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Retired NBME 21 Answers

nbme21/Block 3/Question#12 (reveal difficulty score)
A 55-year-old man with hypertension comes to ...
Left renal artery atherosclerosis 🔍 / 📺 / 🌳 / 📖
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 +5  upvote downvote
submitted by ∗pg32(218)
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wBUdMrEoN/l vleo ot estt naerl yeartr osiesnst ni eht snteigt fo tepeeshvrnyi nnr/emg.yycureeegc sJut ebaeucs isht ash bnee oend os nyma mste,i yuo nca ayicslbla etg the rihgt eswanr ofmr eth strfi alhf of teh esont.iqu tP wiht end ngaro isseus ed,aah(ehc nuconsfoi) dan yelrla hihg BP (I wokn ti 'inst 8200,/11 ubt ti is lralye ).ighh oS tsih ygu slycabali sha eyrevhtipnes ner.ecmegy 'mI reyadal gintkinh 'ist elnar erryat otss.isen tNex neenste?c A itrub rvoe eth eltf danmbe.o iBn.go Rnela ryraet s,tnissoe stom fnoet asuced yb ecaorsershitosl ni oedrl mne (as poecmard ot ausbrfiorlmcu adlysipsa ni eyongur mwn)oe.

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lovebug  He si ehyav mkroes bt,u oN igetwh sols, oN aiaxchec t&g-; os can eb /OR Lfte ralen llce mcnarc.aio si ti right? +
lovebug  aeousnalvrRc sd. F10A,29 pg 529. +
misrao  nda on rhmaeitua os or/ RCC +
realnorthomfs  F,22A00 gp 064 +



 +3  upvote downvote
submitted by necantoramericanus(3)
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mI ton aeyrll suer ubt I nihkt the tonpi is ahtt hwti eht pptloraic riuaidodncle csan hetre is a edlya in nfcotinu fo eth dnek.yi tWha hyet nwdate su ot meebrrem hree si atth enhw uoy iveg a " A "rpli ot a inatpte hiwt elanR yaterr oersloisestharc eth lnera infotnuc wsesorn esubeca etreh is rinccnoisott of het effteern eelroairt

AF 1820 - 765

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kevin  trfeeenf tldieas ithw na IEA-C ued to loss fo nniniogtase imadedte ioavitsntoncocrs +
skonys  Thsi is an aesdi tbu etyh velo itstgen anRle tyrerA seniSsot in eht nttecox of CEA bnohiistrI cebeusa s'ti a good pshygioloy .-intei F,srit it helsp ot wkno tath einnitoAngs Is'I rnetei erol in hte eydhe/tnik aorsen ti ovdeve,l si ot tnaiimna GFR ni hte ngstite of wlo ediynk rpiuoefns myceihpvo(ol kcsoh). It rlertlefaypien tnsoarotcscivs the fef rilraeeto, aregiisncn the rseesrup sujt noarriet to hte sio,coclnu tshu iognfrc ttliaerf nito obwnsma upcasel dietpes erthe enibg lsse dolob emlvou nnuginr hhugotr eht yer.tar In teillBaar aneRl rryAet So,etssin ntmanineace fo eth RGF is omtyclleep ianeltr no AgIIn novoossnacriictt fo eht feftrene elra.oiter If uoy gvie nomeoes an EAC hioibrni,t uoy cdeaeesr AInIg and tsviadealo hte nefretef aeriltore. eTh rfcoe mngitnniiaa het RFG si ,eong giiintpretapc p-elnrare aoae.ztim hT'tsa hyw ppeloe htiw dptcssuee neRla AS eden to evha their CK dioetonrm yoslcel ueecabs it ilwl ecesniar rftae ndiiamsgatnitr adn ACE oIitb.irnh +



 +2  upvote downvote
submitted by ∗usmleuser007(464)
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sJut zideaerl ttah elnra ellc macocrina sni't the trcrceo nsawre c/b ti nveidda hte osnuve irucnitaocl nda ont the l.aretiar BP amy ton be adeecftf sa .hmcu fi RCC eewr het swrena enht hnet teehr wdluo ehva eneb emdae nesrpte nora/d learn .NTH

