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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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cSpeti kochs is a tyep of uitirdvsbiet sokhc chhiw is dkamre yb vseimsa nlivodaatiso d(t/ mmlfytoanair o)nserpse nasgicu erddcsaee R,VS eedcrdase laodrpe / ,CWPP dan inceredsa CO.

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smc213  ecipSt hscok nca sola erptnse twih pamorhiteyh t&63Cl; +3
bethune  yhW is it nto sttegtainsrlonia nle?diegb +4
beanie368  GI ligbdene lduow rstpene iwth sceeadinr RVS sa a serepsno ot mylapiohove +10
mysteriousmantyping  Why ulowd htsi otn be pyrmanuol milbemos? +1
step1passfail  mroynulaP ommlebis woldu eausc a cesadere in icadrca .toputu heTer si ndcsieaer ssurpree ni the ighh moinptcal VR ihwch anc lgube nad osrspmce het ,VL nredisecag sti rp.loeda OraH=teC tera x ktreos elomvu nda orstek vmoleu is lptlrayai demertdine yb era.opld f I eth unprlymao sbemmoil is eargl oge,hun it nac loas csottrub the yropmunal esvssle and eubtsyseulqn nto ehva ehnuog dloob nigog ot the LA dan LV, elmlittuya mkaing eth araccid otuput nera .0 +3
chj7  Out fo all teh edrinfetf estpy of hs,kco cricada outptu is cisdreaen oynl in ursdettviiib ochks ei(. clhacaypia,nt ).cstepi +1


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 +1  upvote downvote
submitted by bfinard1(3)
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naC mneoeos pexinal why crdcaia pouttu is ghhi ni citeps ?kshco

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drdoom  Beaacrit nad teabirlca otsemcpnno (ilek LS)P ni rocnciulait gigerrt imsvsae laeeers fo okicysnte teI-el1(unikrn, it6nrknelIue- nad NT)F,a ruslegnit laotdioi.vsna Harte etra rscaseine to mitinnaa cteend .BP +1
bfinard1  sI oskert ovumle otn efedacft by htat smvaesi iais?nvodltoa I lwodu hitkn fi suvneo ssteym is evdsloaadti nteh ody'u eahv urecedd DEV romf edudrec dloob lfwo to tehar +
zedora  tohB fo oyu aer er.rctoc nI estipc scokh erhte is a viamess .tvialoosidna In rodre ot patosnmece rof the eurcedd oblod rspere,us heret is an eansierdc reaht a.ret Nw,o kpeengi siht in indm, wath si teh OC laomrf?u CO = HR x SV ?Rgthi stLe say neudr onarml innciodost HR si 60 a;&mp Sotekr eomlvu is .05 uoYr idcarac tutuop = 06 x 05 = 00.30 Now in cpsite ,kchso uory earht tare si yvismals ireacdsen btu ruyo rosekt ouevlm is dadrcesee mamiylin.l So tsle pugl ni hte semurb.n tLes y,sa nedru etpcis hosk,c RH = 510 mpa;& sokert velmuo si wno .03 ehT daccrai ouputt si onw ganno eb = 015 x 03 = ,4005 cnhee oyru CO is eansd.icre nI Sicept c,hkSo teh treha rate is syvalmies rcidaesen adpocrme ot het mntoua fo VS ae.rsdecde +
drdoom  af1bdi@nr yB stvdnoi,aaloi I lsmato lxyculeveis nmae aailterr oivnoiladst.a enWh ti msoec ot ,CV I ysalaw rwko acwabdrk romf s“ifrt ,elic”pipnsr adn ni my ievw teh rtfsi cipeinlpr of eht CV setmsy si, Matina“in rreusesps ot tiinaman godo w.of”l llA oehtr ndsoimocaoctam fo the VC ssmyet engch(sa ni rnri,ettgno]syt[hpo pyeitmtrorc,nh]oo[ oicncitstoasnrvo nda oino)atlisdav are ni cvr*isee* ot amiigiantnn .sflow uhWiott ogdo ,wlofs ouy egt eht inght aumhn ssstieu keli eht :saelt not lcka of ngyoxe but lncctauoiaum of 2CO ad(n eht dticyia htat eosg with t.)i +
drdoom  ,So all taht asw a wnogedd-nli ayw of giynas atht daCrcai ututpO ilwl imaren ghhi when teh ybdo si dgnripocu -sgrdhhiieehnrted-a eelvsl of C2O nw(eh asrngo adn eth ummien emysts aevh gone itno irdrveove ot esdrpon to a artthe or ot rsaedds doiaocpesemtnn in esmo othre aprt of het ;yt)smes het mpinguelmt of rcaaCdi pOttuu aherdls eth igienbnng of eht .nde tI iiisfnegs thta teh strseses iegnb miepsod no teh doyb cxeeed hte sicaealtipib of hte ssm.tey +


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 +0  upvote downvote
submitted by calvin_and_hobbes(2)
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yhW si the T anomlr in thsi ?aenttpi I uwdlo vhea pteedirdc nreuinyldg nocieftni — ie, evfer — forbee enve year""l stpice .skcoh I ceteleds psciet skohc rlepuy orf teh tbiecnlaatr olw SRV pdeteis fsduil but awnt ot tdsanderun roem ouatb the sabeecn of .re..evf snTakh!

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drdoom  Elrydle adn( ,imdoomcsnmomiupre )aynllerge od tno onmtu brutos refve spesreons to ratacbie nda rhote giosano;mcsrrim ni yrdlle,e this abyprblo ash to od htwi ”slneei“dc fo het neatni eimnmu esysmt (yuor mghop,aarcse dnrideitc sce,ll smoycotn,e &am,;.pc ujts odnt' nctoiufn sa ellw as ethy usde .ot) nI horet rosd,w fi uyo )(1 pdeiw tuo 'msoonees muneim ysetms and nthe (2) dtjneiec aeratcbi otin hrtie oetrsb,daoml uyo 'ltoudwn eebsrvo nay ferve i.ereth ehT neceprse fo a “aiylp”ct lmo)na(r freev in an lleredy or omdpoirsuemmmcnio iepntta cna eb a rusep erningoncc n:igs htye gmiht avhe a iggarn niiotfecn no teh niid.se +
drdoom  m^for hte r:itacle bnt“Aes ro entubld frvee sernosep in the ye.ledlr hTree si palme edcevine htat a bdunetl eevrf rspeosne ot a oreiuss abtecil,ar la,riv or ugflna incnifeot etgusgss a porore ngosspiro tanh sode a btsoru eefrv seonserp .[3]1 In intaiddo, eerth si a snistbaalut boyd of t,aad slmoty form nlaaim ,lmsdoe ahtt vrothhegr—feu tis sffteec on imumen oimnfy—uctan be na poiatmrtn osth esdfene mhamsecin 4][1. uylohgR 002%%–3 fo lydlree osnreps tiwh iuesors crabileat ro airvl stnoceiinf wlli esrnept with a tnduble ro ltniyere tsbean revfe ssponree 5”,3].,1[2 +


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 -2  upvote downvote
submitted by spaceboy98(22)
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ehT awy i ookl ta tihs is eht rer.taeemput

A mehoptiryhc epantti iwll sloamt aawlsy tneesrp iwth etcsip shcok eebusac pcseit coshk can nstrpee sa thob mytrieharhpe or riehyomptah

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athenathefirst  enDt'so douns at.ruceac hisT tnetipa had a ornlma uapert.emrte +


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