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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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Ceas fo iorotelrciol.srssae

itrpscayHepl ilsrloeoeosrrscati vnoeslvi ngkhneitci of sslvee alwl yb ppahleyirsa of hstomo usclme -si(iko'nnon eapce')rpnaa

  • eCcneusneoq fo angnlitma orpteiynehsn 2t;g18&(0/10 w/ eutca onerg-dna )aemgad
  • lsetsuR ni edrcude sselve baeclir htwi d-arnnego ecmiihas
  • yMa aeld ot fdnribiio niscsoer of eth svseel lawl whit homhag;reer aiycllsalcs ssacue tueca lnrae uiflrae A()FR iwth a tiaaccercshrti 'i-tnebaeltf' pceaepraan
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masonkingcobra  moFr ibuoib rrsaFbunlmo:s R 'c ydaplassi si a fcaol aerrgrliu ninghiectk of eth lwasl fo deuidesizmm- nda galre mcruauls eaisrrte due ot a inbcmotonai of aemdil dan timalni heasirplypa nad osi.fbsri tI cna atfmesin at yan gae tbu ocucsr osmt rntelyufqe in gouyn o.nwme ehT afocl lalw gnihcientk setsrul ni imunlla sesntsio ro cna be ascaeodist htiw aolnbamr svlese ssamp thta rusdcee aslarvuc ofwl; in eth anlre erars,iet ti anc eald ot realovnscuar ensri.htpynoe netweeB hte lcfao seetmgns fo chktniede l,law eht ratrye foten salo sitibhxe lmeida enat;tunoati uvscaalr gsuchiutonop acn eledovp in sthee rispotno fo the esvels dan smeeiomst ur.tuerp +1
asapdoc  I uohthgt tihs asw a ydewrli edrowd rasnwe. I imyliemadet ( ptluiysd) seodrsc of smcfaiurlubor slsdpayia necis it atwns a yugnreo moenw /= +26
uslme123  I saw ikgnnith lmnaiatng sssnicerrpoelho ... ubt I gusse 'oyud egt htcersppylai rteesair ftirs -_- +1
hello  hTe aneswr ceiohc si rbiufcosularm YHRasEapliP - I ntkhi iths si tieeffrnd rfmo bmrcfuiluraso YpDiSasla en(se ni unygo no;m)ew +36
yotsubato  olleh si .grthi uobracrumlsFi ihsrylapape si nnihkceitg of teh muscuarl aryel fo eht latrioree in soesnepr ot cohcrni petsiyorennh s(a the eiquntos estm melisip) +10
smc213  osulmicbraFur aslyiprHaep vs .a..ai.ysD.lps. ear lseyusodpp teh SMEA ighnt wiht melptuli na.esm busrl oicauFrm ,aalispdys olas nwnko sa bsuroucarlimf yahli,raepsp ameidl apeyrsah,lpi ro irrtaela sd,alipsya is a avilyteelr omnocnum altcfiomlu aeratlri deasise fo nunnwok ,ceasu ctzedhecaairr yb natetsnhceoroiorcl naesorlabtimi giolvinnv the otosmh ,slmceu urfoisb nad tilceas u,setsi fo m-alsl ot iedszmm-eiud lretaira wa ls.lsalibuletlkriwta_:c.adc.ptfhnoyoads//wm/miumwrlicspe/r +3
smc213  r*sryo I ahd to stop this suebcea ti swa fcau*ucun!nmsoFrr!biis!gol isaalpyds is otms mnocmo ni wmneo tenbwee the egas of 40 of and 60, tub eth dticioonn nac osal coruc ni hrncdiel dna het ryeelld. The rimjoyat eo(rm htan 09)% of stpietan whit MFD aer w.omne Hoe,rvew nem nac sloa aehv D,FM adn heots woh do aevh a igrhhe kirs fo ltoismniopcca uhsc sa rynmeusas ulbgin()g ro tconsieissd (saret) ni teh it ear.ers//0-cmritic:.-uhde/-caeeli11uilngpbayhcomaivld/sftdlalols0.daespsrsshsneyfrt7/ma +2
momina_amjad  seeTh itosseqnu are virgndi me -czayr fmarubculorsi elyaaapphipsdliaysr/s si het smea tgihn, nad it is TNO siht tponnrtiaees dna it nots'de freer ot rioissltselroecrao nsee in gatilnnam HT!N s I hte HTN a u,esac or a nusceqc?eeon I eadr it sa bnegi the eausc n(tnrodcoellu NTH for ynam rsfa yIe) it swa the neneccuoseq, the naseerptitno si ltsli nto !ccllisaas --_ +2
charcot_bouchard  oPro leclnrotdo THN is eht acseu ehre +1
charcot_bouchard  olsA sugy if u atek ti as blFsumaroicru aldayspsi urlitengs in RAS nnoe fo teh reawns ecochi mcehtas +1



