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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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sA,lo yuo t'hldosnu be geenis -nngeroad amdega ro iedencrsa renni / kdyien psersone ihwt a evioulsrpy ltyhhea tptiaen htta tjus oepdvleed altneisse THN. eTh ydbo e'dosnt wnta ot ensicera reinn when ti has TNH. eeorw,vH if ouy avhe stoessin, eht skiedny rkafe tou cbseuae reehyt' otn engtitg gneohu lofw dna ikhtn the ohwel byod ntsi' iehrte, os etyh tecaaitv eth SRAA s.symet Wehn you geiv hemt an I,ACE- eht nneri is llsti iegbn ordudpec by hte ,nkiyed ti usjt snt'i ngbei nrecovdte ot iigIon-.naeItsn

To lnaimeeit rhteo c:shcieo

  • He ash csridanee nenir ctivayit so you cna nmitlieea rmaripy msosaildtoren. Tath hsa .inc tloree,adosn edc. rni.en
  • No sinsg or xss of s'Cigshun so t'hats t.eimldneia
  • o-1exdsya1hy-Brl nfyiecidec uoldw sxs whti the aeaig.nitl ud'oY vahe dce. ennri taytivci tnlade(s-oelokeir cteesff isltl .esen)prt
  • ssealEint N:HT apnxidele ebaov
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sammyj98  I elik you tinkgcis pu ofr het sykdn,ei ginhtnik erhtye' rganinecis eRnin fro het ebietfn fo teh ehowl d,yob tub elst eacf i,t eth ekyinds rae a cluepo fhissel diksc who watn eth hgih oldob esrpesru all fro reu.rsmh aodelLVecaitsenetiytlStirfvl +13
trazobone  ^ I leov evwrnieig EBNMs fro mnceostm ilke shit 😂 +3



 +15  upvote downvote
submitted by monoloco(155)
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As a eulr of bmhut, if yuo evgi eonmeos na AEC rnhbotiii nad yteh tge a oepbrlm, htey dha eraln rreayt intessso l(asulyu ieylrbla,tla ro os ew were attghu at uor dme )shol.oc bbyoaPrl sah to do thwi esdedcear GFR katsnh to seecaredd Aiiosgenntn eiIstcvIe–le aoorontvcnssciti fo teh enerefft aoireletr ;&=tg edsradcee sudiom yliedrve ot cmaaul seand g&;=t darsiecen irnen aerlse.e

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lilyo  ttcnrVoiiocnsaso of teh FETREFNE toelierra acutlyla ealsd to ieeansdrc GF.R tI eliestvce IAVTSAILNDOO fo het eeetfrfn elarretio tceffe of CEA itrsinhiob senci they dnuo tiosgneinnA II o.ciasnt ihs T aepintt ryadlae hsa escuerd rlane dbloo owlf edu ot ileraabtl lerna yarert iss,etnso eth aitidnod of na EAC intbohrii rhrteuf eadreecs FGR inrpmptgo an naerisec ni nerni deu to sslo of ageitven ek.bfcead +4
drpee  eW sulhod ywslaa texpce FRG to podr a titlel rfate ngdadi an bioh-AEnCitir ude ot fneeefrt raleiatr svditaiooal.n Fro iths sanore ew hlodus lsao cetpex ninRe seelvl to irse via rootlueraglulbum fec.ekbda oS 'ist tno ylerla teh aieoctnr ot teh AEC ihbrtnoii atth geivs sith away as ASR hwi(hc is hyw I ogt it .wnogr) I thikn htaw we era eecpxetd ot be knigloo at it rea lba ua:vlse aHylmie,oakp nad rdnoscaye idh.mnposreysrleota .1/570g.1p-t0w1/ei/4p2/:7a/t013ptr0/faa20wpf1ho-ah5rf10/sfwg.spi +
stepwarrior  CEA ibrhniisot oulwd cltualya evah hte esptpioo teceff fo -ITI,A and rsuelt in rfeftene l.inoitad uBt eht atalcu ncehmsmia of ercdniaes nreni tativiyc per WroldU si klca fo ymscitse cnrosisvnattooic yb TIIA- dnalieg to doolb niutgnsh awya rmof eht ydin.ke +1



 +1  upvote downvote
submitted by medstudent(18)
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I rlgtdugse whit why isth nu’dolct eb esiestlna THN orf a helw.i I nhitk twah it cmose dnwo ot si ,sith dna ooemens lpeh em tuo if ’Im olg.e/crmnipenotw

nI lliaarbet SRA, CEA ntsorihibi llwi eeaecdrs hte FGR morf ntlodiia of neeftrfe alireteor and yeth tna’c reenicas teh RGF rufhrte seuceba tyeehr’ adylare adxem tuo on naffreet aliiotnd ot eepk pu FRG in hte irsft p.acle

In sliesenta ,TNH yse ACE stonribiih ceaersde RFG omrf itlodian of reneefft leeorstra,i rwveeho yh’eter able ot tnmaanii RGF rhhgtuo otlneurgtoiaua ebeaucs etyh vnta’he etuodhc theri efarfnet oarte.lire So shit emasn taht ienrn to’wn catyulal ensireac.

:;TLDR iltaeralB SRA si lbauen ot seu tlrutneioaouga to roccetr het sdaeecre in RFG weehr neatlseis si labe t.o

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trazobone  I laso utp eeitsnlsa TH.N tBu yuo uodwl awasly ese an ernecias ni ennri tatiyivc vrnewhee ouy iveg an AEiC cb s’it gnioclkb het wasodtemnr awayhpt n(o IgIA ro dtseelnrooa sec)tff,e rlsrgesdae fi teh pt adh SAR ro esnasielt HNT. heT msae seog orf BRs.A So ym otutghh eoprcss i,s bscaeeu nerni dna trsedoalone lvesel weer lliintiay h,hig toehs aer osiouvb eascus of hsi NTH, ehoertref ti an’tc eb slesneati .nHsaeNtsl TEi HNT si drletae to na scineera ni OC or PT,R heliw osdyacern TNH is ude to rvuasnrol/leraaecn idsseesa ;pm&a SAR or yhrldsomprieso.enat AF18 p 692 +2



 -2  upvote downvote
submitted by md_caffeiner(83)
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1F9A a9PRrle2u5s:ncoa v sedasei: naRle etmimnapri ude to imesaich ormf earln tryear tseisnso ro lmsoiuacvrcar  einarale.sse d iospruenf (eno ro othb iks)deny rC inNŽeI n  ICŽN otnaegiisnn Ž NTHi.M na ecasus of enalr yreatr se nsts:oiƒ ecArsiltcohetro eq—aralosuxlippm 1d/r3 nrol afe tayer,r usuylal in oledr esmal, kos m.seƒr uasliormFcurb aiiydsasdaps—ltl 3r/d2 e ranfol aytrer ro genematls brcn,ehsa nal soyguuuyl or elmg-eddiad ,ylCl nlcaiafmeile.s nstpatie anc ehav rrcTHryN oetaf whti ieeagtvn myifla iohryts of mrmitTcsHa N,ey anerl z,eis s/teacripkgaifln o bMttsusi.r momocn caesu fo 2° TNH in etOdshtarul . elgar esvelss rea ofent dviolnev

F91A P 59:6 onvcinrntegn-i toeg sinA itriCozeisnronlemytb,pipah n,ealaiprl lrplii,nsoi ir.lEmNCmaih sipmAr hiItibn CEA Ž CRED AT II Ž CDER FRG by eipitoenrscncni vnrttgo of enffrete .rlersoeait  RNCireInn tdoe u slos of iageetvn .aefdekcb

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