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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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seCa fo isiletecrasrorsool.

eprastclpHiy coressloarsireotil ivolvesn ncgikinhet fo lvesse lwla by piehasyralp of ohtmos ulcsem 'oisiknnn-(o rp)anapce'ae

  • neCuqeeoscn fo anitglamn nihyopntrees 120g/&;t081( w/ aecut on-neagdr am)edag
  • ssRlute in udrcdee svesel larbice hitw ngrna-eod aeichmis
  • Mya lade ot ornfiibdi rnscsioe of eth esevsl alwl wiht hra;germohe lsyicaaslcl sacseu eautc lenra ilefrua AF(R) twhi a rctcctsahreaii nt't-l'eieabf ceraanpaep
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masonkingcobra  oFmr mloiRrbb' :sc nusobruaFi apisyadls is a coafl lrraugrei ichegntnki of teh llasw of mmeszdiide-u and lerag ulusamrc esierrat ued to a tabnmcoiino of maield nad mtianil psrhyapelia dan s.sifbori tI cna atsmiefn ta ayn gae but ucrcso ostm teuyerqfnl in ongyu nw.ome The cofal alwl hctnieigkn sestlru ni iallumn nsitsose or nca eb etsdcaioas thiw laomrabn eeslvs pmsas ttah euesdrc clrvuasa wl;fo ni eht renla r,tsrieae ti nca lead ot cselurvaoanr ron.pesniyhet nBwteee the lofca mgsteens fo dkenhetci lwla, the teryar nfeto asol bithxies eldami oauenatt;nti arsacluv pocogtsuinuh anc ldeoepv in etseh pnirotso of teh lsvsee and esmioemst pu.treur +1
asapdoc  I thhoutg ihts wsa a lryewdi dredow waesn.r I mdmlaeteiyi ( tylpi)dsu reosdsc fo ilobumarufsrc sasplydai sceni ti watns a goyneru emwon /= +26
uslme123  I wsa ginkthin itmnanalg lrcsonheespsior ... utb I usegs y'duo etg ipelycpstrha etrsarie ifrts _-- +1
hello  ehT nserwa ehocic si rfaciobmulrus YREasPilHpa - I iknht stih si etrfeifnd rfom scbmulrriofau lasDiSpYa (esen ni oungy ne;)mwo +36
yotsubato  oehll si gt.hir olircuursmaFb ayhiralpeps si nniichkegt fo teh lasrmuuc elray of eht orrleieta in sesorpen to hrnoicc hrpystnoeeni a(s het ontquesi tmse pelmi)si +10
smc213  lrsoiFurcbamu ersylipaapH sv lyaa.ss...p.i.D aer sypsdeplou hte MSAE hgnit ithw plutmiel maen.s sm Frbiuloracu pdasys,ila laos wonnk as cufimuarlbors erpsipal,ahy mlieda rlheaiay,spp ro trliaaer pyaisasdl, si a tileevlayr nunmmooc atuoiflmcl taalreri siesaed fo wunonnk eu,csa icerarhtadzec yb tashlrcoicnoteoner iemilbrsntaao ivnvonlgi hte hotmos ulscm,e rousbfi adn csiaelt t,esusi of lamsl- ot ez-edisimudm ertiaalr l.lsw aoaeshpwif/asciucolk.ulmsbctmdw/wtrdealarym/_.rntil/:pi +3
smc213  oysrr* I dah to spot tsih scauebe it asw csaisr!ofmoi*!guFuburlcnn! yldsaaisp si osmt oommnc ni woenm neebwet het gaes fo 40 of nda ,06 tbu eht iitononcd acn laso ccruo in lechdinr adn the ellder.y hTe mijrtayo (ermo anth )0%9 of atnpiest ihtw DMF rea .omwen Hreeovw, emn cna aslo veha ,FDM dan oehst ohw do aveh a grehih kirs fo iaonmtccipslo scuh sa euranmsys (gbn)ulgi ro inodsistesc ear)(ts ni het etrer is.ail.1sr/msn7ed-iiitalfm0ldun-ceyhag/ao/masc-vslclp/duarse/cs:reilbat.1dyfsehh0top +2
momina_amjad  ehsTe sqonuetis are inirdvg em -rzayc raiumfblucsor slepaard/ahsaiyspylip si the amse hgn,it dan ti si NOT ihst tneepirnasto nad it tdons'e feerr ot serliesisorcaltoor eesn ni gltnimana T!NH Is eht NHT a sace,u ro a nencqseuoec? I dera it sa neigb eth aeusc drunneo(tllco THN ofr ynam )yfsrI ae it saw eht nsqcuee,econ eth posnteitaren si ltsli ont ssala!ilcc -_- +2
charcot_bouchard  Poor elncolordt NTH si eht ucsea here +1
charcot_bouchard  Aosl guys fi u keat it sa bsclmFauuoirr idapsylsa teuilsrgn ni RAS neno fo eht esnwar cicheo etshmca +1



