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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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hreTe rae wot eihmnsamsc fo auelgrntgi anelr lbood wf,lo het ocyimeng mmencshai dan rolgelmatul-uboru kdc.ebeaf ishT entuisoq assk preuyl aotbu hte cmonygie mmihse,cna hhicw is rwehe het fnarfete eiroaltre losontcr bdloo lofw absde lpueyr off oldbo uspersre neegirtn eth ,ieydnk chhwi is why dcrseedae rfetefna raireloart tnsraseiec is het etbs srwnea t(eh eerrtailo is iiagdnlt in sepensor to eth esdcaered doolb oflw in tttapme ot ianmaitn olnarm doolb fowl to het kyi)ne.d

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nwinkelmann  ...Mna I otok this WYA TOO F,AR .oll I otllayt td'dni ercoeignz the eluc fo GRF and FPR sa yiasgtn eht emsa to eltl em ti wsa alntigk tuaob lmo,arn loiysigochp u.ltongoearauti Sllyi !estamik +7
j44n  I ragee. lAl I wsa wsa a tnesdose ytrrae nad IAIT ootctsirninc +

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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Miongcye hnacsmemi rkosw in eth ffeneart teoarlrei htta piluessp the olslug.erum nheW oblod srupsree censea,irs hostmo ecumls eslcl ni eht llaw of teh rtroiaele rae hscetrdte dna deoprsn by titrnnaoccg ot isrtes het ,pseeusrr giurltnes in ltelti nachge in wo.lf enWh dbloo srereups o,dprs eth sema ostmoh lscemu eclsl ralex ot owlre sasnirec,te gniolawl a ioentdncu eevn wlof fo ldo.ob

iCkcl het kinl to drae tuoba roebguuorramlutl fdecekab as w.ell o/cnpseseiobpel/mra-:tgalwashoh/utoeuc2otaudnngtu/.olyfer/-.lrlra-mn-nfnl-perci/os

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 +0  upvote downvote
submitted by โˆ—thotcandy(131)
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To dda to hawt eryneevo else sah id,as isth edsli is eryptt :oogd m:5srselyi0ed./g3sl/t0_pocadpdjii/eg/p//12a3sh.14.let2ls2mies

eth mptorp yssa FPR nad FGR aer e,ghdncaun tshu FBR si sola c,uendahgn ot do a,tth eth narel rrteesia owdul heva ot eseerdac ehtri nrctsae.ise

ervo,Hew as sonwh on geap 751 fo ,F19A a trsioitcnonc or dinaitol fo etfefnre odwlu gnahec FF wihhc smaen FPR dna RGF t'naer nhgcgain aulqlye - iths si rdlue tou by the rptopm asniyg yrte'eh cngnd.uhae

Lsveae us htwi a eseraced in nfetrafe et.ienscrsa

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