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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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Trhee rae owt amhescmins fo gleanrgitu nlera odbol owf,l eth cynoemig cmnemaihs dna lrrmtoulouba-eulg bckdafe.e sTih oeqtnsiu akss pluyer uoabt eth yeoincmg amscnmihe, hchiw is erehw eht tarnefef eairetlor otrlcson lbood owlf sedab ulpyre off boold sesuprer inegertn hte ikde,ny hhcwi is yhw caeerdsed nfreatfe otaalrirre nctrsieaes si the stbe rawnes eht( eeroltira is gltidina ni nsroeesp to het dcreeades ldobo oflw ni tetmpta ot iainamnt armlon obdol lofw to the k)ny.ied

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nwinkelmann  ..aMn. I koot shti WYA OOT F,AR .oll I loltaty 'tnddi geiozenrc hte uelc of RGF dna FRP sa tsginya the smea to eltl me ti asw ianlkgt oatub norml,a cohpoiyilgs ualaegitornuo.t iSlyl aktms!ie +7
j44n  I regea. llA I saw was a setenosd yaertr adn IIAT tcoorstininc +

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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Mgocyine mmenhscia ksowr ni hte rntfaefe rloeaiter hatt useilpps het mrsu.uolegl Wneh oldob eprreuss eiercssna, hsootm elucsm escll ni eth allw fo het elaieortr rea erdhetcts adn nsprode yb nogtrncaitc ot sstrei the espu,ersr lgsreiunt in illtet ehncga ni l.wfo ehWn blodo usperesr ropsd, het easm omotsh luesmc llsce lxrae to erolw eeti,sransc olnlwagi a unoencidt veen wfol fo bo.old

iklcC the lnki ot erad oabut oulrmrueluoartgb fecbdkae sa .wlel /aort/rt-pseeconu-c/linemlau2e/raop-mbnnwerlo-roy.soosa:-lhsilpctaglgf.n/hf/utenud

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 +0  upvote downvote
submitted by โˆ—thotcandy(131)
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oT dda ot hatw ervenyoe sele ahs aid,s hist sdlei si preytt good: ie3y40ap2sl1h2tedllse/a:djr/.igs/e02o/mi/mt5scsg_i.d/3pp.els1

het ptmrpo ssya PRF nda GFR rae edu,hgacnn uhts RBF si asol nuhcadgne, to od a,htt eth anerl reeiarst uolwd ahev to rceeseda eriht nta.seisrec

,eorvHwe as onwhs no gpae 517 of AF1,9 a isornnttocci or itioaldn of eferntfe udwol hcegna FF cwhih semna FRP nad GRF reat'n gicnaghn lqlayue - hits is lrdue tou by eht mroptp gainys rethy'e adcngun.eh

eLseav us itwh a rdseeaec in fafteren tnsecir.esa

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