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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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Siptec schko si a eypt fo itvdeuibsrti kchso iwhhc is aemdkr yb aemisvs oavaisltodni /(dt amalmrfotyin enrsos)ep asgcniu reedceads R,SV eadesecdr aelrodp / ,PPWC and desenciar .OC

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smc213  ipetcS khcos nca sola setrepn htwi hhrtmyioape &tl;C63 +3
bethune  Why si it tno etortisannltisag die?gelnb +4
beanie368  IG dglnbeie lowud spetenr ihwt nsreaedic VSR sa a ponseser ot lapmeooyhvi +10
mysteriousmantyping  hyW dwoul tish ton eb mrlpouyan ils?eombm +1
step1passfail  roPlmauny emiobmsl oludw useac a ersdeeac ni aicacrd ot.uput Tehre is arcdsiene eupsrres in teh ihgh aloitcpnm RV whihc acn geblu adn proecmss the V,L adrigecesn tsi doepral. Orte=CHa reat x oesrtk umlove nda strkeo uemvlo si tlraipayl ntmeddiree yb pdrl.eoa f I het yuopalmrn oislemmb si eglar neog,uh it nac laso scoutbtr teh armpyounl ssseevl and nbuusselqyte ton eahv hgenuo dobol ginog to teh AL nda VL, tiuyelatlm ingamk het daraicc uttupo enar .0 +3
chj7  utO fo lla eth dieerntff ytpes of shco,k rdiaacc tupout is nscairede nyol in tvdiiusetbir kchso (.ie ahticaaycnp,l )is.cept +1


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 +1  upvote downvote
submitted by bfinard1(3)
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Can mosenoe lpaxine hyw ccdiara tutpou is ighh ni pescti csk?oh

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drdoom  trBaeaic dna birlactae psootncenm (like )LPS in intcarloiuc ergrigt asmsvei lseerae of nicyskteo ,-(Ii1keunnertl nutlI6i-enrke adn N,aF)T etrnglisu itnoisdvla.ao tareH atre scraiesne to ataininm cednte B.P +1
bfinard1  sI rktsoe vumeol otn etedafcf yb tath esmvsai aiastd?oinlvo I odulw nithk if oensuv etsmsy is divsaoedlat etnh d'you veha dedcure VDE fmro rdecedu doolb lofw ot aterh +
zedora  thBo fo yuo era .rroctce In tsecip kcosh ether is a ivsaesm olid.atvonais In orrde to enscmtoaep fro eth ueedrcd oodbl srurees,p ereht si na ieecrdasn hreta e.rat ,Nwo epekign sthi ni d,mni atwh is hte OC lfu?arom CO = RH x SV h?tgiR etsL yas rdeun mranlo sonicdniot HR is 60 pa&;m rSteok vlomue si .50 ruYo drcaaic utpuot = 60 x 50 = 03.00 woN ni cspite cokhs, ruyo earth etar si sysmlavi irecnades utb ouyr tsekor voueml is aeercdeds imnm.iayll So ltse glpu ni het benms.ur sLte ,asy edrnu ipcset hco,sk HR = 051 m&a;p otrske euolmv is won .03 Teh aacrcdi ouuptt is own ognna be = 051 x 30 = 4,500 ehnce rouy CO is .dneasreci In ieSpct kSo,ch teh taerh tare si yleimasvs endiacesr maorpedc to het uaonmt of SV edaderecs. +
drdoom  ain@bfrd1 By atnldvsaoo,ii I salomt yvxlelscieu nmea treralia .otnsvioaaild enWh ti emosc ot VC, I alywsa rkwo kbcdrawa mrfo r“ftsi clip”pn,iers and in ym eivw teh isrft cnppilrei fo teh CV tyssme ,si “Maniinat seusrrpes ot anianitm dogo flow.” llA tohre mnaocosoacitdm fo eth VC ysstem sen(hgca ni ote]r,psgryiht[nont cr,ytn]ooimetho[pr toivcsnaniortcso and ootivslain)ad ear ni *seivcr*e ot agnnimiinta lsf.wo ioWhutt ogod f,swol uoy gte the gitnh uhanm uistess kiel eht tesla: otn lkac of nxogye tub cutioamlnuac of C2O an(d het caidyit atth gseo tihw .ti) +
drdoom  oS, lal hatt swa a -dnidneolgw ywa fo asgniy ahtt Caicdar tuptOu will eanrim high hwen the oybd is upgocinrd nhhaitsrgdhd-eri-ee leelsv of O2C (newh ognras dan the ummien tyesms heav onge iotn ioeredvvr ot psdneor to a thater ro ot asrddes eosndcintoepma in soem roeht atpr fo eht est;)smy eht utmmenilpg of aiadcrC tptOuu ladrshe eth ngbniegni of teh end. It iisngesfi taht eth ressests egbni depoims no hte doyb cxdeee teh esltiaibpaci fo eht smesyt. +


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 +0  upvote downvote
submitted by calvin_and_hobbes(2)
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hWy is eth T lanorm in htsi n?pteiat I ldouw have tdeerpcdi iryngedunl oinitcnef — ,ie rvefe — fobere veen ey""lar etscip sh.cok I ldecsete piscte shcko epyrul fro teh naeticltrba low VRS edpsiet lfudsi but anwt ot dnantdeurs more tbuao teh nebecsa fo e..fvre. nTksah!

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drdoom  ydlerlE n(ad oicp,ummnmooierdms lle)gynera do nto utmno btorus erfve speersons to tbaarcei dna treho ori;scmgnaimsro ni ry,leeld shti plaroybb ahs to od twih ndlsci”“ee fo hte eintan mnmiue esmtsy yro(u agorechp,sma itnirdedc ,slecl oeotsmycn, a&c;,.mp ujts o'ntd uofnicnt sa elwl as yeth edus ).to In etrho ws,ord fi yuo )1( idepw uot eossemn'o imnmue msyste adn nhet 2)( nedceitj aaiectbr onti heitr lemtdobroa,s uoy td'wlnou ebervos ayn efevr r.eteih hTe ncerspee fo a ylacp“it” m)(rnola erevf ni an lydeler ro nummsmemiopcoorid inttpea nca eb a puers erncnonigc gnis: ythe mhitg vahe a gniarg neiicntfo no het iesn.di +
drdoom  o^rfm the ailer:tc etns“bA or uenlbtd efvre peessnro ni eth rlyld.ee eThre si emalp evineedc htat a dlbuetn evref srpeneso ot a issueor c,aileabtr ,lvria ro agufnl nintfieoc sggstseu a rooper prsnosoig than osde a brosut erefv sresneop [13]. nI on,dtdiai reeht si a staiatlnubs dybo of a,dat toslym mfor amalin s,eolmd ttah ufthrreo—gevh its ftcfees no eimmun tiymfcaon—nu be na ttrmaiopn oths sdeefne simamenhc 4][1. goyRluh 3%200–% of ldrleey sprosen ihwt iesosur areablict or ilrva ntecoiinsf lilw etrpnse ithw a ntbeuld or eneytril nbtaes evref opnesers ”513],.2[, +


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 -2  upvote downvote
submitted by spaceboy98(22)
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Teh way i kloo ta isth si the rem.tearpeut

A hotcirepyhm npateti wlli lmosta asalwy ernestp ihtw tpscie skoch abuscee ipects chkso cna erptnes as thob ypretameihhr ro ymeohiahtpr

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athenathefirst  'sDenot dnuos atreucca. hTsi ttpeian ahd a amornl utem.eprrtea +


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