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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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BEM/rdlNoUw evol ot tets rnela ertayr ntoseiss in het igstten fo ivtrnhyesepe yecceuegm.nyeg/rnr Juts abusece ihts sah eneb nedo so mayn ,ietms yuo acn lycailabs get hte hgtri asrnew mfro het rtifs lfah of eth stq.nieou Pt twhi den gnaro isesus eehch,a(da usnonf)ioc dna ayerll ighh PB (I nkow it tnsi' 1012,08/ tbu ti si ellyar .hg)ih So sith gyu aislacybl sah yhpsntieevre mreny.gcee 'mI aayrled khngtini t'si lrean eayrrt teon.isss Next encs?nete A riubt eovr eth flte nabdo.em nBgoi. aleRn rtyare si,tsenso smto oentf ueasdc by relessacsihtoro in eldor emn (as rmeoadpc to lrarcmbusufio adpiylsas ni uyogren wm)o.ne

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lovebug  He si vheya mkreso b,ut oN etgwhi ,sosl oN ahacicex g;&t- os nac be RO/ etLf lraen lcle or.mniacac si it hi?trg +
lovebug  suvacRlrneao .sd 901,FA2 gp 25.9 +
misrao  dna no uhaaetirm os o/r CRC +
realnorthomfs  20F,20A gp 064 +



 +3  upvote downvote
submitted by necantoramericanus(3)
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Im ton lareyl ruse tbu I iktnh hte niopt si that with eth croplaipt udieaocndlir sanc ehtre si a elayd in fnuctoni fo the iykde.n hWta tyeh adwtne us ot eermbmer here is htta henw uyo evgi a " A "lirp ot a piaetnt tiwh neRla rrayte eachtesriossrol eth enral niutfcon swenrso ecuasbe theer si ccnttnoiisro of teh reeeftfn alorireet

FA 8012 - 675

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kevin  enrtefef aditels hwit na AICE- eud to sols fo itgnnsenioa diaedmet aisvtsccorononit +
skonys  siTh si an adies btu hyte elvo tnigets anleR eyrtrA soinSets ni hte tcotxen fo CEA nIsobhtiir secaueb sti' a godo soolihyygp .-niite ,stFir ti psehl ot nowk taht noniAigetns 'IIs eientr loer ni the dniktyeh/e aenros ti vel,oedv si ot aiinantm RFG ni teh gettisn fo wlo dikney opisurfne ooviymplch(e kch)os. It rftpnlaeleryie csovonsstartci het ffe etoeirlr,a iicragnsen the rpsueers sjtu anotrrie to eth ccui,slnoo sthu fricgno tfarietl onti nsmwbao acpelus sedptie erhte ebign lsse blodo vmuloe unignnr thguroh hte .erytar nI laiaBrtel lRena rrAtye snosSt,ie nemcainneat fo eth RGF si lemoplctye tlirane no nIAIg roansstvtiincoco fo eth efteefnr lioea.rert If yuo geiv onmseoe an AEC hrotniii,b yuo ecaerdes gInIA adn aeivstdaol hte reetnfef tre.oalier Teh ofrce nagmaiiinnt eth FGR is oe,ng icgartppeinti eplrnera- mi.eoazta hsT'at hwy oppeel hwit ueesdpsct alnRe AS need ot veha tehri KC rdmotneio lyesocl ueasecb it lwil eiaecsrn teraf ttigandrsminia adn CEA Iotibi.hrn +



 +2  upvote downvote
submitted by usmleuser007(464)
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Juts izdeealr taht arenl llce iaracmnco nit's het tcerorc wsenra cb/ it dnaeidv teh evnsou ticnrialouc nad otn teh ear.lrati PB aym otn be efcdftea sa um.ch fi RCC rewe het snerwa then ethn erhet dulow vhea bene demae ertesnp /rndoa lnear H.TN

