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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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yrUniar trtac eiosficnnt ear eth mots omconm racqeiud aucse of soecVeriitcu ulxfRe ()RV ni di.hlcnre VR can lade ot lexfRu proyepthhaN, hhwci is eehzaitrccdar yb rhccnio atitisltutuoebnilr atiomnamlfni htiw oirfbiss dna gcrnari,s dlngiea ot lenra rule.afi

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lancestephenson  naC mseneoo espeal aipenxl twa'sh noggi on ni hsti ieurct?p ihsT si hte EAMS IETRCPU esdu in ENBM 20 and 21 wthi one of ehtm ngeib a 66 /yo ihtw oirlauhelt lcle mroiccana nda eth otreh bnige alubtru oayth.pr I usjt n'tod ownk meaynro +49
spacepogie  Id' be appyh ot sden mteh a tgif crad to crhaspeu mroe skotc iagmes fo isednyk rfo ues in rutfeu x.s.aem. +20
diabetes  i hnkti RV hsuodl aled to ileatblr ekiydn maedga and ereh nylo letf yikned si laf.eohedustdfc we speposu ahtt htrgi eikydn osla si ffdeatec ? +1
skonys  eTh dik tesg wto TsUI nda sih nsiyekd uken hm.eetssvle AWAAEAK.A slAo voel how hte dki sah ~rcihnco~ ilnommfianta at 4 ysr d.ol aGaergb pic 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 DEAHT tsih putic,re juts lkie neyvreoe sel,e ,oll so I ddi emos orem dnig.igg oneyevrE bowel si ccrotr,e atth het pirnnotaetes is gsngesgtui an ntiesuiocf pesr.soc IUsT acn eacus aetuc ipoetph,ynlseir nda if concih,r egessrspor ot .ccrnhoi iesitohnPeyrlp si a tsortiulinbauttiel .ediasse I dfonu hits ftrioanionm gedngirar t,i nad in het atls at,pr ti iesrcdbse eht rosgs hptylaogo of ocncrhi oirnp.ltsepiyeh mroF ym titoarernti,npe ti osusnd eilk htaw hte iurtcep si snoi,hgw utb I t'nsaw ealb to idfn a sebture/jtt as odgo oen eninol et,y os I t'odn wnko rfo .seru

tceAu eniTauibustirttlol N:epstriih Autec lifnmatminoa of ulebust dan tttriiinmesu anc suace R,FA nad if eth amitfomlrany prsoecs ipstsrse tihs cna veevol inot crihocn ailttetnuboiilutrs rnepisiht nda niccroh itsatilenrti bsiiorsf dan aulurbt htpoayr ihwt rski fo sesiporrong to endaes-gt kedniy dssieea. oTw amojr csegeaorti of ceuat unistioletrtuitalb isphrtnei are uctea hoestpielnriyp dna acute yiehitpevsnrysit itbnairetsoluliutt .peiritnsh

teuAc ntlpeepihioysr: Cusaed yb berctliaa fintceino smto clmyonom E. iloc itoenifc.n psnisvitertHeyyi stiratiuneltoilubt iphrestni: ueCasd by an aieclgrl pse,eonsr fro me,epxal ot a rgud or htreo usnssbetca taht ear tne,iedgs husc sa ralehb re.deemsi

By rfa het ostm conmom teuor of tinfiecno ni etuac pneptirshieloy si na sagcdneni iefnontci ni hte nyrurai tca,tr ofr plaexme, idedrev from a liatrcbae derlabd c.noniefti Aucte iiyerlhstnopep = vetneeisx xnufli fo sPMN tnihwi eth t,stieimuritn tsuuebl (b,lsu)titui nad enumls fo stuelub BWC( sts)ac (bhtyi2i:l/tpDJt/yP./B).

htiW tnescserpie ro ccurererne fo teacu rpe,eltniophysi teh sdeiesa posrsec veeovls iont rcchnoi yionppeitr,hles ihhwc luysaul si capanocmide yb krdmae onisoer fo eth prlipyala tpi tleunrisg ni niadtoil of teh tcaejand yacxl cises(ta.ila)c

hTe tmso iiccaehrsatctr gacitplhoo aeersftu of onrcchi elpsyripnoithe ear the gsros ghcsaen in het dyniek htwi oesdrba-bda cssar ni het enmayahcpr oiylrevng sraea fo tccloria dan yldeulamr yphraot wtih catenjda iiatscl.scea oslA, the eonipneatsrt segssgtu ishproynrhes,do dan omfr my a,reserhc d,rinorosespyhh nhwe hierccsvoe,r/n anc otrntibcue to hte rmaedk slos of coxrte nad isssrib/saocrf of eht lauemld (LtlEt/AmRaM.L:h/mpat0dbw.u.ee/Rht7.Ts/EH0NNdtphhuAe) adn saicetcsali hwh(ic I knhti si psnteer on tihs )ucri.tpe Tshi si eht seolcst icpruet whti orinspitcde I duclo nfid htat satcehm teh esmt nnsorepetita (.e.i deryuorethr adn yedsnh,rohpsior ugnsgegits eovaecurilrtes fxreul ladgnie to tennofici omrf "a goln ngianstd ortcinsbotu p(bborayl encogat)in"l so killey ofrm a cldh)i ut/t..R/mwNMeda0Hsth.AEuLeNhEeTLh.mtpld0Rb:a/hp/tA8.

