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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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Setipc hskco si a pety of suibdivtirte oskhc hihcw si maedkr yb maivsse vitslooidnaa dt/( lmnotfrymaai r)enposes auicnsg aedsercde RSV, rdeaseced apelodr / WP,CP nda siacneedr CO.

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smc213  iSepct chosk anc saol rtespne twhi phmeitarohy ;t36C&l +3
bethune  Wyh si ti ton ntaitenssotrigla lebdeing? +4
beanie368  IG ligednbe wdoul stperne wthi aciesdren RVS sa a sesrepon ot hpmoyolviae +10
mysteriousmantyping  Wyh uoldw sith not eb yurlaomnp lmbmioe?s +1
step1passfail  aPonumryl oimbslme uldow euacs a edeeasrc in rdiacca puutot. erheT si erdnsceai sesrerup in teh gihh naplitomc VR hihcw acn egulb nda cpssroem teh V,L eenardgsic tis eola.prd =arOeCHt rtea x eksort uolevm adn kestor olveum is yirltlapa mreddeeint yb al.oerpd f I teh lmyuoarnp ombilmes si rgael gno,hue ti nca slao ttsrcubo hte nulaypmro elsessv adn tnseyuelubsq ton aevh ehuogn bodol iggon ot eht LA adn ,LV tyltmileua mgnaik the daccira optutu enra .0 +3
chj7  uOt fo all het ffndterie ptyse of oshc,k adccrai utuopt si esncdaeir lnyo in iretvbidtsiu kcohs e(i. ,hapcaalitync s.)epict +1


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 +1  upvote downvote
submitted by bfinard1(3)
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Cna smooeen nlapxie yhw drcciaa uuptot si ghhi ni eipcst co?hsk

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drdoom  citrBaea nda ltaairebc pnecsnmtoo i(lek )PLS ni iiorctnlacu eirtgrg amvsise saeelre of ytsckoeni e1tn,irI-kn(ule nIlti-reunek6 and NTaF), senlgutri oa.liaiotvnsd rteHa rtae saecsneri to nintmaia cdtene BP. +1
bfinard1  Is esotkr louvem otn eacdteff yb atht aiemsvs lvosidan?tioa I wludo itnkh fi envosu steyms si edstivladoa ehnt 'oduy vaeh euercdd VED omrf eddcreu dbolo wfol ot earht +
zedora  Btoh fo ouy aer .rterocc nI spteci kchos heter si a msaisve iviald.aoonts In rdore ot scpneameto orf the ecrdeud oobld prues,ers teerh is na sneacedri rahte etar. wN,o egpiekn htis in mind, thaw is het CO ?rumalof CO = HR x VS ?igtRh sLte ysa durne nlraom nsooincidt RH si 06 a;pm& tSekor uvlmoe si 5.0 uorY rccaaid tuutpo = 60 x 05 = 0003. owN in teiscp csk,oh yruo rehat aret is sviasmyl riadeecsn btu oyru tskore ulevmo si seeeaddrc yilmaln.mi oS slet lgpu ni het uns.mrbe tseL ays, unedr peitcs hc,sok RH = 105 apm&; kerots voemul is won 0.3 The drciaac ptutuo is won noang be = 150 x 03 = 0,054 nhece yuor CO si eienc.rdsa nI Spitce chS,ko the terah rtae is lssavymie dcirnaees mcdrpeoa to the utmnoa of VS redsa.edce +
drdoom  bri@naf1d yB toiaovslnaid, I taslom ciulyvlseex mean railaert oalda.iosvitn henW it ecosm to VC, I laawsy wrko wackrbad orfm iftr“s ,iers”clippn nda in ym wevi the rfsit ecrpnplii fo het CV stsyme ,si tanM“naii pseruerss ot aitanimn dogo .lfow” All erhot dtnmmosicacoao of eht CV mtsyse (hacsnge ni gtpyst[nonhr,eor]it icptro,myo]nhreot[ cntiosroasnvioct adn dvlia)otniaso rae ni *v*cesire to giiinaanmtn lwos.f hittouW dgoo ,owslf ouy teg het itgnh mhnau usseits keil teh l:ates nto aklc fo ygxeno tbu ictaauonlmcu of OC2 and( hte ytiadci taht ogse hiwt .it) +
drdoom  o,S lal hatt wsa a negdwnid-lo ywa fo igyasn atth Cacrida tutpuO lwli erinam ighh nhwe eth obyd is cpdugoinr dg--aretihhrseeihnd ellevs fo CO2 ehwn( gsoanr dna hte mnueim steysm evha gnoe iton veevrdiro to esdnopr ot a rtteha ro ot dssedra msoiponendcaet ni oesm ehtor patr of hte se;sym)t hte mpienutmgl of cCaiard utpOut arehlds teh nneiingbg of eth den. It nfeisigsi htat het srsesset eibng emiosdp on eth byod dcxeee eth palbiesctaii of eht sytm.se +


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 +0  upvote downvote
submitted by calvin_and_hobbes(2)
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hyW si the T marnol in htsi aptitne? I lwodu ehav rpdecdite lnrydgieun nceitonif — ,ei ervfe — obefre vnee lryea"" tsepic hkos.c I dteleesc pcesit cskho eylrpu for eht aibnerttacl owl RVS septeid lduisf but awtn to tradnsndue mero otaub teh beances of ..rfeve. hTka!ns

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drdoom  rEeydll dn(a ucmommodiespromni, alen)egylr do otn motnu rbsout frvee pesssnoer ot abcreiat adn orhte rcaossnogi;mirm ni yel,drel htsi byalpbor has to do thiw “sldec”ein fo the ntaine nimmeu steysm ou(ry par,mgshaoec idriecdtn lsle,c scnoo,emyt p.c&a,;m jstu odn't foncitun as well as yhte deus o.)t In teroh ,drswo fi uoy )1( epiwd tuo s'omseneo mneium msseyt dna neht )2( ejinedtc eatbiacr oint hrtie smodl,brteoa you tuodwnl' vosbere nay eevfr treh.ie Teh psnreece of a c”ayiptl“ oamnl()r vrefe in na ledeylr or cmeiopdnummrosoim nttaipe can be a pseur roccnnieng :insg tyhe mgith vahe a rnggai inntfocei on eth ien.isd +
drdoom  f^mor hte rac:ietl tAensb“ ro tlbnedu revef esrosenp ni teh r.lledye herTe is plmea edcvenie ttah a btldneu vefer snrpeseo to a eiursso ae,rlcitba ai,rvl ro lguanf ifceniont gsgusets a eoorrp oisnopgsr hant edso a urotsb erfev rnosepes 31[]. nI ti,idonda trhee is a ltuansaitbs yobd of ,adat ylotms ormf miaanl me,slod ttah —vregthuofhre ist ftsefce no immneu fcunaioymn—t eb na otrtinpma ohts eesendf cshaemmin ][1.4 lhgoRyu 0%30%–2 of dlerley snspore wiht rusoise baielatrc ro alivr eonftniics wlli snretep twhi a ndetlub or neirytel bentsa veref sponrees 1][,32,.”5 +


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 -2  upvote downvote
submitted by spaceboy98(22)
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hTe ayw i look ta hist si teh rrapmute.ete

A pehmyhorcti nitetap lilw mostla wylsaa serenpt itwh itepcs ocshk aucebse tesipc kcsho nac seernpt sa both mpetirayhhre or tmhpayhorie

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athenathefirst  Dnteos' unods uaaecc.rt hisT atpetin adh a nroalm te.epruemrta +


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