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Retired NBME 20 Answers

nbme20/Block 1/Question#49 (reveal difficulty score)
A 56-year-old man comes to the physician ...
Fibromuscular hyperplasia of arterioles ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +13  upvote downvote
submitted by โˆ—hayayah(1212)
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Cesa fo iorrirscoste.aolles

reaHpsiylpct coisssrorrtlolaeei vsvlonei ntniekihgc fo vsslee lwal yb apheryipsla of omtohs elcsum o'oik-innsn( preaacp'ean)

  • Censoeqcneu fo tanailngm eniroptnyesh &g(101t/;802 /w cteua eroadg-nn meg)daa
  • lsstuRe ni dcurdee elvses crlieab wiht nrgonad-e mhaieisc
  • May eadl ot oriiibdfn neisorsc of the elssve lwla wiht hohmrrgeae; ayllcaiscsl sscuea tueac nealr rafeuli )A(FR wthi a rrattseaiicchc iafet''netl-b recpaaneap
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masonkingcobra  oFrm R 'o bubsmli rioa snu:bcFr apsysaidl si a facol eurlrgrai chiigknetn of het lsalw of eddizsem-uim adn relag clmuasur ireretsa eud to a bmacitonino of mealid adn ntamlii ahspiyraelp nad .bsrosifi It nca fisntaem at nay ega tub ucsroc tmso qlyufeetnr ni onyug eno.wm ehT aclfo lwla cgikthienn esutsrl in lnimaul oessntis ro acn be stdceaaosi hwti rnlaoabm svelse sapms ttah ceuresd svcurlaa fwlo; ni eth arenl rra,teies it nac aeld to aeunalsrcovr rnip.nhetyose eBeewnt the caolf meengsts of tcehkiend wlla, hte artyre fteno oals sbihexti eldmia tutaie;oantn aralscvu socuuontiphg can oeepdvl in etehs otipnrso fo het selevs dan semstiemo eurur.pt +1
asapdoc  I uhttgoh siht saw a wreildy dordwe aswn.re I yameitlimde ( )lpidsytu eosscdr of icbarrmsfluuo aisspyald cesin ti wnsat a eongyur wmnoe /= +26
uslme123  I was tniginhk ninmaltga nssorelecoirsph ... utb I sgeus ud'yo get hclptsypirae aesrriet irfst --_ +1
hello  heT newsar cceoih is suoblicufrram palaHREYPis - I nitkh ihst si ftrfiened romf flrsbiarcmouu YsaalpDSi (ense ni gunyo monwe;) +36
yotsubato  holle si tgh.ir roFlrmcsiuuba apyapsheirl is ihgkcnetin fo hte ucsarlmu ylear of eth reritaloe in roesnpes to ocnhirc hetisrypneon sa( hte neosqiut esmt mpliies) +10
smc213  Fmusorlucbiar eyilrsaHppa vs ..a..ia.sls.pyD ear lpesypouds teh EAMS gtnih thwi teimpull a.snme Frrouslm ibcau aspydasil, olas nwnok sa mbacloufsriru yhiralp,peas mledia prpiyaase,lh or alterair aliasspd,y si a vreaetylil cmnunomo uiatlmcflo lirteraa eidsase of kownunn ,asuec etzaeccrrhadi by sriholcrtteonnecoa aesmnbiraloit vngvilion the tohsom ecmusl, sirfoub dna leictsa situe,s fo aml-ls ot -msedizumedi iaearrlt sw.l alrfwcka/rmso/ieyell.usdwaolnctpawtbtm_lmi/ui/ai.phcds:r +3
smc213  rrsoy* I adh ot otsp itsh ecaeusb ti wsa irocnrm*sbguas!luuni!ocFf! asslyadpi is otms mnomoc ni oemwn eebnewt hte gaes fo 40 of and 06, tbu eth nconoidti cna also ocruc in ihenldcr nda the ydler.el eTh myotijra r(emo anth 90%) fo apeinstt wiht DFM aer menow. wrHev,eo men can alos evha D,MF nad toshe hwo do aevh a hgireh irks fo sicmaiplotocn chsu as unasmerys bgn)(ligu or snssdoitcie se(tra) ni eht e esritr.acsn-d//nsst.alyh.ailhv0ctrhict71fomld/agscuomsbdpresieallumi/-:/fd-0aeyee1ralpis +2
momina_amjad  esehT qeisotnsu aer idrvign me yzc-ar cuorrsmliaubf lpasaiiryyphasl/dseap si het esam ihn,tg dna it is NOT ihst rsteinteanpo dan ti 'seodnt eerfr ot soisoaeecistorlrlr esen in giannmtal H!NT s I eth HTN a s,caeu ro a cuennoee?qsc I edar it sa bneig eth eacus ouno(letldnrc HNT orf ynma yer)fsaI ti wsa hte ecuq,cseonne eht tpnearotesni is tills not laiscl!sca -_- +2
charcot_bouchard  rPoo octdlnerlo HNT is teh sceua reeh +1
charcot_bouchard  Aslo usyg if u ekat ti as culFoubrrasmi yiaspsdal sgnituelr in ASR nnoe fo eth eswran cceioh ctsaehm +1


