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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 🔍 / 📺 / 🌳 / 📖
tags:

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 +17  upvote downvote
submitted by ∗hayayah(1212)
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lo,As you uhlstdn'o eb sngeei o-andnger aagdme or ceasedinr nrein / ykedni spnsoere tihw a rsilveoupy ayetlhh nttiepa atth sjut pdeedlevo teilesasn NH.T eTh boyd tnseod' twan ot incarees nreni hnwe it has H.TN ovwr,eHe fi oyu heva ,neiotsss hte nysedik keraf tuo ecsuaeb eryh'et ton engtgti uhonge owlf adn hitnk hte ohwle bydo tnis' eeri,ht so ehyt caetatvi eht RAAS .ssytme henW ouy give tehm an A-ECI, teh eirnn is sllit ibgen reduodpc by het ken,diy ti tjsu 'tins ignbe ntoedvrce ot .gsInt-iniIaeno

oT ieaetmnil hetro cchoi:es

  • eH ahs dnaercise rinne tvaticiy os uyo nca iamlitene pimayrr nitdssmreo.oal Ttha ahs .nic otrel,ensdao c.ed ni.nre
  • No snsig ro ssx of nsgsC'ihu os atts'h ldieneitma.
  • Bdhlx--eo1ysayr1 yeifcndiec douwl xss iwth the aengilit.a You'd haev d.ce nnrie vtiatcyi -deneteaios(olrlk sfcefet lislt .nterps)e
  • etlnsisaE H:NT nlixpaede obvae
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sammyj98  I ekli uyo kngsicti pu rof hte ,iksynde gnkniiht e'rhyet ariscinegn enRni rof teh tnebife fo hte wlohe dby,o tub etsl ecaf ,ti eht yeksind era a upolce shseifl kcsid owh wtan hte hihg odolb sserpure all orf ilredretehLcVyfSelu.elnarsomvisaittt +13
trazobone  ^ I evlo iewienrgv MENBs rfo smmneotc kile tish 😂 +3



 +15  upvote downvote
submitted by ∗monoloco(155)
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sA a luer fo tmhub, fi yuo gvie neoesom an CAE ibhtnirio nda ythe tge a eb,pmolr they adh lenra rteray tossnies syua(lul trel,iabllay ro so ew weer uathgt ta ruo mde hocos.l) oabrbyPl ash to do tihw eedrsdeca FRG tnahsk ot reasedcde niAngntesoi tIcelv–iesIe cnnocoivattosirs of eht ertnffee reeltaori >=; rddcseeea ioudms vyrelied ot aaclum edans ;=g&t iaercedsn irnne reels.ea

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lilyo  ioicootsctVnnasr of hte FTEREFNE rlaetoeir llyctaau ealds ot aeecdisrn FGR. tI etelvisec SVAONDITIALO fo teh efeenfrt atrleerio ftfcee fo ECA iobinrtish ceisn hyte duon tnsgnoineiA II i.sancot Tis h tinepat dlayear hsa ucdeesr rlnea dlboo folw eud ot abielarlt nlaer ryraet it,nosess teh atdiniod fo an ACE iinhtbori tuerrfh eacreeds FGR pprtgimno na enseacir ni nrien eud ot ssol fo aitegenv bkeeaf.dc +4
drpee  eW ulhsod awlyas cpetxe RFG ot odpr a liltte faert dndagi an bhoCrit-nAiiE ued ot ftfneree itaeralr la.savnitoodi Fro this eoansr we hudlso losa expcte neiRn lselve ot isre avi logorulrlmuutaeb .afekcebd So i'st ton lareyl eht oiencart to the EAC nhiirtbio ahtt vesgi shit yawa sa ASR ic(whh si yhw I got ti .rwon)g I htkni ahwt we rea deexcpet to be gooinlk ta it era alb :evlusa lHkamoiya,ep and eancysrdo niadsrsteylo.opemrh 52for.0a1/i/f./hpth:we4-03sfg/ap0w1pa150-w71a/2r07.1p/0/pis1tgft +
stepwarrior  CEA oiintirhbs dluwo laalytuc aehv eht pietsoop fefetc of IATI-, nda strule in feetnfre .niiadolt uBt hte actalu shiamcnem of icsrenade irnen aytvtcii rep rWdUol is klac of smeictsy votnsocaoiinsctr yb TI-AI nagedil ot dlobo nnsiguth waya mrof the .endkyi +1



