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Retired NBME 23 Answers

nbme23/Block 3/Question#32 (reveal difficulty score)
A 70-year-old man comes to the physician ...
Inhibition of prostaglandin synthesis ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: renal Prostaglandins hy

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submitted by โˆ—sajaqua1(607)
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eTh ulacam neasd fo the henrnpo helsp tiinnmaa aultrbu olfw yb dtansjgui tnladioi of het rnfeftae etirrolae of teh prheno.n hWen atls is wl,o tis COX semyenz inesztehys IG2P hichw laedit het aneeftrf aiolrtee.r SNsDIA hibntii XCO, bnlicogk shytseisn fo P2IG nda os litidenryc iiibhntgni renfetaf eotiarelr idontai.l woT kwsee oga our teipnat asw tup no ,fnubiepro a en-evicolesnt OXC niotihir.b shTi edal to lla eshte ceffse,t ghnistut ffo ldboo ulspyp ot het ehnspo,nr cgtinrae na ftaiaiyllcr duendci prod in bdolo owlf ttha ooksl ash evdaetel NUB nad iracnt,eeni tub insanatim eht :151 iaro.t

7ta2wwa3:/o6.bgelhtf18h/rh3ha6uaya2/s#rhp.t/-lireaml2wtoa

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step1dreamteam  I thkin eth tsbe atinaxnpeol is reom erdatel to gilanasce entphphoyar due ot ISNA:SD -SSGPDA∋g-t boigs-cnt;o&atcttrns-eni of lmarlyedu oldob ve-ots&grscn;ehc-lsi tairtilotnsitulube episirthn (LNEAR dyiekn l=aureif) 1lBt;.&::CU1r5N ontcViso isrnotca fo aeftnfer telaerior du(e ot low G)P esdo ton inexapl wyh B:&CU;tN:l51r1 ni the etoqisun +



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submitted by โˆ—brise(86)
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so I swa tkcsu no stih cuaebes his NBU nieaetircn/ toair eld me ot tiknh he adh na iiscritnn arnle fctoindny.su Adn a IGP2 nnhbiiiiot ulwod eald to a peranel-r ta,zemoai ewher hte N/UB eicnrtnaei oirat dluwo eb eorm tahn 0.2 I nkow htat ASsDIN hitnbii GPS.I But hwo era yuo pesusdpo ot socrs uot uoictinnd fo tadsil bautulr csi?iaosd

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purdude  oYu nca sscor uot Dlasit RTA bueasec eth enrui pH is 5. nI aDstil TAR, irune pH besceom aergret hant 5.5 ecseuab IaC- lescl 'tanc erestce +H +2
thotcandy  pH &t;g 55. si loyn tuer rof eTpy I T.RA yTep 2 RAT is lirxompa os htat n'duolwt eb drdecensoi aysnyaw. eT yp 4, wveeh,or riune pH uowdl be &t;l .55 adn cna be caused yb ,sADNSI so hwo do ew lnimteiea htat? +1
thotcandy  pH t;g& 5.5 is noly etur orf pTye I .RAT pTey 2 ART si ipxlmroa os taht 'ldowtun be dionrcesde aaynsyw. epT y ,4 hovwree, ureni Hp doluw be lt&; 5.5 dna nac eb escuad yb AIDsS,N os ohw do we iimealnte ttha? +1
underd0g  ant@dchyto ltaDis RAT si nrhoaet mean ofr ypeT 1 ,ART os atht si the tepy of RTA htta eyht rea lfpaiccelyis rirgeenrf to in tath answre chce.oi +2
solidshake  a.ge^erd eTpy 4 ART si nto an ipntoo as an .swearn peTy 4 is a tsuler fo lwo lednsortaeo or seoltornade isasrtcene g-;t& eyphilmraeak ;t-g& miiaredp 3HN seyisnsth ni teh moiraxlP uubtle ;t&-g eidmiarp HN4 rioonamft g&t;- high tbeulu H+ &t;g- lubutra soisidac +
fatboyslim  I tihnk hte AsNIDS eitindibh anstigalnodrp stiseynhs ;&tg- nrale ashiecim -t&g; buulrat .scrsoien 'hsTta emyab yhw ihs CNUBr/ si 1;&l5t +1
chaosawaits  a iuqkc oeolgG sacehr ltlse me atth lasitd ART usaluly has a ienru pH g;t& 5.3 +



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