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Retired NBME 20 Answers

nbme20/Block 1/Question#19 (reveal difficulty score)
A 60-year-old man comes to the physician ...
Urine Na+: increased; Serum osmolality: decreased ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +7  upvote downvote
submitted by โˆ—hayayah(1212)
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ishT enpitta has lsaml llec ocan.icmra shiT ypte fo erancc is cseidsoata htwi oiarnaasppetcl dsnmeoyrs suhc a:s hsCuing mndyoeS,r HIADS, or dasbtnioei gatnais 2aC+ hnlnacse )a(artmne-oLEbt ro ueno.rsn cianflmtoiiAp of mcy osngeceno si oasl ocmmno.

DAHIS mdrSon(ye of rppapritnieoa trtuaicdniei rooenmh irenecost) si czeeditcrraha :yb

  • xsiscveEe feer tewra tonneiret
  • lcuemviEo aaentomrpyih itwh etrcdiaiynuon nru +aN encxroite
  • eiUnr tooyasmlil ;g&t reums tlmoyosial

oyBd psonesdr ot raetw eontentri ihtw dlrnoeatoes and PยAN dan BPN. htaT si htwa essauc teh rdaceisne runyrai a+N eroeticsn hhwicยŽ delas ot rizmnnoaotali of ellrcuaetraxl fuidl uevlmo ยŽdna hte vcueleimo hnmieat.oyrap

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hello  yWh louwd yobd esorpnd to rwaet innttoeer iwht DOL?A LDAO wluod nisaeerc tawer ..e.entiontr +7
nala_ula  le,lh@o eth dyo'bs rsoespen is ot dcrseeae oreldnestoA scien rtehe is eidearscn eumovl ietrnnote nad nstqluysubee dcireeans loodb .per sus er Tshi nctceop ncdueosf me a l,ot btu I dende pu ujts vgineiw ti sa asreeatp oeps.nsers sr,Fti the ediasercn moeluv neertiotn dslae ot naicsree PAN nad NBP teisncreo taht deal ot asederdce aN+ roobnreisatp ni teh tbueslu egp(a 942 in FA 90)21 nad e,scodn shti nesdcaier moluve syaicball ldsae to ceidsnaer eeusprsr so etsl slao ecsareed nolstadeeor so ereth si on +aN eioetntrn ince(s werta esmoc wiht .t..i) I ohtthug it swa oinuerietticvtnu ot terscee so hmcu N+a isenc ye'uro alydaer inahvg edsreaced resum oamsoylilt d(eeaedscr +Na nctcoo)antrine aeecbus of eth etawr e,ntroeint tbu 'mI gsuniseg that ihts is jsut tnraeho way uro dso'by elwl nnntoestii nde up kagimn su soewr DX +37
compasses  ese gape 443 9F2A01 rfo ID.ASH +
dickass  ouhart sdatep ettx tigstrah ofmr AF ubt hte asrorw 'tdind cpoy ervo, gentvinir the anriilgo nmeangi +4
medninja  ehT edia fo iniecansrg ruien Na si gttngei dir of ear,tw ttsha hwy ihst semichnma den reainnsigc renui aN ctenoesri vene hwne heter rea eyvr wol mrsue Na .lvesel +
srmtn  tsih is a raiponlasapce SX eltrade ot malsl llec Ca. so sriecaen ni AHD )HASI(D akems eref rtawe nietetorn aire(csne in wgt)eih nda otliunliad hpNiao ni mresu dan Niehpa+r ni rneu.i mdusoi is eht mian cotarf in ymiatslloo os ecnsi si api+oNh eth oms will eb des.rcdaee +
skonys  I tkinh si't sa lisepm as ASIHD &;tg- ncI DHA eeitnscro feehrroet riseacnde efer twaer ertrspobnoai ce(D meSur mlilyoO)ast nad arneIecsd erUin a+N cseaueb 'tehrse sesl wreat ls(se uirtome/eld etr)eot.dncacn erebemmR hatt AHD recteas a opesivit a+N dan Uera adagtnir ni eht nolcetilcg ctdu ot ciaatltefi theri erranbtosiop in eth lldemau uts(h etnhrialebsgsi teh .gaedrtni eHer are hte rirectia morf Nb5.w/kitb.ht.wv/olBsi7/sgnm0w.7n/pn7Kho:/co7eTh hzawtcSr nda rrtateB caiiClnl ioiCrntre S eumr uisomd lses ntha mqmu3/5e1L SrE tayomllsio less naht 275 smigmre/kn UO uomsdi rtgaere hatn 04 /ELqm eu(d ot dDiHae-Aedmt free aewtr rnatoispbo morf ralne geclltnoic esublut) +1



 +2  upvote downvote
submitted by โˆ—dickass(127)
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:+DSIHA civsexeEs feer atwer eonnte ri+t uciEloemv yamiprhetnoa thwi eciotnund uyinrra Na c tro+inxee ernUi msaotylilo g&;t uesmr oitaolylms

oydB prsosden ot raewt nnteroeti tDhD iSCAREEEw oardetnleso dna EERCNADSI NAP adn NPB

eaWtr tnitronee t=;&g eLss orltseonead ;&t=g Less NAEC chnaesnl &;t=g ssLe idsoum ekepartu &;tg= sosL fo mdious in eunri

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 +0  upvote downvote
submitted by โˆ—ag21(1)
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eSurm mlOyliatos is efls pt.orynxaale

cIaesenr reniU Na is sbcaeue ;tg& nsceearI in terWa mlVeuo gt;& + actiurertNi .ppdiseet

As hte mnae ass:y A"N ucrrtri"e ,ei eesrcian tearw duessiri ihwt A.N

RASA is ssrpeusdep

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