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Retired NBME 22 Answers

nbme22/Block 3/Question#35 (reveal difficulty score)
A 4-year-old boy is brought to the physician ...
Interstitial inflammation ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +11  upvote downvote
submitted by โˆ—keycompany(351)
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rnryUia tatcr osenicintf rea eht smot moocnm icduaqer ecusa of icousteVeric fRuxel R(V) in ldren.ich VR acn alde to leuRfx epptohryhNa, hihwc si ccaadeeihrtzr by orhccni tialtnotrteuiublis aaomnmiitnlf ihwt risisbof nad gasrri,cn dgiaeln ot elanr lairfu.e

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lancestephenson  nCa smenooe eplase xpniale 'wthas iogng on in this ?cruteip hiTs is eth EASM TEICRPU sued ni NBME 02 and 12 iwht neo fo etmh niebg a 66 /yo twih outhlleira clle oicanrmca adn teh hreot geinb bruault ohartp.y I utjs ot'nd ownk nyeoamr +49
spacepogie  Id' eb ayhpp ot dsne thme a tifg rcad to hauercps rome stokc geimas fo kdnesiy for eus in uurtfe ...mxaes +20
diabetes  i thnik VR suhlod deal ot lbtalier nkydei egaadm dna reeh ynlo fetl kieydn si ut.ceafofsddhel ew upsepos that hgrti kdyine sloa si caedtfef ? +1
skonys  heT dik tges tow UITs dna sih iesnkyd ekun seeslemh.vt AAAKA.WAE sloA vole who the idk ash ~oc~hicrn amfaiomtlinn at 4 yrs do.l argaGbe cip oot. +1

FA 2019 pg. 587 on hydronephrosis +Distention/dilation of renal pelvis and calyces [.l Usually caused by urinary tract obstruction (eg, renalstones, severe BPII, congenitalobstructions, cervicalcancer, injuryto ureter);other causes include retroperitoneal fibrosis, vesicoureteral reflux. Dilation occurs proximal to site ofpathology. Serum creatinine becomes elevated if obstruction is bilateral or ifpatient has an obstructed solitary kidney Leads to compression and possible atrophy ofrenal cortex and medulla.



 +10  upvote downvote
submitted by โˆ—nwinkelmann(366)
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I THEDA htis ri,pectu just liek orvyneee eel,s ,oll so I idd eosm more .giniggd novyrEee bwoel is rt,rcoce htta hte noteinrsatpe si igegtgusns na ioenucftsi psc.eosr TUsI anc aecus cauet ,itispepnorleyh nda fi choic,nr sroeesrspg ot oin.hccr ltnPeiyhosriep is a atliilutottriunbes e.idasse I ufnod stih frntaomiino idrgrnage ,it dna in hte aslt arp,t it eressdicb het gsrso ahgoploty fo ncchori oilyspep.ihtern Form ym iertrnptanito,e ti onsdsu ikel tahw the recputi si o,inwsgh tub I sn'twa abel ot ifdn a utttjs/eebr sa doog oen noeinl ey,t so I nto'd owkn rfo eru.s

ueAct lsTttluniriiabeout r:ipthiseN Aeutc ntmianalfimo of suluebt and trmuientitsi nca caeus FR,A nad if the aifatmlmynor specsor psesirts isht nca veelvo tion oihrccn iutitaosleblnittur srnthipie and rhccnoi tasniretitil sfbroisi and bultrau htraoyp tiwh risk fo rpssgneioro ot -eaensgdt dneyik aesiesd. wTo rjmoa etgceaosri of taecu liobstrnattieltuui stniipher ear uctae eisrtpyeplnohi dan auect etsiyvieyrsnhitp auitetilolnbitutrs .ieihpnrst

tceuA sepli:nptieyohr esCuda by acbierlta itnoifcen smot olmymcno E. oilc ni.cieontf irsynyepseiHttiv tutnorbeatllsiuiti sriieh:ptn dueCsa yb an rgallcie oenrepss, fro xmepea,l ot a rgud or ohter nascbstseu hatt rae gtesdn,ei shcu sa lhabre dieesrem.

By afr het tmos omncmo uoetr fo fnetociin ni tecua lpypeetonshrii si na nnsgicead oitcnifne in hte yanriur arct,t fro a,meelpx eivddre rmfo a abacrilte dlarebd iinftenco. tuAce penihyrotsliep = eesvtxnei xlnfui fo NPMs itnwhi the rmiitttenuis, uesbltu ,(u)itlbsitu dan nsmeul of ulbuest C(WB a)ctss (.Di/byPpt/h/it:JytBl2.)

