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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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tpeciS hksco si a ptye of iditvtueirbs hksco whcih si mekard by semiasv taonidiosavl (dt/ amntrmliaoyf pe)oenssr suingac reesdaecd VS,R eracdesde raodelp / CPP,W nad eidnsaerc .CO

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smc213  icSetp koshc nac also erntsep whti atrmoiypehh &6ltC3; +3
bethune  Wyh si ti ton ainensitlrsatgot edg?ielbn +4
beanie368  IG eiebgndl ludow ernsept with rsdaeeicn VSR sa a rpssenoe ot pvyleoaoimh +10
mysteriousmantyping  Wyh uwldo hist otn be mparyounl s?boliemm +1
step1passfail  lnaouryPm bleimmso douwl ceuas a adrseece ni rcaadci uottu.p Trehe si reisncaed rreeusps ni eth hhig micpalotn VR hcwih nca bguel nda morsepsc the VL, giraesendc tsi el.rdaop Cr=OHeta tera x erkost oumelv nda etsrok voluem si iyaalrltp dtrdieneme yb la.pdoer If the murylanop bmseoiml is geral uonhe,g it nca sola cbsrttou eth onrlympau slsvees adn snqteuuesbly not hvae noehgu odblo oggni ot teh AL dna L,V lliumtetay akginm teh dcciaar ptouut aren 0. +3
chj7  uOt of lla het rtfdfeien tspye of hock,s dcrciaa uuttop is rcdnaseei yonl in iuietsbidrtv kscoh (e.i an,acitycplha p)i.tcse +1


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 +1  upvote downvote
submitted by bfinard1(3)
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nCa nosmoee anxlepi wyh dicarac ptutou is hihg in epcist hok?sc

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drdoom  ceiarBat nad cteairlba pmenoosntc i(kle LS)P in ciltnuaoric rtrggei amivess eelasre fo okinycest In(u,e1neli-ktr iennreItkl6u- dan a,N)FT nuigrestl sdotola.iivna aHter etra secaeisrn ot aiiatnnm edntec BP. +1
bfinard1  sI kretso vuelom not dfceaetf yb atth mievssa oniativodls?a I uodlw hknti if oesvnu emysst is ldiaasovted hetn u'oyd vahe crdudee DEV romf cedreud odblo wofl to ehrat +
zedora  hotB fo uyo era ctror.ec nI spitec koshc erteh is a siemvsa idna.tloivaso nI roedr ot sneptamceo for hte ercddue loodb esr,esrup terhe is na seienrdca aethr tr.ea ow,N eegikpn htsi ni ,midn atwh si het OC ?rlmauof OC = HR x SV thg?Ri eLst ysa duner onamlr ntociosind RH is 06 a;mp& roStke levmou is 5.0 ruoY acdcria toputu = 06 x 50 = 0003. woN in cpiste ochsk, uryo erhat etar si msyvlisa nrisdaece utb uryo eorstk lvoume is decedasre .lmlmaiiyn So etls ulpg ni eht .rebnmsu tseL yas, nuder petcsi okc,hs HR = 501 a&p;m orteks moluve is own .03 hTe darccia outptu is now angno eb = 501 x 30 = 4005, ehcne yoru CO is aedecrnis. In Sctipe Skohc, het tehra eart is siylsmeva renesicad pordacme to het mauont fo VS a.deseecdr +
drdoom  1ibnfadr@ yB vatins,lodoai I tosmal yilvceeluxs mnae rtaireal iansod.toliav enWh ti meocs to ,VC I lyaaws kowr raackbwd rmof sri“tf el”pin,sricp nda in my vewi eth ftsri licniprpe of het CV ysmste si, ananM“tii pesressur to nitnmiaa good fl”ow. All ehotr iccdtooamsonam of het VC mstsey gsen(hac in tnioerr]shpttn[,yog hrotyon[oip]et,mrc oonitccsrsnoavti adn aoastinido)lv rae in eivcr*e*s ot aimnatninig foswl. toWihtu ogdo f,lwos uoy egt hte ihngt mhanu sstseiu elki teh l:seta ton alkc fo gyenxo tbu toaimnuualcc of 2OC (adn eth ictdyai ahtt geso whti .)ti +
drdoom  S,o lla that swa a eoidnglnd-w way fo syniga htta arCdaic tpOtuu iwll mriean ihhg wnhe eth doby si cipuognrd seieih-enh-hdtrrdag vlslee fo OC2 wne(h ansrgo adn teh ueimmn mssety evah onge itno vervoider ot spenrdo ot a tthear ro ot dadessr destioanmpneoc in oems horte artp of het e)tsmy;s eth gunmmeiplt fo ciardaC uOtput hsleadr hte iebgninng of eth d.ne tI giinsefis tath hte estrssse niegb dmsopei on teh obdy excdee hte eisiplbaiatc of het tesmy.s +


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 +0  upvote downvote
submitted by calvin_and_hobbes(2)
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Why is the T mrlaon in htis ten?ptai I woudl have petidderc ynugernlid itfneicno — ei, rvefe — eobfer vnee ryla"e" ipcets c.okhs I estecedl itcesp okhcs rpyleu fro hte ertlbiactan low VRS ieepdst liusfd tbu ntwa to udnseatnrd emro atubo teh ebnscae of v.f.er.e khTsa!n

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drdoom  edrlEly ad(n midsuop,eroomcmnmi gaylne)rle od not tnoum bsorut eerfv neserpsos ot airteabc dan hteor sosigaomi;cmnrr ni deely,rl itsh roblbyap hsa ot od twhi “ile”esdcn fo het eniant enuimm myetss uo(yr oremsagpach, crintddie ,lescl omc,tnosey ,apc&m.; jtus dton' onuftinc as elwl sa tehy euds t.)o nI rteho rwd,so fi ouy )1( dpiwe tou se'msoeno nummei ssytem nda nhet 2)( eedtncij ritaecba toin rheit ostm,eldaorb ouy tnlw'duo sborvee nay vefre hteer.i Teh esecnrpe fo a a”cltyip“ nroal()m everf in na dlrlyee or oieodimpusrcnommm tetpina nac be a srpeu cigeorcnnn gni:s tyeh mhitg vhae a gnagir tnenfioci on eht .dniise +
drdoom  fom^r hte rtac:eil b“snAte or etdbnul vfree psoeersn in het ledlyr.e hTree si lmepa eedevcni ahtt a euldntb evefr oepenssr to a reisuos etrcla,abi ,alivr ro nlufga ceifontni ssgusgte a rropeo srpgsnoio htan edos a sobrut feevr enpssero [.31] In ,naiddoti reeth is a attuabinssl ybdo of ,daat yoltsm from maalin ,emolsd that ghuote—erhrvf ist tffecse no mmnuei ft—mycnouain eb na nromtapit ohst seefden cmsmhanei 1]4.[ uyhgRol %–2%030 fo rdelley spsnero hitw ursisoe itcraalbe or vailr tnifsiceno illw serepnt ihwt a beltund ro rentleyi btasne vrefe roeensps ]152[,”.,3 +


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 -2  upvote downvote
submitted by spaceboy98(22)
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ehT way i ookl at shti si teh eu.eamtpterr

A htrmipeohyc ttpnaei liwl lsotam ylwasa etrsepn itwh scpeti hokcs ubceesa seitpc hksco nca srnepet sa ohbt epehrmyathir or iryethaopmh

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athenathefirst  Den'ost nuods aerta.ucc Thsi tapitne ahd a laonmr uerae.rmtpte +


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