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sympathetikey  sol,A ujts inhkting tou duol, ni the eacs of ,RCC tsi' the inkyed esuist hatt's tldssaicyp &;pam m,viong so iclcyhlatne eht elanr raetry fsteli nsit' pid,calysts rti?hg +
paperbackwriter  sur0m@7u0lsee vyre dogo ptoin rengagdir hte sonuve vs eararilt ortauncciil htta I ndeeecglt to !nrocdsei +



 +1  upvote downvote
submitted by rainlad(33)
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oHw do we pexnlai the ubrti ni shit e?asc losA hyw i'nts ti flet tarrye ure?mayns taTh semse eilk it dluwo eetbrt inxlape eth tirbu

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gdupgrant  Teh bitur si sayalclib tjsu trbnuletu wfl,o wihch si osmt ymnomolc duscae by ertrya wnror.gian I saw stuj gaendri a3-ca4/mc0.dao/i5c/p1lsmtenlpccmeree:6.isih/idctlitene on nlrae aertry nreyasum and ti lsoko liek otms fo het nesprioneyth si ctuylala rdeeatl ot a rep eyanrums nssetsio, so i tknhi tnisseos is the e"rbett" se,nrwa e.sp insec het tp has eikl rvyee risk aocrtf rof e tTnsosi.so eb eoshnt I ahd ton erve allyre ottughh otuba RAA fro hits caes ubescea rtibu orev RA hsa eenb ilelddr ntoi my daeh sa eanrl taryer tins,seso tub i apcepetria inegse who hsti is a usper laonersbea sernwa - utsj eht nsiosset si more" lyil"ke +2



 +0  upvote downvote
submitted by usmleuser007(464)
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Fro :CCR sA( per LOUDR)W

mSrmiytec liaaltrbe owerl iemtrxety nigiptt eaedm dna urtutoso mondbiala svien ear ncegnorcin rof arnfoini er anve caav C()IV bc,uotrtnios hwc,ih in het gsittne of a eeil-fsddt nlkaf ,smas gsa ulessngert llce )croC(CcmniRa a ihtw entiexnos tion eht IC .V CRC noccatus for 9t%&g;0 fo all aglcsnimaeni arnigsi ni eth edkyin nad is hyglhi astsdoacei twih ns.om kig nPtseati htiw RCC isaalcyllcs vhea a rtiad fo nflka an,pi eaalppbl ms,as adn auiemtha,r haulohtg namy amerin yampmottaics unilt eht edissea si eCdR. acdvnaC is a ilghhy uracavls omrut vntseih data hte eanlr  iinevn up ot 25% fo cs.eas  IVC ontoticsrbu acn uccro edu to anlaitirmlun nisnxteeo dan orshbtum ir,noofamt earrht athn smsa cfeeft omfr eth oumrt .fei tls

eTh inutbrcotos nca urocc uclatye or udarlalyg over et.m i nI hncoric css,ae ctalolrael nsuvoe nuoicltcrai may epedovl desba on het iest fo teh o.iucrtotn sb ntnoreiPm odaalmnbi llcalo larteawl svien, as in sthi aetptn,i ggtusse obcttrounis fo eth euprp getsmen fo the VI.C

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nor16  gihh bdolo surrs,epe e..i oste,eHpyninr ksir tfrasoc rfo st.laroe,hc rtiub !!! eovr lfte nbd,oame rncyoedas .art niysrnHee.otp heyt awylas tanw eth arenl eyrtra itssoesn kl(ei FvW in a.ocg ).is.sd.rorde +



 +0  upvote downvote
submitted by jackie_chan(34)
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I aoeadcrpph hsti esointqu saecebu man whti rarthe etxmere HTN dan laamodbin irtub si uetiq neotf lanre osnsetis

oALs lprtocpia arlen ediuionradcl nasc's nocfniut si iltlarlye ot essssa lnare isssoten odl(eok ti pu, but i idd otn nwko ttha ewhn i sdeernaw)

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