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Retired NBME 22 Answers

nbme22/Block 2/Question#21 (reveal difficulty score)
A newborn has cyanosis, tachypnea, and ...
Respiratory acidosis and metabolic acidosis ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +7  upvote downvote
submitted by โˆ—privwill(27)
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pteS by ep:ts

  1. Hp = olw = iidcaoss
  2. COH3 = owl = saisodic
  3. CO2 = hghi = dsiascoi

o,S htwa e'vI eeandlr is tt,ha in se,necse tieaomlcb idoisacs sayalw ektas yiprtior in ehtes ossa.iernc 'stI vedneti thta het npoesr si otn inngpeacotms, tbu ouy nwta ot ctluclaea wyyana by nsgui inetrW = 5.1 )3COH( + 8 .
fI oyu lelaccuta uoy will see that het ptdexeec si 5.3.0

  1. If OC2 si hgehri anth ceepdtxe = ntmotocnaci preorraiyst sdciasio
  2. If OC2 is leorw thna epeetdxc = ctcmntinoao ptarrsioeyr losasalki

reeH ti si ehirgh hant dxeetecp (5)6 so cnmotciotna rriryoaetps aisiod.cs

I gsues if you tnwead ot tarts htwi eth areipyrrsot sicidoas you 'weodvlu ntake inot nrncieadooist atht otaebbiacnr loedhvs'u gneo pu to opte.mseanc tI nt'did so it's em.pedcouasnnt oNt seur fi 'eehtrs a lfraumo ot ealtlccua het teohr fftsu

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makinallkindzofgainz  notd' gfeort ot dda eth +-/ 2 to teh ned of Wrin'tes fmulro.a uYo aehv a ityn naegr in hhicw OC2 anc lafl nhwiti +2
cbreland  I tasedtr ihtw esprrioryat ascosdii adn otgthuh ahtt yan cpoisetnaomn ulowd ahev na deecirnsa O-CH3. -CO3H si elowr tnah molnra veesl,l os atht ulodw mena me.t dsoiisca sa elwl. No math lnoevdiv liek ouy lleuadd ot +1



 +2  upvote downvote
submitted by โˆ—impostersyndromel1000(42)
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roF the lispem en,iddm if Hp dna CO2 are mnigvo ni opeopits odctiernis its y.soperrtira ree,H Hp is wol dna CO2 si high, os iopetRyrsar A.odsisic eTnh oedkol at Bciar,b eicnotd ti asw elbow ao.lrmn If anrolm uldow hvea nsheoc catpsuodneenm tbu sceni it eaesddcre I euassdm melocbait issoda.ic ,elalOrv diwer Q cb ycthaeanp luwod aenm viirnonehpletaty ihchw is terepsc .alslkoais Btu gissn fo awek srenospe lsscemu ro yoripasrret sssidetr whhci ludow eb elosrnbespi isadsi.co ols,A LOW Hp hwti ampsla irBbac wtbeeen -~833 asenm iMedx cdAsosii F(A 0921 pg )058 os udlco alos juts kicp hte one hitw thob dAicisos.

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thatmd  aktnh yo!!!u +



 +1  upvote downvote
submitted by โˆ—armymed88(49)
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A etillt athm He rph..e is olw -t&-;g oisdcsai 2COp si ghhi t&g-;- yaetporrirs Nrmoal snoptienocma udoshl be yhrlogu a 1 t(ceau) ot rnc)ohi(c4 sneairce in ircabb rep vreey 10 sarecien ni .p.C2O tI s wlore ee,hr so alerylc nto dtpaemceosn dna diinedcat naltddiaoi rdpo ni &gc-btir a-;d dad no matbe scdosiai

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hello  ,Hm ahwt od uoy enam yb amn"rol "?csopamntonei eAr uoy likgnta obaut eht irbbac hosdlu be aecrisn?ed eAr uoy nygias thta a arnlmo apnomoeistnc dolwu be maelbioct liaksaosl? odulW meltobaci assalilko eb an inreacse in abrb?ci +2
kateinwonderland  woH od oyu nwok wcihh one ahs egirbg tnnorcituobi in hsit iioasutnt wereh set'erh dcisrenae C2O and seeddrcea -HOC, hobt gidinntaic ia?i?ssodc +
yb_26  mloran iekdny iptnsnaeocom douwl be an resacine ni barbic prroisbtaone =;tg& neerscida ermus cba.rib shiT pt hsa wol eumsr iarcbb t&=;g rteccornun maetcbloi diiscoas +



 +0  upvote downvote
submitted by nicsar(1)
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2ocP sI hi,gh a;sioscdi oreRpaistry c.dissoia

fI Cemsotpedna -CO3Hw ฮ”e=ll, ycrrtEto(vEyhi pansioentoc)mฮ”/,12P0CO )~(21(24~)5500-6/51=. &;t;>g C431==O,ฮ”--295H no t opdentce,ams nvee ssle 3C-HO; mCionbed beimlacot .cssoidia

,rof Kdneiy taocnmns.oeip sue 34~ sdinaet fo 1~2 in hoyrcitctryce t .aodsonnpenamic iwth ,itsh teh Gap bwnetee lelw otnpdseceam nad teh esca evne erhf.tra

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