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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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os,lA oyu uldhnt'so be sneeig en-gnoard dgaeam or deneircsa einnr / ydienk peoensrs ithw a vluysprioe alhtyhe ttnapie htta jstu oedvpedle lntssieea HT.N ehT obdy oe'nsdt wtna ot airsneec rneni ewnh ti sha .NTH ewoeH,rv fi uyo avhe onistse,s eht eykinds fkrea out aueebcs y'teehr not ttgeign nohgue flow nad nhikt hte ohelw oybd ns'it etreh,i os htey tvtceaia teh ASAR mysets. enhW yuo eigv ethm an IC-E,A the nerni si lsilt igben reocdudp yb het ni,deky ti jstu nti's begni rdeceotnv to tIo.nI-nniigaes

To namteleii ohrte :ehioccs

  • eH ash eednaicsr nneri vtiticya os uoy nac eantlmeii irpryma tisade.nrsloom Ttha sha ci.n ,toeldraneso dec. enni.r
  • No ssgin ro ssx of Cg'ihssnu os tstha' leaemi.intd
  • slBr11dhx--yeyoa ceieicndfy uwodl sxs ihwt teh ge.tainail d'Yuo vhae .edc neinr yaiticvt da-isl(oeelkotenr feecfst lsilt es.er)tpn
  • Esialetsn N:TH dneaxepil boeva
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sammyj98  I eilk ouy itcksngi up for eht ,idskney igtniknh e'threy neisgcirna iennR ofr the teeinbf of the elhow ,yobd tbu stle face ,ti teh dsenyki aer a uelpoc eshlifs scidk who wnta eth ihgh lbodo usrprsee all for isnSe rveemslty.ttaertielaLhdcrVuoifl +13
trazobone  ^ I olev vrgiiewen sBMNE for omtscnem elki htis 😂 +3



 +15  upvote downvote
submitted by monoloco(155)
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As a erlu fo ,thumb fi ouy giev eomosne an ACE hrbiitnoi nad eyht egt a merbol,p teyh had nrlea ytrare oniessts u(yulsla rabl,yllieta ro os we were tuthag at rou dme .oshol)c bPlyroab hsa ot od wtih dcreaesde RGF anthks to scederdea tniongseniA cesvieetIl–I vroatnticcinooss of eht enfferet leiatrore =&g;t easdrdece umdosi yiredevl ot amlauc aneds g=&t; scaiender nrien eraeles.

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lilyo  aootscsncoirVtni fo eth EERNTFFE rrilaeeto tlalayuc delsa ot eicnrdsea .GRF It eelitvsce SDNOTOLAIAIV fo het erfteefn raeetriol cetfef of CAE iitinsorhb ncies etyh ound snntenAigoi II o.aicnst siT h apiettn edayrla ahs seuredc lnear ooldb olfw ude to atealilbr nrael eatrry set,nosis teh oddniait fo an CAE inhtroibi rtehufr edeaecsr RFG rpmpinogt an ensicaer ni nnrie ued to sols fo egneavti .kedaebfc +4
drpee  eW ushldo lsaawy tpcexe FGR ot pdro a telitl rtfae dnagid an iErion-AhbCit deu to eerfnfte ltrreiaa asoiadnitlvo. rFo stih nosera ew suohld aols eetxpc eninR elvels to reis via ltllmubegroarouu .dkeecbaf oS it's ton lryela eht nrcaiteo to eht ACE obiirniht htat esivg this waay as RAS h(wchi is yhw I got ti owrng). I tihkn wath ew era epxeedct ot eb gilnoko ta it ear bla lesuva: okepialmay,H dna daycornes eoprysrohisam.eltnd rwf215ft/7-wo0sw1a./7f05pg/1r/1pgh014ahtpap/0.a:.20fpi/0e-/1i3st +
stepwarrior  EAC sbnhirtiio dluow tcyllaau aevh the tsiopoep feftce of ,IATI- nda lsture in tenffere tlinido.a Btu het aacult nisamhecm of dicanrsee inren ityiatvc erp lWorUd si aklc fo istymecs svraincostcotnio yb ITI-A ledaing to boodl tnnsiugh ayaw mfor hte kiynde. +1



 +1  upvote downvote
submitted by medstudent(18)
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I lgtredugs thiw ywh thsi ctundol’ eb esnasilet HTN for a elhw.i I nhikt hatw it cosme ndow ot si ,isth adn onmeose lphe me tou fi ’mI pmnotroeenwgl/ic.

In rablteali R,SA CAE irsbiintoh will sreadece teh RGF from lindtaoi fo fteferne earrlieto nda tyhe atcn’ sicnreae the RGF frteuhr ebsaeuc e’hrety yalader xmead tou no frefatne iiolantd to kpee pu FGR in eht irfts cl.pea

nI nialetses ,THN yse EAC shtrbiinoi serdeeca FGR rmof iotandli of tfnfreee ersa,oiterl voreewh eytreh’ leba ot animtnia FGR ogtruhh otonuagelruiat eueascb they htva’ne uotdceh eitrh enfearft ritl.oreea So this anems atth ienrn tonw’ tyacalul rciae.sen

TRLD;: tBarealil ASR si uenalb ot use aatuilonougter ot eorccrt hte ecdasere in GRF eerwh steeinlsa is ebla to.

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trazobone  I lsao ptu isseeatnl NTH. uBt uoy ldowu aaywsl ees na neearsci in inner icvitaty henevewr uoy iegv na iECA cb ’sit knciolbg the dmnaerwtso awaphyt on( IIgA or adltoeerons e)fcf,tse gaesrseldr fi eth tp dah RAS ro netlsesia .TNH hTe smae sgoe ofr RsAB. So my htgthuo cposres s,i ecesuba nrine adn lesrotandeo lelevs ewre yitliianl ghh,i shoet aer svoouib ssecua of shi HNT, hroeretef ti a’tcn be tessilane Hsei EaTltn.Ns TNH is tedealr to an asrecine in OC or PT,R wlieh ynescrdoa HTN is edu ot sonvclrn/arureaela eaedisss &pma; RSA ro ldmnhtoaipreosy.rse F8A1 p 692 +2



 -2  upvote downvote
submitted by md_caffeiner(83)
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1AF9 RaoaPnsre2v :uc59l eeais:ds laRen mrtpmianie due to ciehisma frmo nrael eyrrta ienssost or auoalimcvrsrc i dse .elaeasnr uefrpoisn (eno or tobh nky)sdei rn Ž IiNCen CN IŽ inngnetasoi Ž NTH.i Mna scause fo lnaer aretry ionse:ƒt ss hrlcsorettcoieA rixpaa—opllqusem /r3d1 fneo lra eraytr, lsauyul ni oedlr amles, ƒekorss m. rbouscmauFril dtsialiysld—aspa /dr32 afre nlo teyrar or mlngtaees nhbras,ce lusglaoyu uyn ro deeg-lddmia Clilasn,.faci ellmey niptaets nca vhae fcaroertNrHT y hwit gantviee lifamy thsoyri fo eiHtyc,mmasrTN nrlea z,ise eplifnsgiarctka/ rustiMobt .s onmcmo euacs of °2 HTN ni a.tueshd trlO glrae slseesv are onfte lndovvei

9FA1 P :956 -n isnnt ncgAgnoioieretv htmaoenrpbitiziColpni,ser y ,ailrlenap nliiropi,ls EmNCmi.rsimphAar li iniIhbt CAE Ž ERDC TA II Ž RECD GRF by cirnnvpctioeinotgsent r fo enffeert .strerleaio CerNi nInR e tuod lsos fo gvaenite cbee.fdka

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