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Retired NBME 20 Answers

nbme20/Block 4/Question#17 (reveal difficulty score)
A previously healthy 55-year-old man has ...
Renal artery stenosis 🔍 / 📺 / 🌳 / 📖
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 +17  upvote downvote
submitted by hayayah(1212)
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soAl, uoy sdl'untoh eb nseieg one-gdnar gdamea or ensercadi nnier / iyekdn esoperns iwht a svoepiuylr helyaht itanpet atht jtus odedveple esasiltne TH.N eTh byod s'otnde wnat to sceianre rnein ewhn it ash .THN w,veeorH fi uyo avhe s,esiston teh nyeikds fkera otu eacubse e'heyrt not tngiegt gnoueh wlof nad nkhti het oehwl doyb nsit' ,ihtere os ethy vtceaait eth RASA .mtssye nheW you iveg thme an -EC,AI the erinn si siltl binge eurdodcp yb teh indy,ek ti tjus nti's being vnedtcoer ot niItgien-Ians.o

To teemiilna oehrt eh:ccsoi

  • eH sah ianeecrsd rnnei tvtaiyic os uyo anc eeiiamtnl rrpmyai .motnsirelsdao Thta hsa i.nc srtoaloeen,d cd.e irn.en
  • oN sgins or sxs of igsh'Cnus so satt'h idim.leante
  • Byoyx1rleahs1-d- cfcniiedye ulodw sxs hiwt eth li.tienaag o'uYd hvea dec. neinr iitvcyta eel(rkoa-lidsonet tffeces ltsli ntereps).
  • seatEinls TNH: xlaeepndi ovbea
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sammyj98  I elki you tisignck up for eht dsnyke,i ngthikin 'heetyr ricsinaeng nneiR ofr eth tebienf of the weohl oyd,b tbu lest ceaf i,t teh diysnke ear a eulcpo slifesh scdik how ntwa hte ihgh oolbd sepuserr lla for chor.VttumelivSeslay aLeesfreldittinr +13
trazobone  ^ I eolv ewivigner EsNMB rof nmtcomse iekl sith 😂 +3



 +15  upvote downvote
submitted by monoloco(155)
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sA a rlue of hbmtu, if uoy iegv emsoone an CAE tbioinrhi adn thye etg a br,olepm yhte dha alern yarret nssesoit suyll(au l,atlbayielr ro so ew reew gtutha ta uro med l)h.osco oParylbb ahs to od hiwt ecedrsaed GRF knshta ot daeerdsce eisntiAnogn –evIlicseIet otancctonosirsiv fo eth eerefnft iareerlot =;g&t ecreeddas smdoui rdeileyv ot uamlca esnda =&g;t dsrenieac eirnn sraeel.e

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lilyo  aonVocisoricntts of hte EETNFEFR reioalrte tlayuacl aesdl ot desceanri RF.G It tlseceive TNDIAOVISLOA fo teh rtfnefee rtoeeialr efetcf of AEC brinshiito icnes yeht duon iesngnoAnti II acstno.i isTh itntpea ydaealr sha rseeduc eanrl lobdo owfl deu ot eitbllaar anrle tyrera s,tenisos the iidoadtn fo na CEA roihitibn terurfh ceadrees GRF opgitnmpr an ineaserc in nirne ued to osls fo taeenivg cfae.debk +4
drpee  We losudh alaysw eexptc GRF to opdr a eiltlt refat dingda na iiCiE-bthornA eud to netreffe aailterr dvloi.taoanis orF tsih srenao ew hsludo losa tpecex eiRnn levles ot irse aiv melurrutooullabg ee.cdfbak So i'st otn eylalr het ceaontri to het CEA ntiribhoi ttah ievgs shti ayaw sa RSA i(whhc si hyw I tgo ti .nrgo)w I ntikh thaw ew aer dteexepc ot be ooingkl at ti rae lab avu:les emakayioH,lp nad acsoeyrnd phsdliyetronmoea.rs .a/iewptfht/.g4p21p3152-/5fr/o1001i/-s1r7wh/gpaa0f.fspa7:00t/w01 +
stepwarrior  CAE niiitrhosb lowdu tlalaucy heav eht posoietp efctfe of T-I,AI nad rtlsue in tfeeefrn tinidoal. tuB teh lauatc scmiaenmh fo nisereacd niern taviciyt erp rWodUl si klac fo mtesysci nivstnaorosctico by IIAT- naelgdi ot olbdo ghstinnu yaaw rmfo eth e.indyk +1



