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NBME 18 Answers

nbme18/Block 1/Question#32 (15.8 difficulty score)
52 yo man with chest pain and shortness of breath
Proximal tubule: isotonic; Macula densa: hypotonic; Medullary collecting duct: hypertonic🔍

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submitted by match95(28),
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shiT uwodl ujst eb eth almrno nsrpeeos fo uor niksedy to wenh ew todn' nrkid aertw ohneug (aka sjut lar.)mon

rxoliPam tleuub is osctnioi eecbasu we rea eorgbbrnasi BOHT Na+ and 2H.O

ulaMac edsna si pnhcyioot acueebs it is sneings the tasdli eovnctduol utlube -- teh stmo LUIEDT ptra of eht e.nrnhop Rmeemerb eht ructeerunotnrc naehxgec smeyts - tichk gnedncsia libm si oslngi aNCl r(uein gest elss etrnecacnotd sa ti ec.asns)d

deylMluar ncoltlgeci ctud si ohtpeiynrc beaeucs ew rae biboranegsr lal eth ewart nmgkai the nruei orem ntoer.neccadt