NBME 22 Decreases the luminal permeability to Na+ in the collecting duct (NBME Answers)

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Retired NBME 22 Answers

nbme22/Block 1/Question#4 (reveal difficulty score)
A 48-year-old man begins furosemide therapy ...
Decreases the luminal permeability to Na+ in the collecting duct 🔍 / 📺 / 🌳 / 📖
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submitted by ∗hello(429)

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oSanpoirtcenlo and elrpeeneno are sasirsonatpigmp-u dstceiicru atht hbiiint eht NK/a as.PeAT /KaN seaATP si no eht tallsearoab mabenre.m Nneo fo teh sreanw seohcci tfi iwht h.its

imdorilAe adn nraetiemret rea oasl -ptmrosaansuigips et.isudirc heT chniasemm si to olckb aCEN calnhsen no het namiull be,mnrmae ihts is hoccei ".B"

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submitted by ∗j000(17)

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iansoeootnplcr and eelnenerop rea todranlsoee terrpceo sgttonnaai hyt(e colbk het fecfte of rsdteelonao yb ioclnbgk eht baetallorsa NKa/ TePsaA u)mp,p sthi is tno hte mesa hting sa bncglkio a latbrolseaa +K ea.nlchn yhTe lckob dan scdeerea het satupsmoi tccu.inonod hTree is no lobteraslaa K+ alnchen

if eth A() ewer ot yas ac"rdseee K+ ocnnciduot ni igolcctnle ut"dc ttah tgmih eb orerctc

os ()B is .ocrcter terniemTra nda dimloarie cklob +Na nlhacne on clapai unlma(il sdie) i,des edrcease liptyireambe fo aN+

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submitted by biliarytree220(13)

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ohdluS esu a unpsp-osmaartgsii iriedctu A(F .)519 rteraTnmeei nda rloiidame work yb gkbnlcio CaEN hsnela.nc

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submitted by just_1more(1)

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I ogt atht it needde to eb a otpsamisu nprsaig .itdiruec Is eehrt a nesaro ti tconan eb an oeadteonslr o?gnatisnta I esoch lcobsk baelotrsaal +K enhacnls as shtee crdeaees het atoallarbes /seA+aaKNT+P/ saceube het gorniwd of eth coctrer resanw did ont ekma sseen to em -- sgnismua they erew ioggn rof na aNEC korlbec d(an hatt dreescdae nlalimu ymlrptaibiee tdciinase atht +Na uwodl eb imagnrein in the enlu,m nto gnrmaeini ni hte niiralcpp ellc sa I grloiynila gthhou).t

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luckeroo I kihnt eth ornsea i’st a suirapasnogims-pt iictderu rterah anth an oenrleoastd aitgnatosn ash sels to do hwit hwy het sredoeloatn nstiagtnao oncatn be esud dan moer to od ihtw hte acft that a spiamasnirogput-s irideuct odwlu eb oerm fo a litnrfe-s“”i nujtciaedv tueicdri mrtnae.tet +2

luckeroo As rof het sawner c,eicho msoisupta pragsin descutiir acivhee htier alevolr sltiaonetoaend-r tefecf by tpmieletvocyi nhiiitingb aerodtonels eepsrtcro no eth tarettsnilii sied irasc(eegnd hte -sa/TaPAKNe eetffc fo sngiutnh aN tion het b)ldo,o yrteehb sgreindace teh teiarndg rfo suiodm to neter eth lcel rmof teh mlnliau taespc, lngibock C.NaE +10

yotsubato There is no hcsu ightn sa eta"aaollsrB K nCn"ahel rehet si oyln loasleaarbt udioSm Poiumtsas msuPp hciwh are rdnllooect yb oldet.roensa F A pg 753 +11

nwinkelmann ya@ubsttoo O...L.L yhw td'nid I khitn fo it thta ?at!wh yb( hte ,wya taht LLO si rfo me.) hTe yonl taoaerlasbl K nnlecah is het pnhnore bs(dae on the istrf dia per)ctiu is ni hte hcitk isgenacdn imbl fo the opol of ehln.e +1

hello olaneinpSrtcoo dna oerpelnene era gsiitoapsam-srunp icreutdics ttah iinhibt het K/Na aP,TseA so 'Im nto seru thwa @ekocolru is rerrfnegi .to icrlnoaonopSte dna epeaoennlr are bhot ALDO .anat/Ni sKstngao aAPeTs is uodfn no teh ltabrloeaas maemr.ben Nneo of teh nwraes hcesoic ift hitw iedoA. mshirlti and taintermere era lsao umparoi-atsgnsisp rusecti;di tehri eichmmnsa si ot obckl NaCE alcsenhn no eth lamunli mb,eenamr itsh si ehocci .B"" +2

rxfit Fomr zKtnuga aodBr Rvewie: enpSrontiaoo"lc dan rnlnpeeeoe rea orditse vitaeedsriv nad cat as apgcohrimcaol tgaotsinsan of oterdasneol ni teh cenctlglio lb.uetus By nmcioibgn tiwh dna ogclbink hte llrltarnuacei looadeersnt tpor,ecer tehes gdsru eerduc teh ixroespnse fo egesn hatt eodc for teh elilhetiap oimdsu ino clenahn (NEC)a dna a+/+NK APas.Te rmioielAd dna iteemnetarr cta yb obkglnci teh ENaC uosdim aclnhnes Fri(gue 51).5– s(ehTe grdus od nto olkbc INa ehnacnsl in bitlaxeec asebem.nm)r cnoSiatolpnroe dan nneeoerple hvae losw nsoste and fofsset fo tniaoc 4272(– )h. iAeirdolm nda tetimeeranr evah nsituraod of aionct fo 4221– h". So btoh aKgrpis-n tyuesbps are iyhalncelct .eccrtro +1

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submitted by volleyboy119(1)

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It deosn't atertm ihhwc onpssgasp-truiaim tiecurdi yuo se.u uYo nac tlsil egt ot this swnare. elsnAoroted olmylrna ultuseerapg N/aK TesaAP ni hte iriclppan sellc of teh C,D ddaserece N+a elrrlalc,ntiauyl chihw ldase to ndeaecris ENCa ait.cvity eonoennaoSrtoepn/lcieprel wlil itibnhi isth iotugruaelpn of ENCa, lnagied ot edsdercea pribilytmeae ot +aN ni eth D.C

vOb medliroia dan errtaetnmei liwl kbloc icinrpapl lelc CaE.N stI' lla in eht aesm lssca os teyh liwl lla dela to thsi tffece ):

FA 2190 pg 375

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submitted by ∗usmle11a(102)

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onscneltoaopri tasc as na ldreotnaoes oinstgnaat ciwhh amnes iagenedcsr +aN pliteyirbema

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j000 i ihtnk ee'htyr ferengrri to ettneirream nda emiadoirl, ont anpritnoosocel olsnioerc toanp oetsn'd ytlcaalu rseeedca N+a eitymlerbpia +1

jackie_chan 00@0j tI sdtneo atm,rte irspo dan l/titoemaerearrmeniid ahve a omocmn ctfeef fo gismsen ithw .eodeoCNsrEnatA l upgetesurla CNa,E sopir uolwd inhbiit atth so in ftceef uowdl eeacdres imanllu bryeelpimait to Na in tdcu ude to erfew CaEN nnsecha;l atenrmertie luowd cbokl eht elncanh ye,ildrct meas eecff t..re.pkrugup_tl.isewmpc/p:haadu/_ai/itsoonmiimeaiueh/tbsdstddkppt/erwhutn +1

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