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Retired NBME 24 Answers

nbme24/Block 4/Question#11 (reveal difficulty score)
A 53-year-old woman comes to the physician ...
Fixed cardiac output in spite of increased demand ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: cardio hy

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 +11  upvote downvote
submitted by โˆ—neonem(630)
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this attpien has pmtmyiacost ocaitr .isestnos isTh cna eb idfiitndee by eth lceiuatrnrv hhytryprope ot( apmnoetecs for ecaensdir oufatnlnic fodlreaat mfro tcnnonaolmip- taoric ),lvave yloicdtissm mmuurr adn eth aonctiol at the romlna tarcio aare.

Per TpDUaote on liilcnCa naomttiefsinas of otciAr nesotS:si

D"zzseisni adn eocnyps โ€” Speynoc urscco as a tnepngeris optmsmy ni alaemirpypotx 10 entrcep of epitnsat ihtw mcaospmttyi erseev SA r(o royptxmieaalp 3 npctere of all eptnitas thiw ereves A)S [3]. eTehr rea evelars dopopesr sapeinnlatxo fro aietroxnel sediszzin yeep)posrcn( ro spncyoe in ieasptnt hwti ,AS obth of whchi relfcet areeedscd eecbrlar uiopesrnf. nui-icxdeecrEeds aaotnsloidvi in het prneesce fo an ritntsubcoo hiwt xfdie caradic tutupo nca seultr in stoeinoyhnp."

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guillo12  tWah edso ix"def irccaad up"tout giys?inf +1
usmleuser007  "ifxed acdraic t"tupou mghit emna ttha htiw the esnotsis .(ei odrnerwa rcoait e)lvav reteh is a timleid ro hertra creeudd ridcaca t.tupuo Eceirxse luodw nto nsareeci raaccid tpuout sbceuea eht isnesost is dceuas by a ceacihmanl p)hcisaly( herrat nhta a ahoicimblec ssrepo.c ehore,efTr tA yan vgein oemnmt het earth acn nto encriaes sit oputtu on tematr how reulfofycl it cntca.rost +11
fallot4logy  yhw ton oiopnt leiaA?rrta srosiomenpc ? +3
sunshinesweetheart  @fo4gyllatol VLH does ont dlae ot oconayrr yrater os.enimspocr oyln rleyyyyal aelyrr illw lrmoanupy rearty toainlid ceuas roncryoa ryetar oce.nospmrsi lpsu htat udlwo asuce gnaina ubt boapyblr ndlwtou seeecard baeerlcr looobdflw ot osyenpc. her mrurmu + LHV ption su twrado tracoi oietsssn ihchw eosd suace seoht ;g&--t eifxd CO +2
drpatinoire  ll@4yagtolfo VLH acn caseu nrryaoco eyratr iepsoocr,nsm utb ilatlcyyp elidgan to naoryorc seimahci trfae eerixesc (i.e. beastl nagnia in isht ta)tpeni. heT tsenioqu si iskagn ahtw dasel ot erh .scnyeop Soypecn caltulay sanem hre binar si kignacl olbdo lpuspy brlay.tup +5
rainlad  ohw od ew reul out lmtari levav oappsler ni htis caes? +
spow  @iarladn rruusmm at eth tirgh rpuep rlnsate rrdeob rae oircta in tenura. rtilMa sumurmr rea edhra ta lfet 5ht srcnolteita ta eht alraxliymid lnei. +1
jj375  sloA, ynbodo oeendmtin eht mpn"itnoer etlf rravcenluit i"emup.sl I diakn egt nhowrt fof yb e.etsh noAyne evah s?otuhgth Glogoe was entgill me ti si omfr a ypieoehrthpdr vneielrtc so 'Im tihgnnki rhe octrai seosntsi scsaue het VL hpeyhorrypt dna na sl.ueipm sI sthi eht tcceror enil fo gn?htikni +



 +8  upvote downvote
submitted by โˆ—usmile1(154)
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rmof Bpdo&s;o-Bedraaynm oAirt c seoisnst aslde to eo,pySnc naiAng, nad tLfe treah nleuyoicfaSper . si deu to farilue to erceinas arciadc uotput eud to deasrnice raeaodlf.t anAign si ued to iadsenecr PEVDL chwhi laesd to derdescae onyoarrc blood olw.f Adn ltfe heart lraeiuf is ude to cneraesid EPV.DL

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cbreland  eGa,tr easm tgouhht scrop,se rrummu amed em nithk fo caiort toesss,in rpepstdou by eth LV peorphtryyh in ems.t Tenh yuo ehva ecnypso rngiud cxeesire bacesue teh thaer si ton bael ot peke up twhi het deamdns fo eht byod +



 +1  upvote downvote
submitted by โˆ—aneurysmclip(209)
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recddsebi a scsiaalcl mmurur fo SA te(la ,iangkep dim yti,osslc stiareda ot tdacosri b,/l) no enslosi no gaion h,pgar CGE - VHL d/t SA msot yk.llie ist dvleerie no es,rt lrue ruo b) coryrona as,psm na HVL tolwn'ud crossmpe rrycnoao yetrra i(htkn a bit fo oatmn.ay) rMaitl avlve rlopespa uodlw a dmi ilostysc cil.ck i m rseu no eon ecipkd orssrsovaep ndecudi ipyhoosne;tn orossasevpsr eeancisr doobl ree,suprs stih tp bp is 012/08 nad a netasrint arnesiec onltdu'w ldea ot cpn.soey

eht xainlpoante fo teh hrigt erawns si ivgen in eorth nsmct,eom sjtu osme gtosuhth of mine for nwrgo nrseaws

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