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Retired NBME 18 Answers

nbme18/Block 2/Question#28 (reveal difficulty score)
A 68-year-old man comes to the physician ...
Cor pulmonale 🔍 / 📺 / 🌳 / 📖
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 +11  upvote downvote
submitted by drdoom(1206)
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siognednpR to azdbis’ir@ ceomntm:

cngilifklaB of odbol mfro teh lsngu onti hte R etrnvceil is trtsihnceg tou hte R sedi ni(dtalio) adn aols dgmrelenoi eht eahrt iav pprheryyhto (eht rhate sha to pakc no ssma ot ejtce teh ever ergaetr omaunt fo obdlo iinlgp up ofmr s)u.gln aDliotin of eht R ncelveirt splul“ at”pra het seveal of eth isitcrpdu laev=vrlowe ftle sraltne reobdr; hwne eht tahre si ni o,leysts hte pctuiisdr lsvvae ’tnod make godo contcat dna doolb eurhss mofr hhgi seerpsur crmmoaneptt RV() ot the owl sersepru RA() == saptsncoily murmru

ehT pdtcrisiu mmurru tges roswe twih irtpsoaniin sabecue wenh oyu ask menooes ot aket a ,doog dpee at,hrbe the apgihhadmr (a rvey gnstor csue,lm ee)iddn uslpl teh etrein chracito eagc nwdo dan tuawdor (ipeanxsno) — gcinudnil eth t!hear ueacseB teh ehrta sge“t elpdlu ofmr all te”ro,scnidi hte prusidtci felsaetl amke vnee slse antoctc == brgegi lhoe == rmoe rnoonpucde mrurum dgiunr ytsosle.

hTe ipton of maialxm pimslue teh( ehart pxe)a si way lewob eth dpxhioi ucbaese shti suy’g areth si so gbi fomr the yarse fo aintldio dan prhohpyytre — thsa’t sloa why S2 dnssou aer sitatdn: the raetg seessvl (nad iehrt lvev)as ear ribeud enev peedre ntha auuls, so ouy c’tna rhae tehm ppansnig tsuh itrac(o &;pma clinomup va;lsev .S“ub)d=2”

atehr sound rsaea g=t&; .s:p/a.pFs.hms1ppg2o/l/ovdage2gt9po9tUewSLi

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 +4  upvote downvote
submitted by thisshouldbefree(51)
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2 kcap cgi for 50 sarey = 010 kpac ae dayHNerms Te EL = HFL oeellpyaa hmtg = RFn How rof eht mtntapiro inin;dfg "mrumur ttha senscriae no itainsn"oirp g;&-t sthi is diicaeitvn of gtirh desdi uemsrrm.

orc lplounaem = ym oinfidtnei si HF sa a tlerus fo a unlg iadsees

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 +2  upvote downvote
submitted by medstudent123425(2)
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nGevi hsi osiryth of bngie a croihcn esrmok ihs gnusl era smdsee pu (het ehezwse thta ear arhed knid fo tniop ot ti o,to) yrlpbboa linadge ot omnuarypl uN/nlHTg pelbmos.r dAn taht acn elda ot itghr dsdei retah ruilfae icwhh can trepens wtih a uspitcdir orgieigtntuar chiwh si eht ayitlopssn-c urrmmu hatt ey'etrh ailngkt oa.tbu That gaoln wthi het pnigitt demea nda teh tgeoamhepyal (dircaac os)sirhrci kndi of itpon ouy ni hte inictreod fo orc nlaomup.el

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 +1  upvote downvote
submitted by azibird(279)
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Cna msnooee elxniap het hsciypal d?nnisfig

Ccia"rad xmnanitoeia oswhs a adger 6/2 pcnalysitos umrmru hadre tbse ta the loewr ltfe rlanste rdre,ob hhciw naserice on siaritoin.pn hTe npoti fo iaxmalm msuilep si apdaltep in eth buosxiphid- Se aa1r nad S2 dusnos aer "adtsnti

I td'on tednrnsaud who yna of teesh dwuol rocoernsdp ot roc .pnllmaoue

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drdoom  klgaBilifcn of olbod form the gslun ntio hte R inrcveetl si tthrngseic otu hte R ieds ai)ntd(oil dna lsoa onmeerlidg eht tahre iav perhyytrhop (eht heatr has ot pakc no msas to cteej eht erve grateer uamtno fo dbool ilpign pu omfr u.sn)gl tiDionla of hte R reienvtcl l“splu a”rtpa teh sevlae of teh pirdtsuci `wlrve=`leavo flte anlerst ;``deborr henw the etahr is in oss,teyl eth urptcdiis svavle od’nt amke oodg ccaottn and ldobo heussr rmfo hgih ersseupr npoeartmctm R)(V ot teh wol esrpresu )R(A == atloypiss`c`n um`rurm` +1
drdoom  Teh icdputrsi rmruum tseg soerw ithw noptiirnais sceuabe whne oyu ska moneose to aekt a ogod, pede rea,bth teh pigadharm a( eryv ngrsto ems,lcu dendi)e llspu eth rteeni ricotcha geac wnod and otu ax)onipn(se — ilncugndi hte rthae! cesuBea the haetr segt“ elldpu rofm lla ,dirsti”neco het icuisdrtp tlelsaef kmae even esls ctancto == brggie leoh == mroe nuonordecp ummurr guridn yoe.stls +4
drdoom  hTe pntio of amaixml esiumlp hte( taerh )apxe si ywa ebolw hte idihopx ebasceu hits gus’y htare is os gbi mfor teh yaser of tdlioian dan heopyhrprty — hsa’tt oals wyh eth S2 osusnd ear tadis:nt teh arteg sslesev (adn hietr seavvl) aer iuerbd vnee eerped htna s,auul os ouy ’actn hrea ethm psgipnna suht tai(cor a;m&p unpcilom vslav;e bdS“)=u.”2 +1
cancelstep  iSrailm ot 'haswt ebne ,sdai tbu hes'er who I nargedsw:ree eA htat a noysctlcipa rumrum at LL tnSealr Brored si dsipuctir agtrigoer,tinu ainrescse hwti tinpaonriis basecue dnsrieace tghri evirlcnte elodpra wulod iserance tmuona of aigIo.grnPt Muirte ni upxhib-oisd aaer sname atht the sgeostrtn tncotcoinar is nnhgapepi bxup-doihsi wihch sah ot eb edu ot rihtg reirntcvaul eypyphhrrot (ltef aulivrnterc hyhoertrpyp ulwod uhps PMI wraotds a Dax)efsli,l.ifu drsectate zeeshew atybllerali are ryablobp itivdniaec fo COPD fmro iytorhs fo gmsnkio iwchh udlow csaue a aysdneocr unyamlrpo serhnnpeoiyt due to xemaiohyp dna tccioosnnivatros ni the lsgnu (pirrmya si idptoii,cha tsom ooycmmnl ouccsr in -imgnd/deregadeloyu ef.)smale So htsi snxialep why uyo aevh yluaPV.onm HrR meade duowl be kcscrlea no nlgu aiuottacusnl dna loduw ptoni to tefL HF, tbu nto het esca er.he ,Alos BP /10085 in a 8ra-6ye lod itotwhu yan oimdanciet si ndtlfyiiee h,igh but not sgncaui S.A iaPieher/llrevrp amdee = RHF +6



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