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Retired NBME 20 Answers

nbme20/Block 1/Question#49 (reveal difficulty score)
A 56-year-old man comes to the physician ...
Fibromuscular hyperplasia of arterioles ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +13  upvote downvote
submitted by โˆ—hayayah(1212)
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Csae of iseioltssaoloerr.rc

caelHppyisrt eloatierssroirolcs vvnoesli hteknicgni fo sveels alwl by asliyrpphea of tooshm lsumec -nsik(nio'no ncpa)preaea'

  • senoquneecC of ganmitnal sipneyotrneh 0/8&g1t12(0; /w eutac gonan-der )egadam
  • Rtssuel in decrued seeslv eliabrc twhi on-egrnad icehiams
  • Mya aeld to ibfidiron siersonc of teh eslevs allw tihw hh;reeagmor ilaallcsscy sasecu tucae lrnea alfreui ()RFA iwth a ecatcrishatric 'efte'iblnat- repaacaenp
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masonkingcobra  orFm aolFnoucbri'bi sR:rsu b m sapsadyil is a colfa rrgaliuer niegicnkht of het aslwl fo di-misedzemu nad rgeal lcrusuam saterier ude ot a ctioanbomin of ladiem dna tmianli yeralipphas nad brfsi.osi It acn mneatsif at nya gae ubt sorucc stom rtleeyfqnu ni nyuog .enwmo eTh aflco wlal iechntkign lrusets ni nlulaim esstsnio or cna be acsotdeasi wthi oanrmlba elsves pamss hatt rcuesed vuracals wol;f ni eth lrnea ,etisearr it cna aled to lvsrucroneaa sryhpot.ieenn eteewBn eht locfa meensstg fo detihnkce w,lal the etarry otnef laos iehixtbs eliamd aen;utoitatn asaurcvl cngouiptuosh cna elvepod in teseh tosprnoi fo het eesvls nda moiestsem rur.pute +1
asapdoc  I httguho htsi saw a iyrlwed werodd narews. I eyimdelmita ( udlp)yits rsocdse fo loabucmfursir dapylissa insec it nastw a neurgyo mweno /= +26
uslme123  I asw kigtnhni mantnalig rcpsroelisoeshn ... btu I esugs 'duoy teg hrapeiptcyls arrsteei itsrf --_ +1
hello  Teh esarnw ocehic is umibruralocsf lPYpEiHaRas - I inkht hsti is eiefrndft rofm fclrrmuasiuob saYiapDSl esn(e ni gyoun m;one)w +36
yotsubato  ohell si .girht sFbalmrruiouc aaepyisrphl is inetcgnkhi of the rlusmuca yrale fo eth rtlraeoie ni snreopse to ccoinrh rheyinptnose sa( hte niesqout mset lpise)im +10
smc213  csrrFmioualub Haasyleiprp vs ..ssa.il.yD..ap rea luppssoedy teh MSAE tingh thwi uetllpim enmsa. lmsbuocr iFura plysadi,as oasl onnwk as ubafsolmcirru ipyshrpaael, meilad aliserphap,y or eartlria pa,isdylsa is a elvreyailt ocnunmmo cllimufota tiaerarl saesedi of owkunnn sauec, ertcreahcdzia by ecatornhnloistorec oltianabmrsei nlvnogvii hte oostmh me,lscu usiobrf and isactel isestu, fo s-mlla ot iude-sdmimez lreartia .lswla i/lfr.lcrs/psywenddsoktm.lrca/aatuhmicmwtbuap_:w/leioi +3
smc213  o*yrrs I hda ot sopt iths seabceu it saw g!!lcrmousnui*u!aFnsbriocf lsydasiap si ostm nomomc ni ewmon newbeet teh asge fo 40 of nda ,60 utb hte dconinoti acn alos cuorc in enichlrd nad eth leyde.rl hTe ritojamy om(re ahnt 9%0) fo esinptta iwht FMD rea mowe.n wreo,vHe mne can also hvea ,MDF nad ohest how od vahe a hriheg ikrs of tniscopcoilma scuh as uyearsnsm lu)n(gigb or ictsosdnsei te(as)r ni teh air.eretsgdt1-csua/hl.mssivoipyelhnlnyee/smd:t.-ao0a1icct/-ifdempasrh/aful/b7riec0ralslds +2
momina_amjad  seehT outqssnei rea ivgdinr em azcry- amfluuobrcrsi iyilpdylrsep/spsaahaa si teh meas ,hnigt nda it is TON isth satoetnrenpi nad it edots'n ferer to icalritosososelrer eens in aalngnmit HN!T sI eht NTH a ua,sce ro a ecqeo?nnucse I aedr it sa egibn teh usaec cluld(tnroeno TNH for ynam es Iarf)y ti wsa the enueos,qcenc hte teosernaitpn is litsl ton l!silcasac -_- +2
charcot_bouchard  rooP nellotrcdo THN is hte sueca eerh +1
charcot_bouchard  osAl suyg fi u aekt it sa uiFlsmcarbruo ayadisspl gniuerstl in RAS neon fo the ewansr ciehoc eshcamt +1



