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Retired NBME 24 Answers

nbme24/Block 3/Question#31 (reveal difficulty score)
A 65-year-old man is brought to the emergency ...
Systemic vascular resistance: increased;
Pulmonary vascular resistance: decreased;
Pulmonary capillary wedge pressure: increased 🔍 / 📺 / 🌳 / 📖
tags:

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 +21  upvote downvote
submitted by ∗hungrybox(1277)
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I leaylr in’ddt dsnurenatd tshi tensqoui nvee arfet irndgea lla teh snasrew ereh os I dlieema r.D unedKlba et(h )!texpre

eHres’ ahwt eh :said

sTih is a asec of tueca eahrt rifleau lfnoiglow an etuac chcmiesi tenev (TS oenalteiv ni rnoreati slde.a) RSV sseacenir eaucseb fo roornumlhuae tvianicot,a hhwci pelhs to innamati .PB PPCW iresseanc besueac caetu FH seaucs dbolo to kcba up tnoi eht aupolyrmn roin.cltuiac sceanredI purlmnaoy lodob luoevm causes lal teh lmnorupay resrupses to sa.nreice RPV ESCAEDSER ueeacbs the armlynupo sratlavuceu hsa a ryev ghih oap,nlcecim nda eerrefhot laeipsysv nstedids ni osneresp to ceianrse eovuml. Tsih ivspesa nnssieisod dereassec eth .PRV

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motherhen  I hhuttog ni iccgeanidor khos,c CPPW can be dinaesrce or cereaesdd idegndpne no if teh bdolo si nkbaigc up ni teh nulsg LH)(F ro boyd F.HR)( Cna omneseo yrifacl ohw ew nkow wichh is niagpneph ?rhee +1
motherhen  WPCP* +
jsanmiguel415  Tyeh ysa ts'i an atier"orn ESTI"M chwhi to em mtena 3,V V4 aak ,DAL whihc eplissup eht tlef rtevcenli so eadcierns WP.PC If PCWP aws adercsede ti uoldw maen ihtgr vtrineecl si ridseudpt hhwic si more CAR adn uwdlo be I,I ,II FVA or na eroifrni sadle +4



 +14  upvote downvote
submitted by ∗yb_26(316)
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My epslim auintdergnsnd si taht stp' aerht irtclaitnctoy is arseeedcd edu ot MI &=;gt rhate 'cnat mupp a otl fo dlobo >=; seicrnaed pkubac lwfo ntio uyapnmolr rvauaesluct => deniscear .CPWP

More lbdoo in nromyualp cvtaluasrue =g&;t thye lliw eilatd ni rreod ot stju keep lla thees boold t;&g= ceeddsaer aoynrmlpu urslacva srcsnetaei

crseaedDe aacircd tpouut &=tg; ehapprlier cssvnnorcatiioot ;t&g= erniacesd cyitesms ursavlca neestriacs

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susyars  eTh oqnuiste ssay “ST onetielva in eth rnetiaro d“easl os, ni oems awy I was niitnhkg fo eth otsm oertinra tapr fo hte tehra hwich si eht itgrh r,necletiv nda ont hte eftl e.no +4
makinallkindzofgainz  rAnrieto SIMET = ST aleneostiv in 3,V 4V hicwh si piupsled soytml yb hte L.DA RV is mlsoyt ppsludei by eth CR,A hwich lwodu show up on na KGE hwit cmicesih cnhsgae ni II, ,III dan aFv +7
qiss  tBw adnceiesr PPWC neiditasc naeidrces lbood in eht etfl ta,mriu nto elacsrisyne dciarsnee oodlb in the alouymrnp ravasuutcle ese eher. +



 +6  upvote downvote
submitted by ∗keycompany(351)
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ewsAedrn ym onw .nsoetqiu ecersIdna rtssse romf a IMSTE iwll etvaicat eth attmhyiepsc vrnsoeu esmyts -- lmPnrouay stavln.oioiad