 +1  upvote downvote
submitted by ∗medstudent(18)
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I gdtslegur thiw hyw isth to’uldcn eb neltseias NHT for a hil.ew I nhtik atwh it emsco dwon to is itsh, adn nooeems lphe me tuo fi I’m pcoimng./etweolnr

In blitalaer ,RSA EAC riinoihtsb wlil saercede hte FRG mrfo daiontil of efefnert riearltoe dna ehyt antc’ eniraesc hte GRF eurrhft ecsuaeb yret’he aearyld xemad otu no refnfaet loniidat ot ekep pu FGR in the rsift l.eapc

nI estleasni ,TNH esy EAC hiritsibno dersceea FRG mofr tdoiilna of efrnetfe o,tisrrleae ervohew hy’eter leab to aatnmini GRF ugrtohh tolugaiertonau subceae yhte ’tavenh ethoduc threi ntefarfe ratilreeo. oS ihst msean htta rnnie ’ntwo yalctlau .irenesac

:RTDL; ltaeairlB RSA is bauenl ot seu inrtutlaooaeug ot roetcrc the rceadese in GFR ehrew stanliees si aebl to.

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trazobone  I also upt etinelass .THN tBu oyu udlwo alayws see na iesnacre ni inern cvytaiit hwevneer oyu gvei an ECAi cb i’ts iobgnclk hte setroawnmd athyawp (on AgII ro ltedaesoron ef)et,csf ssaergeldr if teh tp hda RAS or nietlsesa H.TN heT eams gose fro RB.sA oS ym gotthhu esrpsoc is, sbaeuce inern dan todsorlneae llsvee rewe altyiiiln ,ghih htseo are uboiosv usscea fo ihs ,NHT eerforthe it acn’t be iestaslen THEt al.sNnise NHT si aretdel to an aneicser in CO ro P,TR hweil ercdoysan NHT is ued to nos/lnruvaacerrale sdseaise &;amp ARS ro pedemsloth.oiryarns 8F1A p 629 +2



 -2  upvote downvote
submitted by ∗md_caffeiner(83)
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9F1A arRcn9:2lPasv ue5o saieed:s eaRnl nteammpiir ude to esciaimh mrof nreal yrreta nstiseos ro vlrrccsaiamou s ideel. aarens nrepfuiso on(e or othb ise)knyd NrneIiŽ  Cn  CIŽN aeoinsnigtn Ž HTNMia .n sacues of alnre yrtare ne s:itosƒs creilsAoetcotrh limplao—eqrspaux /dr13 onfle ar tearry, luauysl ni lodre amels, ƒsrk seo.m Fcrlumorbiasu dipsalaasidt—syl d32r/ nelaorf reryat or sleantemg rasnbc,eh nygully uosua ro dg-eladmied eliyCas,lafelic.l nm esitntpa nac eavh aHtTrfy recorN twih igvntaee filyma iysorth of TrcameHtN ism,y elarn is,ez ektfian/plgasirc Mtro.busti s nomomc asuec fo °2 THN ni el.ar dOhtuts grale sselevs are ntoef eoidvvln

9F1A P 965: ciir nv-ogonnetnnig etsA i,iCnyrlpphn ei smzrbtiooeat leinapl,ra pl,rsoliini CAsp.rliNhmimE irma nbIitih AEC Ž RCDE TA II Ž CDER RGF by vnrrtniiio cgoeespctntn fo ffenreet tearesl.rio N rIeinRCn oed ut ossl fo egtivnea kcf.deeab

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