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Retired NBME 20 Answers

nbme20/Block 3/Question#29 (reveal difficulty score)
An 83-year-old man is brought to the ...
Early septic shock 🔍 / 📺 / 🌳 / 📖
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 +7  upvote downvote
submitted by hayayah(1212)
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etScip kcsoh is a ypet fo bsdvtiietriu chkos whhci si ekdram yb seimsva nisvailatdoo td(/ ianaolmyfmrt seserp)no nsgacui cseaddeer V,SR eeceadrsd drpaeol / CPWP, nda scireedna OC.

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smc213  pSitce hosck nca lsoa senrept ithw htryhmeaopi 3tCl&6; +3
bethune  Wyh si ti tno osnitarlsgtaient nig?bdlee +4
beanie368  IG gieldnbe wuldo pnesret hiwt edsaecnir VSR sa a ssernope to oayielvpohm +10
mysteriousmantyping  yhW luwod htis tno eb uoplryamn mie?smbol +1
step1passfail  uyalPonmr ioembmls ldwuo cuase a rseeecad in rdciaca ouu.ptt Trhee is cideensar esursrep ni hte hhig tmnolicap VR hhiwc nca bgule dna rmescpso eth V,L giceendasr tsi loearp.d eOtr=CaH erat x etosrk oevmul dan krtsoe lovemu si ryiltapal metrdnedie yb oldp.are I f teh uynrmaopl bolimesm is agerl guno,he it acn also tcsbtuor hte lpmorynau eselsvs nad uslbqeyusnet ton ahve eognhu dlboo onigg ot eht AL nad VL, ltileutmay kniagm the icdcraa tptouu anre .0 +3
chj7  Otu of all teh riefefntd ypets fo ,okhcs icraacd tuutop si irecnsdea lnoy ni deiituvsrbit hocks ei.( phlycnaatcai, ei.st)cp +1



 +1  upvote downvote
submitted by bfinard1(3)
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aCn onmeose exnlipa wyh rccaadi uutpot si ihgh in ecptis cksho?

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drdoom  ecriaaBt nad aariebtcl mnoscotnpe ekil( SPL) ni iuirtaconcl gigrert iesavms eaelers fo oisenctky rk1n(l,eut-Iein e-uilk6Intnre dna T,FNa) nugirlets iaaiodotn.lsv eratH aret nseareisc ot antainmi ecedtn .PB +1
bfinard1  sI krtose uvomel tno fdetcfea yb ahtt ivssmea tnaosd?aiiovl I uwdlo hknti fi unsveo mestsy is esaaoditdlv enht 'doyu heav edrdceu EVD mrfo edurdce lbodo lfow ot ethra +
zedora  ohBt of ouy aer tocrce.r In tiscpe hkosc ehrte is a aviemss viaanosdlot.i nI rrdoe to opancemets ofr eth dceuedr bldoo pssue,rre erhte is an drianesce aethr t.aer No,w igenepk tshi ni ni,dm thwa si hte CO umro?afl CO = RH x SV gth?iR etLs ays nerud molanr nnoscditio RH is 60 mpa;& okrSte uevolm si 05. Yrou ricadca puutto = 06 x 05 = 000.3 owN in pcstei ,ocksh uyro atreh rtae is smlayisv necasride but ryuo tesrok oeluvm is sdraedeec aili.lmmyn So slte lgup in eht rnm.bues eLst ,ysa deunr cptesi hks,co RH = 150 p&;am kroset melouv si won .03 The iacradc otuptu si own gaonn eb = 501 x 30 = 5,400 cneeh your CO is .sedrinaec nI tcSiep ho,Skc eth hraet atre si eysalsivm ceadsnier adcemorp to eth onmtau of VS csdereed.a +
drdoom  @dnf1brai By osv,tdialnaoi I olatms iuyeesvxllc amne arailret naodvoti.slia henW it esomc to V,C I laayws wrko wrbkaacd omrf frsi“t cni,pspl”ier nad ni my iwev hte frtis ipnpleric fo teh VC semtys ,si nMnati“ia spererssu to aaiintmn godo .”owlf llA rhoet dtoocmsnocmaia of the CV esytms gnh(csea ni p][hnrtgisoottne,yr ,ooycn]rtpie[tohrm otvcincissoarotn dna natavdools)ii aer in ei*cse*rv ot inainngaitm ls.wfo ottuWih odog o,sflw ouy tge het hgtni hunma situsse klei het l:atse tno lack fo ynoegx but uintmaaculco of C2O n(ad the iydctia hatt geos htwi it). +
drdoom  So, all ttah saw a ewlg-dodinn wya of ynasig htat Ccdiaar ptuOtu will nmaeir hhgi whne eth boyd is nudgcrpoi aserdietehihdhngr-- esvlel fo 2CO nehw( ornsag adn eht emiumn syetsm eavh engo otin ieoevrdvr ot esoprnd ot a theatr ro ot draesds sitcpaennemodo ni smoe teohr ratp of hte s;t)msye teh ienmutlpmg of aaCircd pututO slahder the igingnben of teh nd.e tI nifssigie tath teh srtsssee gibne mdpoeis no the bydo ceexed eth tblceisapiai of hte .mstyse +



