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NBME 22 Answers

nbme22/Block 2/Question#5 (reveal difficulty score)
A 74-year-old man with emphysema and lung ...
Negative nitrogen balance 🔍 / 📺 / 🌳
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 +44 
submitted by seagull(1923),
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doBo"l lfwo to svoraiu nsoarg asecnsire guidrn yarpnceng ot eetm the eaecnsdir cteoilbma neesd of sieut.ss us,hT venuos nreutr dna caciard ttuopu snciarese yadltcarialm unidrg rcnpae.ngy rCcaadi tptuuo ayaugrldl iascnsere iudrng eht strif 2 teersmitrs whti teh eatslrg sricenea ogccirrnu by 61 kseew fo .t3oseaignt hTe cnaserei in aridcca utupto si llwe liehsedstba by 5 sewke fo oantgtsie dan scnaierse to %50 vbeao npecpernagry elsvle yb 61 to 02 eksew of igsote.nta Teh esri ni araiccd upuott plltyciay aeltpaus ferta 20 kesew of eatsoitng dan aiemsrn eeletdav tunil .emtr ehT snceisrea in icacrad pouttu rae easdiacsot whit nifiaicgtns icrsenase in teoksr umlevo dan haret reta "()HR

/np22.cm83b//1iwteg0ns.1/w.msphMlorlwCPi.ihvttn/:c/ca


 +35 
submitted by keycompany(351),
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egoitrNn ealbcna si a rmnteeuaesm of irpoetn lommabsiet ni the db.oy A egiavnet oretnngi lnaecba deatnsiic lcumse o,ssl sa dereacsni noumsat of inmoa dcasi rea ingeb dztbeilaeom ot urpecod geery.n sihT inrceases the noautm of rgtionen edrceste ofmr hte odyb. esBuace teh manout of egntrino oyu rea ktngai in si slse htna het natuom of oetringn yuo rae gitsenrec, uoy ehva a agneievt gornitne ebaclan.

iThs mna is ,dlsnhuoeiarm euteomads, tehia,ccc nad ahs eaa.iblyopmnumhi seThe llcnacii sifnidgn otipn to otprnei lattniomrinu Kohi(awarks isaes)eD, hhciw cussea eeadm ude ot easdecrde rsmue iocotcn eesupr.rs wLo noiotcc suesrrep in isht esac is edu to itorpen s,slo dan enhce a atvegien nnietorg c.elnaab

drdoom  iN!ce +23  
dubywow  I wekn oruy tasl tceeesnn nad uesepctds .irrkhswaooK I'st tujs gyireevhnt seel I did otn .okwn I hvea not rdeah or gtohhtu of lp/sitnemcuoer engasch in msret of engo"rnit ebnlca"a ee..r.obf dna 'tstha hwy I tog tish w.ngor iecN tilnxa!epaon +3  
macrohphage95  I greae thwi uoy ni rfist patr ubt i ntdo nthki ti hsa nya raotneil to rska.tki hIwro is mpisyl ude ot eachcxai cwihh uscaes scmuel roctiudsent gotuhrh the ostrapemoe atypwha .. +5  
zevvyt  sl,ao ti ssya ttha sih nlubami is .low +  
ankigravity  A few reoth inptos dtlaere to itegonnr ecalnab. yAn aittnep how is ngwgori i..(,e dnh,eilrc eoplep iogwrnk uot nad bugdinli c)lusem era ni vpitioes nnrgotei ceaalnb nad nginraie mcebeso na selteisna inoma dci.a +1  
drdoom  nvyt@aakigir wW,o tihs si tcieynlchla erc!rcot nid’t(D riezela sise”n“elat 'dseton amen oacn“tn be tzeihdessny by the b”dyo ubt aerhrt ”atoncn be sndtzheysie ni uniicetffs ot;mu”san os wath leuiqfsia as steeisanl is a tbi of a nmigvo rt!taeg n)hskTa! +  
drdoom  rsee'H eth toiinefidn rfom MHS:e nmAi“o icsda ahtt rae ont stynshdziee yb the uanmh odby ni muaostn incetffusi ot ayrrc out coisayhglpilo tnso.cnfui Tyhe era dobateni form ertdaiy fouf.sdtof”s /nsuh6/..?iblr:gitoom0p1=.r/is0ceeumtD/vndh00h +  
imgdoc  I nod't kihnt ihst sah to do tihw kkiohswrao ilek chaa5o9pgemrh .egdetussg ihTs si ecaaxhci osecanrdy to lung accnr,e hlTaFNap- iesnscera adn sescua eapaoorltsm ncttuorseid of storie.pn hisT yug si slao ton annkitgi noughe teporins os taneveig regitonn acnebal si eht ernsaw enelxdapi ebvoa +  



 +2 
submitted by bking(2),
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I edtnsrdnau teh demae si fmro scerdeeda pron-iet hwy si nivtortaaS tsoiKes rw?ong u'lotdC n ihs onsripte be rdadeegd hhuotgr hsit :-Aismnr-opcoiest nPero c--iads lcteyA --oCA tKnseoe

waterloo  nvgaiete rtoneign lbaecna eebtrt aelxinps eht m.edae +  
courtney  I tghmi be ltoytla gonwr tbu I dont' tikhn uyo anc nlyceilhtca eb in stsioek if yuo hvea ogucesl nodura adn in thsi ae,sc eht eiattpn seat oyln scabr +1  
chaosawaits  uYo cat'n eb ni iessokt fi you vahe nuinisl r,auodn not loucgse. ceH,ne DM1T cna eavh DAK ubt T2MD tiypcalyl oeds not. htBo tlsil vaeh e,cugsol ekil rvnoeyee .lngiiv +  



 +0 
submitted by pparalpha(93),
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naC emsonoe lspaee ienlxpa hwy it wduol ont be encgyogl edtlinop?e I thoghut eth otenusiq asw glkiant bouat het gurrbaW o..np.nmoehne so wyh tno ewakobnrd fo ggnceloy to lsgu?oec

I suesg it dowlu tno xenalip hte maeed?

hello  Gylogcen estsor rea epdtedle wthini h24. hsTi ornspe sha insgs and sotmmpys fo lonrtgme tuoanirntli deeifcn.ceis +2  
raffff  it lwoud ton lnaiepx teh ,mdaee sye +  
drzed  lsoA teh awbugrr onhoenepnm sah to od thwi csrecna nelrayrfetelpi gatikn pu elc;sugo ether si on cdotininia tath he ash nc.raec +  
haydenelise  Teh strif ecesnten syas ahtt eh ash nglu eaccnr. +2  



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