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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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piectS kohsc si a pyet fo tediisrtibuv okhcs wichh si rdmaek yb imsvesa oanisaovltid td(/ afioalrtmmyn seorps)en ungicas edcresdea S,VR ecdsedrea darepol / W,CPP adn ndseacrie OC.

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smc213  etcSip kcosh nca olsa spretne htwi tmohyrahiep t6;3l&C +3
bethune  Wyh is it otn laorintinesasgtt ein?begld +4
beanie368  GI eindelgb udowl persnet tihw raeicesnd SVR as a rseeopns to apoemovylhi +10
mysteriousmantyping  hyW odlwu hsti ont be nuylaropm e?mobslmi +1
step1passfail  yalrumnoP bmsimloe lwudo sueac a cedserea ni icarcda tuutpo. ehTre si resneicda rrespesu ni eht ihhg cioplnmat RV cihwh cna egblu and pmcoerss hte ,VL gancsdiere its orldape. eaOrt=CH etar x srkote mlveou nad kesrot muleov is alyartipl nemddreiet by l.repdao I f eth lunomryap bmsimleo is relga hn,geou it acn sola bstotucr teh aormunypl ssesvle dna nseseuqyutbl tno eahv honegu ldobo gonig to teh AL and ,VL yieulttalm kmgain eth ciacrad tputou rean 0. +3
chj7  uOt fo all hte retnfedfi yspet fo oskc,h airacdc uutpto si dsaieenrc nyol in rtetuibdsvii coksh .(ie ah,ccplnaiyta ices.tp) +1


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 +1  upvote downvote
submitted by bfinard1(3)
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anC nmoeeso eilpxan hyw adaicrc uttoup si ghih ni icspte c?ksho

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drdoom  tirceBaa nad cbteialra eocnposnmt eilk( LP)S in tulrccniiao teggrri vasesim eaerlse of setnciyok (,i1Inetneu-klr neIni-ertk6ul nad ,)FTaN ruiltsegn valoitnia.osd aHret eatr seincraes to niintaam ecendt .PB +1
bfinard1  sI ertsko uevlmo tno ffeaetdc yb atth sseaivm ?doinlsaoavit I ulwdo hnitk if nosuve yesmst is divadtesoal hetn odu'y vhea derduec DEV rofm eurddce olodb wfol ot arteh +
zedora  Boht of you are r.crtoce In pisetc csokh erteh is a msviesa lavoidai.tosn nI dorre ot meactpneos rfo eht rdcudee olbod ,urpseers rhete si an erceinsad thaer tear. w,No iepkgen shit ni ,inmd whta is teh CO alr?omfu CO = HR x SV gtRi?h tseL asy dneru roalnm oonsitcdni RH si 60 &pma; erSkto elmuvo si 5.0 ourY craiadc tpuuto = 06 x 05 = 0.300 Nwo in scpeit ,coksh uory tehar taer si svlaimsy eaenrcsdi btu oury stroek olemuv si rceeedads aimlmy.lni oS ltes glup ni eht e.msbrun teLs yas, derun tiepsc hk,soc HR = 015 map&; rstkoe volmeu is won 30. Teh ridcaca tutpou is onw nnoga eb = 150 x 30 = 0540, cehne ruoy CO si nree.caisd nI pcteiS oShk,c hte herat trea si smylavsie eidrnaecs epardcom to eth nmutoa fo VS rdcs.eeade +
drdoom  a1fdi@bnr By idiaosaontv,l I aolstm lxlseyecviu neam aertrila i.tvasodloina Whne ti scemo to C,V I sylwaa korw ckarawdb fomr tf“irs p”,nlriepics nad ni my wive teh itfrs icilepnrp of teh CV mtssye ,is inintMaa“ userpsser to iamiannt odgo fo”.wl llA htreo andsatmicooocm fo eht CV msyste nes(cagh in yrts[nh]iteo,tprgon po,etm]rronyto[cih oitsvrocnsnoacti nad lstaav)iodnio rae in rvci**ese to ngiaiminnat slw.of hWtotiu oogd fwlos, oyu get hte tnhgi muhna sisstue ikel the ta:sle ont clak of enyogx tub caatonuulimc of OC2 nad( het acdtiiy that esog hwit .i)t +
drdoom  S,o lla thta swa a lngdnowdei- awy fo sgniya htta acdairC Ouuptt lwli eamirn ghih ehwn eht bdyo si giuodprcn dh-ihdersrngt-eaieh seelvl fo O2C en(wh nsroag adn hte mumeni sytsem evha gone otni ervdorevi to endspor to a ahtrte or to redsads mcnenipsodoate ni esom rohte tarp fo eht ;)eysstm hte miputengml fo rcCiaad ututpO hredsla eht bgiinnneg of eth .ned It iniisfgse thta het esrstess bngei esopimd no eth ybdo xcedee eth ltibcaiasepi fo hte setsym. +


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 +0  upvote downvote
submitted by calvin_and_hobbes(2)
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Wyh is eht T alronm ni tshi ai?neptt I lwuod vahe cteeirdpd lngnyurdie cfienotin — ,ei vfere — beoefr enev r"eyl"a tespic kh.soc I esteedcl ipetsc ochks ryelpu fro eht icretnlbaat owl RVS teipeds fldsui ubt atnw to rdsudnneat omer buaot the nseabce fo e.v.f.re Thak!ns

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drdoom  llerdyE (nad i,piosmceodrmmnmuo ener)yllag od not tnomu obustr revef pssereons to aaetcirb adn ethro ;aocsrinoimmrsg ni yel,ledr stih palybrbo ahs ot od iwht ee“idlcs”n fo the naetin eminmu stymes r(uoy gmhcoea,arsp itdndcrie lls,ec tosemocy,n ;ap&.c,m just o'dtn cfnointu as ewll sa etyh sude .)to nI ethro orw,ds if uyo )(1 idepw out sme'oenso ummein smtsye and tnhe (2) tiednejc arebatic noti ertih r,moetdslboa uyo t'dnwolu eobsrve yan vrefe htr.iee The rspeenec fo a “t”pliyac laor)(nm vfree in na rdylele or mepmmoiomoinrsudc tianpet nca be a espur nnneccirgo gs:ni yeth igmht veah a gnrgia iofencnit no het si.ined +
drdoom  or^mf het eirc:tla tAsbne“ or neutdbl efevr sesernpo ni het lederly. eeTrh si aeplm deevneci tath a unelbdt ervfe roeesnps ot a sseoiur lbiaetca,r l,vira ro uaglnf fnnotceii usetsggs a poerro oospgrnsi hnta soed a storub evfer osrespen 31][. nI d,tdniiao rehte is a tslnsaautib obdy fo tdaa, symtlo ofmr limaan e,mlods htta treuegh—forhv sti ecftfes on mimuen miofnntcay—u be an itrtmanop htso nfdseee ehnsmcmai 14].[ ylRohug %3200–% fo drellye oessrnp itwh eusiosr traealicb ro livar innciofest lliw etseprn htiw a bteuldn or eryltein ntesba evrfe pesonrse 2”[1.5,],3 +


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 -2  upvote downvote
submitted by spaceboy98(22)
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eTh yaw i kloo at stih si hte autemeprt.re

A iophrhymect ttpinea lwli sloamt aswlay pretnse with scpite skcho eaecubs etsipc sokhc nac presten as thbo timrhrypheae or poyhrmaithe

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athenathefirst  'toDens nudos rcc.auate Tshi ptitnea ahd a roanml etarpetr.uem +


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