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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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peSt yb t:pes

  1. Hp = low = idsicsao
  2. HCO3 = lwo = cisidsoa
  3. OC2 = ihgh = sidsaico

,So htaw evI' nelared si tat,h ni n,ceeses eotcalimb dsoascii ywalsa sakte poriyitr in hetse esnasrioc. sIt' ienevtd ttah het roesnp is not omptsi,ncange utb ouy nwat to aalctuelc awyany yb gisun ertWin = 1.5 )C3H(O + 8 .
If yuo eucclaatl you will ese hatt eth teecpxde is .3.05

  1. If 2OC si eghirh tnha pcdteeex = nmnotictoca ierrtsrypao sidiasoc
  2. fI OC2 si owerl tnah tcxedeep = nntacciotmo rtaopiesrry laalokiss

eHer ti is righeh nath cdxpetee )56( so iconaottcnm yrrsiepotar cisdoi.as

I usges if uoy awtend ot ttasr hwti eth oirsertapry osdsicia yuo 'wevluod katen otni asdotcinerino htta banetcbraio 'dlsveohu eong pu to aeopm.nsect It dit'nd so sit' amtnepeo.cndsu Nto sreu fi seh'rte a ouamlfr ot teuallacc eht eohrt futsf

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makinallkindzofgainz  don't oftger to dda eth /-+ 2 ot hte nde fo en'isWtr rflm.aou You ahev a ntyi enrag ni hhcwi 2CO nac flla htiinw +2
cbreland  I tsaerdt thwi iapretrsyor dscoiias adn hohutgt htat yna oenotimnaspc ouwld eavh an isacednre -.3OHC O3HC- si eowrl tahn arlomn lelve,s os atht ouwld maen emt. idossaic sa ewll. No htma liveonvd iekl uyo dledula to +1



 +2  upvote downvote
submitted by โˆ—impostersyndromel1000(42)
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For teh lmseip dnim,ed if pH nda 2OC ear gvmoin in topisepo iticeodnsr tsi rsoetyraip.r ree,H Hp si olw nad 2CO si hhig, os ypiRaroerts A.siosdci ehTn oekldo at arci,Bb dnoteci it saw wbeol .norlma fI rnoalm oulwd ehav csohen uanptensmoecd but eicsn ti saederdce I dssmaue oemclbtia as.disoci ,elravOl wired Q bc nphecyaat oduwl amne iilrytanehonpvet hwchi is esctepr olskalis.a tuB nsigs fo akwe onpeessr lsmscue or rstaoyeripr estisrsd wchhi dwuol be ienbsoeslrp ossa.diic olA,s WOL Hp htiw apmasl ibrBca eenwebt ~33-8 amsne dMeix scsiAodi A(F 0219 gp 8)05 so oducl slao jstu kpci eht one hitw thob dAiis.sco

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thatmd  thnak u!!o!y +



 +1  upvote downvote
submitted by โˆ—armymed88(49)
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A lietlt tahm Hr ..epeh is wol g-&;t- icodisas OC 2p is high gt&-;- yrrerstaoip lmaN ro nnptosmcoiea ldohus eb ulgyhro a 1 u)atec( to ci4(rh)ocn ierncaes ni bbriac erp reeyv 01 irceesan in CO.2.p st I welro rhe,e so reyacll nto tmnscpaoeed dna daidntcei tdanlaiido dorp in tacdi;b-r&-g dad no bamte sodiscai

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hello  ,mH hawt od yuo amne by aonrl"m nnecp?itams"oo rAe uoy ngtikal butao hte crbbai hduosl be rincd?eesa rAe yuo gsiyan thta a rmaonl taemionospcn udlwo be imbcoalte illsoaska? Wudol liacbomte aosilkasl eb na scaenier ni b?arcib +2
kateinwonderland  How od you nwok hiwch one ahs rigebg ntrocniitubo in htis uioatsitn ewrhe ehert's nedaciers 2OC dna adeeesrdc -COH, hbot iniitncgad asodi?cs?i +
yb_26  ralmno yidenk timconnaospe loduw be na erisecna in babrci eaorrnpobtis g;=t& ernaecdis smreu bib.arc Thsi tp sha olw uemrs bacrbi &t=g; cctrrnnoue teomaicbl siscioad +



 +0  upvote downvote
submitted by nicsar(1)
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2cPo Is ,hihg sca;isodi Rprsoteayri soi.idacs

If tasedoCmenp ฮ”w=3-HlOlCe , (EtEcoihvryrty nneicoasomt)pO,ฮ”1/PC20 )~2(1()0~565-21./50=4 tg&;;gt& 4=53ฮ”H=21-,9-CO o nt ndeascpeomt, vnee lses ;C-OH3 bdCoeimn tlaibecmo sacoiids.

o,rf iKydne tmopscen.aoni use 4~3 dsieant of 1~2 in oyethtyircccr tsdn niaompae.noc wthi sti,h hte Gpa teneebw llwe eetspodancm dna the esca nvee trf.raeh

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