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Retired NBME 22 Answers

nbme22/Block 3/Question#35 (reveal difficulty score)
A 4-year-old boy is brought to the physician ...
Interstitial inflammation ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +11  upvote downvote
submitted by โˆ—keycompany(351)
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ayrnriU tcatr nnftsociie rae the tsom mnocmo aedcuiqr casue fo sVciiueerotc ueRflx RV() in dchneirl. RV acn eald to eulxRf porahtNeyph, ichhw is rdraheiczecta by ohicrnc tibsrtnlltiutauoie fnitanmamilo htwi rfossiib dna rnari,scg eanglid to lnare .eafriul

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lancestephenson  Can eomoesn slapee xneialp 'wahts ogign no ni stih c?etuirp hsTi si teh ASME ETIURPC duse in NBEM 20 adn 21 hwit eon fo them bgeni a 66 oy/ iwth elutilaohr ellc rcmaconia and het hroet bgnie burutal ry.pthao I sutj ntd'o oknw ryomaen +49
spacepogie  d'I be ypahp to edsn etmh a tgif drca to rseucahp erom tosck egsima of eydinks for use in efutur .ma.exs. +20
diabetes  i knthi VR dsuohl edla to llirbtae nkyide emaadg nad ehre nylo lfet kndiey is f.hcealefoutsdd we upespso ttah hrgti ydeikn lsao is tacdeffe ? +1
skonys  heT kid tsge two IUTs and his ynkiesd enku .eshetsmvle .EAWAAAKA lsAo evlo owh teh ikd ahs cn~rio~ch nlmoamiatnif at 4 rsy dlo. gbaGrea cpi .oto +1

FA 2019 pg. 587 on hydronephrosis +Distention/dilation of renal pelvis and calyces [.l Usually caused by urinary tract obstruction (eg, renalstones, severe BPII, congenitalobstructions, cervicalcancer, injuryto ureter);other causes include retroperitoneal fibrosis, vesicoureteral reflux. Dilation occurs proximal to site ofpathology. Serum creatinine becomes elevated if obstruction is bilateral or ifpatient has an obstructed solitary kidney Leads to compression and possible atrophy ofrenal cortex and medulla.


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 +10  upvote downvote
submitted by โˆ—nwinkelmann(366)
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I DHAET iths cputeri, sjtu elik oeryveen e,lse l,ol os I ddi eosm orme iigg.dng enyEevor blweo is reorcct, hatt het saetonireptn is gintsegsug an iintueofsc es.orscp sTIU can aecsu cuate srppehelyn,iiot nda if ih,cnorc ssprersego to c.rnhcoi rpstoeihePiyln is a tnleitutrbsuiitlao asseid.e I oudnf sthi mtaonnforii irarndgeg it, nda ni eht salt ptra, ti irsbeesdc teh ogsrs ooyaphtgl fo ocihncr renliiy.pohepst mrFo ym etoentairitn,pr it nsdosu elik awht teh ctrepiu si sigwhn,o ubt I nst'aw eabl ot ifnd a reettsutbj/ sa good eon lioenn ty,e so I t'odn nokw fro ue.rs

Acuet bulloinetuiatsTirt hp:teisirN cAeut onafnlitmmai fo utbeslu dna itrinmstitue acn cause ,FAR dan if hte yfalaoinmmrt escrpso psssietr htsi nca velevo into rchncio aeltsuublntiirttio pstenhrii adn icrnohc iisnaeltrtit rfsbsioi dan ulrtbua hrpyato htiw ikrs fo sneiprgroos ot e-ngsetad niekdy aseedi.s owT mjaor ogtseracie fo ateuc tteuilauisiolttrbn netshprii are ceuta eoenlrihityspp adn uecat vtiistrsheyeiypn itnlbrslittutiuoae sithe.nirp

cutAe ries:npplyoetih uesdaC by tebilrcaa feotnciin stmo lnoymocm .E icol infei.tcno yvstsniiptryHeei nbltuieatilotiutsr t:iespirhn eCsadu by na glacirel orp,seesn ofr epm,elax ot a rugd or orhte nutcessbsa htat ear ,isneedgt ushc as reblha reee.misd

By afr eth tmos onmocm toreu fo oicifnent in tceau ypolnipihseetr si an enganicds iecifnton in het ranyiur tra,tc rfo emx,elpa dervide morf a eltaibarc abrddle ti.fnienco cAute nhtlpieosiryep = enxvtisee xunfli fo sPNM hwtnii het uriimtiet,tsn bsuetlu utlt(iis,u)b nad lensmu of tseulbu W(BC ast)sc (t2DJhiiyP:y.b/B/tpl/t.)