 +1  upvote downvote
submitted by โˆ—chandlerbas(118)
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ersvee irnhtnoeyspe sadle to rclasehppity ssieoelsrtilocrrao adilgne to lrorletiossirhopnecaeors (81AF' -pg- 297)

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 +1  upvote downvote
submitted by โˆ—cry2mucheveryday(20)
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losbmFrracuui ralhyippeas will sceau erp lerna a.ietaomz .S Br/UNC is tg&;02 in pre naerl emoaztia tbu ni het oistqenu sit elauv is tavneidici of cinitisnr eraln iuerf.la eryv go!nuifc!ns

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charcot_bouchard  Nto lelr,ya poiysenHnto aucse rep reanl aiztomea. Heer olng andsgitn NTH ltnesiugr in ned oagnr aeadmg so irnnitisc rlean fluaire +3
cry2mucheveryday  uh!g i tjus inetdoc 'setreh a riylfa nlgo h/o fo olpyro nocdrellot THN wihch smake siht quiesotn mrplsie .wno n!aks!Th +1
j44n  olersatrie era ni eth ..id.eynk. ay wkon lkie feetfrtrffeeann/e IRTERELOA @ eht lg.mo if itsh asw ni the erlan rearyt h'de ehav pre arnel mtaozeai +1



 +0  upvote downvote
submitted by โˆ—athenathefirst(7)
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woH do uoy nokw eth aenwsr si otn E? I osche E usaecbe I htgutoh of NTA (: eeoSmno plhe aepels

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lovebug  I am otn .eurs tbu I uhohttg E) tupllemi dpweg-adehes octclira atfircn . lcduo eb nddcuei yb tupmille moeilmbs of retr.ya or lpeomcte olbksc of lsmal erraty bgj.nao.skcc(lenuoit fo olodb notj)cniu b ut tshi eacs asw teyarhisplcp reiarscrlstl.ioesoo +



 +0  upvote downvote
submitted by โˆ—j44n(141)
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I detah tvneryigeh ouatb heest easnrw cscheoi

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 +0  upvote downvote
submitted by โˆ—lickmyass(0)
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yWh ton iMputlel lnear tyerra rms?uansey I wsa wtnroh ffo yb the psreionidtc of lpatsphicyre rroalitcesloserois dan so I ewtn ithw ihts hoci.ec I ohguhtt saipelrpytch lorcsetloireossira mya deal to fidoirbin essconri fo eht slseve lwla hiwt rghaherome.

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hiroshimi  I tikhn raltppcesyih srslaorrtseeoiic nanimge thta eth lwla fo het ryeart is chre,kit nda ahtt wronsra the ulne,m mankig it rmeo "t"sffi dan cdereu mlnocip.aec sI't aextlyc htwa oyu ese in enttipa tiwh TH.N nhkiT utabo tp hwti toaric sossietn, sti' l.misrai In sctnaort, in yanse,mur hte llaw fo hte artrey si aluayctl ,rntehin eth lwal is nkeee,wda h'astt hwy 'tis eiears ot uerrpu,t tknih uobta het aoictr nuyemsar, 'tis mreo elikyl ot prutuer fsi' not tar.edet +2



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