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pathogen7  stJu to a,dd OICRNCH arhet firlaue is a suace fo upnoraylm enyntpoire.sh oS in het etauc s,tgiten lynrupoma meade aedsl to aecresdde ,PVR lewhi in teh cochnri tntesgi, it nac dela ot nsrieaced PRV, I thkn?i +
hungrybox  sThi tedns'o kaem n.eses cigitAtanv teh temtpayichs vneruso tmyess uodwl ausec htdibcolanoonir ia(v β2) utb ist' urcanel ot me hreehtw ti dowul cocsittrn the olobd sselsve v(ai -α)1 ro tliaed thme (iva .β2) +1



 +2  upvote downvote
submitted by ∗mousie(272)
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fi yoru CO lfsal ... owdntul' atth csaeu cvntcrsinoastioo ni hte lngu taar?ulceusv aoixhyp didunce stiocoon?csartvni

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ug123  yM aetk on -sHi--ihst- ntaisepsrior era imnht-g2-/h-iath2 iwll ucaes c02 h-s-owta-sou cyltuala ugln ahs ighh oymunxlgpyenr-oa-- nsdt.aliivaoo onDt nkwo if sit rg.hit +5
usmleuser007  yM daisnugdnernt si htta teh ylnomupar ncltiauoicr acsnegh evry tllite in esmrt fo an cetua IM. It si cb/ onpyarlmu notircialcu has a tlo emor oomr ot llfi iwth dlobo mhcu ekil the lenspe in rmset of obdlo .uuomctacalni Wthi hghier ouvmel fo obdlo ni malpyruon ,arocicuiltn rmeo dloob ssleesv aer ebla to eb ruredetic liepylsca het pa.xe ihtW orme ieudrectr dolob veeslss = durcede rpesusre t/d tiniurolcac ni pelrlaal +



 +1  upvote downvote
submitted by ∗usmleuser007(464)
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My ndiudntregans is that het lnparuymo tociarlciun chganse vrey ltietl ni restm fo na etcua IM.

It is b/c pnyoulmra taorinluicc has a lto moer rmoo to lfil tihw dlobo chum kile teh eelnsp ni trsme fo olodb aul.mtaccinou

Whti hgierh uovmel fo oodlb in apnylmuor tir,ccanluio rome oobld sesesvl are ealb ot eb itduecrre liecaplsy hte exa.p

tWhi erom eureritcd loobd evsssel = redcued esruesrp d/t tcuacnilroi in lapralle

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sheska  se,y in drobas nad oyendb he eilaxnp .sith llxtraeerova el=esvss rreeasti nda i,nvse rlrenitvalaao lse=velssir.cpeaaisl rcpiisalale iwll cernisae ienrasctse eaucseb illw aevh emro doobl ofrm akpcbu of eht ltfe rautmi and wlil egt demgsdu g=t&; esiecnar PWPC eatirsre nda esvni ihwt more obdlo lwil nope meor adn huts reseeacd rymulnaop scularav ec.rsniaest +



 +1  upvote downvote
submitted by diplococci(1)
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I was cdsofune abeuesc UW 91280 says pouanrlym ayrert scistoly srepuser lliw be rcideasen ot ainmtnia wodarfr mmtnveeo fo .lbood oHw deos thsi otn elad to lrynopmua acasuvrl atnssecire ibegn ?ersnicdae

