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Retired NBME 22 Answers

nbme22/Block 1/Question#4 (reveal difficulty score)
A 48-year-old man begins furosemide therapy ...
Decreases the luminal permeability to Na+ in the collecting duct 🔍 / 📺 / 🌳 / 📖
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 +10  upvote downvote
submitted by ∗hello(429)
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Sneopcniatolor adn elneeopenr are pigraup-soatnsmsi sictceiudr htat ihibitn teh aN/K AesPT.a /KaN eATPas is on eth eatsbolraal mbn.merea oNen fo teh sewrna cocishe fti tihw i.ths

rldieoimA dna iretatrnmee rea sola sps-aopsnramgtuii u.cisitdre hTe smnmheaci is to lobck NEaC nlhsenca no teh ilnamul ameer,bnm htsi is ohceci .B""

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 +4  upvote downvote
submitted by ∗j000(17)
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oieoatsocnplrn adn nepeeelonr era naodeoerlts crreotep saingnttao he(yt blcko teh effetc of rldsntooeea by obnlkicg hte sralaaltbeo KN/a PeTAas p)u,mp htis is not eth asme tihng as bignlcok a loalstebraa +K .hnlcaen Thye kobcl adn cdearees eht asosutpim ncincut.doo hrTee is on alatsreobal K+ ahecnnl

if the A() eerw to sya eesecda"r K+ toducniocn in lgeltocinc tc"du atht mhtgi be rcecrto

so ()B is rctor.ce aientTrrme and ldaeiomri lcobk a+N clnenha on acaipl mallnu(i d)eis esid, edreasec lpeaybimteir fo +Na

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 +1  upvote downvote
submitted by biliarytree220(13)
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hlduoS use a pim-apisngsursoat irditceu F(A 95.1) Teeimarernt and edirlmioa rowk yb ocnlkigb EaNC nesl.achn

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 +1  upvote downvote
submitted by just_1more(1)
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I otg ttha ti eeendd ot be a uatsipsmo gispran dr.tiueic Is eetrh a sneroa ti nontca be an osldneaeotr aitst?nagno I cheso socblk rslaableota +K schnnael sa ehset esreaedc the ltreaobalsa s+Ka//P+eNTaA cueasbe the rdigwno of hte errtocc awerns idd not kame eness to me -- angsiusm ehyt eerw ngiog ofr na ECaN lrobkec n(ad that ddcreeeas llnumia iaertbyimlpe sietndica tath +aN woldu eb iaeinmrng ni hte ,mlnue ton giriamnen in eht cnippailr lcel as I lanoyirlig )ohhg.ttu

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luckeroo  I itnhk teh ensora ’sit a timapspuinssoar-g urcditei hrarte thna na aooednelstr agittsnnoa sah esls to od iwth ywh the teldrnasooe gtanotinas nonatc be euds adn oemr to od hiwt eth ftca atth a -aisoarimtsgppsnu tidricue ulodw be eomr fo a s”rietf-“nil dvaiecutjn dieiurct ettneatmr. +2
luckeroo  sA orf the rnasew hc,iceo mssiatoup gpnsria eusdtiric cheavei ihret oaelvlr naooilted-asrtne effcet by eimeilctyvpto inbihitgin teloadornes reotpcers no teh lirtttasiein side edn(gircsea the eP-KTNaA/sa eetffc of tghsuinn Na itno eth ldb)o,o yrtebhe nceadgsire eht ratdinge for modusi to enter eth clel ofmr eht mlulina sec,tap obinkglc aCE.N +10
yotsubato  ehreT is on ushc hgint as esorlaala"tB K nnChal"e ehtre si noyl aeobatlrlsa udSmio aomsPtisu sPmpu hcwih rea rtlecloond by lna.doeersto A F gp 735 +11
nwinkelmann  u@tatoyosb L..O.L. why dti'dn I nkthi fo it htat w?aht! yb( the a,yw atth OLL is fro )em. Teh oyln leaaastrlob K nncealh is teh nrnepho (aedbs no het tirsf dia )ipectur si ni teh cthik egasdninc biml of hte olpo fo hl.ene +1
hello  liroaonnoeStcp adn eelpeneron era ansst-oigpasmuipr cusirticed thta tinhibi teh aN/K PATa,es so 'mI ont usre thwa co@ekulro is rfignrree .ot ptSacionolenor nad pnlreeoane rae thbo OADL aosgn .tatsina/KN seTAaP is oundf no het leltabrsoaa aemnr.bem eonN of het easnrw ehcisco tfi thwi A ieo.mthildirs and mtaetrreeni are also astugn-pmarsposii ctsidier;u tihre ahmencmis is ot cklbo NEaC lasnenhc on eht ullmina m,ebramen this si eocich ""B. +2
rxfit  morF gautKzn aoBrd :eviweR nroop"aenciolSt dan peernlneoe era sieodrt divarstevei adn act as amhgpaoolicrc niotatnsgas of lenoraeodst in het elcclontgi bleutus. yB ioibcmnng hwti and gbnkciol eth cnararlitulle arentodloes oreetc,pr hsete rusgd derceu the nseoixrsep of snege tath oedc orf the allehtepii uimosd oin ehnlacn C()NaE nda a+K/+N s.aATPe oAldiierm dna eanrimetrte cat yb onbcilkg the aNCE mdsiou clnsenha eFuir(g .1–5)5 eseh(T ugrsd od ton kclob aNI anchnles ni xbtelaiec .)absemnrem noSooprecltain nad nneorleeep vhae wlso sneost dan sftoesf fo taiocn (7–422 h.) modilireA nda enaritetmer ahve utarnosid fo acntoi fo 42–12 h". oS tboh irgKs-pna ytesspub aer htcnliecayl ect.ocrr +1



 +1  upvote downvote
submitted by volleyboy119(1)
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It d'stneo etmatr ihhcw piugarpsoaim-nsts ciedritu you sue. You cna litsl gte to itsh sean.rw lnArtsooeed lolymarn rsauutpgele K/Na PesaTA in eth lcripniap elscl fo het ,CD eddreacse +aN alirrlcte,ulayln hcwhi slead ot desiraecn EaNC v.itatyic Snpcntealeoropne/ereinool wlli thniiib isht ougplretiaun of CENa, dnegial ot edecdrsea ieimebpratly to a+N in teh CD.

bOv deaoiimrl nad aetneetmirr liwl boklc cpliiarpn lcel aE.CN s'It lal in hte msea slasc os yhet iwll lal dale to hsti tfefce :)

FA 0291 pg 357

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 +1  upvote downvote
submitted by ∗usmle11a(102)
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cnlotoirsaoenp scat sa na ersoendloat ginostatan hwich neams dnisercage N+a plemaerytiib

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j000  i knhit eterhy' ernrigref to reeiermtant adn aiiolemdr, ont nronsptoaeciol orptsn loainoce 'entods auclyalt ecerdesa a+N bemperliyati +1
jackie_chan  00j@0 It neodts rtam,te sripo dna eeoltnadrmetimeirari/ haev a mmnooc ceeftf of gsmeisn hiwt ednasN.rEloCet oA epseagulurt ECa,N iorsp odlwu nitbiih tath so in fftece lwdou aedeserc uamlinl rabptmieieyl to aN ni dutc edu to freew CEaN naens;clh meitteerrna wuldo lokbc het nhlnaec ,ledicyrt amse .t ecffetauaog/mkpac.idhpiiieb./p_/dmrsehpeudhirpi/uornunetssuwtpm.twktsltd/:a_e +1



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