 +1  upvote downvote
submitted by โˆ—chandlerbas(118)
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everes eirsenynptho ldase ot eihryappsltc rtiossoaceserlrilo indeagl ot prorstariehlrleenoocssoi F18(A' -p-g 92)7

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 +1  upvote downvote
submitted by โˆ—cry2mucheveryday(20)
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raciumlFburso larpieyapsh wlil euasc rpe nreal zmt.aiaeo S. rUN/CB si t0;g&2 ni erp rnlae ezimtaao ubt in eth otqinuse ist eualv si teviniaidc of tirsnicin erlna .lfeaiur rvey oi!nug!csnf

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charcot_bouchard  Not ,llayre stoyinoHpne aecsu rpe anrel zemto.aai reeH ngol gnindast NHT eultgnisr in dne roang gamade os nitrcsnii elanr relaiuf +3
cry2mucheveryday  !ugh i sujt ctnedoi e'rtehs a afrliy onlg h/o fo loyopr tlcondolre THN wchih mekas stih qtoneusi sprimel ow.n a!Tsk!nh +1
j44n  eritelsaor rea ni hte .ei..dyk.n ya onkw eikl /ffeteerfnetrfnea RRALIEEOT @ eth omlg. if tshi aws ni hte lrnea ytrera deh' avhe epr alner zmaeaiot +1



 +0  upvote downvote
submitted by โˆ—athenathefirst(7)
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Hwo do yuo ownk het sweran is nto E? I ohces E cebseua I tuhgoth of ANT :( Seneoom phle esealp

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lovebug  I ma ton urse. ubt I guohhtt )E tulipmel dg-hedpeswea riocaltc rfcitna . lcduo eb ucdeind yb lluipemt iesbmoml of eay.rtr ro mptceoel lckobs of mlsla rrteya i.cecgbkaotnuo(.jnls fo lbodo toijncun) ub t iths csae asw atceilyhprps irsrlrelscosiotoea. +



 +0  upvote downvote
submitted by โˆ—j44n(141)
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I taehd hnerveyitg oaubt htese neaswr iocsehc

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 +0  upvote downvote
submitted by โˆ—lickmyass(0)
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Why otn lutelpiM rneal yterra u?mnsasrye I wsa ntrhow fof yb eht dnoicrptsei fo traheiyclpps stsrosallocrieoier nda so I went twih hits cc.ehoi I othguth perhpiaytlsc ssctiorseieolarrlo may lead to bnrioifid ersosinc fo hte elsves wall htiw rmeogar.ehh

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hiroshimi  I tnhki hsptceyalrpi asrssioeielrtroc mnaenig hatt eth llaw fo eht rayret is kihtec,r nad ahtt soarwrn eth eumn,l kmgani ti mreo if"s"tf dna eucred icmpcolean. 'Ist tleycxa htaw oyu ese in pittaen ithw .HNT ikhTn otuab pt thwi iotacr ioss,tsen is't asmrl.ii In oarttcsn, in ersnyu,am het lalw fo the yrraet si atlalyuc nen,hrit eth lwal is enweeda,k th'ast hwy tsi' eiesra ot utpr,uer itknh ouatb het rtiaoc uer,syamn i'ts remo llikey ot ueurtpr ifs' otn d.reatet +2



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