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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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heTre aer tow hiaescmmns of ureinaltgg nalre odobl ,owfl hte gminyeoc seacihmmn nad lo-elouglmubrarut bfedek.ca sTih tuseoniq assk yrelpu tuboa eht imecgnoy sia,mcnmeh hhcwi is rewhe eth tefeanrf rolrieate lsotnroc olbod flwo sdaeb luyrep ffo boodl sprsueer gietrnne eht dky,eni hhwic si yhw deecaesrd fefnrate rerliartoa sraecseitn is eht bset resnaw (teh eirtlreao si diltgnai in npsoeres ot het eeddcsrea lodob fwlo ni pettmta to ananmtii rmnloa oodlb folw to eth .nkedi)y

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nwinkelmann  ..na.M I toko sthi AWY OTO FRA, ll.o I toatlyl dntdi' ercigoezn hte eucl of FRG and RFP sa giatysn eth sema ot tlel em ti aws lktigna aotbu ramln,o hpocgyoisli tuo.ngaoeurtali Sliyl mtakse!i +7
j44n  I .gerae llA I swa wsa a ntsoseed terary dna IIAT inscctoitorn +

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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ynMcgieo mceamnhsi wrsko ni the nratefef eirotlrea taht elsiuspp eht m.ouellgusr nheW bldoo espuerrs ,ssneaeric shmtoo mcusle sclle ni hte alwl of hte areoiretl rae eshetrctd dan rednpso yb garotnnicct ot strsei teh eus,esrrp lruiestng in lttile hanegc in l.owf hnWe bdolo esrrpseu ,spodr eht easm somoht melcsu llcse xrlae to roelw i,seesrcnat galinowl a ountdeinc even ofwl fo lb.doo

iClck eth lnki to daer obaut trglouuelruoabrm fdkabcee as wl.le nm-p-sluteeo:ny2grmcpt/.l-ruw.hseeclbesotatcr-inu/les/haao-dffrnrln/agliano/ooup/o

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 +0  upvote downvote
submitted by โˆ—thotcandy(131)
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oT add ot athw yerovene eels has ,dsia isth ldies is rtptey od:og gsi450odel/ej:23gih/e2lmda1dm2/ii1es3a0s/ltpp.lptyrss_.cs//e.

the ropptm syas FRP nda FGR rae en,agdunhc sthu BFR si soal nnedhguac, ot do tah,t eht leanr arteseir wduol avhe to edareesc tireh c.srienaest

vowHe,re sa hwosn no gaep 517 of 1,A9F a tontiisrccon or tdinaoil of freeentf wuodl egncha FF ihchw nsame PFR adn GRF ar'etn cnaighng qyluael - isht is druel uto yb teh ropmpt giysna erthey' uhnncd.gea

Leevas us twih a sceaered ni ftfeerna c.sareitsen

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