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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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apmesyehm ldase ot C2O ntripapg eaingdl ot cneriase COa2p in hte l,oobd hwich gseiv you a epatroriyrs iodisacs Prroep elnra ancipesonotm ilwl neraecsi dcarib bsrae adn dceerase rxtoeenci- gvgini uyo nadiseerc cbbira in eth lbodo

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meningitis  Isneracde ldboo OHC3 udcol haev eilyas enbe eteredpirtn sa dnraciese dbool Hp lawls.e FOwgionll yuro lxantineop,a nseci eht pt dah ocsds,iia het rensdaeci H3OC ilwl usjt eamk it a rolamn o Ah. trHpe n ywa to ihtnk of the nstioque is: if etreh si esdcedrea anoaiexlth due to COPD >-- ecsndaeri 2OC ->- eadcerins CO2 dtrtaneprso ni blood by nnieegrt teh RCBs' with oracbnCi ynhdAarse dna HC3O is rdseeale tion dlboo tamsre. oS diasecnre OC2 -> adrsceien OH3C eegins as iths ptye of OC2 oasnrrttp is %70 of lttoa OC2 ottnnec ni o.bdol +27
drmohandes  I tohgthu uyo uocld ervne lflyu emsepctaon, so oyur pH wlli nveer rmoiPr.mzlyraaeni obrpelm = traeyrspiro oasicsid โ†’ Hp w.ol rotsopeynmaC ocebtamil saokllias iwll aisenerc lodob O3C-,H utb nto hegnou to znoealmir pH, it illw sjut eb l'es's o,wl but stlli na .siocdisa +7
mtkilimanjaro  I soal nitkh edesrceda oobld CO2P dan crsdaeein bldoo Hp rae ryve lmsiiar sle(s 2OC ni teh olobd senam elss dcaici, Hp dlcuo go u)p ereohetfr I erdul tboh of hemt tou ujts rmfo atht +1
brise  aAk ihst is the Borh tef!fec +2


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 +2  upvote downvote
submitted by โˆ—waterloo(126)
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fi uoy lsao knhti, hwne mnseoeo hsa ercediasn O2C (as ni tihs ati)tpen ehty evah rryseitrpoa OSCISDIA s.r..ithog icdrnaese loobd pH aontnc be the gihrt n.wsare

,oAls ypotraemcnos enchammis rof syorertriap sdcaisio nesphpa ni ehtre .sayw

  • F:CE ehwer ude ot sams natoic siacnree of O2C leasd ot csraeeni in +H dan H3C-O tub( stih is iilnamm - leki )%3
  • :ICF mtso fo hte nufefigbr phensap rhee iwth 2OC oggni otin eth clel.
  • :nKiyed tenh evro ,esetimmo theer ilwl eb eosm arnel oaomcstnnipe ont( tcrnceoir)o ehrwe het keidyn lliw atrts to tel go of H+ nad aobbersr new CH3O ot pleh sudjta Hp dwrstoa .oalnrm
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 +0  upvote downvote
submitted by usmlehulk(7)
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can naoyen elaeps ilpenax hyw ontiop E hhicw is sincadree in arnriUy Hp si not eth torercc rasn.we beuceas ogedrnyh wianstg si alos a romf fo nciegrrcot atyersrorip iicass.do

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wfma888  g-irth uyo will aciserne ioexrtcne of sootnpr icwhh llwi WRLEO hte !Hp +2
an1  โ†‘ rneiu neextorci fo HCO3 neptserse(r the aelinkla /pH gihhre H)p nda โ†‘ eurni Hp rae teh maes .hitgn sYe, ouy yma rondew won wyh the โ†‘ oolbd CHO3 d'indt aesuc na lsokaslai utb tt'hsa ecusbae eth MIYRARP ctefef wsa eth nnetoitre of 2OC eingadl ot caeserdde loobd pH +
an1  OC3H si ialaknle radmceop to H is hawt I tnema ot sya ^ +


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 +0  upvote downvote
submitted by medjay7(5)
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heT tieaess yaw I hiktn of ot ese hsit s:i 1) oYu rae erinigtan a olt of )2C2O Teh lnapiircp wya ni hhciw ew dnfi OC2 ni odblo is as HO)33C uoY veha a olt of OHC3

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