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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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ihsT epaxinsl ti rleyla lewl iwth a :ecirtup tstle/lAwui/:sphtdtmwilh.i/to.h..mdnA/2aawsg0hofeoa/aPyslp/1tltml.

icodHpry nhaceg = noe of eth aleyr issng fo acrlulle tnndoeregiea ni spnroees ot ruijyn taht ssurlet in uatcnolmicua of ertaw in eth e.llc axyomihpHecsaii/ sleda to aecsede ni iobaerc isaretoipnr ni het ocndtriohiam dan aedeerdcs TAP ooprnciutd ude to fluerai of eth NK++a/ eATPsa neaglid to +Na adn wtrae dousfifin noit het .ellc vnIidlauid ulubet clsle paarep weolsnl nad mept""y iwth lsoatm ulccdode eml,nu emluulrogs is recphl.aeryllu

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dickass  s'ti llaycaibs rmof matphao aptcehr :1 lueaclrl yrujin sacuse wligseln +7
md_caffeiner  sicdsak@ you yhw etarn you no eyrve q e?tms +2
mangotango  od yuo naem "gcuinas eifrual of teh N/a+K+ sP"TAea dtneasi fo de"u ot ilarfue of aNK/++ sTA"a.e.P. ? ehT wol ATP si deu to ced iorabec rniipeasro,t I ie.eblev +2
fatboyslim  Mno@agtnoag sey ac.lyxet N/Ka aeATsP osstp iorgknw eud to hte aklc of P.AT I hiknt lmnwnnnaiek diemx it pu +1



 +7  upvote downvote
submitted by ∗xxabi(293)
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loghSw ientefl  g cle.l.hdoypc(r,i e  nsemriect ade)aieeh:sn→ siouitg cAcPdeepsuTonare tiordd   +NeTda→aae A Pe+/dscednra Ks 2pmap+uC oy fntiv fucdf→iaosi it Nda +na waetr tnht oei e→cll  n rlegialwuslelcl

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endochondral1  anc nseeoom exaipnl hwo ot rsosc out eth eorht eich;og&tcs +1
endochondral1  atwh is cropdhiy diageotrenn adn rehew do i laenr btoau i?t hy w is ti ont hte sosl fo amlpsa reemambn ntig?ryite +1
shaeking  1cEoadh,nnldro I dha teh esam qenu.soit I tedir igirunfg ti out dna shit is thaw I cema up w.thi ehT FHC nda coisonnteg fo hte ulgns si dirgncue hte atnuom fo xoeyng ttignge ot eht aernl ellc.s htiW xyhiaop rhtee si sreedcead eibcroa srpe in mihdocoriant ithw eesdecrad T.PA iWuohtt sTAaPe aN dslbui up dna rewta oswlofl. As far sa het slso of rambnmee gtiyrenit. I inkth ti ldowu asuec luacrlle rstncdutoie tno ujts rcpohidy scanhge. This si ym tesb .esusg +2
charcot_bouchard  mbanMere magade si rlbiveirseer astge fo raeclull jr.niuy if menarebm si gddmaae lcel si gnydi mp&;a it lliw ri.knhs or otytlla yretsodde yb tmntahilioe nyaf.m era lisacfeiypcl nskiag dcipohyr gnahcse ie rlecllau .inellgws hwhci si the t1s gsin fo bslreeivre lcel jrinuy eud to reiluaf of KNa/ pupm +2
winelover777  lnh1@edncaodro prtChea 1 fo .athoPma osAl AF 0921 p072 erciessbd dyrchipo eoienenagdrt hwttuoi isgyna hetos axtec rswdo ni eht istrf llebut nreud eebrseivlr cell jyi.nru +1



 +0  upvote downvote
submitted by ∗qfever(67)
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atmhPao 1820 tiidone gape t cr4peha 1 - allCurle jrnIyu - III. besReelivr pa;m& ireervirslbe luelrcal juyinr - B1..

I hda ufycltiidf iygrtn ot igerfu uto hwta crpdohiy chnage msean t...ghuho

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bharatpillai  i rewas ei'v odne eth emsa oqeiutns efbore no drlo/wu eno of het ievroups sMNBE adn teh nerwas to hatt aws ranaltllucrie Ca acolauimt.nuc +2
mangotango  hialrtplaib@a 'staht osla rte!u Dce ATP ;&;ttgg& ced citivyat fo a2C+ dan K/a+N+ psump g&;gt&t; lrllcaue silglenw aselei(tr oohroiplmcg tnaoiitmanfse of ilevseebrr lcle y,jrniu) dihalcoiorntm leswngli --- ,FA pg +Ka270+/ N PeTAsa ietdhiibn ;tg&tg&; inc euailcrlantlr +aN >;&tg dce titcvaiy fo +aC/N+2a3 xencgahe pump t;&>g nci lcaurtneairll Ca+2 --- hsti is eht sema ywa gdniixo roksw in het rea!ht +1



 +0  upvote downvote
submitted by andremosq(9)
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sutoinQe uaotb allcrule ujyi:nr

iopcdHyr angceh neasm lsewngil. eiatnP t ash a coipxyh necgah o.to

Ribvelrees cell i:juryn eDsacere ATP -tg;&- easeDcer itvaytci fo 2+Ca dan aK++N/ umpp lu&-lr;cgta-le eglsniwl i(tsreela iochoolpmgr finait,aomne)ts iaomnlcirhdto ewlsl.ign

00F2.2A gpa 207

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