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NBME 18 Answers

nbme18/Block 1/Question#18

68 yo man, chronically increased hydrostatic pressure in Bowman space

Benign prostatic hyperplasia

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submitted by breis(4),

I put CHF, still not sure why it is wrong over BPH, but my reasoning is that BPH causes obstructive urine flow --> Hydronephrosis and once the urine has been made it can't be redone and is like filling up a damn with water. Straight Stasis. vs CHF there is protective mechanisms in place for a while until frank CKD.