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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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inyrarU tratc tefcosinni are hte tsmo mooncm rucqiade seuca of eccsriieutoV fxluRe (VR) in rnhcdi.el RV cna aeld ot xueRfl reopyNpathh, ihwhc is icaeadeczhrrt by rcnicho tntllueoratbuiisit aamfitlminon htiw frsiiosb nda gscanr,ri enaidlg ot laren .iafruel

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lancestephenson  Can soemeon espale axelnpi w'aths onigg no in htsi utepicr? Tihs is het MSAE RUEPTCI dues ni BEMN 02 adn 12 wtih eno of mthe gnebi a 66 y/o hiwt irhuaeollt clel aaiormncc nad teh ohret gbien luuatrb p.tahryo I usjt d'not kwno aynrome +49
spacepogie  Id' be pahyp ot ndes hmet a tgfi dcar to hreacspu eorm ockst megasi fo sdyniek for eus ni eruftu x.me.sa. +20
diabetes  i tknih RV ldhsuo edla to baeltlri kediyn adamge and reeh lyon flte kndiey si ouadls.tfefcdhe ew pseposu ahtt irhtg dyikne aosl si etfedacf ? +1
skonys  eTh dki etsg otw sUIT dan hsi denkyis eunk vseelhems.t WA.AEAKAA Aslo love who eth kid ash ~cichr~no fnmiiaotalmn at 4 sry do.l aGgrabe cip to.o +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 HDETA stih eriupct, utsj elik revyneoe e,sle ,llo os I idd some orme igdgng.i Eoyvneer bewol si ce,crort hatt the onrtnpeseait is gtgseginus na fsiticunoe oe.prscs TIUs nac scuea ucaet hterin,oiyelpsp dna if inchocr, eosepgrssr to cihnrco. pilhyentirPose si a tiiotlitslbeurnaut e.ssdiae I onufd sthi niooarimnft gageirrdn i,t dan in the lsat ,prta ti sbiceedrs the rogss tgylhaopo of croihcn ihsterpelpn.oyi mrFo my oenrin,tteiarpt it oussdn ekli hwat teh eciutpr is wnish,go tbu I nat'ws blae ot nidf a etjtt/uebsr sa oogd neo leoinn tye, so I 'dnto wnko ofr sur.e

ectuA oleisbuitnrtltTiau etirNph:is cetuA lnioafmnatim of eutsubl and inetismtiutr nac cuesa FR,A and if teh tilfomrynama crsopse sssperit hsti acn loveve niot rohccin uiruenbtoalsitttil rtinhpeis nad rnicoch itineariltts issirfbo and tuaurlb ayhtpro htwi skir of isrsgpreoon to tees-angd kyndei dess.aie oTw ajmro iergscaeot fo cuaet ttliuaoirlsnietutb tnprihesi rea aetcu ospryipeelithn dan cutae rivyittiyheessnp liulrsantittieutbo nirhi.tsep

tAecu en:htrieyolspip uaesdC yb barelctia tncnioife omst cmnmolyo .E clio cito.nfein Hviseynteytiirsp otsltabtnuruteiili neti:sprhi duaesC by an aeclgril p,nseeors rof mpela,ex to a rgdu or ertoh cnbssasetu atth rea egnit,sde schu sa haeblr .eemesrid

yB rfa hte msto cmnomo treuo of eifctinno in aectu soteppyihlnrie si an sncigdnea itnnocief ni the iyrranu tatrc, rof mexepa,l rdiedve frmo a acbrtleai aerdlbd feociitn.n uetAc tiinplhspeorey = svxenetie ulifnx fo sPMN hntwii eth retuinmii,tst uubtsel itu)(,ulibts dan leunsm fo eulbtus (CWB cst)as (DiP.Jy:2/B/lib/ptyhtt.)

hWti prncsteiees ro nececrrrue fo atecu nslpeoyiehrtpi, hte saisdee rpoecss evsevlo tino ihcrnco phiesenoptryl,i hwich uylsula is ceoicapdman by eakdmr oeornis of the liypalrpa ipt igretsuln in adtniiol of eth tjcanade yxlac ciisatas)e(.lc

heT ostm icatsahcrcrtie lcioagpoth rutfasee fo cicohrn psnoehliytpeir era teh rsgso cnesgah in teh dkniey thwi raadbodbs-e rssac ni eht nameahcyrp nivylergo seaar of cctiaolr and ymrullaed yhatopr hwit atjeandc tlsic.ceaais Ao,sl eth tnporsniaeet sgsgseut srhyordnsipoh,e nda rfom ym er,ershca rdsiy,hsonrpeho hnew sechicnrovr,/e nac brcuteiont ot het drmkae lsso fo txeroc and rascsrsbi/fois fo het dlmulea (LhuttLRpetut/.Meb/aweTamA/h0.dmhsEdN.E.:h0plR/HAtN7) nad aesctalcsii hchiw( I tnihk is serpnet no hist r.uep)tic hsTi si hte solestc ierctpu wthi eiirpocdnst I uldoc fdni tath ashmcet eht smte ttoraisepnne .(ie. rdrrtehyuoe nad yodsseiohhn,rpr uesiggsgnt eaetrvcilroesu xuflre ileandg to tnicfoine fmro a" lngo atndsign ostribcnuot lybbar(op caegnitl)on" so lkieyl rfmo a )lihdc ealpAtE.:b0/smtuhdh/wHthuM/aR/p.LdAtt.R0NmN.8hTLEee.

