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Retired NBME 20 Answers

nbme20/Block 4/Question#28 (reveal difficulty score)
A 78-year-old man dies of chronic congestive ...
Failure of the Na+–K+ pump 🔍 / 📺 / 🌳 / 📖
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 +11  upvote downvote
submitted by nwinkelmann(366)
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sThi peaxslni it ylerla llwe hitw a epctir:u lmAwlsthtelg.thowfltmPsa/uAyi2.odm/wp1hni.ae0ptd/s/a:l//tsaltiho..

Hprdoicy ancheg = eon of teh alyre isgns fo aulecllr eegedtraonni in rnesosep to uyirnj thta etlrssu in iccaulmaontu of treaw ni teh clel. acisa/mpxhoHeyii adsle to eecesda ni rbcoaei itoenrrpsai in het rtihdocnaoim adn cdrdseaee TAP iotdncpour eud ot arleiuf fo eht Na+K/+ AesPTa ladeing to +Na nad twaer fiofniusd niot eth .lecl duanlviiId tbleuu sllce rppaae snlolew and t"eym"p with molsat coeludcd menl,u ulglursemo is aepcelyr.luhrl

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dickass  ts'i alyacblis from oahtmpa cperaht 1: relalulc yjirun csuase wgesllin +7
md_caffeiner  asdsk@ci you why eratn uyo no reeyv q m?tse +2
mangotango  do uoy mnae scu"angi ufilaer fo hte +a+NK/ aAP"esT tnesadi fo eu"d ot arulfei fo /++KaN "..A.saPeT ? hTe low TAP si edu ot ecd crebiao serior,iantp I .eeveilb +2
fatboyslim  atMonao@gng yes ylt.eaxc /aNK AaeTsP ostps knirowg ued ot hte calk of PA.T I nkhti nnwkamnenli exdim it up +1


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 +7  upvote downvote
submitted by xxabi(293)
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 wotlf Shneileg ycdlco.l eigh,p(e .r nd:eoseaa hemits→eini etuc )igsr d oTuAdorsnaeceedPi rtpc as/aNaTc→ e ed+  AsrKad+endeP Cp2umpa+ u →oinvta ffdctifi siyo aN d+na atwre  oteinth  →cell ilnwesu ealrllclg

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endochondral1  acn esemnoo naipxle how ot csrso uto eth troeh ctg&oci;hes +1
endochondral1  ahtw si oirdhycp roigneeatnd nad eewhr do i eanrl uabot it? ywh si ti nto teh osls fo slpaam ebearnmm e?gytiinrt +1
shaeking  landcEod1rno,h I adh hte emsa enqst.uoi I irdte gifiunrg ti tou and shti si awht I aemc pu .htwi hTe CHF dna soeoitcngn fo eht lugns si cgeinrdu het otuman fo xyngoe gngetti to het lraen .slecl hWti xophyai three is ceedersad rbcieoa pesr ni ihtiodanmorc htwi seadcrede P.TA uihoWtt TesAPa aN sbulid up dan eatwr .swllfoo sA arf sa eth lsso of nmrebmea e.ttiyring I thnik ti udwlo saceu lleculra derocnttisu ton juts rdiyhocp cehns.ga hisT is my etbs uesgs. +2
charcot_bouchard  Mbaremne amdaeg si eelsbirrierv segta of uclalrel yjnir.u fi nmeebamr si aedadgm cell is dyign ;&pam ti illw kirhsn. or tltlyoa eedsroydt yb ynn. lehftaaitimmo ear efscalcplyii sgnaik opdhriyc egsahnc ie rlacuell gllsiwn.e wichh si eth ts1 sgin fo leevsbrrei elcl njuyri eud ot uialref of aKN/ ppmu +2
winelover777  on@dh1edocnrla pahetCr 1 fo aohaP.tm solA AF 2190 2p70 berdescis rhdycopi oneneaegirdt thtwiou saying tehos atecx orwds ni eht itfrs btlelu dreun ieservblre lecl nu.yjri +1


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 +0  upvote downvote
submitted by qfever(67)
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Pmtohaa 8021 ioditne aepg tr apec4h 1 - aulrlelC Irnujy - III. blireRvsee ±a rieelvrsiber laleclur rijuyn - .1.B

I hda utiyfcdlfi tiyrng ot eigrfu tuo thaw pohrdyci nechga smaen .guot.h.h

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bharatpillai  i esraw ve'i eond hte ames stoqueni eroefb no lwdr/ou one of hte peovrsui MENBs dna teh eraswn ot ttha wsa lllarctenuria aC oauiamtlcun.c +2
mangotango  liataiprh@bal s'tath laos rte!u Dec TPA &t;;tg&g cde viytcita of C2+a adn a+N/K+ mppus ;g&t> ueaclllr ligslwne reastie(l goimhoplocr ftiamansntieo of lvrieresbe cell iry,)jun ltoiaocndmrhi lieslwgn --- ,AF gp 0N+K/2+a7 seATaP dhibtieni ggt&;t;& nic craluilenratl N+a g;t&&t;g ced tiyaivtc of +aaN+/2C3 chagneex ppum tg&g&;;t nic tluaalcnrelri a+2C --- htis si the aesm yaw iidgxon owrsk ni het rt!hea +1


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 +0  upvote downvote
submitted by andremosq(9)
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tnQsoeiu abuto raulcell yurinj:

cyodpiHr agecnh manes esllgiw.n iPatetn has a xhyiopc cgaehn to.o

bvieelrseR cell :nriuyj secDreea PAT ;t-&g- esreDcae ciytivat of a+2C and +/Na+K upmp l⪚rlc-alu-t wegnllsi esieal(rt omchlgoopir moaa,)tnniifset olhocditrnima elnigwls.

0A0.22F pag 702

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