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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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Spitce oschk si a ptye of tdrivistibeu ockhs ihwhc si rkeadm yb veisasm onlvaasiotdi t/(d oimlyfmrtana sporsnee) asncgui esdedcrea SVR, dacdeeres rdpeloa / CP,WP adn naeisdrec .CO

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smc213  itcepS chosk acn alos tseepnr whti yahrhmtoiep &Ct6l3; +3
bethune  hyW si ti tno ilsanotsnigetrat ngie?dleb +4
beanie368  IG deignble luowd spetren twhi edncsraei SVR as a sospener ot lmyohopaevi +10
mysteriousmantyping  hyW lowud iths ton eb yalmuporn bi?lmeosm +1
step1passfail  Pnoymulra imlmboes odluw ecasu a reaesecd in acdaicr ut.optu erehT si dsniearec rpeesusr ni eth ghhi lnmaopcit RV ihchw nac geubl dna mporssec eht V,L screadinge tis e.adrlpo tCreHOa= rtae x sekrot luvemo dan oetkrs eumovl is ialraytlp emrenddiet yb rldpo.ae I f het onaruymlp osiemlbm si legra hugo,en ti anc osal rbcutsot the mlrpyauon svleess nda uenlutesbyqs ont vaeh geounh obdlo ggino to hte LA dna ,VL iyuletmtla inmgak the acdcair tuuotp rnea 0. +3
chj7  utO of lla eth nrdieftfe ptyes of ,osckh diarcca uttupo si csrnediae yonl ni sibutrviteid kohcs .ie( aclctapi,nhya tps.e)ic +1


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 +1  upvote downvote
submitted by bfinard1(3)
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anC oesemon napelix hwy iaacrcd puttou si gihh in etcpis oc?hks

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drdoom  eiaBactr dna laertacbi tosenopmcn ikle( SPL) in itirnucaolc ggeirrt ieassmv lseraee of oniytscek iI1-,ket(nlerun ektl6ui-nernI adn )FTNa, rgstuienl sailaod.vntoi Htaer arte eansseicr ot mantnaii ncedte P.B +1
bfinard1  Is sokrte evloum not ffctadee by tath esmsaiv dooiila?atnvs I lowud htnki if vunsoe ssmtey si vdialaoteds htne uody' vhea rcdeedu EDV rofm rucddee obdlo lfwo ot rehta +
zedora  thBo fo ouy rea rcrcteo. In cetsip cokhs rheet is a seiavsm nsoltoid.ivaa nI eordr to eotcneapsm for eth ducerde odolb rssrp,eeu eerht si na dcesnaeri htrea ter.a Nwo, gneiepk thsi in min,d thaw si eht OC malu?ofr CO = HR x SV R?gith steL yas eurnd almonr tndoiinsco HR si 06 ;pma& toekrS mlvueo is .50 ruoY iaccard utuopt = 06 x 05 = 30.00 Now in ptscie ochsk, royu rthea atre si aliysmsv neadrscie btu ruyo tosekr lvumoe si easeddrec .liaymmiln So lest glup in eht mnu.srbe teLs sy,a neurd cpstie ok,sch RH = 150 ;m&ap rtosek mouvel si won 03. Teh diaarcc tutpuo is onw onang be = 015 x 30 = 0,450 ehnce yuro CO si drc.aenise nI icStpe oh,Skc teh terah reat si issaemlyv raecesdni codaermp to eht uoamnt fo SV edraescd.e +
drdoom  @nrfdba1i By iol,avdoatnsi I oalstm yselivxucel neam raetrial ad.svotinailo hnWe it mseoc ot ,VC I laysaw okrw drawcbak rfmo “strfi csenlipr”,ip dna in ym iewv hte ristf iepcrplin fo the VC ssteym is, iaanMn“ti epsrsresu ot tmaiiann ogod lf.”ow All terho iocmtmnscadaoo of eth CV emsyst seh(gcna ni rtogn,oih[pt]entsry ye[rtn],cmrtohopio svrnaittcoocniso adn ivnis)taadolo ear in re*s*ceiv to mnitiniaang lfwos. Wthutoi ogod lwso,f oyu get hte thngi hunam ustessi lkie hte a:etsl nto lakc fo xenyog but amalcoucnitu of CO2 nad( eht tdaiiyc htta osge thiw ).it +
drdoom  oS, lal hatt swa a gelni-dnowd way fo snyagi ahtt carCiad Outptu lliw aeirnm ghih hwen eth dboy si ipgnoucdr ieenhresdihghdt-ar- slelve fo O2C wneh( asorgn dna eth mmeinu stymse aehv ogne onti vrderoiev to spdoenr to a rthtae ro to adedssr etsdnconaeomip in omse hoert aprt fo the ;etmssy) hte letgpumimn fo cdaraiC utpuOt eshdlra het bigenignn of the edn. It sngfieiis hatt eth essestrs gebin psmdeoi no hte boyd ecxede eht pblecisataii fo hte estm.ys +


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 +0  upvote downvote
submitted by calvin_and_hobbes(2)
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yWh si hte T nrloam in htsi a?pteitn I would eavh rpdcetdei inerglnuyd itfoncien — ,ie feerv — eefobr evne laery"" pitsce .hscok I eetlecds pistce sockh eyurlp fro eth rtaabnitelc owl RSV sepitde lfdisu tub wnta to nusdrdneta orem uboat eht esaencb fo e.fe.rv. !nsaTkh

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drdoom  elErydl na(d irmop,icemosdmoumn lglayn)ere od tno outmn uosbtr eefvr epsrsesno to btaecria adn orhte mnsmgaorroisci; ni dyel,erl shti polbbray hsa to od iwht lcede”sni“ fo teh etnani eimnum tmsyes uroy( hapamec,rosg rncdiiedt ,lslec oecnostym, c.;,am&p tsju odt'n nonufict as elwl as tyhe sued t)o. nI hoert rsdo,w fi yuo 1)( iwepd uot ssmoo'ene mieumn sytsem adn hent (2) eedcijtn bteariac iont ihtre ,lodbrteasmo uoy 'ulwotdn oberves yan vefre ter.hie The erscpene fo a t“i”pylca rma)lon( reefv ni an eyredll or coirdomiempmuonsm ettinap nac eb a purse ongcirnnce :gnis tyhe gitmh ahev a grgain ecnioiftn no eht .inside +
drdoom  o^fmr hte cal:etir bt“sAen or nbltdue rvefe renspose in teh ll.erdey hreTe si elmpa iecdeevn that a ldubnte refve eespnrso to a rssuoei ilaa,ebrct rliv,a ro anlfug nftonicei sgteussg a oeorrp ispngroso tnha sdoe a btrosu feevr peensors 1.3][ In dintdaio, erhet is a staatubnils byod fo ad,at soytml mrof iamnal eslmd,o htat rhuvegohetfr— sit cefesft on eimnum itnm—ouncayf be an tnaormpti soth eedsfne hmncsiema .]1[4 hguoylR 0%30–%2 of eedylrl seposnr thwi ureosis aatcreilb or rvlai iitnesfnoc illw enrtesp twih a ultnebd or lrtyenie tnaebs fvere rspeseno ,”12.,]3[5 +


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 -2  upvote downvote
submitted by spaceboy98(22)
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Teh yaw i oolk ta isht is het eramerutet.p

A ohcpertyimh aeinttp illw mtosla yswala eprntes tiwh itcesp hcosk eabusec eicstp schko can etnsrep sa hbto hirhetarmype or oimhtaryphe

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athenathefirst  e'ntDso sdnuo .traccuae hisT ttneiap ahd a aolnrm eatem.purrte +


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