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Retired NBME 22 Answers

nbme22/Block 2/Question#27 (reveal difficulty score)
A 50-year-old man who has smoked 2 packs of ...
Increased blood HCO3โˆ’ ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +11  upvote downvote
submitted by โˆ—armymed88(49)
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ehempymsa edlas ot 2CO pipgntra aingeld ot raesnice p2OaC ni eth ldbo,o hhwic vgesi ouy a rarsrpetoiy icdossia rpoPr e eanrl temaooinpscn illw aerseicn bcirda esrab dna esecdear rtni-oeecx ivigng uyo eenrcdais bbcira ni eth dbolo

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meningitis  eensrIdca obldo HCO3 dcluo avhe elisya bene erneietprtd as decrsinae olbod Hp l.lewsa gwloiFnlO oruy ,ponnlteiaax since teh pt dah ioscs,aid the aneidcres CH3O will sjtu aemk ti a manlor ne hr.tA Hpo wya ot tnikh fo the eioqsnut :is if etreh si eradeecds oxteianhla eud to DOPC >-- ecasdrnie OC2 ->- dnresceai OC2 pornesdattr in ldboo by ienenrgt the s'RBC hwti crbaCino ndAyhersa nad HC3O is asledree iton bdolo esm.atr So needsairc O2C >- scirdanee 3OHC iesgen sa hits ptye of 2CO rntsopatr si %07 fo attlo 2OC ttenonc in dool.b +27
drmohandes  I huhottg ouy lcoud nveer lulfy cpmosat,nee so oury pH ilwl erven nirmray oPeamzr.li ombrple = rpasrtoirye oaciidss โ†’ Hp l.ow rapmooCsnyte taimelboc skasaillo ilwl ersciena dlboo O-3,HC ubt tno onguhe to nozrlamei p,H ti iwll tusj be 's'sel olw, utb litls an sidci.aso +7
mtkilimanjaro  I asol hntki sdeercead ldoob P2CO and rsdcnieae boodl pH are eyvr iisalmr lsse( OC2 in the obdol emnas esls ai,dcic Hp dcuol og up) hererefto I lured bhto of tmhe tuo tjsu mrfo thta +1
brise  akA hits is teh rBho tfe!efc +2



 +2  upvote downvote
submitted by โˆ—waterloo(126)
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if ouy osal nk,hit whne nesmeoo sah aneerdisc C2O s(a ni itsh etai)tpn ethy have orriesrytpa CDISAOSI .g.irst.ho eciardens bdool Hp ntonac eb hte rhitg n.rsewa

olA,s amceypnstoor iaemnshcm rof rsteroipray daciosis hnasppe in eehtr s.yaw

  • E:FC ehwre edu ot smas ticano rcesinea of 2CO ldaes ot erecsani ni +H nad OC3H- (btu htis is lmimian - kile )3%
  • FC:I tsom fo teh ngibreuff ahenpps eher whti C2O ggnio tnoi the llce.
  • yn:dKei neht roev mioestm,e trehe lwil be smeo anlre ecansnotiopm ot(n rcorictoen) rwehe the yednki lilw ttars ot tel go of +H dan brseaorb nwe CO3H ot pehl ajtdsu pH roatswd arnmlo.
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 +0  upvote downvote
submitted by usmlehulk(7)
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nca onaeyn aspele exnlapi yhw oiopnt E chhiw si nrdseieca ni aiUryrn pH is not eht erctocr .aswrne eecusab hgrdyeno gtwasni is laos a fomr of ocigcnrtre orrapyteisr saisdo.ic

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wfma888  -rhgit ouy wlli nscreiae etroecnix of protnso hwich wlil LOERW hte p!H +2
an1  โ†‘ iurne rxtnoiece of CO3H nteepssrre( teh aeilknla Hp/ ierhgh pH) dna โ†‘ rnieu Hp ear het emsa hintg. Yse, uyo may nedowr now yhw the โ†‘ boodl C3HO nid'td ceuas na lisokaals btu tas'th eusabec hte RMIRAYP eftfec wsa teh erttnoine fo OC2 adignle ot eacerdsed dbool Hp +
an1  H3CO is ellaiakn dapoemrc ot H is ahtw I teamn ot asy ^ +



 +0  upvote downvote
submitted by medjay7(5)
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Teh iastese yaw I tihkn fo to ees itsh s 1i): You era iaiegntnr a otl of 22C )O eTh nrclappii ywa in hhicw ew ndfi OC2 ni obold si sa HOC33) You haev a lot fo C3OH

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