 +0  upvote downvote
submitted by calvin_and_hobbes(2)
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Wyh si eht T namorl in hits ?pntieta I luwdo vahe pcdteiedr uginnedlyr tnienofci — ,ie vrefe — feeorb neev r"al"ey csteip shkc.o I cleedset itceps oshkc yulper rfo the tcletnaibra low RSV eptedis sliduf utb ntwa to nsudndrtea rmoe baout hte ceebsan fo evf.er.. sTk!nah

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drdoom  lelrdEy (nda cnmsuoor,dmmmopiie elgeya)rnl od ton untmo rbtsou eevfr prssnoees ot taiaerbc dna hroet nrosaomcsgmii;r ni rdeyel,l hist ybblparo ash to od wtih “”ldnceeis fo hte eannit minmue ssmeyt (yuor a,cgamposehr dricnetid llsce, nsocy,oetm &c,.ap;m ustj ot'nd coniftun sa llwe sa htye sued o)t. In ohret o,rdsw fi you 1() epiwd out esenoom's meumin ysstem dna htne 2)( detjncie ratiaebc tnio hiret ramldtsb,ooe yuo tn'ouwld oevbers any erefv erei.th ehT eepnrces of a lcyi”“pta ()nalomr evfre in na eedryll ro ismurnpiomcmodmoe itnatep can be a uprse gncincrneo s:ign ythe thmig aveh a gnigar nociiften on hte nids.ei +
drdoom  f^omr het tl:ceari “besnAt ro nuedbtl erfev sreesonp ni eth e.ellydr Teher is leapm vecieedn htat a nlbdteu vefer epsenosr ot a ssruoie eaira,bltc ,ilavr or ufalng onecifint tssgeugs a reproo sgrosopin hant sode a btruos evefr esrnopse 1[]3. nI nidtd,oai eerth si a tabnuslasit yodb of a,tad oysmtl romf almian ,esomdl tath ovfrt—uheerhg its cetesff on enmium tufnmn—aycio eb na otinmtpar hots ndefsee mscaenihm ]14.[ lRyohgu %0%02–3 fo ldrleey oepssrn htwi srseiuo ltraabeci ro iravl sicnfniote lwli psrnete hwit a nbdluet or lyetnier eabstn eefrv rsenospe 13”2,5.[], +



 -2  upvote downvote
submitted by spaceboy98(22)
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Teh ywa i look at sith is het meratut.eper

A hirotyhecpm teaptin lwli mlosta syawal rneepts twhi speict chsko scebeau icestp oskch nac tpeesnr as btho hyieatemhrpr or tirohyphaem

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athenathefirst  'esDton odusn a.ucetarc hTsi titnpae ahd a lrmnao pme.rretetua +



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