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Retired NBME 24 Answers

nbme24/Block 4/Question#39 (reveal difficulty score)
A 30-year-old woman comes to the physician ...
Decreased afferent arteriolar resistance ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: renal cookies

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 +5  upvote downvote
submitted by โˆ—sattanki(82)
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eherT rae tow immehcasns of ietalgungr anerl oolbd o,wlf the mneigyco menhmcisa nda eoaurulltgrublm-o ebecda.kf iThs qtieosun ksas ruypel aoutb eth egcniyom amecsim,hn hciwh si ehrwe teh eeanrtff loiererta losncrot ldoob olwf eabsd preluy ffo bldoo sepeursr etirgenn eth ,edniky hihwc is hyw dcedaeres aeffertn rrraoeltai ientcaessr si het ebts awsnre (hte taolreier is ngidilta in rpensoes to hte dedraecse odlob wfol ni pmaettt ot nimntiaa rlnmao bodol wfol ot het ein)k.dy

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nwinkelmann  M.a..n I otko itsh AYW OTO ,FAR oll. I ltlaoyt indd't izoerecng the lecu fo GFR and PRF sa stigyan eth smae ot lelt em ti saw inlaktg abotu rn,omla sgoyilocihp uignuatlooe.tra iylSl mst!eaik +7
j44n  I .eearg All I swa wsa a desnetso atryer and AITI ocntrtnciios +

w/o knowing autoregulation. You want an answer that will maintain RPF and GFR. Decreasing Afferent arteriole => increases RPF and GFR because you have relatively more blood coming in. If you decrease both afferent and efferent => increase RPF but GFR may be unchanged (e.g. dopamine effect) Decrease efferent => increases RPF and GFR will decrease

Increase any of the resistance and your kidney will go bye bye

+6/- peqmd(75)


 +4  upvote downvote
submitted by โˆ—ihavenolife(81)
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oyMngcie ncamemshi krwos in eth frenatef rereialot taht lsepispu eth loe.gsumrul ehnW oblod esprreus arssneei,c somtho cmlsue clesl in eht alwl fo the raileroet era teschtder dna neosrdp by tgotcnaircn to sriste eht ,erpusser inslgtreu ni lettli gehnca in .oflw Wenh oolbd rpuersse ,posdr the maes osthom sumlce lselc rxela ot lroew snie,actsre lgowilna a ecounindt nvee ofwl of lobod.

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 +0  upvote downvote
submitted by โˆ—thotcandy(131)
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To dda to htaw rveeneyo eesl has sda,i stih ilsde si rytpet o:dog tsgdydh.sde2s3eiaple0/3mmo01jeslc/p/gi4pll.1:a2se5r/ii_//2.ts

the rmtopp sasy PRF and FRG rea edchgnan,u uths FBR is slao enhgunac,d ot do a,tth hte enarl trearesi wuold aevh to srdaceee irhet cse.reainst

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vseLae su wiht a cseareed in tfnrfaee ierce.tasns

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