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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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eshymmpae adels ot OC2 tingarpp enagild ot acnresie C2Opa in het obo,ld hwcih vsgei oyu a srroatrpyei sisaodci Por erp lrena asontpemconi wlil eeinacsr idcbra bares and edcraese -ioreetxnc nggiiv you rdeieacns iabbcr in the dlobo

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meningitis  resncaIde obold HC3O lcuod aevh aeylsi bene ttrndipeeer sa sinaeercd oldob pH lwela.s noiFwgllO oyur tnaioa,nelpx encsi hte tp had sci,odsai the aeiercdns CO3H lwli usjt aekm it a lmanor t. epAhrHo n way ot tikhn fo teh euonisqt s:i if tehre si secdredea oehnlixata ued to DPCO --> erciesand O2C --> decnersia C2O nsrtterdaop in dobol by itgreenn eht sRBC' twhi Cnracoib hyrAedsna nad OC3H is elaserde onit lodob maes.rt oS isdenrcea OC2 >- needsraic 3HCO engies sa stih eypt fo C2O tatprorns is %70 fo oltta C2O ntntoec in dbo.lo +27
drmohandes  I tgohuht yuo dlocu nreev lyufl ecps,tnomae os ruoy pH iwll nreev ilromymzar nrea.iP ebpmorl = oarpireystr sasdioci โ†’ Hp wo.l Cnrmeaoosytp cieomblta klaisaols wlli nserieac ldobo HOC,-3 btu ont hoegun ot izaolmnre H,p ti will ujst eb le'ss' owl, tub ilstl an ciiosasd. +7
mtkilimanjaro  I laso ihnkt edeecarsd boodl 2POC adn siercnead lbdoo pH ear ryve arslimi ss(el OC2 in the dbolo amnes essl cci,aid pH dclou og up) htrrefeoe I luerd obth fo them tuo tsuj fmor htat +1
brise  kaA shit is het hBro feeft!c +2


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 +2  upvote downvote
submitted by โˆ—waterloo(126)
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fi yuo slao inthk, hnew nmeoose hsa arsedncie 2CO as( ni htsi entit)pa hety vhea erparisoytr IODISCSA oihtrg..s. cnrsediea lodob pH ocantn be eth ghirt .srwnae

lsA,o ecaymtosporn hmmsienac fro troiaerspyr sscdoiai ahppsen ni hteer y.was

  • FC:E eerwh ude ot ssam itnoca eeacnris fo 2OC dasle ot rieasenc ni H+ and 3OC-H (ubt siht is aimnlmi - ielk 3%)
  • F:CI most fo teh rbueifgfn ephsapn eerh wtih 2OC ingog oitn teh ell.c
  • n:eyiKd hent ervo seemmti,o ehert wlil eb omse erlan nmaptoecoins n(ot itrercnoo)c rewhe hte ekdiny lwil asttr ot etl og fo H+ dan borbesar ewn 3HCO ot ehlp dausjt Hp rtwaosd oarnm.l
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 +0  upvote downvote
submitted by usmlehulk(7)
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nac eaoynn pesale eilpnax hwy otonpi E whhci is deacsiern in arniUyr Hp is ton hte cteorcr nre.wsa seebauc ogdneyrh tnigswa si osal a ofrm of coenrtgirc ariseoprryt isasio.cd

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wfma888  th-rig uoy will iesneacr ntcxroeei of npstroo ihcwh illw OLWER hte H!p +2
an1  โ†‘ urnie xreeoncti of C3HO (rpssnetree eth nliklaae pH/ ghrhie pH) adn โ†‘ riune pH aer eth msea tghni. sYe, ouy mya werndo own hwy the โ†‘ bodol OC3H ti'ddn sueca an aoisklals tub sh'att cuesaeb teh RPRYMIA eetfcf swa het netoeirtn of CO2 ilgaden ot edaeesdcr dbool Hp +
an1  HO3C si liaekanl oamerdpc ot H is hatw I metna ot sya ^ +


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 +0  upvote downvote
submitted by medjay7(5)
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hTe easesti wya I nihtk of to ees ihts i:1)s ouY rae nertginai a lto fo 2 C2)O The riaplpcni ayw in ihhwc ew fdni CO2 ni dlobo is sa HOC3 )3 oYu haev a tlo fo HC3O

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