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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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tpcSei ohkcs si a tpye fo sivdbieiurtt shock hihcw si dmkare yb avmisse livtoioasdan /dt( fammlnoryati sporen)es nugcasi dacdresee R,SV ecerdsade dopealr / ,WPPC and ieadescnr CO.

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smc213  ctieSp hskoc can laos seetrpn tihw yhtaepromih &t6;3Cl +3
bethune  Why is it ont trtsitlannasoieg ldgb?enei +4
beanie368  GI biegnled wulod seprten hwit nceiesdra VRS as a eesrposn to lvehpaoimyo +10
mysteriousmantyping  Wyh dlwou this tno be anylporum is?bmmole +1
step1passfail  unlaPyomr biseomlm duwlo sueca a edsecear in acdrica uotp.ut eeTrh is sneaiecdr prseuers in eht hhgi mnoilapct RV hhiwc nca buegl and posscmer teh VL, ndciesegra sti .epaldor Cr=taHOe aetr x eoksrt oevlum dna sktore omluve si rlaiyplat mreeidtedn yb arp.loed If the mlopuynra boslmmei is lrage ,eghuno ti nca lsao rotbsuct the naopurylm svslsee nad qlussnuyetbe tno ehav hneoug oblod niggo to het AL nad LV, tymlielaut gankmi eth dcricaa tupuot rnea 0. +3
chj7  uOt of lal eht finfdteer psyte fo chs,ko radacci opuutt si iarendecs lnoy in uvesdibttiir hoskc (i.e iaynathacc,pl i)ctps.e +1


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 +1  upvote downvote
submitted by bfinard1(3)
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nCa emesono elxipan ywh aicdrac ptotuu si ghih ni sicetp co?hsk

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drdoom  atearicB nad iataeclrb onoptnemsc iek(l PL)S ni ilountiracc ergtgir sesivma reeeals of oscnkitye rI1un,ei-nkle(t innkItr6elue- and ,NFaT) sgurlinet tdnlisav.iaoo tHera aret iaeesrcsn to inantiam cnteed PB. +1
bfinard1  Is oekrst ovumle nto teefdafc yb tath avmseis tildioaano?sv I uowdl kitnh if eusvon mtsesy si stddevaaoli enth ouyd' eahv dercued DVE omfr ceeddru oobdl ofwl to rateh +
zedora  hoBt of ouy aer trroecc. nI eisctp khcos terhe si a evassmi s.loioadativn In errod to espmoectan rfo teh eddceru bodlo sesurre,p heert si an aeidrncse erath .aetr woN, pigenek isth in ,mnid tawh si het OC ?uflamor OC = HR x SV iRt?gh sLet ysa erdun roamln sinndocoit RH is 06 ;mp&a Skreto moulve si .50 uroY daaicrc putotu = 60 x 50 = .3000 oNw ni epsitc k,ochs uyro rheat tear is amviyssl arsdicene tbu ouyr toresk meoluv is decerseda .linaymlim So ltes lgup ni hte ebrn.smu estL ,sya unrde iptesc skhoc, RH = 015 pma;& ketors luvemo is onw 0.3 Teh diacrca uuoptt is nwo ongan be = 501 x 03 = 0504, ncehe uoyr CO is .nsiecedra In itcepS kco,hS teh hater atre si savsiymle sieecrand cpmreaod to the ntmuoa fo VS .sceaerded +
drdoom  rd1fbnai@ yB taldvi,oanosi I slomat ulxseyleciv nmea riatealr vaao.tonisidl nWeh ti emsoc ot ,CV I alywas korw dbarkawc mofr s“ritf e”,scrippnli nda in my wvie eht rfsit npepciirl fo teh CV yetssm si, ai“ntMnai rrepsseus to naatnimi ogod fwo”l. llA ehrto amdcomtioacsno fo teh VC essymt caghnes( in re,rt]htnynoigtsp[o tp]hioc[,mnoreroty stonsracviinocto nad doavit)nilaos ear in *rice*esv ot nimginanati wsf.lo uWtohti ogdo ,fswol you teg het gnith naumh stsusie liek eth :taesl otn akcl fo ngoxey utb olicmtancauu of 2CO nad( teh iacytdi taht soeg hitw i).t +
drdoom  So, lla that asw a ilnwoden-gd wya fo agnysi thta aCidarc uuOttp lilw raneim ghih wehn hte bdyo is ogcuindrp hrideahheirsdt-ne-g lsvlee of CO2 e(nhw rosgna nad teh muenim ysetsm vhea geno tnio revvierdo ot sdrpeno to a rhteta or to deardss cmodinnetpeoas ni smeo toher ratp of eht s;ym)ste teh mmepiunltg of aaCcidr ttpuOu rhsldea the giennnbgi of hte ne.d It ieissginf taht eth srsesest ebign mseodpi no hte dyob eecexd het paesliabciti of teh mysts.e +


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 +0  upvote downvote
submitted by calvin_and_hobbes(2)
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yWh si teh T oranml ni shit teaipt?n I owuld vhae ercteiddp nrgdniyelu iofcetnin — ,ei evrfe — efoebr veen "layre" epcits .koshc I teedsecl icspte hosck leuypr orf het ncearltbiat olw VRS depties lfusdi ubt ntaw ot uneanrddst ermo tbuao het ceneasb fo r.vee.f. aTkn!sh

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drdoom  dyeEllr na(d niomrmodsu,momcipe gelynl)aer do not ntumo toubrs ferev neopesssr ot tacrebia dna eohtr sooan;miircrmsg in leld,eyr iths brybploa sah to od htiw sedec“iln” of hte tannei inemum ssemty ouy(r moarhsacpe,g dditencir c,esll cysnmtoe,o &c;,apm. tsju o'dnt incofntu as lwle sa they ueds t.o) nI ohter wdso,r if uoy (1) peiwd out soe'nomes emnumi tsyems dan ethn (2) tejnicde ricabtae onti iterh aseb,dtrlomo you o'ldwutn eosebrv ayn evfer tieehr. eTh cneespre of a paly”tic“ (l)ramno freve ni an lyleedr ro sncomdiorpomemuim netatip nca be a rpeus ccrogneinn gn:si yhet mhgit vhae a grgnia ionitnfce no eht .sednii +
drdoom  ^form teh cirlaet: sbA“nte or tlbdneu reefv enrposse ni teh dl.yeelr herTe si mpeal eidceenv ttah a nludteb rfeev esnoerps ot a uioesrs e,raatlicb lra,vi ro fagnul etncnoiif tsegssgu a oprero gonpsriso tanh eosd a ustrob reefv rnoseeps ]1[.3 In dntio,dia eetrh is a astsnabtuil dybo of aat,d ysolmt ofmr maialn m,ldeso ttah htfrhgeouv—re ist sceteff no neimum oafnn—muycit be an tonrimapt shot edeenfs chmmnaesi .]14[ guyolRh 20%3–%0 of ldereyl nosersp whti sosreiu labrtieac or avril ntioensfic lilw eretsnp wtih a dltubne or leyitner abntes everf openress [31.”2,,]5 +


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 -2  upvote downvote
submitted by spaceboy98(22)
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The ywa i oklo ta tihs si eht ee.mtteurpra

A yteohmirphc tetipna ilwl amostl lwyaas ntepesr tihw ptseic ocksh easebcu esptci ohsck nca tpenrse as tobh tmyaerrhieph or mypiohhrate

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athenathefirst  netDs'o dnsuo cet.uaacr hsTi tnaeitp hda a onarlm e.pmatteuerr +


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