o,lAs ot tmeionn no hte hrtoe otsnemcm xeiprgnses rsorntuifta tath het aesm ctrpiue was dues for roustm dna abtluur y,ohtarp fmor hawt I a,der atth rossg tphaool,gy si teh gearnle necpapraae fo yrehetrodur ude to uvtorbsitce oatruhpy .i(e. uautrbl hr,tyopa sibarsgrfn/,siorci aalcitisce/syxacl ,inotldia and tinh icaoltcr rim edu to hpyr.oat ioogPolcnmyahe.lnto sysa ahtt eht aitcaceslis si aegxdeterga ni essl everes csptaieasl/ar bcouotrtnsi nsice GRF is ton duepesrpss .ohp./ocieovt/pogopttsldehtr/ctiieywsuntak/lmnwys.bmcwuio:htlt).

oHpe itsh phsel !yerenevo It resu dlehep em, utb koot AWY too nlgo to d,arndsutne o.ll

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nor16  cnie j,bot bu i tdon hiktn uoy eend all iths for ehste nutoqssie +5
alimd  netx ptse is ot od mdanerzdio tiar)l +1


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 +7  upvote downvote
submitted by โˆ—adong(144)
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pueSr anogniyn eyht rae iungs eth msae itucrpe TBU uoy can rsenwa whti sroecsp fo ie.intilaomn No smsa in teh rcptuei so ton ssasehtmnroobtoalpi ro R.CC 4 eary dol os not slmoo.iaisdy meSt does ton lelyra uce ouy tion nrubosmame GN. tnaIdse ti takls tbuao UsIT hhwci duowl vhae lrntyaoafmim ercpsesos -;t-&g lersitiatint tnoalma.miifn

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skonys  lLo eyht eusd stih riupetc in a dffi xema nad het wrsena saw a sliwm umtor uhgtoh +


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 +4  upvote downvote
submitted by โˆ—bobson150(28)
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sI tsih gsinay ehetr is teleeruosicrav xr?flue I cludo ahve omsrw this mesa eigam was no form 20 ro 21 and het esanrw swa lisWm mortu

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hello  s,eY ti .asw I kinth in tboh tesevnit,g eth upcrtie swa ylialabcs iatne.lverr rO eharnot sbieslpo elcu -- tub iidynltfee ont eedned to nrwsea eht Q. +16
presidentdrmonstermd  yM csoloh uess dol ee"tidr"r BMNE tssqienuo orf asxme nad ve'I aslo snee tihs xatce maes tpirecu plliemtu m.t/esi..w fndeifert sceosarin I thin.k I dtier rmnegeierbm awht teh suseqnito ewre but I gsues 'tis mltyso il.vtareren +3
hyperfukus  AESM +
hyperfukus  I oals utp w'islm turmo bc ti lfet lryael fmrilaai wtf +


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 +1  upvote downvote
submitted by โˆ—gainsgutsglory(38)
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yhW si ihst leitnrtsIia nln?imoamftIa I ardudetsnn shti si a VRU scnigau srsyenrohihd.op

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skinnynomore  isht idk sha ocncihr hletsirippynoe deu to rnutrrece TUsI seypohiR/(nVdshorUr is a skir rf.acot) dAn isti- = lmainfi.tmano Taht was ym keat no ti. +3


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 +1  upvote downvote
submitted by โˆ—cathartic_medstu(37)
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tPueric wshso daldiet reuter nda lrnea vpleis

hCnciro ELOYPipinshtre ep(yol = iesl)pv ;&=tl erurnctre eesipods of utAce lPietensoihrpy &=;tl UTI

sThi eaitntp ylkiel sah ueerciaevsrotl eexlrf aglndie to reetuncrr sI.TU

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 +0  upvote downvote
submitted by โˆ—cathartic_medstu(37)
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cePuitr ssowh aditlde reetur dna realn isvlpe.

rcinoCh YLPEOiishtnrep le(opy = vesl)ip =;tl& rnueertrc ssodeeip fo utcAe Pitrhionpleyse =tl;& TUI

sTih atpinet lleyki has rrvcaueeleosti exrlef glaeind ot ecrntuerr IUsT.

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