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Retired NBME 29 Answers

nbme29/Block 2/Question#3 (reveal difficulty score)
A 3-year-old girl & found to have a grade ...
Ventricular septal defect ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: cardio heart_sounds DDX

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submitted by โˆ—namesthegame22(14)
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XDD:

  • Aitroc nttuogaiiregr: na ryael dsaliotic roeeecdsndc murrmu esbt eadrh ta teh itghr docnes cltetrainso ea.scp otMs molyomnc asiscodeta iwth ierdaid,otnsc cateu cmueatirh vefer dan itorca rtoo i.toialdn
  • otciAr esinssto: a ces-eedndeoecrnsodcrc lyitcsos umrurm bets dahre ta teh uprep rgith telrsna rBUReo)Srbd( thta atiesdar ot teh aorcidt er.tesrai tI llalsciacys osccur eosnatrcody te-graaeedl iobrctfi adn flcaicci asecgnh fo eth eavvl tub anc ocurc iaerler in leif ni sceas fo iipdscub ciotra vlaev or nichroc etmruchai thera e.isased
  • ilatAr ptalse tfdece: tsseurl in a t-rteigf-otlh unhts thwi laonmarb wflo of oldbo ofmr the ltef ruatmi to the igthr iura.tm hTis eassuc tliraeve meolvu roleodva fo hte itghr maitur lcdrateeinvn , wichh tsnerpse as a exidf, pislt dna oagredwl- yiohislpgco enjcitoe umrrmu.

  • rntiCcaaoto fo hte orata: ngwiorran of het .raota ieastdsAco hwti a dibsipuc tracoi velva dan nruTre nyrmsd.eo It ycpylialt enstpser twih a yostlcsi rrumum olnga twhi eleinfdairtf esupsl adn bdloo srseserup nteeewb sriti.eeextm

  • atMilr oaretigrgiunt: a ollsstyoohci ummrur setb dhare ta eth felt forthu or fhitf oteisrtalcn cpeas goaln the ccrivulimalda elin dna rasdtaei to hte left alxli.a tI si oyoncmlm :/aw imalrt veval asloperp, droda,stiince etcau uhatercmi re,vef and irrpo aymoracldi tcirainfon.

  • Mlirat tsssoien: lsclsacaliy rhead sa an poneign snpa olwldeof yb a cioastdil le,rubm teuolds over hte adiacrc axep adn aridatse to het liaxal. If everes gun,eoh it anc utselr etfil n raailt netnamergel, ocgriicndea uaynorplm aem,ed dan arhtsmrhyia hsuc sa tralia itoiiflbrnal and t.rtfule

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 +0  upvote downvote
submitted by โˆ—namesthegame22(14)
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:DDX

  • taenPt tudusc ssrraoiute: tesslru in a stonnuucio, eaemklhinic- muurrm etbs heard at hte felt ndecos tneloiatsrc ascep aargdtnii to hte a.lelvicc

  • nmPuoilc isnoesst: a cstoilys urummr ebts adrhe at eth odnsce ltef aietsrlnoct neoig;r it si loas otnfe eesnrdcoecr,ocndee-dsc tohugh ti is ueiteqr nda sitaader ssel ot hte eowrl cenk ntha raicto ntiseoss suebace fo hte wleor upsseerr ni the nurpalomy .aitunriclco lmoucPni instoses si ylctyalip nsee ni toyetgral of al.ltoF

  • dciiTuprs grotigiuntrea: a islohtoscyol mumrur steb haedr at the ltef owlre alnrtes eodbrr; it yma lertsu orfm seevre auyoprnml sniopntreyeh or eitevcfin ciseraidtnod in .VDUI

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