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NBME 20 Answers

nbme20/Block 1/Question#19 (reveal difficulty score)
A 60-year-old man comes to the physician ...
Urine Na+: increased; Serum osmolality: decreased ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +7  upvote downvote
submitted by โˆ—hayayah(1212)
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hsiT tianpet ash alslm llce rc.mocinaa This epyt of reccna is idaocetsas twih osatlapriacnpe seydrosnm hsuc sa: hCugsin S,nydrome AHSDI, or dnasebioit aangtis aC+2 eacshnnl tom)nab-E(Ltrae ro ues.ornn ofnpiitimcAla fo cmy eenogcsno si loas on.mcmo

HSADI Snom(ryed fo eiairprpoapnt ratinuiectid emhrono esritneoc) is adetaehicrcrz :by

  • ecxvisesE efer atrew ntreoeitn
  • viclEemuo mhryapiaenot wtih tnn eurnayrcdioui a+N inxocerte
  • Unier olailmysto g&t; umrse toisloaylm

yoBd sdnepsor to wtear nitetnero thwi telondrsoae nad NAPย nda PBN. thaT si ahwt aesscu eth riadecsen ianruyr +Na esocntier hhciwยŽ aelds to aoiltnramnzio fo raltrclelxaue fidul uvlome dnaยŽ the elmeuivoc myath.iprnoae

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hello  Wyh duwlo ydbo rneopsd ot rewat otirenetn htwi DA?LO AOLD ouwld erscniae arewt tr.eti.nen.o +7
nala_ula  loehl,@ het o'ydsb prsonese si ot aeercdse otrodenlAse niesc herte is cnersidae vluome entontire nda squbteselynu aecsdneri odobl r rse eup s. Tihs ectnpoc ecudsnfo me a lt,o utb I dened up jsut vgiinew it sa sraeepta senoessrp. rtFis, hte encadsrei evuolm ententior ldase ot seiernac NPA dan NBP csnroeite that alde to ederdcesa Na+ rrenoobasipt in eth leusubt pae(g 924 ni FA )0219 and soedcn, stih esnadcier mevulo lalisaycb leasd to scieeradn urprsese so tels lsao dsereeca aredtelnsoo os hetre is on Na+ ieternont cin(es artew escmo ihtw .t)i.. I htuothg ti aws uunncitivorttiee to esertce so mhcu +aN escin o'ryeu aedryal ginavh ddecseera rmseu syalolmito eardces(de N+a orctninncao)et auscbee of the erawt enteoi,rnt but 'mI snueisgg taht tish si tujs rtehona way ruo bod'ys llew itnoinents ned pu amkngi su oeswr DX +37
compasses  ese apeg 434 1A90F2 ofr HID.SA +
dickass  oratuh estapd ttex rstaigth mofr AF tub teh orrwsa td'nid oycp oevr, tnievignr eth inolarig gnmeani +4
medninja  The diae fo ianigsnerc rneiu Na si gteigtn dir of atwer, taths hyw isth mcmesahin dne cignirasne reuni Na rieoecnst veen ewhn heert are eyvr wol muers Na .vselel +
srmtn  hsti si a esnaaaprocipl SX eratled to aslml clel a.C os rcnaeesi ni HAD A)DH(IS kamse efre waetr nitnortee cse(raein in w)ihteg dna anliutidol Noipha in reums nad aprh+Nei in ru.eni idomus is hte naim tofcra ni oylloasitm so iesnc is phN+oai eth oms iwll be er.aesdecd +
skonys  I hntik tsi' as slpiem as AHIDS -;gt& cIn DAH tiecsrneo rtroheeef erdncseai erfe watre nbaropriesto D(ec erSmu litmOay)sol dna sceIadner Uirne a+N csebuae 'srehet slse eatwr se(ls euetmroli/d .dernac)enottc erbemRme that HAD tecears a sivipoet Na+ dna Uare rntdiaga in teh eclnclgtio ucdt to itctlaifae rheit nstioopbearr ni het lueadml shtu( tnesiargsblihe eht redt.agni eHer aer eht tieacrir fmro h.ionp0w/k/ms.whwgc:7osBb5/o7ti7/b/NlK.7nv.ntTe h hzSrtawc adn earBrtt iClnilac niiorrtCe m eurS msiudo less nhat r3E 51muSe/mLq yatimollos elss naht 257 nemkri/Osmg U sdioum gaterer htna 04 m/ELq ude( ot eem-tdHAiaDd efer reatw risaontopb form elarn clncegliot uluetsb) +1



 +2  upvote downvote
submitted by โˆ—dickass(127)
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ID:SH+A vicsseexE efre twear o+tetn enri ivocEulem hnyeopaamirt ihwt idnncueot nuyarir aN crni+et oex Uerni alsmolyoti &tg; ersum olatymoils

Byod nrseposd to tawre oieetrntn CE DiEwtSDEARh esotrladoen nda IEEDRSCAN PNA dna NPB

Wtaer tnoeniret =;tg& sesL etnorloedas &t=g; sLes NCEA cehlsann g&t;= essL moidsu ukeparet =t;&g osLs of dsmuoi in ireun

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 +0  upvote downvote
submitted by โˆ—ag21(1)
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emurS lstiylamoO si slef repntalyoxa.

eseancrI Uneir aN is casebue ;tg& nerIaecs in Wreta lmoueV g;&t + eticurtaNri pdtpseei.

sA the eman sa:sy N"A tri"ruecr e,i aiscneer twaer sudesrii tiwh .AN

AARS si psssuerdep

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