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sympathetikey  ,Alos ustj ntghnkii uto o,dul in het aecs of ,CRC i'st eth nediky eitsus htat's tydlsasicp &m;ap mv,iogn so ycthancelli the aenrl reaytr steifl 'nsti dlaspcyt,si th?rig +
paperbackwriter  rlusm07ues0e@ eryv odgo opitn irdgnaegr the oesunv sv atirerla nutioccalri thta I egcteldne ot nroi!csed +



 +1  upvote downvote
submitted by ∗rainlad(33)
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How od ew xaipnel hte ibtur in itsh aces? Alos why tsni' ti lfet arerty rmu?yasen ahtT smese leki it dluwo betetr laepnxi eth birut

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gdupgrant  heT biutr is ibcalayls tusj netubtulr lwof, hcwih si smto mmcoyonl acdues by tryare or.nrngwai I asw tujs eadnrig an5e-0im.6taps1sc:emed.lc/eed/ca/lr3ltiicc4pohcmte/iin on anrel rteayr yunmsare adn ti ksool ekli smot fo hte ehrsynteponi si ytlaualc traedle ot a rep uyraensm otsse,ins os i hiktn sntsesoi si eth "bre"ett nearws, .spe sncie eht pt sah kiel eeyrv iksr arocft for tsineo.soTs eb shotne I dha nto eevr lralye ghtthou uobta RAA orf iths asec baeuecs ubrit vreo RA sha eebn lrelddi toni my dhea sa aerln eytrar tso,sinse tub i cpreaiaept eeisgn who sith si a rpuse ensaelaobr nwsare - ujst het sniseost is re"om l"ikley +2



 +0  upvote downvote
submitted by ∗usmleuser007(464)
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oFr CRC: A(s pre )LRDWOU

riycmmSet bairetall relwo tyxeirtme tingpti eadme adn uttrsouo dlnomaiba vnies aer coninrengc for eiann fiorr nave cava )I(CV otitub,rocsn hi,hcw ni eht isgttne fo a e-sdtledif afknl ms,as glgenrasssue t clel aRa(Ccnor) ciCm twhi seenxtion tino het .IC V CCR aontcucs rfo &;t%g09 fo all sanaeicnimgl niaigrs in hte ineydk nad si ylihgh sdaotsieac tihw n.iomk gs ttie asPn tiwh RCC lisscclaaly hvae a rtdai fo nfkal apin, bplaapel s,asm dan ihtaau,mer tuhholag yanm mnirea mcmpotasyita lutin eht esaiesd si cnava e.dRCdC si a yhiglh svraaucl rumto adte tanshiv eht rlean iein nv up ot 25% fo .escs a CVI otcusnorbit can ccrou ude ot lnamriaitunl esninotex nad tuhrmbso o,ntroimfa hraert hatn sasm fteefc orfm hte tumor ft lie.s

ehT stouibtnorc can ruocc aetulyc ro rygaudall evro .emi t nI hcronci cse,sa atcalolrel nueosv oluicatricn mya peeodvl bdase on eht stie of eth nrso.bt ioutc nneotrPmi binoamald tc ellallroaawl ivns,e sa in sthi eitanp,t tgessgu ttrounscbio of het upepr netsmeg of eth IC.V

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nor16  gihh doolb uess,errp .ie. iHyestpennor, isrk atosfrc orf las.h,cotre irubt !!! vero fetl nad,oemb ydescrano t.ar nnt.yeHpsreio yeth wlaysa watn het lnrea rtraye ssensoti lke(i vFW ni ag.co er)o.d.id.ssr +



 +0  upvote downvote
submitted by ∗jackie_chan(34)
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I epaohdcarp hist iutnoqes saceube nam htiw erarth merxete TNH adn mldaibona rbtui is qeitu ftneo relan isssntoe

LoAs acrplpiot anerl aiecrliuoddn ssnac' ciufonnt is llietlary ot sseass elanr inssstoe ldoeo(k ti ,pu tbu i ddi nto nkwo thta enhw i wds)reean

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