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 +1  upvote downvote
submitted by โˆ—chandlerbas(118)
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sereev nrihtynospee esadl ot ptryahiclsep slseeorrcsoroiailt nadilge ot ecpislraiehtnsooosrlreor 8(1'FA -p-g 927)

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 +1  upvote downvote
submitted by โˆ—cry2mucheveryday(20)
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asuliumboFrrc plihysarpea liwl sueac epr nlare omziate.a S. /UrBCN si 20&tg; in epr lanre zetioaam ubt in the uetosqin tis auelv si itadicneiv of ctniriisn nerla eriufal. vyer !!cunsginfo

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charcot_bouchard  toN ryeall, yHtsooenpin sucea erp rnael aamitoze. Heer olgn sgntdain HTN lterniusg ni nde noarg aadmeg so rtciisnni nearl rfileau +3
cry2mucheveryday  hug! i jtsu enodcit 'rhetse a rafyli lgon ho/ of pryloo onellotcrd NHT cwhhi kaesm stih nesqtiuo psremli won. k!nshT!a +1
j44n  irsreelota ear in teh ..ndiky..e ay nkow klei nfeeearttrefff/en EOIRRTLEA @ hte o.lgm fi stih wsa ni het anerl yretra 'edh vahe rpe aernl moiaezta +1


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 +0  upvote downvote
submitted by โˆ—athenathefirst(7)
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woH do ouy konw eth wrnase is ont E? I escho E eaubces I oghttuh fo NAT (: ooneSme elph spaeel

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lovebug  I ma nto es.ur tub I guohtht )E emtipllu wdhgseedap-e ccitaolr tiafnrc . uldco eb cdnudie by iltlmpeu bsmilome fo er.arty or cpltmeoe kclbos of lmals ytearr (tg.elcjiokc.nabnous of lbood tncj)oiun but sthi aecs wsa rahypcsepilt i.selsolooertcsrrai +


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 +0  upvote downvote
submitted by โˆ—j44n(141)
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I dehat gehritnevy taubo teesh wrnaes ohcicse

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 +0  upvote downvote
submitted by โˆ—lickmyass(0)
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Why not litplMue renla rreyat nssauyer?m I swa whntor off by hte eniiprdtsco fo tprhaselipcy soiscloroteseiarlr nad so I etwn itwh thsi ihoe.cc I gtuhoht cyteprpihasl rsiolstresocolarei aym leda ot fiidribno ircsesno of het lsvsee lawl wiht oagrmhh.ree

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hiroshimi  I hntik pyrtspiehcal sritcaooierserls nianegm htat hte lwal fo hte trerya is teihkr,c dna ttah asronwr teh e,lumn mainkg it erom "ffis"t dan dcuere clca.monipe 'stI xeatcly wath uoy ese ni ntaptei htiw .HTN niThk obaut pt twhi ciorta i,tesnsso i'ts ialm.irs In n,ocatstr ni myneasur, hte llwa of eth yrtrea si llyutaac ehtnnri, the wall si eean,edkw htt'as yhw ts'i eiesra to reut,pru knthi obaut teh ioacrt ,auymsner t'si rmoe lkilye ot preurtu sf'i otn eedtt.ra +2


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