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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 saneilpx it lylaer wlel iwth a rei:ucpt o.ltgssmlwsyetfp/tmti.i0hlohota1eaunh.w2Psil//A/td/al.almwA/htdp:.

iHoypdrc gacehn = neo fo eht aerly snsig of rlelcula rgdneetneaio ni noerpses to yiujnr ahtt stlruse in acuinmtauclo of rteaw ni eht ellc. chexasym/Hipaiio sedal ot adsecee in oicbare rrnioetsipa in the cdaoimnhorit nad aeecddrse TAP otnoripduc ude ot eriaflu of the aK+/+N PaeTAs gadniel ot aN+ nad rweat udifsinof otin hte c.ell lnvudadiiI uluetb slelc pearpa lonselw dan et"ypm" ithw alsmot ldcoecud nu,elm urgosumlel si uyeelhr.lrapcl

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dickass  ist' ylblcsiaa ofrm aamtpoh cretaph :1 lclleura ynruij cuaess wnllsige +7
md_caffeiner  @ascdiks uoy wyh eatrn ouy on yeevr q sme?t +2
mangotango  do oyu naem gs"naciu lefuiar of eht Ka/++N APaTs"e ednsait of eud" to ifaruel of +K+aN/ .s"TAae..P ? heT wol PTA si ude to dce ebcraio eats,iirpnro I e.lebiev +2
fatboyslim  gtoMnagaon@ eys ycale.xt /aKN TeAPsa sostp owgirnk eud to hte kalc fo APT. I khtni inkwlannemn eixmd it up +1



 +7  upvote downvote
submitted by xxabi(293)
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 eowllfthn eSig cch,.yler(l g.d opie teg re:i du soe)cnmitihnesseaa→i s rndtPAcuoddaopece iTer eTeardd+an  → P/N a+aAssdeceK a+ppu2Cm  iiiofctnoy stf fadi→vu ad N+na atewr oti nhte l cle→ cllsrlenw geilual

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endochondral1  cna msoeneo leniapx how ot ssroc tuo het rhtoe iegtoh;csc& +1
endochondral1  htwa si idorypch reeoniatngd adn rehew do i aelnr uoabt ?ti y wh si it otn eth olss fo aaplms ranmbeem r?gtneitiy +1
shaeking  cano,dnd1lEohr I dah eth aems siuqte.no I deitr fnuirigg it otu dan tihs si tawh I mcae up hti.w eTh HCF nda oenstgicno fo teh usgnl is idngucre teh tmouan fo onxgey gittgen ot eth anrel cl.les thWi ipaxoyh htree si esadecdre eaoicrb srpe ni riomnchatdoi hwit dresadeec A.PT outWtih asPTAe aN ludisb up dna arewt oslf.wlo As arf sa eth sols of menbemar tgriyn.eti I inhtk ti wodul ucase caelllur suetotcdirn otn sujt cdihpory .hecngsa shiT is my setb s.sueg +2
charcot_bouchard  emnrMabe medaga si ieibrvrelers gtase fo rallclue .yjriun if mrnamebe is ddemaga clel is niygd p&;am ti lwli hrns.ki ro ottllya trdyoseed yb m.ylafehmtonntia i rea clpcisialefy asnkgi porychdi scengah ie lleclura lislwgn.e hiwhc si eth st1 nisg of levereisbr llce iyrjnu due to euirfla of KaN/ pmup +2
winelover777  hldadco1eor@nn aphterC 1 of aohm.Pat losA AF 0921 7p02 sricesbde hodirycp gtereoeiannd htitwou ngisay seoth atxec oswrd in het sfirt eullbt ernud ervlrebesi elcl yr.iunj +1



 +0  upvote downvote
submitted by qfever(67)
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Ptoaamh 8120 dintoie agep h rectap4 1 - eCulrall jnyurI - II.I ieblervsRe pm&;a beesvrerilri ecllulra uinrjy - B1..

I ahd fitydiuflc nyitgr to greifu out htwa yocrpihd hegcan esanm ghth..o.u

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bharatpillai  i wasre 'eiv oden eth smea tneuoqsi eorbfe no w/lorud eno of eth vuorpise NBMEs dna eht awsenr ot hatt wsa acrnrltilulea Ca uu.aitmlncaco +2
mangotango  iihllba@rtpaa htst'a oasl rtue! cDe APT ttg;&;g& edc ivciytat of +2aC adn aN++/K upspm >tg;;& lerlaluc leiswlgn rie(elast horgclmipoo mfisioanttena fo verbliesre llce uny)ijr, coirladhoimtn iwgensll --- A,F gp 0+/aNK7 +2 eTPasA ihbnediti t;&&;ggt nci arucllrnleita a+N &g;tt&;g ced ittiyacv fo aN/++23Ca xagnhcee umpp ;tggt&&; nic llriltaeurcna 2Ca+ --- tihs is hte same way oidngxi srwko in eht ath!re +1



 +0  upvote downvote
submitted by andremosq(9)
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tusioenQ uatob uclarlel yuirj:n

cyroHdip aeghnc esamn sligewl.n tePa tni has a pxyohci cgneha .oot

eiRbeveslr lcle ijnru:y seDeacre TAP ;gt-&- ecraDees itiacyvt fo +2aC nda a/K++N pupm ul&lltg;reac-- lniwesgl lei(tersa pmogorclhio f)s,mttiaoienna rohciialonmdt i.nlwegls

2.2FA00 pag 702

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