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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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etSicp oschk si a etpy fo btivdtsireui khcos chwhi is daekmr by mvsiase noasliiatvdo td(/ aamlfryomtni nesersp)o gicusna cedsradee VS,R edceraeds odpelra / ,WCPP dna dseriaenc C.O

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smc213  citepS hscko can asol sretpen tiwh toaipyhmher Ct6l;&3 +3
bethune  hWy is it not snilnioagsttreta ebld?iegn +4
beanie368  GI ediebnlg ouldw erpsent wtih iadcnsere VSR as a nesoprse to peoyvmhalio +10
mysteriousmantyping  yWh olwdu sthi tno eb ampulyorn bmies?mlo +1
step1passfail  lonmPruya leobmmis owlud csaeu a sdecaeer in diaccra .uotput eTehr si eiscadern srpsreue ni hte gihh pnaoclmti VR chwhi can lebug nda merosspc the L,V dneriscgea tsi .eldopar tOa=rCeH rtea x oesrkt umoelv dna kerots olumev si lalyiprta tmidnereed by pdrla.oe f I hte aplmryuno semobilm is elrga eohn,ug ti anc olas trucsbto hte oumyrpanl elesvss dan senulsteqbyu tno aevh hugone oblod gngio ot eth LA dna LV, emuatlytil iankmg hte cicrada ouptut rnea 0. +3
chj7  tuO of lla het rfefidnet tyeps of s,hkco ccradia ptutou is irsecdnae olyn ni biuiisdrtetv ckosh .(ie ,aaianlhpycct itepc).s +1


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 +1  upvote downvote
submitted by bfinard1(3)
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nCa soomene naixlpe hyw acdciar utupot si ghhi in ceitps ?skcho

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drdoom  itrecaBa dan aebrcltai poseoctnmn (elik )LPS in licciorutan gertrig sasvime elseare of cosntkiey tku,-(n1enilIer nuI6e-irlntke and a,NF)T ureitlgsn iolasdatnoi.v tHare eatr areeicsns ot inmaitna cednte BP. +1
bfinard1  sI krsoet oveulm not fefcdtea yb atht sasmiev aniodova?slit I uwlod knhit fi onsveu yesstm si ivlodaadtes ehnt uoyd' heav udedrce VDE mrof crdeedu doolb fwlo ot earht +
zedora  thoB of you era etor.rcc nI tpiecs ksoch theer is a misevsa tloaai.odnvsi nI rdeor ot oactpsmeen for het dceuedr loodb rese,rpus treeh is an rcdeanesi hetra .aret wo,N iekpgne tsih ni ,dmni twha si teh CO ?uoalrmf OC = RH x VS thg?Ri estL ysa redun arlnmo coionsntid HR is 06 am&;p ekoSrt uvelom si 0.5 uYor cdiarca tpuout = 06 x 50 = 03.00 owN in eptcsi ,kochs oyur eathr atre si vlaiymss adecnrsei btu ruyo kortes mulvoe is creddesea imnliylm.a oS tlse pglu in teh mresn.bu sLte ya,s denur pestci och,ks HR = 105 a;&pm krotes mevlou si now 03. hTe craicad ttuoup is own nonag eb = 501 x 03 = ,5040 eench yuor CO si n.rciasdee In epStci okch,S the ahret etar is semislyva iedesnrac emcdorap to teh outnma of SV deaede.scr +
drdoom  fdbnira1@ yB iaod,valostin I tmlaos luevyxeislc emna atlerria as.aoivltindo When ti comes ot ,VC I awyals krwo cwaadkrb rfom frs“ti ern,clip”ips nad ni ym vwei teh rstfi einpprcil fo teh VC ysmste ,si niatia“nM ersrsepsu to iataninm oogd ”.lowf All hreto asoditcacmnmoo of the CV smstey hgasenc( in tosrinh,e]pro[gttyn heotrton]ryi[omcp, otaisvcscnrnoiot nda lo)taiadnsivo era ni s*irv*eec ot nmitaiaignn l.wfso Whtouti oogd losfw, oyu get het nthgi nmauh uesssti elik teh etal:s not lcak of eygxno tub olauumictnac fo OC2 n(ad het ayitidc ahtt egso whti )it. +
drdoom  So, all that wsa a dleodgnn-wi wya of gaynis ttah aadircC ututpO wlil aemrni ighh hewn the boyd is uirpodncg des-negidirh-hahtre vlslee fo O2C hwe(n aorgns and hte enmuim ytmess eavh neog tnio veirroved to pdrnoes to a thtear or to esasrdd ndnemeitpcoaso ni soem oetrh rpat fo teh m;st)eys het tempiumgln of Crcdiaa tpOtuu sdaerhl the igibgennn of the dne. tI iefgnisis ttha teh essrsest genbi opdeism on het dybo deeexc eth eapitilicasb fo the ym.sset +


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 +0  upvote downvote
submitted by calvin_and_hobbes(2)
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yhW si eht T roamln in isth t?pntaei I lowud ahve cedtdeipr reigyundnl nitocfnie — ei, ferev — efroeb vene a"elyr" tseicp h.cosk I eslecedt esipct coshk yprule orf eth taainrbeltc olw VSR sepdtei fuidls tub tnaw to tndrdanues rmeo buaot eht scebane of e.f..rev s!aTkhn

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drdoom  Edleryl (dna ioompmnusmo,ciedmr gly)reaeln od nto ntuom osrtub eefvr oessprens ot icratabe dna etorh armnrsiigocso;m in d,lleyer siht lyproabb ash ot od wthi nesdc”“ile fo the nnaiet mmineu teysms oyr(u ca,agpshroem ncddrteii sllce, ntcomyeo,s &.c,pm;a sutj 'ondt tuionfcn sa llew sa they dues o.t) In erhot wrdos, if yuo ()1 ewpid uot 'eseonmos iumemn tmessy and hten 2)( cjntieed bcreaiat tino trhei moblore,atsd ouy 'ntodwlu vosereb any fveer eeh.itr heT serpenec of a pit”yla“c namrol)( reevf in na rdleely ro mrmndiopoecisommu eiatnpt anc eb a psrue oginnncrec sngi: tyeh timhg vaeh a igngra ocietfnni on hte dnisi.e +
drdoom  form^ hte cil:eart n“tsAbe ro butlend rveef pesoensr ni teh eyldrl.e eeThr is emalp evdcenei taht a lbteudn ervef nsoeerps ot a isueors cata,lrbei alivr, or fangul ioneintfc stsgsgeu a rpeoro srinpsoog thna dsoe a rtbuos ferev speorsen 3[]1. In ii,andodt theer is a sautbntlsai oybd of t,ada smtloy mrfo lnaami lsmdeo, ttah vgetrfrehh—ou ist eetscff on uenmim myc—nuontfai eb na nittmaopr tsho efseden anmmcehsi 4.1][ lRyugoh 02%3%–0 fo deyrlle srpseno ithw seusiro eaaticbrl ro lravi fnetcniios illw peenrst tiwh a bendtlu ro eneyilrt banets feerv srneoeps ,,”[]521.3 +


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 -2  upvote downvote
submitted by spaceboy98(22)
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heT wya i loko at hsti si eth reua.rttpmee

A eitmpohcyhr tinptea will aosmlt aslway eensrtp twih tpisec cshko cesbaue sctepi kcsoh nca prenest as btho ermyhtpaeirh or yomhhtepari

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athenathefirst  Dne'sot ondsu atae.cucr hiTs aptiten dah a onamrl epur.eatemrt +


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