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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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solA, you uodlh'stn be iesegn gnodaner- dagame ro eeciasdnr inenr / yindke epnseros ihtw a seoviprluy hateyhl tetapin tath just eolpdvdee stlnaeeis .HNT hTe dbyo nseo'td nwat ot aniersce ennri nhwe it hsa .HNT r,veewoH if you heva nt,ssosei eth yesdkin rakfe tou esaeubc hr'eeyt tno ingtteg ugenoh lofw nda inhtk the woleh odyb ints' h,eerti so htye tatvicea eht ARAS yst.mse eWnh uyo giev ethm an -CIAE, eth neirn is lslti enigb udrodcpe by het kdin,ye ti tujs ns'it enbig voerctned to .IngeniiaoI-nst

To tmeeailin hoert hcoc:sie

  • eH ash sedeircna nnrie itivctay os uoy cna einmietla piaryrm nsoelao.rdsimt thTa ahs inc. daotsn,reeol .ecd r.nine
  • oN ignss or sxs fo 'hsunsgCi os as'tht etilnmaied.
  • e-ylB1-raosxyhd1 ycfedeinci olwdu xss tihw eht a.ietailng o'udY hvea .dce rnnie tatvyici onltkaedloriee(s- feetfcs tslil )etespr.n
  • ssaeitnEl NTH: edxlaeipn vbeao
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sammyj98  I ekil uyo kintsigc up orf teh eis,dykn ihntnigk teeyr'h srncgaenii eniRn for eth eeitfbn fo eht wleoh by,do btu etls ecfa it, eht keinsdy rae a lcoupe sifehsl cskid woh anwt teh ighh oldob sepsruer lal orf tudnvhestLmll rcVsro.aeytlfetaieriSei +13
trazobone  ^ I levo grvewneii sNMBE fro cmmetson ilke hsti 😂 +3



 +15  upvote downvote
submitted by monoloco(155)
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As a lure of ,hbmtu if yuo eivg oesonem na ECA ihtronibi adn ehty gte a obrmel,p hyte hda naler yeartr seitossn uys(laul blatarll,yei ro so we ewer utthag ta oru dme .oh)losc abrPloby sah to do hwit sdcdeerea GRF anhtks to dasecedre nnigAitnsoe IcseevtIi–le vcossirconoantit fo eht tfenrefe aretoierl t=g&; seercedad ousdmi dyeelivr to mlauac senad ;=&tg edrnseiac nrien easr.ele

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lilyo  coiianVnrtctosso of teh ETRNEFEF rraielote ayuallct elasd to enciarsde .GFR tI ielteecsv OATSDLAIVNIO of the tfnerfee roeelirat effetc fo CAE inbisirtoh nesci tyeh onud eitginAonsn II io.ascnt Tihs etntpia aadeyrl sah ruscede lrnae boldo fwol due ot alilberta nlaer earyrt sesnsio,t hte todandii of na CAE ntibihoir tfrrhue eardeecs RGF igtoprnmp an resnicae ni enirn deu to sslo fo nageitve k.deacbef +4
drpee  eW ohsudl lwyaas epextc GFR to rdop a etlitl ferta dginad na tCnbEiii-Aroh ued ot retffnee ritrlaea v.otnslidiaoa rFo htis soerna we dolshu oals pteexc enniR esvlel to irse avi ulrtubrooeuagllm kdfea.ceb oS t'is not reylal teh eacrinot ot the AEC nrioihbti that ivsge sith ywaa sa ARS (wcihh is yhw I otg ti w)rgo.n I tihkn wtah ew era dxteeecp ot be ngklooi at ti era alb aeluv:s lmipkyH,oaae dna sroedcyan ratyempoesinhdrso.l /0p/g//fpw-5:.1fir.a41/hswtoi.p7a-10e10a0/1p1fw/pfsg5r07t022tah3 +
stepwarrior  CAE ibntsrihoi loduw aylctlau vhae the ostpopie ffetce of -IAT,I adn lertus ni rnetefef n.dilitoa tBu het uactla mhamseicn fo rdsaience ernni iaticyvt pre drUolW si lcka fo cmesyist tooioticnncsravs yb T-IAI ganiedl ot doolb inutshng away fmro the ke.ndyi +1



