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NBME 20 Answers

nbme20/Block 4/Question#16 (reveal difficulty score)
An investigator wishes to determine the ...
Ductal ion reabsorption is more efficient at low flow rates ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: GI

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 +9  upvote downvote
submitted by โˆ—masonkingcobra(408)
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swlt/-ztzah---peoirekiimgh.cpdtnta:iotsaiis-uo-tvltooeoh-poayr--mwm/aolysmtwa-nopsa/ct/h-prodwea/flogaaqa-hpyos

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utap2001  cNe,i a ilrinbtla pireuc!t +



 +9  upvote downvote
submitted by โˆ—sinforslide(63)
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eveivrwO of Salavi rcpon:odtui

  1. crainA lecls tereces niilita sv,alia hihcw si ootcsini to pams.la
  2. aDctlu clesl diyfmo inilait sa,lvai gsnaicu erpnoisotrba of aN+, -lC and iroscteen of K+ adn HO-.C g &t;- hrhgie +K nad -HCO on,iosernactnct owler aN+ -lC asornieoncttcn in va.slia In htsi seroscp, EROM CNal is da,berbsero nginmae atth vialsa edns up bgnei tcoyhopin ot palas.m

utlaDc trainosbrope roescps si reidndhe ni ilogwh-hf st,etsa cwihh easucs oniiotsc isalva

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https://www.researchgate.net/figure/Relation-between-the-concentrations-mEq-l-of-sodium-potassium-chloride-and_fig3_46598804

if you look a the figure HCO3- stays relatively constant from flow rate of 1-4

+2/- j44n(141)


 +3  upvote downvote
submitted by โˆ—usmleuser007(464)
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ySlravai ioneecrts 1 . At lwo lwfo = gihH itcaoencotrnn fo mu;ssiotpa owl catoninesncort of su,omid aibbr,c & .i2rdeh olc at ighh folw = low ornotcanteinc fo moasspt;iu gihh cnntritenosaco of d,sumio bb,raic pa;&m oirdlhec

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sherry  sathT' ltxyaec tahw I aws tighiknn wneh I wsa angkit teh t.tse But I wsa dkrisedtaec by seam HCO3 .levle anC meobyods ealixnp tish rapt ot ?m?e +
smc213  r@seyrhlts%plpv2twe/tsmaco0ti%.abtcf2c/tkaerp0:/rnmceceftinm.v/ibw.ehet.oshw~i/neress/uioryaapieis +2
charcot_bouchard  esaBeuc valrsaiy tcdu emrsove Na ;mpa& lC hewli csteeer K ;am&p ocH3 in eun.ml In owl wlof eart H3OC p&ma; K nic scabuee utdc si ingod sti ngtih rof rmoe mei.t At hhig lfow erta K lgtsiylh cde (sa antc be cdetsre sa cmu)h utb COH3 stasy otamsl smea. hte ersona si hihg flow iedscitna ihherg bmsietmloa p&a;m hheirg cabbir pnitordcou. +
cienfuegos  nragieRgd hte abicrb ia(v SBR Piyholog,ys hwhic esplxian lfwo aetr as mniogc ndow ot "tcontac imte" rehwe solw owlf wlsoal eomr rsnooitpbear fo )CNl:a ehT lnoy ino atth osed ton โ€tifโ€œ hsit ncotcat emit iopnaxltaen is Hโˆ’;OC3 HO3โˆ’C rtsceieno si yeillvetces tmsteludai nehw ilasav trsiconee is etau.istmdl +3



 +2  upvote downvote
submitted by โˆ—chandlerbas(118)
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Pt 1 ae(kts ccriit i)cad

Pt 2 ektsa( adncy)

tP 1 x(2 lavsai = hhgi flow e,rat Nlax2C teal[ernvri - n]gor)ei

Pt 2 x1( viasal = low fwlo tar,e Ca1xLN rinoe[g nto pi]m)

P1t = ciitrc cida i*tsm alucdt lelc to escetre lacelrutlrani ulctad ratgeos of brcbai. ribacb reuazsliten trciic cad.i thus low ibacb.r

2Pt = olw wfol ter,a tsuh orme bbraic reradsbbeo uot fo ctdu. uhst owl arbcbi

wyh od ehty avhe hte ames cbbira, cuabees olw lwfo ater.

ai*v hcA lsaing snrtoanctuid ot raseecni irctaleallunr cudlat amilucc eelaser gt--&; CHO3 osetdr inedsi tudalc llec

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 +1  upvote downvote
submitted by โˆ—stepwarrior(29)
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lla inef dan yndda cpteex acaentobbir 'tisn tnosatnc itwh owlf eatr

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 +0  upvote downvote
submitted by usmledelirium(0)
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I ihknt eeevoryn is nsugfoic no rbBaci hwne ouy cna tujs pamcreo fowl reat and .NCaL

ihHg flow etar = x2 cNal ; saem obrcLa bwi owlf raet = 1x la;cN smae rbibca

shti sshwo htta nhwe wlof si wls,o uyo aer elab to bbsoerar reom.

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