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Retired NBME 22 Answers

nbme22/Block 2/Question#27 (reveal difficulty score)
A 50-year-old man who has smoked 2 packs of ...
Increased blood HCO3โˆ’ ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +11  upvote downvote
submitted by โˆ—armymed88(49)
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emypshaem sadle to 2CO tpnpragi lginaed ot eecaisnr Op2Ca in eht d,obol iwhhc isgev uoy a etroaryiprs iisacdos proreP lrnea cnnpaomoiets iwll easericn ibacrd esbar dan adersece -retxceoni ngivig uyo irncaeesd bbcira ni the doolb

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meningitis  cadsnIree odblo CHO3 ldcou ahev sailey eben tidrteneper as rescednai lbood Hp aswle.l gonFwillO uyro iaexntl,paon snice eth pt had osc,iasid eth cenrsdiea C3OH wlil sjtu meak ti a amornl nAHeh pr t .o way ot tkhni fo eth iqteousn :si fi eerht si rsdeedcae eaxanlhtio deu to OCPD --> eidneracs 2OC ->- iadrsecne CO2 sropdrnatet in obldo yb nitgenre teh R'CsB ihwt rnabiCco hArdeysan dna C3HO si reesaeld onti odlbo merst.a So eiedracsn 2CO >- daerecisn H3CO sniege sa tihs pyte of CO2 sptrtaonr si 70% fo totla 2OC ntnteoc in lodob. +27
drmohandes  I hughott uoy lduoc nveer llufy cson,epmtae so ryou pH liwl rnvee rrr onimiam.zaPeyl ermlopb = rairspeytro oicssdia โ†’ Hp lo.w nrpotCaeysmo bcetimlao aoikallss iwll eceisanr obdlo ,-OC3H but nto gueonh ot zonmliaer ,Hp ti llwi jtus eb ''sels w,ol ubt still na dasisoc.i +7
mtkilimanjaro  I aslo nikht edcardese dbloo 2CPO and ednraisce odlob pH rea eyrv smlairi (sles O2C ni hte boldo nsaem lsse d,iciac Hp ucold go up) hrtefeoer I dluer obht of tehm uto tsju mfro htta +1
brise  kaA tish si het roBh teec!ff +2


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 +2  upvote downvote
submitted by โˆ—waterloo(126)
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if uyo lsao h,ntki whne oneoems sah dncseraei 2OC (sa in tshi )tpietna yteh eahv rorpariesyt AIDCSOSI gtrho...is dieanrsec oldbo Hp nnocat eb eth grhit nrwaes.

l,oAs tnsraeyocmpo mensciamh ofr raosypitrre soacidis sphepan ni rethe wysa.

  • CEF: ewerh ude to sams nctioa sinreeca of O2C aslde to siecanre in +H adn CH3-O tub( isht is imnlmai - eilk 3%)
  • CI:F somt of teh rbunfegif hpapnes heer twih 2CO oggni itno teh ell.c
  • :dKniye hten erov o,itmseme heter wlli eb moes rlean nositmoencpa t(on reotoiccr)n wereh the ieykdn llwi trast ot lte go of +H nda asboerrb wen COH3 to hepl dtjaus pH toawdsr laom.rn
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 +0  upvote downvote
submitted by usmlehulk(7)
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nac yeanno aeselp npilxae why itnopo E icwhh is eredscian ni rayiUrn Hp si nto eth rocretc .wsnare ubcesea yngoedhr wsnagti si losa a ofmr of gieroctrnc ryispaertor ioassic.d

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wfma888  h-itgr yuo lliw ecsinera xcneeorit fo otsrpon whchi wlli ELWOR teh !pH +2
an1  โ†‘ ureni etoxnrcie of 3HCO resenpsre(t teh nlaekali /Hp hgrihe H)p nda โ†‘ unier Hp ear the ames thgi.n ,seY yuo yma donerw wno hwy eth โ†‘ olbdo 3OHC itnd'd sauec na slskoalai tub stth'a cebaues eth RYAIPRM etceff swa eth rentionte of CO2 anidleg to sddaeerec odblo pH +
an1  H3CO is alleniak oapmcred to H si what I natme ot yas ^ +


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 +0  upvote downvote
submitted by medjay7(5)
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hTe tsseaie yaw I thnki fo ot see tish :i)1 s uYo era itangenri a tlo fo CO22) hTe nacpiprli ywa in wchhi we dnfi OC2 ni dobol si as 3 OHC3) uoY aehv a otl of H3CO

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