 +1  upvote downvote
submitted by โˆ—chandlerbas(118)
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esreev insnpyohetre adsel to alcetpiysrhp stoloeroireslsacri agelidn ot repoolorensliirssrehoact '(8A1F g--p 279)

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 +1  upvote downvote
submitted by โˆ—cry2mucheveryday(20)
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aFrimuurblcos lysaaeriphp illw caesu rep nelar .aiezomat .S BNCU/r is gt20;& ni rep enlra amzotaie but in the eusonqti tsi eulva is vctaeidiin of rncstniii lnaer lreuafi. vyer snfnig!!uoc

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charcot_bouchard  toN reya,ll nneoitopysH sueac rpe nealr eai.mtzao eHre nlgo intnsadg HTN erlntugsi ni end ogarn madage so inictnsir naerl eflaiur +3
cry2mucheveryday  !guh i juts nteidco eeshtr' a ailrfy lnog h/o fo lryopo docernotll HTN chwih maske tish sqoneiut msplrie own. sk!aTnh! +1
j44n  lrrsetoeai aer ni hte kyi.d...ne ya know liek ftfre/faretnefeen OTALEIERR @ hte l.gom fi tihs wsa in hte nlear tyraer 'dhe heva erp elarn tmaazioe +1



 +0  upvote downvote
submitted by โˆ—athenathefirst(7)
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Hwo do yuo wnok het waresn si ton ?E I osche E eusbaec I uothhtg of TAN (: onemSeo ehpl apslee

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lovebug  I am nto e.urs tub I tghhtou E) tlepiuml -pddghaseeew icrolcat ctfrian . cdlou be euicddn by elitplum ibmeomls of ra.etyr ro eopcelmt kslbco of lamls rtayre u.cn.cl(snjgatobieok of olbdo injuc)ton u tb tihs asce swa atyplsciehrp sioelsooalrrteric.s +



 +0  upvote downvote
submitted by โˆ—j44n(141)
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I dthae giehrtevny ubota tehse rseanw ishocce

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 +0  upvote downvote
submitted by โˆ—lickmyass(0)
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hWy ont lMuetilp alner ratyre reamusn?ys I wsa hrtnow ffo yb teh tieicdsnpro fo pcilypatrhes iooelcrseotisrlasr nda os I tnew itwh sthi ecic.oh I hhtugto tcpphyilrase saorrlireilstosceo yma adel to rofiinbid sisecrno fo teh leesvs llaw tihw grorehm.aeh

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hiroshimi  I nkhit eyiarpcsplth eaotriioslsersrc nniaemg hatt the lwal fo the ayterr is cre,ikth adn tath nrrosaw eth lnm,eu imagkn it meor "itffs" dna euerdc pnocalc.eim s'It cxaytel hatw ouy see in netatpi twhi .HTN kiThn uatob pt htwi toicar ts,isesno t'is .rsialmi nI ctntos,ra ni eyrm,snua eth awll fo eht ayrter is luyaactl hn,tneri teh lwal si keaede,wn 'atths yhw 'tis eisera ot rpter,uu tihkn atbou the toaric msu,ynera 'sit oemr ikleyl ot euurrpt isf' not .redatte +2



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