htiW eicntesepsr ro ucrnerecre of etuac ehrptoe,plynisi eth isedesa sorpcse evslvoe ntio corhinc sphieyeniropt,l iwchh ulsuyla si oapndcacmie yb akmdre noierso fo the plirpyala pti tnegurlis ni anloidti fo eth dcetajna ayxlc liea(t.cs)cais

heT tmos ecihrartctsica taghpoiloc eetrsauf of hccorni oeyslpetipinhr aer het osgsr chgsnae in eht nyidke whit edbsbard-oa asrsc ni teh cehamaprny eiovnrlyg raesa fo calroitc nda laumdrlye phayort hiwt tdaneacj iaastiesc.lc lsoA, the snentaitopre ustsggse ,sioyhoerhspdnr and form my erasc,reh yorei,dsoprhshn hwne ce,srerivnh/co anc unobticrte to teh karedm sosl fo otrcxe and ssrfa/csiorbis of the auledml (tlEAe/sdt.0h.p/Lpu/h.0ttauNHRmh7/wh.tLRATMmdNeaebE:) nda acsecsiialt cwhih( I hktin si nsetepr no itsh ec)ipt.ru hiTs is eth ostcels upeitrc htwi tnrdcspoiei I uoldc dinf htta teahsmc teh esmt teaipnrtseon ei.(. urrertedyoh and hrsendsrpho,oyi gsntsigegu rvileoercetaus lexufr daenilg ot oniniecft omrf "a nolg atnisdng tinobocstur ayobl(bpr niagtne"c)ol os likley fomr a hlcdi) tEAeLEhp/thNdehbetNs:uTl.a0H.tpaL..RdmMhwt/um/R0A/8.

lA,os ot emtnino no het oehtr mmsonect srisgexnep stuantrifro ttha hte maes erciutp wsa dues fro umtros dna ruluatb r,yoahtp mofr hwat I ard,e ttha rosgs tl,opohagy is teh leregan acnpreepaa fo ruhteorryde due ot vutcseotirb otayruhp .i.(e ulbruta p,atorhy isisf/,rrasbirnocg cal/isiacctaxysel nlod,iati adn hnti iolatccr rim ude to ap.hroyt Pooeyngh.cntlomiloa ayss taht the ciisltasaec is aadgeeegrxt in slse ervees epsl/aaisctar tnobscuitor eiscn FGR is nto dspprsseue t.omn.w/hulisohhiluoeacokittn/wi:p.smecyett/tctbp/tpdwvrlsyogo.)

eopH shti lsphe rov!eeyne It rues elhdpe ,em btu tkoo WYA too glno ot dst,aerndun ol.l

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nor16  ncei utjb,ob i ndot tihkn uoy edne lal isth fro heest soesnitqu +5
alimd  xten epts is ot do enmdadziro t)rial +1



 +7  upvote downvote
submitted by โˆ—adong(144)
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prueS ygioannn yhte era snugi teh mesa etupcir UBT oyu can swaern tiwh pcorses fo ila.tonimnei oN msas in the terpcui so ton loebspsmroathnsotai or R.CC 4 reya lod so tno ai.dmylossio mteS sode not alryle uec oyu onti mnmsbeoura G.N Iastend ti asktl oabut UsTI chiwh udlow hvae ianmratyofml rsossecep &;g-t- tnsarteiilit ilniafatmo.mn

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skonys  Llo they dues isth uperict in a ifdf aemx dna eth ewrnsa swa a msliw mrtou ohutgh +



 +4  upvote downvote
submitted by โˆ—bobson150(28)
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Is htis niyasg herte si rvritelseaueoc xf?relu I clduo evah mswro hist eams iaegm saw no from 20 ro 12 nad the nresaw swa msWli utmor

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hello  s,eY it .asw I knhit ni obth gtev,inest hte uripect aws aialblscy leevtrin.ra Or taohren sospielb ceul -- tbu yidtneeilf ton ednede to rnseaw eht Q. +16
presidentdrmonstermd  My cholso sues ldo etrdi"re" BMEN oeqsntuis for axems nad veI' aslo nees sith xeatc emas itecrup uptemill .semit./.w frnetdfie nrsicsoea I .tkhin I diert mrbngiereme ahtw teh nuioeqsst rewe utb I gseus t'is somylt v.rlanteeir +3
hyperfukus  AESM +
hyperfukus  I asol upt wli'sm mtrou bc ti ftle alrely irlfaima wtf +



 +1  upvote downvote
submitted by โˆ—gainsgutsglory(38)
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Wyh si htsi rteIatisinl man?mofaIltin I ntsnadeudr hsit is a VUR usniagc rsnhyrop.eihsod

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skinnynomore  htis dki ahs rocchni ileiontyhpresp edu to ernectrur IsUT s/(drhVoUpysirnRhoe is a skir .or)catf And siti- = anmiltfna.mio thTa saw my aetk no .it +3



 +1  upvote downvote
submitted by โˆ—cathartic_medstu(37)
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irePutc hosws tedilda eretur dan rnlae lpevis

ocinCrh EOLPYiprihtsen yle(po = lesivp) &l;=t urentcrre oiedspse fo tAcue seenilrophyiPt l=;t& ITU

Tish ntetiap lekyli sha sovuleteaerirc erflxe nigalde ot rrnteeurc UT.Is

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 +0  upvote downvote
submitted by โˆ—cathartic_medstu(37)
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ctPeuir swsho tdlaide utrree dan ealnr isevlp.

hcoCnri EOYLPpinrhsite yl(ope = i)evpls lt;&= eerrrctnu iseedpso of tAcue heirPnslieoytp t=&l; ITU

iThs intepta elkyil hsa tloesecruviera elrxfe elangid ot nureterrc s.IUT

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