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Retired NBME 25 Answers

nbme25/Block 2/Question#4 (reveal difficulty score)
A 30-year-old woman has polyhydramnios at 25 ...
Anencephaly ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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submitted by โˆ—shak360(23)
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yrhoPomyldanis si otalms ysaawl sdsteicoaa hitw na seusi wthi het ab'bsy ibtiyla ot awowlls aiicmnot ,fduil pngtrnevei sit gcnlreciy adn sunegritl ni eth eruntvopcoriod fo iimtnoca ludfi. lnbaIiity to sllwaow yam eb edu to hpgeasloea ro ndudlaoe iastera ro anaehcyne.pl tI anc aosl be sacadsiteo hwti ltmneara ediba,tes ftlea aimn,ae dan mueltipl sneigoas.tt

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Oligohydramnios is almost always associated with an inability to excrete urine and is most commonly associated with bilateral renal agenesis, posterior urethral valves (in males), and sometimes placental insufficiency. Any profound oligohydramnios can cause Potter sequence. In this question, urethral obstruction as an answer option is wrong because it causes oligohydramnios (the question was asking about polyhydramnios) because it leads to decreased fetal urine output and decreased amniotic fluid production by the fetus.

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