 +1  upvote downvote
submitted by medstudent(18)
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I glteugsrd whit wyh tsih octd’lnu be ntseslaei HNT rof a hei.lw I ihnkt wtah ti ecosm nwod to is th,is dna oeemosn pelh me otu if I’m gwoeelm.rni/pcnot

In blleraiat ,ARS AEC nhbiiroist wlil crseedae het GRF from odilntai of rffteene laoerreit nda yteh n’act scrineae eth GRF rhetfru aecuseb eh’yret ydleaar maexd tuo no etffaern ndiialot to peek pu RFG in eth ifstr c.laep

nI eelanssit H,NT eys AEC bsrhiionit ascerdee GRF rmfo inaldiot of fneefert lieroear,st evroewh rey’eht ealb ot nmaatnii RFG hhrgout teinaugluatroo sceaebu ehyt hvaen’t cdoehtu teihr neetrfaf re.loteria oS isth enmsa taht enrni wo’tn ylaatclu eeirsac.n

;TD:LR raelaBlti SAR si auebln ot use ornltgtaoiueau ot eortcrc hte casdeeer ni RGF rhewe tisleeans is elab .ot

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trazobone  I also upt saeeistnl HN.T utB ouy ldouw aswaly see an eracsnei ni irnne aviyttic neevrewh uoy egvi na CAEi bc tis’ biknlgoc eht emosawtrdn tyhawpa n(o IgIA or rtodseaeoln e),ffscte esgdrrlase fi teh tp adh SRA ro slietanes TNH. Teh esma eosg rfo .RBsA oS ym httguho soscrep ,si eaeubsc irnen and olotnreesad lesevl erwe niyltiila hg,hi hseot era obsiovu sacuse fo hsi H,NT ehofrerte it acn’t eb taessilen aE eNsinH.sTlt NHT si earedtl ot an eiacrnse in CO ro T,RP wehil yaecdosnr HTN is ude to rrlro/naevaaucslne asiesesd a&;pm SRA or rtoamhdep.rislsyeon 81AF p 692 +2



 -2  upvote downvote
submitted by md_caffeiner(83)
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1AF9 Rouva9:laP5 er2scn sediase: nRale imitpmearn due ot hcamseii ofmr enlra rrtaey otsisens ro murosclaraicv lieana.sr  dees iprefosun e(on or otbh dsn)keyi IenNŽnri  C IŽNC  igintansnoe Ž THN.aiM n acesus of aerln eayrrt ssoƒ:isetn hrAotecotelcris opllrx—ieuqsapam /rd31 oaefnr l eryrt,a uulyals ni ldeor aesml, k sƒromes. uurmbolisracF apityida—alldsss 2/3dr anerlof trreya or mtengaesl ,necbrhsa uuloynlgy usa or delaigded-m Ciaalm.cleiel,ysnfl ipsttnea nca aevh ryreaHrocftNT tihw etvgneia iaylmf iyosrth of Ny meaHmr,tsicT ernla sie,z itcernksl/gpafai .titbsu Mosr mmoonc ucsea of 2° NTH in ehtuO.dsla tr aegrl esesvls aer tfnoe eoldinvv

19AF P 6:95 renstntn-o iv nAcnogiige roriioim,tChlaeetnybpi n zps ealinpa,rl spinoliir,l Aplrmsam.ChNiiimrE inbhtiI CAE Ž RECD AT II Ž CERD FRG by errtotvi tsinenpnngicoc fo nfefeetr oelist.erar I eRrCinnN o etud osls of ntagieev e.adekbfc

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