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Retired 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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shiT tanitep has llmsa lecl oacaicmnr. This tpye of cenrca is caodisaest twhi spoiarclnaeatp nmdseoysr hucs s:a usgnhCi ymoSnerd, SDHIA, or bniesaiotd gsaniat aC2+ chesalnn tEmtbonaa)(-Lre or nsoenru. ntfiicapAimol of ymc oeogncsen si osal noom.cm

HDSIA dnormy(Se of poierrpaainpt rteciuiadtni neromoh cseroet)in is zarrdhceatiec yb:

  • iescexvEs fere ertwa eoeirttnn
  • uivemcElo nihpamoyerta ithw rneain yrductniou +aN nertcxeio
  • riUen taismloloy &t;g msrue otsalmloyi

yBod nrspsdeo to wtear ortnentie ihwt eonealrotds adn ยAPN dna NBP. thTa si wtah cussea het ardcesine rurniya a+N cotersnie ihยŽhcw slade ot rnltzoimaiaon fo eacalulrexrtl lifdu eluvmo daยŽn the omvuleeic maorhpayetni.

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hello  Why doulw odby odsprne to eatrw rineotnte hwti LDA?O LDAO lwodu creneias rtwea nntret.oe..i +7
nala_ula  l@hle,o het bsody' rsenpseo is ot earcseed doosneAretl scien heter si deanirsce ovueml nerntotei nad qbneytlususe eieacnsrd doobl p us. rer es sihT pcecont ouscdfne em a lto, utb I nddee pu sujt eivgiwn ti as tpaersea rsep.nosse ,tFrsi eth adeercisn luoevm etotnerni eldsa to enercasi NAP adn PBN tiernseco htat deal to cseraddee aN+ snrrbotaopie in het stuubel apge( 294 ni FA 102)9 dna eoncd,s shit eiecrndas oulvem lciaylabs dasel to ecidsearn epuserrs so etls sola ceeearsd aeeolosndtr os eterh si on a+N oteennrti nse(ci tarew smoce itwh ..i).t I tgtohhu it was oinneivctttieuru ot ercseet os mcuh N+a ncsie 'oreyu laaedyr hvigna cedereasd uemrs oslimoyalt dsc(eeerad N+a ronnettoa)ccin uebcsea of the warte to,innerte utb 'Im sgesngui tath htsi is ujst ahnteor ywa our ydo'bs llew iottinenns dne pu gmkian su erswo XD +37
compasses  ees page 434 1FA209 fro DIH.SA +
dickass  urhaot pdatse ettx ithasgtr rofm FA tbu eth owrsar tdi'nd yopc er,vo riietgnvn the gniraoli iagmenn +4
medninja  Teh daie fo gscaieninr reiun Na si tgtnieg idr fo tra,we hastt wyh stih immecahsn edn neasgcirin ineru Na coesnteir veen nweh ehert rae ryev wlo urems aN lv.esle +
srmtn  stih is a rsilaacnpeapo SX ledetra ot asllm ellc .Ca so eaisrnec in DAH IDH()SA mksae efer arwte teneiront ec(arsein ni gethwi) and udilaonilt hNpoai ni uersm nad e+ahpriN in urnie. umsdio si teh anmi fcotra in moiyoalstl os iscen is op+hNia het mso lwli be se.draeced +
skonys  I hknit its' sa selmip sa IASDH >-; Inc HDA cseeitorn ertfereoh seairdcen efer twrae ioonrsarbept De(c mSure )ilmlyOtsao dna easecdInr reUni Na+ ueescba 'sterhe lses atwre e(ssl uolm/dieret nntdt.ae)ccroe rmebRmee ttah HAD scereta a optiiesv +aN adn aerU raidgtna in eth lieongcclt ctud to actlifieta etrih sbarinetpoor ni teh umldlea s(hut ghsielnbiraest eht r.agtneid Heer era hte icriatre ormf pmvhwsh7knno/c/Koi/ts.N7lBwn/:b.wbto77./05i.g ehT Shzwtarc nad Bttraer allnciiC nrroCieit rSme u udiosm lsse tnah 53/1EuerqLS mm latlmyoois esls naht 257 ks UmrgiO/mne dsuoim rgteare tnah 04 /LqmE e(ud ot edmAtieD-Had free trawe bntpiooras mrof eranl gecictloln t)elbsuu +1


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 +2  upvote downvote
submitted by โˆ—dickass(127)
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+IH:SDA xiEseecvs fere atrew n retei+otn vcioEulem miotparenhay tiwh ucnnoitde nariyru Na or+netxi ce eUrni otsiollmay ;> umsre tmyolloias

Boyd osnsredp ot rtwae reteinnto RDwCShEiAtDEE atenedsoolr nad CSIAEENRD NAP and NBP

etWar reteinont >= sLes ratendsoleo g;t=& sesL CAEN anclhesn &=gt; sseL uoimds retuekap &t=g; soLs of sdumio ni unrie

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 +0  upvote downvote
submitted by โˆ—ag21(1)
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emuSr ymoOtlisal is sfle al.xeyoparnt

rncsaeIe nUier Na si bscaeeu g;t& cesInear ni aeWrt Vulmeo > + cietNiartru .edpteips

sA eht mane :ssya A"N eiucrtrr" ,ei sraencie trwea sderisiu whti .AN

ARAS si rsuesdpspe

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