 +1  upvote downvote
submitted by medstudent(18)
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I urgglestd itwh wyh shti c’ldunot be esaitnesl HTN orf a helw.i I tiknh twha ti somce nwod ot si tsih, and seomeno lhep me tuo fi ’mI tpnio/enorc.weglm

In brliealat RS,A CAE biinoshitr iwll eeecadrs the FGR from iaindotl of eeffrten ilrreaeot nad htye a’tcn icnaeesr teh GFR hrturfe eacesub reye’ht daayler eamxd otu on neffreat ilotidna ot eekp pu RGF in the tifsr c.leap

nI esteainls ,HTN eys CEA oiisirbhnt seradeec FGR rfmo iotandil fo fnefeetr iltre,aores verewoh there’y aebl ot iitanamn FRG trohhgu tuunelgroitaao buseeca yteh hen’tva eudthco ehrti nftfeera iarlet.eor So htis msane hatt niner w’tno ylaultca isecane.r

D;TR:L llBeatair RSA si euanlb ot sue oourgaaetultni ot ccrtoer teh edcersea ni FGR erehw sastnilee is blea to.

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trazobone  I salo utp essanelti .NTH But ouy owdlu aysalw ese na cisarene in nnier aicitvyt evhweren oyu gevi na AiCE cb si’t cigknobl het sdrontwmae wpyaath n(o AIIg or ldnotraeseo ,tsfefce) gserledsra fi teh tp dah ASR ro stesaienl N.TH The asme ogse orf sB.RA oS my htguhto cspesor is, uscbeae iennr dan rlsnetoedao evslle rwee nliilitay ,hihg hoste era bsiuovo asusec of shi ,HTN rheerofte it acn’t eb saitlense iTeHsaEnltN .s NHT si ealtrde to an eceainrs ni OC ro P,TR ewilh canrdoeys HTN si edu to rsaaralrvneouc/nel asseides a;&mp ARS ro otsepyh.ieamoldrnsr 8AF1 p 962 +2



 -2  upvote downvote
submitted by md_caffeiner(83)
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F19A nP2as5 9vcR:realuo i:ssdeae ealRn mmtiinarep edu to cahsmiei mofr nearl ryrate snsteosi or rrccaialsumov sa eiednsear .l isfpounre e(on ro ohtb ydiek)ns ŽnnNCi Ie r  INCŽ sinningtaeo Ž THNi aMn. casesu fo aenlr trerya is ssoƒten: oceerlchtsioArt pasoe—xlprlmiuqa 13rd/ aonre lf yerra,t yuullas ni doerl amesl, er.koƒs ms smbiuacruFlro —ayisldaassldtpi 32rd/ afroel n yrtaer ro mlaeetsng naserh,bc auyuynllogus ro ldeamdge-di e.il,ylnlaes lfamCci epitsnat cna ehav aNror HtfecTyr tiwh enigveta ylimfa ortisyh of rsmNmHei ytT,ac rnlea s,ize iseintf/rcaalkgp tsM.ositubr omcomn cusea of °2 HTN in h.uta sOetldr rgale selsvse ear toenf neodlvvi

A19F P :659 ig nont-cAnrnvte sngoeii lehit,niibrmyrnp o zpCtoesia nla,pielra iii,ornlslp ilaiNAmhrEmr is.Cpm btIinhi CEA Ž RCED AT II Ž DRCE FRG by npiiicnertt snrvotegocn of tefferen oesetrairl. R nnNCrieI odu te sols fo eetagvin cdfek.eba

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