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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 larley ’tddin raenundsdt shti oqtsneui nvee reatf nieargd all the rwsanse rhee os I eaelmid r.D nubealKd th(e eter)!xp

rse’eH tawh eh isda:

Tshi si a ecsa fo uatec hetar ielafru oilgowfnl na uceta mcicseih tnvee S(T vneletoia ni roanrtei da)s.el SRV resnasiec eeuasbc fo areromhuolun aotnii,cavt chhiw lhpes to ntaimain .BP WPCP craisnees eeaubsc tcaue FH scsuea ooldb ot acbk pu toni hte pnylaorum oiaritlc.cun eIsrdacne mnaruyopl obldo vuemlo escsau lal eth onmrapuly sspeuserr ot en.airsce VRP EERSDACSE ceeubsa eth nyomlruap seuvatrcual has a yrve high oapm,enclci nad eotrfheer yvslaeisp idtsneds in persenos ot rsinceae leu.vom Thsi vapises esidonsins seasercde eht PVR.

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motherhen  I tguhoht in cegracdnoii ,hsock PPCW can be dieenacrs or erddaecse dningedpe no if hte doblo si bgnkcai pu ni eht ngslu )(HFL ro dboy .H()FR aCn oensmeo yacrlfi ohw we nokw wchhi is hgnaipnpe ?ereh +1
motherhen  *CWPP +
jsanmiguel415  heyT asy s'it na itnao"rer "SEITM hhwic ot em anmet 3,V V4 aak A,DL hhwic issplupe eth eftl eetlinrvc os raiensedc CP.PW fI PCWP aws seecdreda ti udlow nmea rihtg etnevricl is eisupdtdr hchwi si mroe ACR adn doluw eb ,II ,II VFA ro an iirforen lasde +4



 +14  upvote downvote
submitted by ∗yb_26(316)
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My mpiesl idrgenutnnads is thta stp' etarh rticalycnttoi is srcdedaee due to IM =g;&t raeth 'tnca ppum a lot fo olbdo =t;g& eicsernad pkucba olwf onit olrpmuayn aveulstcura &=t;g nsedcarie WPP.C

reMo olbdo in mpyalonur suaetarcvlu =;t&g tyeh lliw deailt ni drore ot sujt kpee all sehte odolb &tg;= eeddasecr manrlopyu cuvasrla tcisraense

deDeecsra cidaacr ttupuo ;t=&g leaerpphri csnitionosctravo &=g;t daersenci stmysice asrcvula etsieacsnr

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susyars  Teh qieontsu ayss ST“ oniveelta in teh oritnera e“ldsa so, ni oesm ayw I aws tingnkhi of eht msto aenrtior arpt of eth ahetr hihcw is eht tirhg tcelrenv,i nda nto the flet o.ne +4
makinallkindzofgainz  Anioretr TSEMI = TS loievtesna in ,3V 4V hwich is pdspleiu lytosm yb the LA.D VR si ltosmy ispepudl yb eht ,RCA ihcwh owuld wosh pu on an KGE with imehscic nhegacs in ,II ,III nad avF +7
qiss  tBw earidsnce WPCP inctedsia rcaesidne obdlo in eht fetl atri,mu not sacsnliyere earsndice oobld in eth nypluamro uvasureatlc ese eher. +



 +6  upvote downvote
submitted by ∗keycompany(351)
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eesAnrwd ym now .etquosin easdecIrn sstres fmro a TMEIS illw eiaattcv teh myhiastecpt rvsoeun ssmety -- rloPynmau ion.iaotsdalv

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pathogen7  sJut ot ,dad NCIHRCO harte luferai is a esauc fo ymnlrauop ei.ytrnnpsohe o S ni eth auetc sngeit,t arylpmonu emeda ldsae ot edrdecase R,VP hiewl ni eth nicrhco tenig,st ti nac deal to eaeindsrc VP,R I ?tkhni +
hungrybox  sihT etdso'n akem .eenss icaAvigtnt hte ieysthamptc eonsvru smetys uwldo ecsau nconoabrlioihtd aiv( β2) but 'tsi relcaun to me rhthewe it owdlu ctnrstoci eht boold ssleevs (aiv 1α-) or dlitae temh i(av .β2) +1



 +2  upvote downvote
submitted by ∗mousie(272)
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fi royu CO llsfa ... 'dwulont tath uasec nnoirotiosvcscat in hte nglu s?trcvaleuau iypoxha duecdni ovniot?oacssinrct

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ug123  My kaet no si-it--H-hs sioiretpnsra are g/-2hma2itthihn-- lilw seuac 02c sh--owotua-s latluyac nlgu has ihhg nxo-prneylamgu-oy- ntsliaoavod.i Dton konw if sti rgt.ih +5
usmleuser007  yM nusagddntinre is htta the yrnumaplo ntlacrciiou hseagnc yver lilett ni tmesr of an tueca I.M tI is cb/ pomynuarl niotlurccia ahs a otl rome oomr ot fill hwit oobld mhcu keli eth elepns ni mtesr of boodl ualocm.aticun hWti gihreh muovle of oobdl in aomnurypl ,tlcoracnuii mroe olbdo lessesv era ebla ot be dtcreueri pcslyaiel het xpae. Wthi oemr tuecrerid blood vsesles = rdedceu psuerser t/d rnotuailcci ni laplrael +



 +1  upvote downvote
submitted by ∗usmleuser007(464)
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My nutsangednrid si tath het rymlnaopu ailrcotuicn cgesnah yerv teitll ni smtre of na taceu MI.

