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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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rMNl/oUwEdB oevl ot sett nrlea eaytrr snstoise ni het ntgtsei of preeivnetshy rgnececgyeyr/meu.n Juts ecuseab iths sha been node os amny ,imste you nac lcalsyiba get teh grthi ernsaw form teh tsfir flha of hte en.uqisot Pt ihwt dne ogrna ssuise he(haad,ce osounn)fic and raelyl ihgh BP (I kwon ti 'ntsi 2,1/0081 tbu ti is leyarl )hi.gh So thsi guy csbyialal has ypteniserveh geymrcee.n 'mI lyerdaa kinigthn t'is nerla ryaetr snsotsei. txeN ecseen?tn A rbtiu rveo teh eflt .oedbnam o.ginB enlRa arryte t,esnossi otsm ftneo eacdsu by sssareeohtciolr ni rldoe enm (sa apmrdoce to ruorfcailmsbu paidlasys ni groeuny nmo.)we

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lovebug  He is veahy mkorse ,utb No igtehw sslo, No aeacchxi &t-g; os anc be /OR tefL nrael ellc oaccniam.r si ti tigrh? +
lovebug  nolvaecursaR sd. 2,019AF pg 952. +
misrao  adn on uareamhti os ro/ CRC +
realnorthomfs  0FA2,20 pg 046 +



 +3  upvote downvote
submitted by necantoramericanus(3)
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Im nto lreayl ures utb I ihtkn het nptoi is ahtt thwi teh cortilppa diiudncerloa scan terhe is a edyal in cintfuno fo het niedky. taWh they dtenaw us ot emermrbe erhe si atth nhew ouy ivge a " A ip"rl to a aentipt ithw neaRl aertyr shliraocessoter teh rnale cifunnto snerwos aubesec rteeh si tociotrnnsic of teh enerteff litrraeeo

FA 1082 - 567

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kevin  etenerff ltiasde hiwt an EA-CI due to slos of astiongnnei etdidaem cnoinotsivracots +
skonys  shiT si an isead utb yhte olev gnstiet Reanl yrArte Setiossn in hte xcetotn fo EAC ronIstihbi usaebce sit' a gdoo hgosplyoyi i-t.ine rs,itF it spleh to onwk atth etiiAnnongs I'Is tieenr lroe ni hte hkete/nyid noeras it ,volveed is to tamannii RFG ni eth geisttn fo wlo dekyin orsfnupie ophmic(vloey sohc).k tI lfeltrriaeyenp osvcssctnortai the eff areleoir,t nicnisareg het epseusrr sjtu etnaorri to eht oclcoius,n hstu icfgron ertaflit inot asbnwom uapelsc sietdpe rthee ebnig essl oldob vmleou nrnginu hrhtogu the erart.y nI reiltaaBl elRna Atrrye s,tioeSsn inneaaemctn of het GFR is ctmlolyepe anitrel on IgnIA tinovrcnooasitcs of eth tfefnere ltia.oeerr fI uyo give smoneeo an ACE iih,tnbrio ouy dceasree AnIIg nad etdosaaliv teh efrtfnee atio.eerrl ehT focer gnnaaiiinmt hte GRF si ne,og nieppgtaitirc eanrr-pel omi.azaet stha'T why loppee with dsectupes Rnael AS nede to heva eihtr KC tdmrnooei celosly csaeube ti ilwl rcainsee atfer taantdgnimsrii and ECA bI.nthrioi +



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submitted by usmleuser007(464)
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ustJ dearezli tath alnre clle acormacni ns'it hte ceotrcr wsrena c/b ti anidved eht veouns anutlrioicc adn not het rai.ertla BP yam nto eb eadfcfet as hmcu. fi CCR were hte eswnar htne hent reeth odwlu ehva ebne demae nsterep n/aord nlear NTH.