htiW cspetreiesn ro rrenuececr fo ctuae lptehpyeirosin, hte sasiede sscopre loevsve oint rniocch eoprinti,plheys ihwch suyallu is pcmocneaaid yb aerdkm snoeiro fo teh plrpaaiyl tip seurnligt in linatiod fo eth etndjaca laycx )ctis(sae.alci

eTh mots eitrathcrsiacc gocaplohit earsfeut fo oncirch tpnpsryheeilio era het orsgs sgcaneh ni the eidkyn twih doasbdbra-e acssr in het aehrpmncya lgeviynro aaers fo acrltico nda mlreudlya rhytpao htiw cjnadaet c.tacseialsi ,oslA eht nnprtoeeasti gsssteug oh,dyehrosprnsi and fmor my crhera,es psrooy,sdiherhn wenh hineovcrs/ce,r acn oibnecrttu ot eht kremad lsso of ortcex adn /scsrbiifsroas fo teh edlalum (.LNH/uT/h7EMahteh.tRthRwudAdL./ppmtNE/slbae.e0A0tm:) and scilteicasa chih(w I ntkhi is ntpeser no tshi )ctirupe. hisT is het tosslce pceurti hiwt iocrindsetp I clodu dfni taht emsctha het mste naoersteipnt .e.(i throydereur dna dorrnsheyhosip, uitsegnsgg eetlcvrirusoae urxefl aglnied ot etifnnico from a" gnol agsinntd ionruosbttc ab(byplor eia)"tonlcgn os ekilyl mfro a dl)chi .thLRtRNAesaE/p/0tamut.hlTH/0Ltmp/e.8bddMu.ehwNhEA:.

,sAlo to nmeotin on hte throe mtncmeos einxsesrpg rtiuroftsna ttha teh emsa eiuprct wsa udes orf usotmr nad lruuabt r,othpay orfm hwta I r,aed that orgss hotaplo,gy is eth gelenar ncprpaaaee of eheyurrtrod eud to vbttuiroecs phortyua .e(.i luaurtb o,ahyrtp asirios,scnifrg/rb xl/icecyasaiaclst oaltin,di nda ihnt tlroacic mir edu ot aot.phyr olPnymoniaoectolhg. ssay thta hte csaesaiictl si axrdaeeeggt in lsse vesere scarpsatliae/ utrcnistobo ncsei FRG si nto supsrspede httikemwbnis.tlvleodopwe/p/.wct:cnooiylugastyth/uirpott/scmo.h.)

oHep isth heslp veoyer!ne It resu pheeld me, but ktoo WYA oot gonl ot nesnd,uatrd ol.l

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nor16  cein u bbtj,o i dtno hnikt yuo deen lal tshi orf thees esinuoqst +5
alimd  tnxe epst is to do drazmeidno )itlra +1


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 +7  upvote downvote
submitted by โˆ—adong(144)
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purSe onngnyia ehyt ear suign hte eams teprcui UBT oyu anc aenswr wiht essropc fo eimtnanili.o oN mass in hte cuprtie os ton aarhteisootsobnmlsp or .CCR 4 yera lod so ont .dalysioosmi tSem eods not llarey uec oyu iotn rbunomamse .GN tdsaeIn it stakl botua UIsT hwhci oudlw vaeh tmramfoyinla scepesors ;t&-g- iistnirettal nanmliamoit.f

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skonys  lLo hety usde hsti citpure ni a ffdi xmae nda eth ewarns was a mliws tourm thhguo +


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 +4  upvote downvote
submitted by โˆ—bobson150(28)
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Is htis isagny hrtee si eesuravrlitceo ?xfeurl I lcdou eavh orwms tihs aesm eagim aws no fmro 02 or 21 and eth ewrsan wsa mliWs rumot

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hello  Ys,e it wa.s I ntihk in thbo ,etventsig het trepuci saw clsliabya rn.lriveate rO toeanhr slebosip lecu -- ubt fieytienld not neddee ot rnswea the .Q +16
presidentdrmonstermd  My lcsoho seus dol rdr"etei" BENM iqsseotnu orf maxse nda e'Iv slao esne tshi caxet sema icupetr uitempll .wi.met/s. ffnretied eicosnasr I n.tkih I riedt bgerirnmmee htaw eht ueqsonits rewe tbu I ugess s'it lmyost viare.ltner +3
hyperfukus  ESMA +
hyperfukus  I slao put ism'wl routm bc ti eltf eyllar imfiarla wtf +


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 +1  upvote downvote
submitted by โˆ—gainsgutsglory(38)
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yWh si htis eirtniItlas nIimmlfnota?a I rdntsadneu ihts si a URV gusacni rd.nhsophryioes

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skinnynomore  iths kdi sah ihcncro iphnspytlioeer deu ot tcreruern UsIT oerdnV(ihssypUR/rho si a skir .acot)fr dAn itis- = i.nitmanmlaof haTt asw ym keat on ti. +3


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 +1  upvote downvote
submitted by โˆ—cathartic_medstu(37)
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tPiruec swsho liteadd urreet and lnear lsvipe

rhnCcoi EOLPYnishetrpi opl(ye = esp)ivl &l;=t rreneurtc iesdpeso fo teAuc oneilryptsihPe =;l&t TIU

ishT itnepta kylile hsa escivteorrulea felerx ingdela ot ertrrecun sUIT.

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 +0  upvote downvote
submitted by โˆ—cathartic_medstu(37)
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uctPier whoss datedli erteur adn anelr eilpvs.

oCihnrc YOEPLihpseitnr py(oel = )evpils ;l&=t rrtunerec edeospis of utAec yiilonshrePept t=l&; TIU

hisT ettnipa elilky hsa leeirraustvceo flxere gedlain to rtuecrner TsU.I

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