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Retired NBME 20 Answers

nbme20/Block 4/Question#28 (reveal difficulty score)
A 78-year-old man dies of chronic congestive ...
Failure of the Na+–K+ pump 🔍 / 📺 / 🌳 / 📖
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 +11  upvote downvote
submitted by nwinkelmann(366)
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iTsh plaenixs ti lalyer ewll hitw a :erutcip pldhy2.t/wetadtsalPmfmwltsato/aeh/llhou.Ams//.1itnhtpis/o.wlA0g:i.

iHdrocpy hgcnae = neo fo eth ylear ssing of ulralcle drniotgenaee ni resesopn ot rinjuy tath tslrseu ni nlaaictucuom fo reatw in eht cl.le Hxmcsoeiapayhi/i elads ot edaesec in ibceora rntprsoaiie in eht rtcadmhinioo nad rscdeadee PTA uocprndito ued to farleiu fo eth /aN+K+ ATesaP alidegn to aN+ nad wetar osdfiinfu itno het .llce uaIiivldnd teuulb sllec areppa noeslwl nad "ye"pmt with mlosat lcddoeuc ,nleum esluogurml si laeuhllypecrr.

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dickass  is't clbasalyi orfm mphoaat cptarhe :1 ulllarec ijyrnu esucsa lweslnig +7
md_caffeiner  @ciassdk uoy hwy entra uoy no reeyv q s?mte +2
mangotango  do yuo anem nu"agsci ualrfei fo teh /NK++a Ta"eAsP dtesina fo "eud to uleairf of +NKa/+ seaAT".P.. ? ehT low PAT si deu to ecd coebrai tipera,irnos I ie.veelb +2
fatboyslim  ngat@gMoaon yse xtaeyc.l KN/a eAPTas sopts riwngok eud ot het klac fo PA.T I iknht nmlewnnanik emxdi it up +1



 +7  upvote downvote
submitted by xxabi(293)
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ntee ghlwSof li ypeeild(r ,g.lh.o cc ngeuaite tncdrsei m)iis→a:ho ese erdT reponitsAu aPddceco aeds→aecraTnAP/   Na esde+d+K puCa2mp+ yfn iioiosfcutf  →tdiva anN d+a tarew hie tont e →lcl rlienl eauwlslclg

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endochondral1  can nmoeeso epxnail woh ot csros uto teh ohetr ecoc&tg;his +1
endochondral1  htwa is rhdipcoy girdnetoane adn hrewe do i lerna tobau i?t hwy si ti ton teh lsso fo spaalm mbmeraen eiygirtt?n +1
shaeking  Ednrco,adhl1on I ahd het smae en.isqotu I erdti gnuiifrg it uot dna isth si twha I meca up h.iwt eTh FHC dan ontnecosgi of het sgnlu is regucdni hte uatmon fo enogxy gitgnet to hte lraen lse.lc ihtW yhaxoip ehtre is cddeeresa corieba serp in ihaitcodmnor wiht cedresade .ATP Wtothiu AasPeT aN dusbli up dna ewart lloso.wf sA far as hte sslo of bemmeran e.gtytnrii I hktin it udlwo uceas lellracu erdosuttnic nto tjsu opdyihrc .angsceh ishT is my bset useg.s +2
charcot_bouchard  aMermebn amdage si svebirirreel tasge of ureallcl yijn.ur if aemnbmer is dadaemg lcle is nyigd ↦ ti lilw h.iksrn or laoyttl oeydesrdt yb ihln .ttymfmneoaia rae psclciyfilea asnigk pohcdiyr hsgecna ei lcllerua inll.sgwe whchi si eth 1st insg fo lrverseebi elcl inryuj due ot ilreafu fo N/Ka umpp +2
winelover777  nohcndloaer@d1 pahCret 1 fo htaaoP.m solA AF 2091 0p72 ebdceissr rhdipocy odnteeregani ithowut ygians oseht xetac wrsdo in the fsitr lteubl rdnue leberrevis lelc yjurni. +1



 +0  upvote downvote
submitted by qfever(67)
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Pomatah 0281 detnoii agpe 4ra hcpet 1 - lulCrael rjnuyI - III. srileeRbev mpa&; eslrrbiierev leclrula rynjiu - .B.1

I hda dlicyiutff niyrgt to igefru tuo wtha ciyhropd ghenac snaem .togu.h.h

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bharatpillai  i aesrw 'ive oedn the meas ueiqonst robefe on dowl/ru noe fo eth urispeov BNsME dna eht nrwase ot taht asw iltnulalraecr aC ncamo.atuulci +2
mangotango  rhtpaiaiblla@ ats'ht aslo eu!tr Dec PAT t&;tg&g; cde icvtatyi fo +2aC and aKN++/ uppms tgg;;&&t elrallcu inlseglw er(ieltsa clhpmrigooo nmftsieaitnoa of lrereeivbs lcel ujiy)rn, ilahroiomdnct iglwseln --- FA, gp 0+ aN2/K7+ aTAseP tiinihdeb &>t;;g icn earucnlllitra a+N ;&g;ttg& cde iyaitcvt fo N+a2+/a3C nehegxca ppum gt>;& nci nruraiclallet +C2a --- isth is eth saem awy dinixog okswr ni the ea!thr +1



 +0  upvote downvote
submitted by andremosq(9)
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uQnoteis otbua aelrllcu yijurn:

Hrpdoiyc hcenga senam slnw.giel ettiPa n sha a ophcxyi echagn to.o

beeersRlvi lecl urn:ijy escrDeae ATP -;&tg- rsceDeea icitvaty of 2+aC nad K+Na/+ pmpu a;cl-r-u&tlgel ilngwesl sert(aiel ohomrlcogpi fn,matitsaieo)n drtinmchalioo egw.insll

20F2A0. pag 270

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