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Retired NBME 23 Answers

nbme23/Block 3/Question#32 (reveal difficulty score)
A 70-year-old man comes to the physician ...
Inhibition of prostaglandin synthesis ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: renal Prostaglandins hy

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 +7  upvote downvote
submitted by โˆ—sajaqua1(607)
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The lmuaac deans of eth npoerhn pelhs aitnmian taburlu ofwl by gnujidsta dtlonaii fo eth efreaftn irotralee fo het onen.hrp eWhn alts si ,olw sti XOC meynsez tseiyehnzs 2GIP ihcwh lieatd the eenartff rt.ioerael ASDsNI thinbii ,OXC nlobgick steyshins of IGP2 dan os inlcrietdy btignniiih ffeatern etrroliea nloidt.ia Tow seewk oga uor itpeant asw tup on fnr,eioupb a -vetonceeilsn CXO tbonhri.ii shiT edal ot lla etesh e,sfetfc sgtnuhit off boold uspylp ot het noehsprn, ciretgna na lliicaayftr cudndei ordp in dbolo flwo ttha sloko ahs vedtaele NUB nda eniiecarn,t ubt tainniasm the 151: .irtoa

/a:a8f//trah#e6.a3s6leo/m71wpawh2uthhht3ga2l2r-ily.rtwabo

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step1dreamteam  I inhtk het bste ealntaopxin is rome ldtreae ot ilcaaegns prthpoenahy due ot ISNSAD: ;&AGgI-SPDNSt- iroit;asetn-cc-nt&bngtos of rlamluedy dbolo o;lgeiscnsh-ets&vc-r uoiuntelbrlatsttii sphiientr RE(NAL yednki i)rf=laue lB:t:5NUC;1.1r& noroo tcnVscitisa fo afnrtfee ierteoarl (ude ot olw GP) deos ont xinepla hyw :;tUrNl1:&51BC ni eht ontqiuse +



 +0  upvote downvote
submitted by โˆ—brise(86)
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os I asw ctuks no this sbeacue his UNB reieticnan/ aorit led em ot hiktn he ahd an irsnctnii enalr n.fnoudtysci ndA a GI2P inbhoiiitn wdolu elad to a lr-rapnee eoama,zti eherw eth U/NB iricanetne atiro udowl eb more hatn 02. I wokn tath IADsSN bhtiiin GSP.I uBt how rea ouy sdosuppe ot rsosc tou dinutoicn of atlisd lturaub ?saicsodi

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purdude  Yuo can sosrc uot iaDtsl TRA aseebcu the rieun pH si .5 In Dtsail A,RT urine pH eembosc trrgaee tahn .55 ueesacb -ICa cells acnt' seeectr +H +2
thotcandy  pH &g;t .55 is nylo rute for peyT I ATR. Tpye 2 TAR is rxamlpoi so ttha uwdont'l be sdrndceoie snyya.aw pyTe ,4 rhoev,we ieunr Hp would be ;&tl .55 dan anc be dcusae by NSI,ADs os owh do we anmetiiel t?hta +1
thotcandy  pH &g;t .55 is nloy rute ofr ypTe I TRA. eypT 2 ART is roplmaix os that wtdnulo' eb eidensordc .nyayasw Tepy 4, oeve,hrw uneri Hp dlwou be ;t&l .55 and acn be acudse by NsAIS,D so how do ew inametlie ttah? +1
underd0g  n@hdtcatyo aisDlt TAR si rhoaent mnae orf pTey 1 RTA, os thta si eth ptye fo TRA taht yeht era iipyelslafcc rrerfinge to ni ttha wnaser .ioehcc +2
solidshake  gader^e. eTpy 4 RAT is not na oitnop sa na .srwnae pyeT 4 si a uerslt fo owl elearootnsd ro ldtrsooanee cinsserate g-;t& kmylereaaihp -t;g& meiidpra H3N syethnssi in het Plmoiaxr tulbeu t;-g& edipimra H4N afroontmi ;&t-g hgih eutlub +H tg&;- lbuutar iioasdcs +
fatboyslim  I nhtki het NDISAs ithiibned slonidtgnpaar thnysises >-; enarl ahmiisce ;g&t- ubutarl scn.seior sThta' meyba wyh shi Cr/NBU si l&5;1t +1
chaosawaits  a qicuk Google hecasr lstel me htat sliadt ATR lauulys ash a reuni Hp &tg; 5.3 +



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