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Retired NBME 16 Answers

nbme16/Block 2/Question#36 (reveal difficulty score)
A 55-year-old man comes to the physician ...
Volume depletion ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: renal calculation marked

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submitted by โˆ—acerj(13)
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S,o thsi si one fo esoht few nacoulclati morpesbl thta uoy mthgi ees no pSet .1

The getientv positn ot dy3a- rthisoy fo oditraiih,ngar/vme onlghid ithnong owd,n dan tltile ruein puut.to ol,As rfmo eht PB e,arnigds tish ugy si ctosrthaito ntgopiin odtwars umlveo ntlee.iodp

,orveweH logonik ta het meurS bas,l eh ahs eiaomtaz tiwh a BNU fo Lg.5/d0m nI siht esa,c IAK AN(T ni eht anwsr)se dna muevlo itlpdneoe hsldou eb yuor top wto.

oT enefrafd,tteii oyu duclo ccllaeuta ,NFaE het taocirnf of Na etdcerex.

FaEN = ( [Na in eth nUe]ir * wFlo aRet of the ireUn / aN[ in the aas]mlP ) / rC[( in het Ueni]r * lowF etRa of the eUrni / r[C in eht Pl]aams

liSpmfiigny to anlcec uto hte owlF eRta of hte nireU aleves su iwth:

ENaF = a([N ni teh rU]ine * [Cr in teh ]l)saaPm / [(aN in eht saPla]m * Cr[ ni eth )Urine]

rFo htsi l:rpmeob FNaE = [/q]0Em1L * 2m/g2d[.L] / L/EL[*][)m/(dg91]dmq164 = 070.0 or 7%0.

hTta notsip neietdvliiyf to peanrrel AIK and elvmuo .oeentidlp

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ibpstepprep  moer alcsecliyifp , a ecfcpsii ivartgy fo raetreg ahnt ro aquel ot 00.31 = farnk heaiyntdrod = vlmeuo .dteenpiol I o'ndt nkthi yuo aevh to utaclelac hte aNe,F winonkg ieurn dsuiom si elss anht 02 tsidncaie areernpl eriufla ( FA 91 5.0)9 hTe eyk to iths lormpeb si het efspicic gtarvyi +4
cheesetouch  I d'tndi od yna ,aaontciulcl just ewtn ffo 'sniteapt oity,rhs edirt to hitkn of hwo the aN si yeabrl ghih 1(64 hnew MNEB ornlma si up ot 4)5,1 ahwt eht ekch odulw kema ciru adic ihhg in htta y,torshi slpu no CRsB in .eunir +1
sexymexican888  AF 0022 P :160 oYu on'dt heav ot ulecatcal FNaE, you cna usjt olok at the modsui 10 E./mLq In e-nrprael tzoemaai rnuie Na si 2;l&0t EqLm/ mgnenia hte slbuteu aer atpent adn aN is ngeib adebroesbr pler,orpy nvee meor ahnt lusua niesc ist sisengn mulove ntoldieep. IN TONRSTAC -neartnlair eraulif will aevh a iuren aN gt;40& qEmL/ cb the elnra euutlbs rae aeagmdd N)(TA nad nancto oabrserb Na rlpeopy.r +1
sexymexican888  FEaN is teh maes o cpcten. rnplre-ea tzmeoaai E&gaFtN;- ;1t%&l &;gt- Na is bgnie rabroeesdb t-g&; Keyind si ehythla dna kwoinrg n.. s itniI .cr nlrae iulrfae tg-&; EFNa ;g%&t2 t;g-& aN si TNO bngei erdrsabbeo oelprryp ;t&-g dyenKi is ONT hylaeth +
sexymexican888  asol /NBrCU tia:ro 25/02. ~ 52 in r-rnapeel ozeamtai B/CNUr ;&20tg ikedysn(' iacytcap to sabroerb si t)ncati if it was NAT C/BUrN aroti owudl be ;5l&t1 diney(k si uckdef pu anct robesarb eura lrp)opeyr +4
ddaddy  olCnaitluca is a atwes fo mt.ei xH of mridrevaniiato/gh is all htat si enddee +1
an1  piT: fi a ittpaen csmeo ni with MI dan rniue fcnuiotn si loco but enht ilendesc ertfa 2 ayds, sptsuce rarpeeln- AKI ycthkes( ha.p)t lauetcaCl hte U/NCrB oairt.n &2t0g; si reaP-ernl. l2;t0& si ntrirlaae.n dan stPo neral cna be &t02g; in layre etasgs or 0&2;tl ni ltsa agests +



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