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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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epesmahmy dsael to C2O raipptng dlignae to nirseeac p2COa ni eht ,loodb hhwci sgeiv yuo a osraeyptrri sdsiiaco eorP pr nlear aoonsnmetcpi llwi eerniasc cbdrai sabre and eceaersd e-xotcirne vigign uoy daniescer iracbb in het lodbo

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meningitis  csraeIedn lodbo HO3C coldu heva layies bnee ertntipeerd sa cseerndia dbolo Hp lweas.l ogniOFllw ryuo xenpt,aaioln ecisn hte tp dah oc,iasdis eht ndeceisra OC3H will utsj keam ti a mnrloa er nA.H ohpt awy to nhikt of eht qtosunie :si if eetrh si raseecded tlnxeohaai eud to PODC --> iceersdna 2OC >-- aercsined O2C trtdenoapsr ni odlbo yb ngeienrt eth CBR's whit Ccabonir nsdharyeA adn COH3 is edsrelae otni obold emsrt.a So icesdraen 2CO >- cridaense C3OH genesi as ihst teyp of OC2 notaptrsr is %70 fo tlaot 2CO tntneoc ni obod.l +27
drmohandes  I tughoht ouy clodu vnere lulyf tnmeesop,ca so ryou pH lilw enrve ymzamlPeora i.nrri mpolbre = eyrrrpiatos siscdaio โ†’ Hp olw. Conoasrmyept oeicabmlt ilasalkos illw irascene blodo -,O3CH tub nto uoehgn ot rleoanzmi Hp, ti iwll jtus be lses'' lw,o tbu listl an scs.aiido +7
mtkilimanjaro  I sola nikth redcaseed odlob PC2O adn ecrisnade dlboo Hp aer evry ilirmsa sel(s 2OC ni hte obldo nemas esls iadc,ci Hp cuodl og pu) ofeerrhet I udelr tbho fo ehmt tou sjut fomr that +1
brise  aAk isht si het Bhor f!cefet +2


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 +2  upvote downvote
submitted by โˆ—waterloo(126)
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if oyu oals int,kh wenh nseoemo ahs edrcsinea 2OC sa( in this nettip)a htye have rtpyeorairs SAISIDOC sog.ih..rt idceasren oldob pH nnatco be het rhgit rse.anw

,oAsl ypootamncres cmshneaim rof rsreaoirpyt sscdioia neshapp in ereth .ayws

  • FEC: where due to mass icotna sreacien of OC2 esald to nrecsiea in H+ adn -OH3C (tbu shti si ainlimm - leki 3)%
  • F:CI tsom of the neguifbfr apnehsp reeh htwi O2C giong onit teh l.elc
  • dnKyi:e ehnt ervo esti,mmoe etehr wlli eb smeo larne oainmcnepost o(tn recrcnioo)t ewerh teh ydnkie liwl tstra ot elt go fo +H nad babesrro nwe OC3H to elhp studja Hp dwosrta lnroma.
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 +0  upvote downvote
submitted by usmlehulk(7)
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nca nyoean aeslep xeaipln wyh tnopio E hiwhc is cisanreed in rnrUiya Hp si otn eht rorccet aerwns. sbcueea dyhnoreg wtagisn si olas a ofmr fo grniectocr psaeitryorr ioais.sdc

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wfma888  hgr-it oyu illw iesacren xeiecornt fo ptonsro hcwih ilwl EROLW teh Hp! +2
an1  โ†‘ nurei rcotiexen fo OCH3 esnpsrret(e the alaeiknl H/p eghhir H)p and โ†‘ niuer pH rea het aesm h.intg sYe, you yam weodnr now wyh the โ†‘ bodlo 3COH dd'itn cusea na aioskasll utb stat'h sueaebc eht RYMIRAP feetcf asw the treietnon fo C2O ldginae to sredcedea lbodo pH +
an1  O3HC si lekniaal cpdmearo ot H is hwat I antme ot ays ^ +


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 +0  upvote downvote
submitted by medjay7(5)
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The sseeita ayw I inhkt of ot ese hist : is)1 ouY rea iganterin a otl of )O2C2 Teh rlnpicapi ywa in hwhic we nifd CO2 ni odlbo is as )C33 OH ouY vaeh a tol fo CO3H

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