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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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Tshi speinaxl it lyealr well ithw a iu:tercp /Aa2ypfih.th/t.//hP:masowupeelstttmdwd1llgw.0hlo.ltn/mAataosis/il.

poidHrcy ngcahe = noe of teh eryal sisgn fo aelllucr ngdeaeetinro ni esrpnose to iryunj tath lrsutes ni nlacoiutuacm of ewrta in teh c.ell mpxoHaaes/yiichi lsade ot esdeeac ni ercboia srpieroaitn ni het dmiicnrhooat nda eaeerdscd APT ocpidotrun eud to ierlfau fo eht +NaK/+ aAsPeT eaidlgn to aN+ nda artew ifidousfn itno eth clel. vIuaiddlin utuebl lecls pparae enoslwl nda t""epmy wthi saomlt edculcdo eu,lnm goulrsluem is .ycaerellrplhu

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dickass  ts'i labyaicls frmo mopatah cptaerh 1: lllcerua yjirnu secusa lewilsng +7
md_caffeiner  ik@scdas ouy hwy rtaen ouy no ryvee q s?tme +2
mangotango  od uyo eamn ga"cnusi fleriua of eht /a+KN+ "AaPeTs etndais fo "edu to rlufeia of /+KN+a .ePsTaA.". ? hTe olw ATP is ude ot dec crbaoie eitrisopa,rn I elibev.e +2
fatboyslim  gtgnaaooM@n yes x.eaytlc /aNK PeAsTa sopst nikgrow due to teh akcl fo PAT. I hntik awlmknneinn dexim it up +1



 +7  upvote downvote
submitted by xxabi(293)
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llfegeoi  twSnh (el.,cog .e lcrhdpyi na)s deuig ae hsnmiosiece:tt→ier iosdPardpA ceutroenc deT ca+ /neP NaeeAsd s Krd+aTe→da Cp2ua+mp fvftoiuadti→ yicosf  in  +Nanad teraw  otenith e→ llc ll eunecwllgrails

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endochondral1  nac emneoos lxinpea owh to ocsrs out the throe seh&cg;ioct +1
endochondral1  hwta si ychpdroi rintdeaengo dna ewreh od i renla obtua i?t yhw is it ont the osls of ampsla abmermen ?tntyigeri +1
shaeking  1dalo,onnErdch I had the aems ot.iesqun I deitr nriifugg ti tuo nad shit is htaw I emca pu .htiw eTh FCH nad snngitceoo of teh lsgun si igurendc het otnuma fo ynexgo tggntie to the elarn sll.ec hitW xyhiopa rthee is rdcseaeed reaiocb sepr in ndcmiihotrao htwi adsereecd APT. oiWuhtt TeAsaP aN libdsu up nad werta lo.slowf As raf as het sols fo remnbaem tg.irtiney I itkhn it luowd caseu lelurcla cnrtostduei otn sutj ydhcipro seghcna. siTh is ym btes e.ussg +2
charcot_bouchard  nbMermea egdama is ivrseblereri gsate fo leucarll r.ynuij fi meebnrma is ageaddm llec si dngyi ;m&pa it illw nhriks. ro tllyoat oeyedrtds by tnmi.alehfaoyimnt rae lyilpcseacfi ksanig dihyocrp geshacn ie rulllaec llwnis.eg hciwh is eht t1s nsig of brvriseeel clel yrinuj eud to liuefra fo aNK/ mpup +2
winelover777  oc1nrdehlo@and ertpCah 1 of hota.Pma Aols FA 1920 p702 sersdceib pyiohdcr igornndeaete iowhttu iynasg shote tacex dosrw in eht sifrt llebtu ndreu elvrebeisr clel ijyn.ru +1



 +0  upvote downvote
submitted by qfever(67)
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atmhoPa 1802 dtienoi egap 4rchpte a 1 - ulaeClrl yIrnuj - III. Rlveesrbie p;&ma ivreeerrblsi elllaucr nryiju - ..B1

I ahd yfutciifld rntiyg to riegfu uto twah ydpcroih hencga enams gt..uho.h

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bharatpillai  i raswe iv'e oedn eth mase toqisuen bofree on o/rdluw one fo eht usrvioep sNMEB nad the wsenra ot ahtt was lietlrluacanr aC iccnmtolauau. +2
mangotango  @bhlalaiaritp tsth'a slao rue!t eDc PTA ;≫tt& cde tvyiitca fo 2C+a dna ++aK/N uppms >g;;t& eulrcall ilgswlen rasie(tel hogioporclm annitmtsfoaei fo vebrleiesr elcl y,)inruj dtnialomcriho nlgselwi --- ,FA gp +7K/+a0 N2 TeaAPs eihidbnti ;tgt&;&g inc tarcielrulnla +Na ;&tgt&;g dce iaivytct fo +C/Naa32+ enhaxceg uppm tg;&&;gt inc lrraulneltaci 2aC+ --- htis is eth smea yaw nidxoig wrsko in eth htre!a +1



 +0  upvote downvote
submitted by andremosq(9)
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iuoensQt btuao lrclalue i:runjy

Hpcroyid chagen snema enlwlsig. ant tPei has a hoxpiyc hncage oto.

reRblveies lecl njy:uir eeercsDa APT g-;t&- csDeeaer tiatcviy of C2+a adn K++N/a uppm ;l-laeugr-tlc& wislgeln liteea(sr irpocgomlho eoas)atnmfn,iit iciltrdhoanom .sinellwg

A0022F. pag 702

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