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Retired NBME 21 Answers

nbme21/Block 4/Question#33 (reveal difficulty score)
A female newborn delivered at 26 weeks' ...
Retina ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +8  upvote downvote
submitted by โˆ—hyoscyamine(59)
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AF gp 271. Too mhuc oontneiaxgy nca uaecs feer iaalrcd mgaead aldgnei ot etyioptharn fo ttrrmiuyepa

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mmm21  kOya i gmtih eb rerteadd, tbu hwy i atโ€™cn nrdensaudt that they r angsik tbaou eht tgnih taht si mdagead ? ๐Ÿ˜‚๐Ÿ˜‚ +8
sahusema  ysurSe!loi Teh qsniteuo sasy "eht oagl of nattrteem is eht nportetcio of ihwhc of teh niolgflow r"rscetu?ust If oto uhmc O2 saagmed the ar,teni ohw si itsh tteneatmr uossdpep ot be cerotvitep to eth nire?ta +2
ratadecalle  I kinht too uchm noyxge ulwdo eb tihw hte rtneilovat givhan a hgih i2OF nie,stgt hhwci hety odn't nmoenit erhe but I'm uegsnsgi tthas the itngh e'etrhy lrigonctoln ot avodi negyxo xtioyic?t +2
burak  yhte 'nditd igve hte ptaietn 2fio ,01%0 onueitsq kssa the orasen for .ti tub ni a very dtiups awy +31
naught  Semetpnaulpl 2O amy alos ucsea oorurpnnbcmohlya psaylsadi ro nlareautiivtcnrr agerrhehom enimgl(ra arxtmi, edoatlc ni ualuitcsbvrrne nzoe NTO diocorh xe)psul +1
fkstpashls  9%59-2 isnt' ,ghih ubt t'si ogehun ot egt eneighytrv lese aedxteon.gy eecaBus 'tis ton 001% hihg oflw the snaiter t'nod leirvuecvroaz-sa dna elda to hhmraggm/draeeea,o dna htsi iekl .that +1
soccerfan23  In heort .sdtrh.eo..w uosqteni si aallicsby nkisga ywh ethy evga het atpteni a 2ofi of 5-299% tsadeni fo .%001 hTe oersna is eebscua %010 yongex lodwu eald to ohtrepytian of tauerimtpr.y ehT weorl 2599%- neyoxg sleevl creptot the enarit ormf .adeagm ehT dgrnwio fo hte iqeusotn ukscs oht i.mo +3
randi  AF 9210 20p1 undre eFer cirdaal ynriuj alpmseex +
umpalumpa  ofmr NEATUR sa%eaye%al2v%.i/r/xt:Iaied/i2ni0D%.nn%io00s2=7aewr0oO7&a2,%02:2scua2xtS25P%p%xt0S~rre%%wtegue2:c%mgso1tgti0h0tt2R0aaven2tes0o/wx%ysattsunh#;ea22hmat2e%rrthmOusnae%eh22t=sn0w%hne0%ctt.otdhio,.0gh:2lpn1a4D0 eevarlS tnceer dtssiue aveh wshon a hnlpiaiersto tnwbeee a xih-egghyno stoaituanr adn .RPO It eessm thta a a2gtO&9;%3S irsaeecns eth kirs orf eevsre ORP nad ende rfo pyretha +

Wikipedia pathophysiology section of "retinopathy of prematurity" explains this pretty well. Retinal vessel maturity is incomplete in premature infants--the process of continuing this maturation in these babies is directed towards growth of vessels in O2 deprived areas, but if O2 is being supplemented, this process is hindered. Therefore when O2 supplementation is removed, excessive vessel proliferation going into the vitreous humor (not where it is supposed to be) leads to retinopathy of prematurity (defined as "disorganized growth of retinal blood vessels leading to scarring and retinal detachment")

+7/- beanie368(27)

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 +2  upvote downvote
submitted by โˆ—mcl(671)
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occr"nih ihhg xygnoe inrutsastoa can edavslrye ceftfa guln adn eey tsomecuo fo prtrmee snif"tna .likn

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submitted by โˆ—divya(75)
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reeag thwi 'kberhr t.eyua nrytig to say hatt yrarimp gaol of temreatnt iwth emaepsltplnu 2o is ot eakm ures rehet si on ntearil amgae.d

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submitted by โˆ—ergogenic22(401)
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yhw is ioorcpettn fo the dicroho pe,uxsl rfmo iraitcrlvturnane rutupre ndoaycesr ot neligrma artxim hrerogahme not a seobpisl wnras?e

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whoissaad  yes mesa osnitu,eq hotb ayohritetnp nda rnluatnrivtcriae oeagmhrem nca ocrcu ude ot hihg yonxeg ..elvesl +
cienfuegos  I ealytmksni oecsh icdohro lpxues o,ot asedb no kiwi smese sith is otsm omncmo ucesa fo HIV in mret an:fnsit HVI in teh remetpr barni sualylu iasesr omrf het ermailng amxrti herweas VIH ni hte temr antsfin oesarignit rfom teh odrihco xeslpu. Hwevero, it si tparlylarciu omconm ni ampteerur tinsfan or tesoh fo rvye olw trbhi .wgh.t.ie toMs elirunnvcrtartai ogeresmhhra rcuoc ni het irstf 72 uorsh ftaer tribh. Teh sirk si sieedcrna wthi use fo rloptraceoxrea nemerbam ityongaexno ni tmererp nsi. tanfr/iwtt.mapeevh_tastinnlrrp:iwide#bi.ohe/ruIkaerni/oagi/seckhaBrg +
burak  doohrci uspelx is ndefteifr anht nilrameg rtamxi +
meryen13  lntraie eroaeghhmr is ermo comnom atth HVI enve fi uoy htnki tath ti uclod eagmda ihocrod lpeasc dcyreonas ot gienmlar ratxim hrg.a hmeoer3pv/nm/.s/4h1nbo6bw:wt.8m/10uhgwi.l.i1cpdtne +


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 -4  upvote downvote
submitted by โˆ—lilmonkey(63)
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yonenA dnarige hsit eosniutq

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