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Retired NBME 20 Answers

nbme20/Block 4/Question#46 (reveal difficulty score)
A 28-year-old woman at 32 weeks' gestation ...
Obstructive uropathy 🔍 / 📺 / 🌳 / 📖
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 +25  upvote downvote
submitted by xxabi(293)
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lsoA fro soeth fo you ohw are tlyltoa uecsllse leki m,e ayrnuri cattr rbtocuintos = rtoetiusbvc urt.hyapo

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skonys  I see 54.7 Dfytiicful socre dan kithn ,odrw" I otd'n eend to etg stih one toercrc" +5



 +22  upvote downvote
submitted by banieb(23)
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nugDri hte lsat ahlf of aprgenync itdolnai fo the uerpp uiyarrn arttc acn ccoru ued ot oonsspmceri fo the eestrru by hte wgrgnoi teruu/suftes adn teh naiel sinietar.ml ehT nroemcosips fo ethse si ont lwnigalo udfil seagpsa noti eth dldreab gsacinu eurni uuipdbl in het kyn,ied htsi lased to iatdonli of the ykeidn hatt send pu cgnuisa attsycmmpoi diooy.hrsnerphs tish anc end up ni contneifi dna mpoytmss suhc sa teh osne etnsrpe ni sith ettnapi leik bcak iapn nad CVA rtdesen.ens teh inycgr si ylnmai ued ot eth iapn uedcas yb teh tin.tsbrouoc adn sutj as ensgoihmt :atrxe obldeu ilpgtai eetthcsar si a sfae nad mpesil wya of earnttig aotsmptmicy rhsrhnoypeodis of ncr.nygepa

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banieb  erreaUtl isouncrtobt by eht anetngpr tesuur b/wut7/1.li:moc9nm.wpvedbg7/35.its9hhwn/np. +1



 +6  upvote downvote
submitted by neonem(629)
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cuttOrbveis tphoyrau eacuss a pnseoalrt tieaazmo ;&tg-- wenh ,lordpgone brtlauu agadme eu.essn ishT dales ot na tecua uurbtal scoesnir, zrrdeietccaah yb noietrcc upgls in hte tubaurl mystse as ense ni teh amige

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meningitis  soeD oynane onwk het ncleeavre fo teh mets asgiyn: i"gunrd sith tiem she asol sah eebn crgyin ru"elnef?yqt +53
usmleuser007  Tkihn the atrplonse ztimaaoe si /td ehr gy.necnrpa ithW eht srgniineac ni eizs ,tsfue teh livpce vatiyc si ingeb oedmescrps nad shut eetrh si espseurr on eth errus.et Tish dglaine ot hte tpne.tnoarsei As erp baoev --- teh yngcir ebyma jstu /dt erh ipan nda naotolmei strsse csdaeu by gwiyrnor taubo silseobp insmoctcplaio gdarirneg ehr tsu.fe +4
maxillarythirdmolar  yM tgu tlles me it umts be mseo rtos of sntaitrne nhcgea ni aelaptnlc iezs wthi ohlrnamo hc.naseg 'tIs ieitemcsnnr of tahw yuo ghtim epcxte fro sarebt csganeh gridun teh esmntuarl lc,yec oim +
j44n  ro yabem teh seutf is lralyleti shnicugr rhe tersrue into eth lwla of rhe isevlp adn essh got na fcedietn iendyk +4



 +4  upvote downvote
submitted by ye2019(4)
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aihslycP mexas hewsod esresenndt of otsrcoepnchi enags,l whchi aer eht aslcep erwhe teh hgmapadir )p(ircenh- msete eth bsir c(o.tos)- toN the teotCsavrorebl agnle erseentdsn ahtt ew tknhi to nith arlne d.Iseisae tgo cfdosnue twih hsit notpi.

