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Retired NBME 24 Answers

nbme24/Block 3/Question#2 (reveal difficulty score)
A 28-year-old man has a blood pressure cuff ...
Adenosine 🔍 / 📺 / 🌳 / 📖
tags: biochem metabolism acid_base blood_physiology

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 +95  upvote downvote
submitted by drdoom(1206)
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frAte eht fcfu si eid,t het elscl dan tissue iatsld to the ufcf lilw otienncu ucmoingsn TAP (TPD&t-PgA;A), ubt on hrsfe dolob liwl be dleievrde ot ”cr“lea thaw liwl be an itmualcgnuac tmouan of PDA and rohet eaeboitmslt. DAP o=esni(A)den is istlfe a pryox fo nscunmoitpo nda redisv naitsoaidvlo fo teeairrs! votEn(loiu si mrast)! naicIrgesn /sidePAnnADoe ni a aollc“ enoeninmtrv” si a ignasl ot het boyd atht a olt fo cinnsumpoot si rgnorcuci rethe; shut, sitearre dna teoliserar uaaytnlrl atdlie ot eriecsan bodol wlof serat nad sewe“p aw”ya ebmctloai rdupy.sbtoc

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lispectedwumbologist  Yur'oe a godo man. Tknah .uoy +1
drdoom  oS dlga it dl!peeh +1
seagull  vyre ewll p,tu katnh uyo +2
eosinophil_council  t!Gaer +
aisel1787  log.d nakth you! +
pediculushumanus  teuufbila oapeinnxal!t +2
rockodude  tsih naaiptonexl was on par thiw .rD tSatar IOM +3
flvent2120  Jstu to dad no ot sh:it 0A2F02 .gp 27.9 CKLHA u,calC(mi H+, ei,neAsdno eaLctt,a +K) is okwnn ot ioastlevda lscmesu rdiung seeerixc sa wlle as retalegu hmceitytpsa teon of ieeratsr at ters +3
omarjenny  Dr attrSa nda topamha fdaeil ltoa oeppel ont'd oermndecm meh.t +



 +10  upvote downvote
submitted by newrose(10)
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naC oenmose flyacri hyw Ptaccrilnosy asw wognr? I ewnk teh KLHAC hgint but for moes nsoare hda ulorbte inlgru uto picocayntlsr nicse ts'i a tsialdoavro

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cassdawg  My bets ransew ofr siht si tath eht etsb rwasne si ieaendosn esbuaec it si ansgik rfo ihwch is eldvnovi in hte mcenihmas fo traievce eehparymi (ihwch vnlsivoe amliris cmmnsehasi ot gnlureuottaoi)a of lobod w,fol cwihh vsnvoile ACHLK. iWehl vastasorldoi lkei 2GIP rctyc)(aiplno era rsdotaovlsai ti si dasreele at a asbe ellve yb teh nugsl adn lemhtnoeiud, nad stedeearal rhgihe evlles in nsaticnse scuh sa mamlfationni. tacPirlscoyn si ton rlesdeea in cetivaer pmeyehrai. If yuo twan a seerfehrr oabut aivect v evertcai merhy:aepi jyo+liiot/:dla2%s++lrl9tgRra+Asn.oo/34e2iesllfoci//esrm2tdoea5.a/o+shn/eep3/ecticp+rl1/sL4gopFeowdABmltC. yTeh era otbh eidemdat by tbaoemicl .imenrstadieet as ienoedmtn a.boev +4
cbreland  I idpcek srplocctnyia ofr hte mesa senora. nsdieeAn dna eth horet CLAHK esobmattiel kmeas senes huot.gh I ussge tta'hs wyh uroy reairst/nviese eitlda newh ogiwrkn out +2



 +7  upvote downvote
submitted by madojo(212)
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I tond' wnko if hits saw eth htrig yaw i hogttuh otabu it utb i ermeremedb H.eKtC. .LhA. hgtins tath ucesa vlataosdioin ni elkeslat mucsel

C - o,2C H - +,H A- eni,noesda L - alatetc -K K+

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drdoom  iTsh is ;eatrg ethes aer lla xposrie fo mo,saalbict e.,.i "net" TPA osm!ptinoucn &AtPTDA)-(gP; +1
drdoom  stmosuaiP hgmti eb hte noe that 'eosndt eesm to fti btu crllae tath eclls avhe na +KH/+ anrept:rtio clsel anc tca as a i""kns rof ihhg lodbo H+; ehyt "teak pu" +H m(fro ,loobd otin e)llc but ni" h"necxgea yeth hvea ot tpu tuo a +K t(o atmiinan a nlramo rgltae.ced-trnoie) o,S sa oldob daic ttasrs ot epcer up, llsec aacuyltl ap"te"mtt to nirbg it akbc to iruelqbimui yb siunkgc pu H+ (nda ntugitp uot ,K+ hcw,ih as you uerysl carlle ),; is het neptnordami ctaino inithw )e.sllc +3
misterdoctor69  ,domdr@o dwolu you soal tvueren to sya ttha rehet si criensaed +/+aKN sPeATa itavciyt ni an sdrniaeec aioctmebl saett cwihh tghim olas toticerubn to targeer K+ uefflx otni eth bod?ol +
drdoom  mtor,co@rdste6i9 n.o uPtmsisao fwlo is nidevr by tsi hicacmle rnaegidt r(mof niside e,cll wheer sti rneotnicantco is h,hig ot ieods.tu) fI K+ xuflef si s,raedncei eht stbe iplrtcu dwolu eb eht K/++H trentiorap h(whic tksae“ up” a otpr,no tbu sha ot nrrsrde“”ue a tsasuipm,o ni na ttempta to reemvo diac omfr eht boold — iiccad dob,ol fo orucse, inegb an ietlbneiva oueomct of rdeevv mboaeilct esta:t tne APT cmounpsitno ;p&ma hhig CO2 rno)op.dutci +



 +2  upvote downvote
submitted by pmnbp(2)
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colud osnemeo epslea penxila why odinsnaee is orc?cert

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drdoom  rAfet eth ffcu is edti, eht celsl dna etissu dslita to eth fcfu iwll unoitecn gcnsnmiuo TPA >DA(AP,-T)P utb no feshr dlboo wlil be dvledeeir ot l”care“ hawt lliw eb na tgncuacluaim tmonau fo DAP dna oreht olbmitseaet. PDA (ennAseid)=o si tefils a opyrx fo pustonnmcoi adn ievsrd ioidsnltvaoa fo resie!tra to(uEolivn si t!a)mrs snegIrinac PnAn/soedeAiD ni a l“ocla o”ieenmnvntr is a giansl to eht odby thta a otl of oscmntionup is igrcrcuon tereh; tuh,s atiesrer dna oserelarit aytulanrl elaidt ot eacisren obldo fowl esatr dan ewsp“e away” eblomtcia typrsodbu.c +1



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