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Retired NBME 22 Answers

nbme22/Block 2/Question#4 (reveal difficulty score)
A previously healthy 60-year-old woman is ...
Increased central venous pressure ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +10  upvote downvote
submitted by โˆ—nwinkelmann(366)
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ihTs liraetc snpeailx the phtogyoyhspialo wlle: hc./w4.vw30tmo:iwk1ih/o/pn8sn.4/sbtob/NlKBg.n.

hTe trgih ectievlnr is arpmyiril iusdlppe by eth CRA hhicw olsa spsuliep teh AS node nad AV deon 0(%9 of reaths acuesbe ythe are griht nd,mto)nai ealidng to osls of ticarycinttol of the rghit ide,s nda hust idluf iulpbud unigcas elvtaede arlntce onvuse eersusp.r dvleaeEt psrseusre in eht verli dna patlro msesty dolwu dael ot lohmyeapgeat adn eefr dflui mctaulanocui ni the m.eienptuor

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henoch280  peHl.ppl spl yhw si ti nto creeddaes rplaiycla ntiocco pssreeru? +2
whoissaad  @ ho0che82n suBeaec eehtr is no encagh in teh lelsve of neoirtp in hte dlo.bo +11
drzed  eyilhecattlro ouy ulodc evlpedo rlive iruelfa frmo eht enreisac ni treacnl ouvnes psusreer .e(.g ccraiad crrsi)oshi dna HNET oyu wloud devolpe a ecesdear in nccioot erupr.sse +2
an1  @e20hoc8nh teh eaitnpt ahd a RV lue.iraf hiTs aemsn boldo will arstt ngoipol rkawbascd (asedri PVJ liwl be nee.)s tuB ot wsenar oyru tei,uoqns ticocon esersupr angsceh enhw eht lmnaibu ri)p(tneo si ol.w shiT ahppnes nhew the mlbroep is hwti teh vile,r imiunra,tlont hripeno/ct pniicetrh lnadeig ot imuiur.laanb eTh earth urtelss ni a erlpuy dyaiothrsct ertldae ft.dcee actirtsydoH samen to PUSH dfilu TUO fo eth lsessev nad noti eht .ieutsss This doluw stsrleu in ufidl tigrnene het itmyessc tisseu o(ehwl obyd eamde si nsee hiwt RFH) dan iludf eienrtng noti lrevi euascd deacdeser giadnera nlgadei ot sc.iaets ioerMz me gp 297 rayllpaCi liduf xhnceeag 'F2A200 +1
l0ud_minority  2h0oc8@ehn osal I kitnh thta rdcsaeien yalmpourn laryaclpi ahotticsyrd rreesups luowd aleixpn a aupller us.fieonf I houthtg het maes htngi adh ot thnik abtuo ti rfo a t.bi +



 +4  upvote downvote
submitted by โˆ—titanesxvi(106)
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eTh eroth eswsran rea rnwog sa:ceebu i(f I am nrgow selape ccteror )me

)A ishT dlowu eb uert ni a pitaetn tihw revil or ntpiocehr somenrdy

)C iTsh udowl be otrrecc fi teh ew ncereias palyacrli rpemibelytai xea(eplm s)speis

D) hsiT si etlf ather eruliaf

)E hsiT uldoc be RSAD no(t resu uhotgh)

)F gainlcMnay

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 +0  upvote downvote
submitted by โˆ—abhishek021196(120)
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hTe hrigt iretnlecv )V(R sicrveee tsi aatilrer dbool ulsppy mrpiyalir ofmr eht ighrt cnoryaro trerya A(,CR) whhci arises mofr het gtirh rocrnyoa upsc fo teh .aoart Teh siiidvon eudrsopc het cousn yetrra hwich ipuesslp olbod lwfo ot het trhgi errlatuivcn olouftw c.artt hTe aiaiotlsnr node S()A is sola lspudepi yb teh CRA rofm the esdnco ivnii.ods singurCo in eth iniarouclrertatv ogv,roe the CAR ethn eivgs off llute,mpi smlla sncrehba to spulpy teh niratroe RV beerof ididvnig ailernmylt oint het tceua garlianm arnchb )(MA hatt unsr oriealrnty nlago eht dagpr,hiam dna hte tirropeso sgdcennedi rtyrea PAD() hatt runs ro.teropylsi eTh ADP aosl eusplsip teh vrcnlotartaiuire edno AV() ni 09% fo i,tapetsn twhi a barnch fo hte telf xecrilcfmu teyarr vdpirnogi flwo in teh eeimrradn of .stpiaent eTh PDA sieusplp eth iefonrir lawl fo thbo ivcelnrs,te nad is a atlriemn harncb fo the CAR ni 58% fo pasne,itt ubt mya arise rmof hte flte oyrcnoar acocutrinil ni %51 fo het atopionulp.

The yarrimp fcseeft of VR iashemic dna ifnotrnica lurets omfr daeedcesr VR yiotcntlit.acr Tshi lesad to a oruniecdt ni lbodo fwol rfom eht uonesv tsesym to eht lsu,ng adn fanlliy to the ltfe sedi of het e.hatr eTh ncliacli nsigs fo tihs era ranieecds hirgt siedd rtaeh ersr,psseu descenair amnoluyrp retary (AP) soslitcy ,eersrpsus dna esarcdede letf ivlntrecuar oep.lrad posymmSt amy ecnudli lrhearipep maeed llsepeiyca nitteondis fo eth arjlguu n,evi aohxpi,mey nda hpoysenitn.o

Aado,litlyidn sa eth RV aetlids the nmitoo adn uncnofit of the laterviuriectnrn mesutp is traedle. fI teh VR is detlaid yseocardn to rdoaelvo ro fi eth ltpsea uariymmdoc si jreeipdadzo yb nuitualmssoe fetl ivltecern LV)( mheciais eht ysotspmm fo nyinothsoep nda drcaaci lraiuef may eb ncurdoepo.n If hte umspet shitfs edfwrlta niugdr sialetod ti eimsdpe lfet cirtlravuen glniifl nda sa a ulsert acdaric tutopu si ddrase.cee sihT is edmret sols of lracivuiernbt neerdcptnnd.eeie

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 +0  upvote downvote
submitted by nootnootpenguinn(9)
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Thsi wstieeb lxpinase it :too

"A ceaereds ni rcadcia ttuopu hetier ued to rcseaeded thaer etar ro reokts vloeum .(e,g. ni vrelrutcani elurfai) rlestsu in dobol akbcign up tnio eth ovnesu uinoitlcrca erneds(cia oesnuv mu)lveo as lses lobod si dpmpeu tnoi teh retlaira lucirnocit.a eTh eustltanr aneresci in ccorthia lodbo eoumlv sircseaen C"P.V

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