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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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/dNorlwUBME ovle ot test eraln arryte iotnsses in hte gtsiten fo yehnvrsepeti eye.mryneueggnrcc/ stuJ esabceu shit has bnee node os myan setim, uoy anc ilaalsbcy gte het tgirh ersnwa form eht trisf lahf of teh onieqtsu. Pt whti nde rnoag essusi ,edch(aeah fsonuonci) dna eayllr gihh BP (I okwn ti sint' 0,0821/1 but it si ayrlel )gi.hh oS htis ygu clylaaibs has psnhyereitve meenyercg. 'Im dralaey tignnkih 'tsi rlean ryrtae esstso.ni etNx neetsn?ec A rtbiu veor hte lfet oend.abm ng.Boi aenlR ateyrr osse,ntsi msot feton sdeacu by cahssoreeostlri in ledro nem (as repdcaom to usrraofbimclu alipsdsya ni egyorun men)w.o

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lovebug  eH si avhye rskemo ub,t oN hwtgie ,ssol oN ixaahecc -g;t& so can be R/O Ltfe earln ellc aar.nmcico si ti higr?t +
lovebug  aoavcunlesRr .sd F2,109A pg .529 +
misrao  and on thmarauei os /ro CCR +
realnorthomfs  0AF,022 pg 046 +



 +3  upvote downvote
submitted by necantoramericanus(3)
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Im tno eallry seur but I thkin eth otpni is atht tiwh eth capptirlo udilcneroida csna trehe si a eaydl in ctfnoiun of teh deinyk. aWht yhet teadnw us to bereemrm rehe si that whne uoy evgi a " A i"prl ot a ieattpn ihtw alRen rrteya teeirslhoroscsa hte narle tncnifou wnesors ueecabs heert si soncnotircti fo het efetenfr tearroiel

AF 0182 - 756

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kevin  enfetefr iaedstl wiht an -ECIA ude to lsos fo insetoanngi edtadmie vicrnaisnsctooot +
skonys  Tsih is an edisa but ethy eovl teinsgt eRlan erAyrt sosiSten in teh tcxoetn fo CEA sritIniohb ubaeces t'is a ogod ishyopolyg tn-.iei ,isFrt ti hples ot nwko htat nAngentsoii 'IsI ntiere lreo in the nk/edtiehy reonsa ti l,voveed si to maitainn GRF in eht nstteig of olw idkyen spufrnieo oilmphocvy(e )oskc.h It lnpfyriealteer tscsrcivosaton het ffe ,toealierr isenarcgni eth prseerus sjtu inrerota to the ocn,icluso htsu ircfong talifret toin awosbmn elpsuac pdeeist hrtee nebgi sles obldo uomvle grnnuni orghhut the .rteyra nI tBlleraia lRnea rryAet ,tiSoness matniannece fo hte RGF is ymcpoellet ntielar on AnIIg nsoasctnviirocot of eth fntreefe eorratil.e If ouy ivge neooems an EAC r,itnhobii oyu edsecera InAgI adn sadlavieot hte teeenffr roi.alrete hTe rfoce ianmignntia hte GFR is e,gno iptipatgiecnr raele-pnr .oaazitem 'thsaT yhw eppelo wiht pscdeestu Rlane AS need to veah reiht KC oridtemon loyecls ueacsbe it llwi rciesean atref mdiargnttisain dan CEA rItb.ihion +



 +2  upvote downvote
submitted by usmleuser007(464)
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Just ieadrelz thta arlne elcl iaracncmo s'tin teh ctrceor aenrsw bc/ it aedndiv eht eosnvu rtaoluiccni dan otn the irrlatea. BP yam tno eb taecefdf sa .uhcm fi RCC erew eth nawser enth neth htere uowdl ahev eben eaedm serenpt /oadnr anlre HTN.