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boostcap23  seruPres dentos' ncresyalies ueaql seanceidr vlaasruc secar.iestn alnymPoru enrctaseis lotinuager iaymln iasnceesr in easra fo pxa,yhoi dan caeesreds ni ntadexgo-ewlely aear's to dnse dobol to ewll eeitavdtnl ras,ae iohngtn to do whti an cuaet I.M In fact in IM rehet si dnilaatiosov fo iclapa lrcaislipae nda teh V/Q oirat iwll hrcpaaop 1 to cmcdomeaato eht aexrt old.bo nI tihs panttie, uyo nac see ish icsmyest oodbl esspruer si wlo yte his imsesytc vcaualrs rtscaeisne si gihh ud(e ot sactitepyhm ntsoirocntic of ssseelv in eeonpssr to wol )OC. I sutj gtthohu fo ti leki ohw in lmnoar sgtnrie ettsa noinielttva is eswadt at hte axep so ni a omuevl oadeedlvor satte thta eraxt odblo uolcd go up ot the xpa.e +1



 +1  upvote downvote
submitted by ∗keycompany(351)
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Cna soybodem owh atnderdsnu hyw VPR rasdseeec itwh a tSLfddie-e aitfncr eleaps henligten .me I duowl olsa tarepiapec it if you dolcu ertlea it ot gtihr edids arteh elraiuf oot i.(e. hwo uowdl ti heacn.g)

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sajaqua1  I beveile thta nyyko'pcamse swearn sceom het l.eotcss In na M,I nreicdso ti as gnriocieadc .khsco ehT harte is a mpu,p and it si aiilgfn to eomv odolb out of het hraet nad iont cutrsa.aulev hTis si wyh WCPP r.caenesis Besecua fo insinciteuff ,ututop het doby ahs a tamsihtpyec nrspee.os heT aocnmiacsehelt hetn ucsea citaooocinnsvrts in pielharrpe altusuracve ot peek oolbd eeuprrss up nda octnuein ,folw ngidale ot aneiscedr .VSR ,anlhiweMe the pmscethaiyt enpssero cssuae oviaionadtsl in het s;nlug isht udlwo be an pertaariopp utoruloaargtey ,spsonere csbauee het ydob is inrtyg to ekep up het wolf fo egnoyx othurhotug eth tyssme. Thsi seacsrdee /15t.Mb7mieisoan/cl :gh4 PpCwv5lnp5/mtr ...wP/sh/wVccR /ni8t. Is a pretyt oogd ictaler on hsti. fO uocrse the ibngind of atsiccotlmeahen ghneacs eegnidndp on rtsaaitonu dan teh spoesern si ont ftpleeyrc dtouesro.dn +13
usmleuser007  yM iraedugnstndn si atth hte ynuopmlar noiurlaticc nchasge vyer etlitl ni estrm of an uatce IM. tI is c/b oarulmypn crocauniitl has a lot mreo mroo ot ilfl thiw olobd umch liek eht epesnl ni tserm of olbod hmlW uanitoticau.c ehgihr omvlue of bdolo ni ulypanomr aolrcu,cinit orme lodbo selvsse ear bela ot eb rueiedtrc eplalcsiy het pex.a tWih oerm rdeciurte bodol vsselse = dedurce sueprers t/d loicricuatn ni alrle.lap +2



 +0  upvote downvote
submitted by ∗kevintkim4(4)
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rAonriet dael IM gdinlae ot dcociigrean skhco whti eerdcaesd VL loacnc.trttiiy

VSR riess ni gacdcniorei kscho sa epotysoanrcm ospsrene to wol C.O CPPW rsise eaecsbu ni ntrreoia IM hrtee's easrdcdee ttlticrociayn dan dbloo akcbs pu itno A.L

Ttah ealsev noe sawnre itpoon fo high RVS and hhgi PCWP nad uoy 'ntod eenv hvea ot hntki botua VPR );

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 +0  upvote downvote
submitted by ∗jurrutia(47)
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'Wsnat urse boatu RV,P ubt SRV dna WPCP fde og pu. aTht nlyo leesav 1 sar.wne

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 -2  upvote downvote
submitted by louisville(12)
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rweAn:s RVS ;creinsade PRV deeaerdc;s WPCP ieer.snadc

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kcyanide101  SLEPAE :ONTE If thsi utoinqes saw an IM ni teh AC,R the PWPC is ecder.du +



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