so,Al ot otmnnie on the rehto msontcme ixpenrgses rtsfatiorun taht hte esma ueiptrc swa sude rfo umtors nda utalurb ytpr,oha mrof tahw I eadr, tath gsors olhapytgo, si teh eealrgn eecanppara of huyrderorte ude to usttvbreico roayuhtp ie(.. braulut ,oapyhrt irnir/bissg,fsorac axaseicialcty/slc tniai,dlo and tnih itcorcla mri edu to rapyoh.t .Poiolognchlnmoeaty sysa atht teh siaclcsetia si deaaterexgg in elss rsevee /aescasiltrpa nsruoictotb ecnsi RFG si nto sedsersupp eitgccs.mdyownot/len:whsipiuo.h/po/cvtto/ilt.toypsrwhektlabutm).

epoH shti eslhp oneer!eyv It sreu phdeel em, btu otko AYW oto lgno to eddt,anrsnu .lol

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nor16  ienc o,ub jbt i tnod knthi ouy need all tihs rfo sehte nusoqstie +5
alimd  nxte tpse si ot do idmaordenz al)itr +1



 +7  upvote downvote
submitted by โˆ—adong(144)
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uSepr ngaynnio ehyt aer gnuis the sema uctirep BUT uyo cna nwears tiwh epsoscr fo inieomnal.ti No msas in the ripucte so ont prmtalnsoohsbeatosi or C.RC 4 arye dol so ont saysodoiim.l eStm sode nto yreall ecu uoy oint menrmsuoba GN. atdIsne ti ksatl ubato UTsI hwhic odulw eahv imofalnarmty escspoers >--; rtitasltiine nmonitlai.fam

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skonys  oLl yeht ueds hsit eirtupc ni a dfif mxea dan het awners swa a limsw mourt gohhut +



 +4  upvote downvote
submitted by โˆ—bobson150(28)
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Is stih gisany htere si cvorlarieuetse fre?xul I colud evah msorw hsti same imgae aws no mofr 02 or 12 nda het eawsrn wsa lWmsi utmro

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hello  ,sYe it wsa. I thnik ni otbh evsnt,igte hte tcruepi swa alyaicbls arvnlere.ti Or enthroa opbssile eclu -- tbu fleiyiendt otn eedend ot warsne het Q. +16
presidentdrmonstermd  yM sholoc uess odl idtr"er"e MEBN netosusiq for asexm dan 'eIv osal esen siht exact mesa reuipct lipltemu s.twi/m..e ednfitefr iencssaor I ntik.h I iterd nbierremmeg whta the ioqsuestn ewre ubt I essgu ti's tmosly lvi.eanrret +3
hyperfukus  SEMA +
hyperfukus  I losa utp wmils' trmuo cb it ltef learyl rfialami fwt +



 +1  upvote downvote
submitted by โˆ—gainsgutsglory(38)
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yWh is hsit Ilreistitan tnonimIaalf?m I udrntdnsea thsi is a UVR igcnaus oorsdenh.siryph

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skinnynomore  isth dki has rnihcoc petiiroplshyne due to erecrutrn IsUT pse(n/hyhoioRdrUVsr is a sikr arcfto.) Adn i-its = mimanofl.iatn taTh asw ym aekt no t.i +3



 +1  upvote downvote
submitted by โˆ—cathartic_medstu(37)
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euiPctr hwoss ltdidae uerrte nda rnlea sevpli

crhCnio OYPELntehrpsii poeyl( = evplsi) l=;&t eurrrcnte opesised of Auect einopesihyPtrl ;=tl& TUI

hisT naiptet iykell has uesrerevoalitc eelfrx iladnge ot tcrreeurn T.sIU

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 +0  upvote downvote
submitted by โˆ—cathartic_medstu(37)
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uiPetcr shwos lditdea urteer dan ernal sipelv.

hcoinCr PYLEOistnierhp lpy(oe = l)spive tl;&= crrenteur seoeipds of Auetc hyslneiePprtio =t&;l UIT

sihT tenpita likyel ash italruoveeesrc rlexef nedialg ot ecrnurrte .UTIs

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