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adong  letosyhn iknht isht asw a ypt.o toh htars +2
neovanilla  msiusgnA it asw ont a op,yt hwo dwuol eht hipcoontcesr lasgne eb trende in siht ?dntnioioc ..Fro.m gcr.?in.y. +1



 +3  upvote downvote
submitted by waterloo(126)
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I elef iekl rtap fo hsti is mthe eiengs if oyu acn cieroegzn hseto rea bl.usuet

  • oS if you sya ko ehtes rae tsb,lueu mronoci,oiasinith imitdets,onre and PID rea apbbroyl otn hrgit.

  • seenrlGorpituoihml in ym neeercexpi so f,ra teyh shdoul ybroapbl shwo a uomlr,giel nto u.ltebsu

eteBnew unoeoemsgtha sdrpae nad ucieortvbts hpuora,yt I lefe ilek I 'todn have uhgoen ionf - utb stemmseio a 0055/ esugs si ettber anht ialpygn eslti.tphaB

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 +2  upvote downvote
submitted by sympathetikey(1600)
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yroisoHhdnrspe

tisD/ninadloieintot fo ealrn psviel nad cayselc A . slyaUul dausec yb nrriayu atcrt cottibornsu ng, leaer( so,estn sveere P,HB anitolcgne broonstt,suic ceiclarv e,acncr rjyniu to etr,uer negycnpra epynatrpla); hrtoe euisucnsa dlce ioatrpneeolerrt ,ifrssobi tarcelsoeuirev e.fxrul oiiDlant cucsor xoirpmal ot stei of tuaoelryhmp.S go nicaneetri ecmbeso deeelavt fi rcubtsoiont is eabrlilta ro fi pattine sah na t trreltybcosduoisa ni.dyek edasL ot opsconsmire dan olspseib trahopy of rnlea tecorx and alluedm.

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 +1  upvote downvote
submitted by redvelvet(56)
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cnsirthoepoc eanlg eseresntdn nda vrfWeC eB scsta in ubeuslt on atth optho ofr peeaxlmllA of emht si aigenld su ot ph.lrstnoyiieep ndA eenv omnir isytctis cna suace ylphiieprenots in yrpencgna due to bsreiuvotct yut.hroap

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diegolc26  I huohtgt it ldcou be D or E at is.trf Btu the ipcreut is really r.aelc There si amfinimlaont twhini hte utue,lsb nto in eht nuittt,iermis htat nspito ermo for Ourbtvctsie yUtporha hhwci is loas fun,lpai nca suaec erev,f adn a rski fctrao lucdo be spoosnecmir eud to lderage .ersutu +



 +0  upvote downvote
submitted by imgdoc(183)
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ihTs uoneqits saw a ilttel iyrk,ct utb hte wya I newt otbau it swa ecsspor of imiilon.ante You 'tdon see ispnehtrcoco engal srnedentse in ,,AB C, ro .D

ehS has refve dan ackb pni,a edifyltein odnt' ese ttha ni P,ID whchi nsesetrp thiw riavccle tminoo tnere,nsesd nad purtunle sea.cdighr rigrpcohaM alos sti'n oighnws rcecavli osylhgit.o

As na dddae sobu:n yrniaru estnos saeuc gnucxitacire pani wneh 'ruyoe gytrin ot pass ti othrhug yrou srrueet, ybillacsa ggndiarg endoaigl.s eHenc eth tnitpae gynrc.i

ouY 'dtdni ndee eth ,agprroihcm ehrto tahn ot see lla osthe ehnorsilu,tp utb eev'w lal enes loonpelshrrgtumiei oyhilsotg ,sledsi nad ti odtes'n eenv look eosc.l

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 +0  upvote downvote
submitted by euchromatin69(16)
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nrpgcaeny is a krsi oftcra orf ecuta ltirhe FenypspoAi 9102 pg 859

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 -2  upvote downvote
submitted by laminin(18)
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sola mbeya uldoc do erspocs fo tlita.i.ehnioe.mn rcsoot'pciehn gneal ne'dtrsseen eculs us in to it negib a nlrae plermob, nda het nlyo lenra wenras oicche si ivuetbstorc oupyathr

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spdrwmn  ireehulomotinlprsg saw an arwens eicoch +1



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