiaan gdoo .”fwlo lAl rheto scodaomincatom fo eth CV msyset (sngahce ni ],orntpotsnehyt[igr oemoptor,rc]ihnt[y otoisoscivtcnnra and o)vdnaasltioi era in csei**evr to itainnngami low.sf tuthWio doog wofls, uoy tge eht ihngt mhnua seiusts klei eth tae:sl otn kacl fo xngoye ubt colaiuumnact of C2O nd(a het dyitcai ahtt sgeo wtih i.t) +
drdoom  oS, lal atht saw a ngdodwin-el yaw fo iangys htat aidCacr utOput lwil nremai hghi wehn hte dyob is gonurdicp dtedhrrghaie-e-shin lsleev of CO2 hew(n rngoas adn eth miumen syemst aveh eogn tion evrviodre ot snperod to a erttha or to dsdresa eopidstncoeamn in mseo roteh prat of het me)ys;st eht mtmenulgip fo rcCadai uuttOp dherlas eth gengnnbii fo eht en.d tI ignsiefis atth teh esetsssr gbeni dsipome no het oybd ecdxee het cbaltspeiaii fo the stmsey. +


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 +0  upvote downvote
submitted by calvin_and_hobbes(2)
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Wyh si the T rlnoam ni iths t?pitena I odlwu vaeh ierptcedd nnlugeridy nniceiotf — ei, verfe — refboe nvee "ea"lry ipstce hsock. I clsedete peisct hckso yrlpue orf eht ntaitcebrla olw RSV ipdeets difslu tub tawn ot dnduestnra mroe outab het ecanbes fo eve.fr.. knhT!as

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drdoom  lderlEy nd(a icpdmsmmeu,mnoorio ye)ealglrn od tno onumt strbuo ferve ssprnoese to ratbecai nad horet gismrsoman;orci in red,leyl ihst lyorabbp sha to od with ”nei“ldecs fo teh enatni uemnmi eysstm (royu c,osameagphr cdteiirnd ,lcesl toso,ceynm .mc&;a,p sujt td'on nnfuicot as elwl as they sdue )ot. In orhte dr,wos fi oyu )1( diwpe out eomosne's memuin esmyst dan hent (2) jiecdetn tbaiecar toni itrhe m,sldrtaeobo yuo wun'ldto evbsreo any veerf eihe.tr hTe enseepcr fo a yplct“ai” oa(nlm)r vrfee ni an ledryle or iooideorummcpmnms iapettn cna eb a speur irgnncneco n:gsi tehy mthgi vhea a airngg oninefcti on hte s.dinie +
drdoom  rmfo^ the ia:rtelc “nbeAst ro ldbneut vefre eorsepsn in het rd.yelel eTerh si eplma ceieevnd that a ebndtul eevfr sspeoern to a sriseou ilbc,teaar ,lairv or ulanfg etifnconi usestggs a roorpe proinsgso thna deos a oustrb erevf eenpsors 3].[1 In d,ntoidia herte si a iabaltutsns doyb fo aa,dt myslot mfro nlaiam ,esdoml atth rtvfogr—uhhee sti cfsfeet no mmeniu ufamioy—nnct eb an mopraitnt tsho fensdee mniamcseh ][41. huloyRg 03–0%%2 fo erlelyd posrsen wtih ressoiu eirabtcla ro rilav ncsifnoeti lwil tpneser twih a ultnbed ro ilryntee tbnsea freev oneepssr 21,35.[”], +


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 -2  upvote downvote
submitted by spaceboy98(22)
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The ywa i ookl at tshi is het eaurprmt.eet

A proimethhcy eipntat lliw ltsoam wslaya rseepnt thwi seicpt ohskc eesbcua citspe skoch can srpnete as bhto prmhhiayeret or phmhiytroae

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athenathefirst  Dse'ton nouds crcuaeta. sTih ttaniep hda a mornla eattemrerp.u +


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