It si c/b lmrpoaynu ccoiatilrun sha a tlo oerm orom ot lfli hwit oblod chmu klei the lnesep in esmtr fo lbood uouncclam.iat

hiWt ihgreh evuolm of lbood in ropanylum iartuoncilc, roem bodlo sselsve rae aleb to eb ecrrtduie ycaepisll het epa.x

iWth rome uceeidtrr oldbo esslsve = reudcde eesrspru dt/ nacrtoiclui in rlpealal

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sheska  y,es ni drabso dna ybdoen eh napexli hsi.t laetrexlvaro ev=lesss ersareit dan ie,nvs eovltianarrla rsciv.aapeselie=lsls lreaiialpsc lwil cairnese nscsetraie ceasueb lwli aveh rmeo lobod omfr baukpc fo the felt truaim and lwil teg dgsuemd t=&g; iscnaere PCPW tiersrea nda einsv ihwt mreo loobd lwil noep mreo nda sthu dereaces pyalnrmou uacvlras strene.acis +



 +1  upvote downvote
submitted by diplococci(1)
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I asw scoudfne csbueae UW 08129 says ayopmulrn etyarr ssloycit suprsere ilwl eb einsdreca ot ainanmit dorwarf neomtmve of bodl.o How sedo hits not ldae to lnpoyraum lscuaavr artsnseeic gibne sdrenae?ci

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boostcap23  euePrssr osted'n lycsnsiaree ualqe daecsneir svucrala rsies.netac ulonyamPr enirteascs aentrugoli lmyian resanecis in sraea of oapihyx, and caessrdee in xowleeae-ntlgdy 'erasa ot dnes obdlo to llwe dtteivaenl e,aars tnohing ot do ihwt na ecatu .MI In tfca ni MI ehter is idlosotvaian of icalap asirpelliac nad eht VQ/ atori lilw cappoarh 1 to oceoamacmdt the etarx ldo.bo nI hits niaet,tp yuo nca ese hsi tcysemsi olbod sreespur is olw tye ihs secmytsi suvaralc sereatnsic is high du(e to acmepysttih rcosontctnii fo lseessv ni poserens ot olw )O.C I utjs uttohgh fo it kile owh in nmralo grsntei etsat tevniiltnoa si edtwsa ta eth peax os in a lmvoeu dvdoeaelor ttaes ttha txrae bdloo codul og up to eth pxa.e +1



 +1  upvote downvote
submitted by ∗keycompany(351)
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Can modseyob who trsueanndd hyw VRP daseseerc iwth a Lftid-Sede arcnitf esaepl hetgnnlie .me I uoldw also earpicapet ti if you uodlc laetre ti ot rigth dides ethra flareui too .e.i( how oldwu ti gceh.na)

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sajaqua1  I veleeib ttha ncepysoak'ym sranwe mocse het sclesot. nI na ,IM nrscoide ti sa rnioaigecdc sc.ohk heT hreta is a mup,p dan ti is giaifnl ot mevo lobod tuo of teh hrtea nad iton asuuat.elvrc hiTs is hwy PCWP rnisscea.e ueescaB of enicfinstfiu u,ptotu the bdyo has a atthimpeysc seo.rnsep eTh hmsoaaeneiltcc neht uaecs sitoiccnvanoorst in aperpilhre uasctrvelau ot eepk bdloo rsrsueep pu nda eoutninc ,olfw laigdne to redaceisn RVS. hlanMeie,w hte teshymitcap oeessrpn cssuea snaoldtiiavo ni teh sugl;n isth uolwd eb an porirpaapet eotguyarrutlao ,eeporssn seucabe eht ybdo is gyritn to kepe up hte olfw of xgnoey hhuttuogro hte emstsy. hiTs dessaeerc 8w n/gecmv.M.Vch/ .p /it.:r/n51/P4/Ct.bslPlhwiw7m5Rintc paos5 sI a ytrept doog tcaierl on hist. Of sceoru teh ningdib of etaostccelmianh eahsgcn npndeeidg no rantatsiuo dan hte eeorpssn is tno erlcftyep td.oenorsud +13
usmleuser007  My unteiarsnddgn si that hte mnyauplor niucltroaic ecanhgs vrey elltit in emsrt fo an ceaut .MI It is b/c ymorlpaun uinlcrotica sah a lot remo oomr ot ifll whti lbood ucmh ilek eht nsleep ni tesmr of bolod iiulWatccuat.mhon herigh emoluv fo obold ni orupanlmy utra,cilcion moer boold vessles rae leab ot eb terdriuec pcylsilea the a.xep tiWh mero eriedturc lbood eevssls = ddcreue peurssre d/t iacnrioutcl ni ll.raeapl +2



 +0  upvote downvote
submitted by ∗kevintkim4(4)
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riAnreto dael IM gnldaie ot reniccgadoi kosch iwth saecrdeed LV .otirltcintcya

SRV ssrei ni ecirgindaco oskch sa oyonmtpearsc seenpros ot wol C.O WPCP isser eebsauc ni taroneir IM h'eters asderedec lnciatoittryc dna dolbo acbks up iotn .LA

thTa svaele one naswre onpoti fo ihhg VRS nda ghhi WCPP nad uyo dnto' enev aveh ot itknh ubtoa PRV ;)

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 +0  upvote downvote
submitted by ∗jurrutia(47)
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s'ntaW esur ubato ,PVR ubt RVS dna WPPC fed go pu. hatT lyon evelsa 1 w.esanr

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 -2  upvote downvote
submitted by louisville(12)
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:nswrAe RSV seind;aerc PVR adesde;rec PCPW ne.dareics

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kcyanide101  EAEPLS TOEN: fI this toqneuis asw an MI ni het A,RC eht CPPW si .eedrdcu +



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