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sympathetikey  A,slo stuj inihtnkg uot do,ul in het aesc of CR,C tsi' eth ykiedn tsuies ahst't ctldsaspiy ;m&pa vionmg, so elclihcytan hte laenr errtya fsilte nst'i iy,cspltsad ?igrth +
paperbackwriter  0msre@7uules0 reyv oogd ptnoi agrgnedir the nsevuo vs aaiterlr cliitancuor that I egtelnced ot erncsid!o +



 +1  upvote downvote
submitted by rainlad(33)
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woH od ew laxpeni het iturb ni iths sa?ec lAso hwy ts'ni it ftel reyrat rna?syemu That essem klei it douwl ttbree axlipne hte uritb

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gdupgrant  hTe triub si ayaillcbs ujts tnbutelru wlf,o ihwhc is ostm comomnyl esdacu yb raeryt griwnaorn. I aws sjut nidearg lsisce-.t0alimee:i.c3t/m46padreae/clcimcchd/t1p5/oneni no nreal teyrar snrameuy and it olkso lkei somt fo het pieehsytnnor is tclaulya rlaedte to a rpe rueaynms essisnot, so i tnhki ssoensit si eht teb"ert" a,nrswe sp.e iecsn eht tp ash ikel veery kirs otrfca rfo T o.tiesnsso be eotnsh I hda not ever rayell tgohuht atbuo AAR rfo tsih esca uscebae tirbu orev RA sah bnee idrledl noti my ehda sa earln eyartr osetssi,n but i aecptaiepr sigeen hwo shit is a speur asbraoeeln wnsear - sutj hte inseotss is "rmeo k"liyel +2



 +0  upvote downvote
submitted by usmleuser007(464)
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Fro R:CC A(s erp UOL)RWD

mmteciySr rtiblalea erowl imettxyre nptitgi demae adn souutotr amaobdnli veisn ear icgnoencrn ofr  eifnroinra aevn cava VI(C) ,stoicbontru hw,hic ni hte tsngtie of a dleedftis- flkan assm, grseutsslge na lelc C)R mnair(cCaco wtih itsneexno iton eth C.V I CCR unstoacc ofr &%g09t; fo all iclgiansaenm insairg in eth dniyek dan is iglhyh aetoacisds thiw gsikn.m o ntae Ptis iwth CRC sclcsaylial vahe a dtari of kfnal npi,a eplabapl msa,s nad taruhi,aem ulhtaohg mnya mieanr patoiamtscym liutn eht adsisee si CeaaCdc R.dvn is a glyhih uraasvcl oturm ttnasivedah  teh nrlea nn evii up to 52% fo c.ess a VCI itonrstoubc nca cucro ude ot iamrulinnalt xonnitees nad hbsurtom ,aofritomn haerrt tahn smsa fcetfe omrf hte mutor . iftesl

eTh srncbutooti anc uccor ulceyta or luldaaryg vero e mit. In nhcoicr as,ces oectlalarl nuesov iironctucla mya odevelp bdsae on eht ites of eth ucsbnr.iotot  Pmoeitnrn anbloadmi  lrelaatwollcal ,iesvn sa ni hist pe,antit suteggs tbuootsrcin fo hte ruppe teegmsn of teh VI.C

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nor16  hghi lbood errs,espu .i.e nyreepiHs,ton isrk stofcar rfo alro.cshet, rbiut !!! evro etfl mbedn,oa rencydaos art. iet.nrpneHyos yeht yawsla wnta eth nelra rtarey tsesoisn kei(l WFv in oacg. rrdies..)osd. +



 +0  upvote downvote
submitted by jackie_chan(34)
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I ppadrehaoc itsh steinuqo beauces nma ihtw trhear eetmxer TNH nad adolmbnia ibrut is equit toenf nlera esisntos

ALos oltpicarp lrnae lucddoiairne 'csnsa tcnifuon is ylllareti to sasses arlen siossent klood(e ti pu, utb i did ont wkno that when i )ndsarewe

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