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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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nRondsipge ot arzii@db’s otemnmc:

lklfcgiBian of odblo rfmo het glnsu itno hte R lvercntie si gtnicrhste uot eth R dies nla(i)dito dan sloa negmeriold the aerth via rhtppyhyoer (eht rthae ash ot akcp on amss to ectej het vere grtaree tmaoun fo oodlb lpiign pu mofr s).lung otDaniil fo teh R rctlveeni ulp“ls arpa”t the elevsa fo eth utspridic avve=loerlw flet asrlnte rbeodr; nehw hte trahe is in oyse,lst eht tirpdcsui asvvel o’dtn kmea ogdo oatcntc nda olobd shersu mfro ghhi erssupre crmpentmota )(VR ot het lwo sperruse A)(R == cytsialpnso urrumm

hTe uidrispct murrmu tgse wreso htwi arisinpinot eucesba nhwe you sak mesoneo ot eatk a ,odgo edpe ,trheab het hhdmapgrai (a vyre nstrgo esm,clu d)enide lsupl hte eterni racictho aceg ndwo adn uoatwdr (exsnanopi) — glnidunic the hra!te caeeuBs hte heart “gets dplleu fmro lla ”sn,ictdioer het dsitipucr esllatfe meak neve sles ocntcat == ergbgi leho == meor rdopnecuno umrmru undgir eyls.sto

heT ontip fo aliamxm smupeli (het tarhe p)aex is yaw lebwo teh hxipodi eebscau htis guys’ rahet is os gbi mrfo hte ysare of indiolat nda pypyeorhtrh — httsa’ soal yhw 2S dossun rae tdstain: eht gater vseelss adn( rihet veav)sl rea uiredb vnee dpeere ahnt su,aul so you ’tanc areh temh aisnngpp hust a(ricot p;ma& minpoucl a;vlvse “=)u”S2.bd

ehtra sduon reaas t&=;g /S9a..oo9s2o/p2/dwpgh1LUtlpempievsgtagsp.:F

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 +4  upvote downvote
submitted by thisshouldbefree(51)
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2 akcp gic for 50 aysre = 010 cakp sNaeedmyTreH a LE = FHL lyhgl optaeema = oHR nFw rof het mnaptoitr ;finndgi m"rmruu tath seiasencr no to"iiainsrpn ;&-gt this is ateniidvci of trhgi iedds msrm.uer

roc eolpulnam = my itiinnodfe si FH sa a suetrl of a nlgu sdseeia

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 +2  upvote downvote
submitted by medstudent123425(2)
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iGnev his rothysi of neibg a ohcicnr rmoesk sih unslg era sedsme pu h(te hweseze ttah rae adrhe nkdi of iotpn to it ,oot) ayrpobbl gedianl ot prmlynuoa lNgTuHn/ lbpomers. Adn taht nac laed to rgiht ideds erhta uirfeal wchih nca snptree twih a rditsiucp igtrnueartgio hhicw is eth yo-alcitnssp rmruum ttha y'hetre lnaktig ubta.o tTha glaon itwh hte tnpitig admee adn het eaoepgyamlth d(icacra issor)ihcr ikdn of otpin uoy in het eoniticdr of cro lneloa.ump

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 +1  upvote downvote
submitted by azibird(279)
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Cna eosonme xenliap eht liashcpy igsdf?nin

iCracd"a amonnxeitia ohsws a rdega 26/ opsysilcnat rmuumr edhar setb ta teh elwor ftel aternsl d,reobr hihwc escriena on nio.pnirtias ehT tipon of laixmma eslimup is petaldap ni hte isdi-buxohp S1aar e dna S2 soduns are "tdanits

I t'don nutaddrens ohw nay fo eehst wodul coprdneosr to cro oanpe.luml

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drdoom  licfiBklgan of oobdl rmfo het ulgns iton eth R icelrevtn si ithtrgescn otu the R eids ail)ntd(io and oasl gneolidmre eth athre iav yroeryhthpp eht( rheat ahs to pcka no assm to tejec teh ever trgerea montua of obldo iginpl pu fmor sg)uln. aintoliD of teh R ivelnertc ul“pls ra”atp eth lesvae fo the ipidrstuc erveawlo=l`v` telf ltesran bro`;rd`e ewhn teh ahter is in tsolsey, eth ctidprisu esvavl nod’t amke dgoo ccatnto dna ooldb rsuesh omrf gihh rerpuess oremmttcnap )RV( to het wol pseuserr (A)R == `salntyiops`c urm``rmu +1
drdoom  Teh sitpcrdui rruumm esgt soewr hiwt sirnitonaip ceaseub ewhn yuo ask eosmoen ot ekta a ,odog pdee rba,the hte gdmraapih a( vyre nrtsgo ec,muls d)deine ulpsl teh neiret ihrcotca geac wdon and uot nsi)xp(oena — nciglidnu teh !hetar ecaseuB the traeh “sgte puleld ormf lal onrici”d,ets het tiudciprs tlaefesl kmae vnee elss ntcotac == bgiegr olhe == omre npurcondoe uummrr uidgrn ossteyl. +4
drdoom  eTh ptnoi fo lammixa uepslmi te(h rahte x)pea is ywa wolbe eht oihipdx ubacese hits us’yg treah is so ibg form eth yarse of idnoatil dan ptpeohhyyrr — tsha’t aols yhw the S2 dsuons ear tsitnda: hte tgaer vesslse (dna rthie vsvael) aer rueibd vene peedre ntha s,ulau so you anc’t arhe hemt psipnnga suht (artico ;& polumicn sla;vve =2)“bSu”.d +1
cancelstep  Smariil to ts'ahw nbee ads,i ubt h'rese hwo I srwn:gde aereAe thta a ipotsylcacn rumrmu ta LL tnrealS dBeror si tuispircd rgn,triogetuia irscesnea htiw iaiirntopsn aubeces dsneecari tghir ierelnvtc rdapleo wldou siaercen ntuamo of ggPinaeMrorutt.Ii ni shiubx-opid eaar neams ttah eth srteosngt cotncrtaion is hgnnipepa x-iuhdpisbo whihc sha to be edu ot gtihr tacerlnuriv tpheoryhyrp et(lf untvcrreila yhprotrheyp uowld hpus PMI wrtsoda l u,eaxisfliD.fa) atesectrd ewhezse larliebatyl rae lyapbobr dctaiivien of DCOP mfor shtoiry of inmkogs hhciw lwoud auecs a snydrceoa yoalmpurn poyeesnirthn deu ot pioexyamh dan cticnvrnassiotoo ni eht unsgl yipar(rm is adi,oihctip toms oycomlnm ccuors in d/-emiornyugdeladge sm)elae.f So this lpsxneia ywh you avhe Vya moRn.lPHur eamed wuodl be kaercscl no nlgu ctoaiunlutas adn ulowd niopt to eftL ,HF but nto hte sace reeh. ,loAs BP 01580/ ni a -8rye6a lod twouiht nay cieoitadmn si eeitdnyfli ,hihg btu ton ngausci .AS rilerrPlavepei/h demea = FHR +6



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