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sympathetikey  olsA, sjut nitnhigk tuo dou,l ni hte cesa of CR,C is't the nikeyd sstiue 'httas scyptislda pma&; mgoni,v so eacncllythi het lrena yraret lfeits ni'st ydlsiptc,as ritg?h +
paperbackwriter  m@el0ssreuu07 revy doog pinot irrnggdea the svonue vs ietalarr urtnicoicla ttah I gltecnede to ronscedi! +



 +1  upvote downvote
submitted by rainlad(33)
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oHw od ew nixalpe eth tirub ni hsit ?sace Aols hyw ntsi' ti tfle yertra usnre?may ahtT smsee kile ti dluow tebetr xaienpl the urtib

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gdupgrant  heT ubrti is aclasbily sjtu rlnututeb ,owfl ihwch is tmso ymcolmon ecudsa yb eryrta ra.niwnrgo I wsa utjs rgnadei enl6moiasc4mic.1icdtc3-s/nec0t.cd5/lrpht:apeilma/i/eee no alern arerty msyeranu dan ti olsko lkie somt of eht tnirnoheepys is llcaaytu earlted ot a per anryemsu snessi,to so i hnkit seoinsst si eth "t"teber sn,eraw pes. eiscn eth pt ash ikle yveer iksr ctrfoa fro T.ns oesstoi eb neosht I dha nto evre alelyr ghhtotu obuta ARA orf hsti scea ecubase briut oerv AR hsa neeb lleirdd iton ym edha sa elrna eryatr snio,ests tbu i etaicpprea eesgin how itsh si a speur breesnlaoa nwaers - jsut het iessston si oem"r l"elyik +2



 +0  upvote downvote
submitted by usmleuser007(464)
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For RCC: sA( rpe R)UOLWD

tymScermi alrbetial rlweo mrxyeitet itigtnp eeadm adn sutuorot blnoamadi nesvi ear ccnrngione ofr ianirrof en vnae vaac VIC() oot,ctubirsn wc,hhi ni the isgtnte fo a tel-sdfdie nafkl a,sms ra slussgtgeen cell CiRoCr amac)(nc htwi txniseeon inot hte .V IC RCC antuocsc ofr t&9%;g0 fo lal ilancsnegmia nigirsa ni teh ndiyke nad si lhgiyh tscaeaoids hitw ms. oknig st natiPe hwit RCC sycisalallc eahv a artid fo lnakf ip,an laabppel msa,s dan uatmar,eih ltgouahh yanm imnare myoaiptsmact tliun hte aseseid is ne.vCda RacdC is a lhgiyh cvrslaua morut hivatn adest teh narel vnenii  pu to 5%2 fo  ess.ca VIC onicoutbrts anc roucc ued to ilnrtnmaauli nenoixste adn sumrhbot ,tmirfonao rraeth ahnt asms ftcefe rfmo eth ortum lfes.t i

heT tosiornbtcu can urcco yelcuat ro urdlaglay vreo  mi.te nI ocrhcin e,ssac ocalrelatl nsuove iauoniclcrt amy dovplee sbdea no teh itse fo teh urstbci. ntoo Prnemnoit onldaambi  tallewolraalcl sinv,e sa ni hist itn,tape eggssut otousntbirc of eth rppeu etegnsm of eht .VIC

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nor16  gihh lobdo r,reusesp .ei. ee,rsnHntopiy skir oatsrcf rfo et.ar,holsc uritb !!! orev fetl om,bndea ascedynro ta.r H.piseneyntor yteh ylsawa wtna het narle ryreat ieostssn ilk(e FvW ni go.ac es.rdodis.r). +



 +0  upvote downvote
submitted by jackie_chan(34)
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I eopchraapd isht oeqisnut ecsbuae amn hitw rtrahe eteremx HTN and andamloib uirtb is euiqt nefot lrnea itsesons

ALso rcpaltiop nreal airidndcloeu 'sscna cfntniuo si laeyritll ot aessss naler eoissnst k(oedlo it u,p btu i did ont wnko ttah hnwe i eda)swrne

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