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NBME 20 Answers

nbme20/Block 4/Question#46 (reveal difficulty score)
A 28-year-old woman at 32 weeks' gestation ...
Obstructive uropathy 🔍 / 📺 / 🌳 / 📖
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 +25  upvote downvote
submitted by ∗xxabi(293)
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Asol rfo hsteo of ouy woh era tllatoy elclsseu ekli ,em ruirnay crtta oitctrsoubn = tcserbouitv aoup.thry

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skonys  I ese .745 iilDtfyucf seorc nad tihkn r,o"dw I no'td edne ot get shti oen recro"tc +5



 +22  upvote downvote
submitted by ∗banieb(23)
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nDiugr eht last lahf of aepyrngcn dniiolat fo het ueprp unrayri rtatc acn ruocc due to smoerncispo fo eth rseeutr by eht iogwnrg /eutfrueutss adn hte naile ltriaeisnm. hTe epcrnmossoi of sheet is ont oawlnlgi udlif sageaps niot eth rdbedal nicasgu neriu ipldubu in hte en,ykid ihts saeld ot inoialtd fo eth ikndey ttah snde pu gcanisu tsmyopcatim sroohpeh.nyirsd stih can ned up in nieinctfo adn osmtmsyp hscu as eth eson etsrnep ni shti neittap leik kabc niap nda VAC nressndeet. teh rcnygi is lnaymi ued to eht pani scaude by the itcstnr.bouo ad n sujt as ghesnmtoi axe:rt euldob pilgait serhattce is a sefa adn lesmip way of tgnraite pamttomisyc ihrnoeshdporys of ycn.epganr

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banieb  letUrear sboincttoru by teh nngrtaep utesru wiwvswhgcn7m.l99u3b/5e7i/1b.p.tnmpdon//ht.: +1



 +6  upvote downvote
submitted by ∗neonem(629)
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sbtcruetivO pahyrtuo uaecss a lensrtoap izteamao g&--t; whne ,ogopdrenl ltuarub adgmae es.euns hsiT aldes ot an euatc urtualb secsiorn, rechaadretzci yb tneiccro lgusp in het ulautbr esystm as esen ni het meiga

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meningitis  eoDs enayon wokn eht nevrcalee of het mset :sinagy "drgniu tihs mtie esh oasl sah eenb nyicgr f?q"trleyenu +53
usmleuser007  khnTi the enotrslpa ozmeaati is /dt her ceapngy.rn tWhi eht snearicngi ni isez tfseu, the pcievl ctaiyv si nbieg dpscrsomee dan suth rtehe is upeersrs on hte sre.uret Tish ielangd to eht trea.istponne s A pre oaebv --- hte ircngy yaemb tsuj td/ hre ianp nda onaimlote stsser edaucs yb rwriygno tboua obssipel imlstoicoapcn gaegdrnir reh .ufset +4
maxillarythirdmolar  My tug ltlse me ti umts eb smeo rsot of nairetsnt ganhec in entcpalal size iwht omhaolnr ehs.gnac 'tsI eieirnnmtsc fo wath you tghim xptcee fro bsraet gsheanc idngur teh nelumatsr ,eyclc mio +
j44n  ro yeabm the usfet is iralellyt iugcrnsh hre utserer tion hte lwla of ehr elipsv nda ehss gto na efdecitn kyeidn +4



 +4  upvote downvote
submitted by ye2019(4)
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slcyPhai exsam sdehow nsrteesedn fo eohcrnoptsic nsel,ag wcihh aer hte clpaes hwree the mgihrapad (hnp-eric) eesmt eht sbri cs)-(t.oo otN teh tebCovlartsero naelg ssdrnetene atth we inkht to ntih laner dsis.aIee tgo euoncdfs whit htis t.nopi

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adong  tleynohs htink thsi asw a py.ot oth athsr +2
neovanilla  usinAsmg ti swa ont a p,yto owh doulw teh eohtocncrpis saelgn be edetrn in shit diinnoo?ct r..mo.F ?..gci.nyr +1



 +3  upvote downvote
submitted by ∗waterloo(126)
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I eelf keil prat of shti is tmhe ngeesi if uyo acn inezgcreo eshot aer l.ueutsb

  • oS if ouy ysa ko heest are ,suetbul r,tiiasnoihcmnioo teie,tosmirnd dna DIP rea rbybaolp nto .rhigt

  • slorimelntuhriGepo in my cnxipeeeer os r,fa yhet ulhsod bapbyrlo ohws a lmgouelr,i tno seuutb.l

eenBtew ogsmeohntuea repsad nda sitocbrevut yhaop,tru I efle ielk I t'odn aveh ughneo ofni - utb ieotmessm a 0550/ sgseu si erttbe nhta igylanp iat.etplhsB

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 +2  upvote downvote
submitted by ∗sympathetikey(1600)
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ioHsprrnyoehsd

ootiinnlias/dnDitte of enlra speivl dan eacsycl A . yUlausl saeduc yb rrinuya tratc cuionrtobts ege( ar,nl tnose,s veeser P,HB nlioetcagn tisonsc,urotb ivrealcc cc,near juyinr to ,trruee aycnnegpr nppetalray); oerth d aeluucsnscei etlearirpooetrn b,orsfisi evlurctoresiae xfr.uel ntDaioil osccru rxlmoipa to iets of taegSy.mohrp luo eacitirnne eecmosb elveedat if siucotbotrn si laebartli or fi natptie hsa na dcryitsaoser oblutt iyeknd. asdLe ot rssnmocpieo and iepssobl rothapy fo nreal xteroc dan .elladmu

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 +1  upvote downvote
submitted by ∗redvelvet(56)
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porhisetcnco elagn enersdstne dna CveBfWe r stsac ni ltuebus on hatt ophot orf xelaempll A of ethm is ialgedn us ot rtyp.enilpeihos dnA evne irnom tsstciyi nac esuac lihepsitenproy ni epgrnnacy deu ot ebirctouvts rp.tyhoua

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diegolc26  I thuhtgo it uocld eb D or E ta ir.fst tuB the prtceiu is yrleal r.cale Teehr si ailmnnfimato ihnwit eht elubstu, tno in het suitrmit,eitn thta piotns ermo ofr surctbOevti paohUtry icwhh is osla fauli,pn cna aecus v,feer nad a isrk rotacf luodc eb soprseimonc ued ot aergled uu.ters +



 +0  upvote downvote
submitted by ∗imgdoc(183)
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This enquosti aws a ittlel ,crtkiy utb het wya I wtne taubo it wsa scoreps of nietn.iloima You otnd' ees spiectronoch geanl stesnnerde in ,AB, ,C or .D

heS sah freve adn kbac ipn,a tieleyinfd 'ondt ees ttah in IPD, ihchw nrteessp whti ievaclrc mooitn eets,nrsned adn nperuutl chiesdga.r roiMhrpacg alos stn'i inhgswo ecriclva shyglooit.

sA an dedad ubons: ryiurna seston eacus nectgcrixaiu pian whne o'yuer ngityr to assp ti thourgh uory ter,urse lcysaabli ignggdra .laesgdoni nceeH het etnitpa ng.rcyi

uYo id'ndt need eht hgmpr,oraci troeh hant ot see all htsoe lnis,puorhte btu vwee' lal eens nlolmrugsiethpireo gotylsiho e,sisdl adn ti tndoes' even oolk .cesol

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 +0  upvote downvote
submitted by euchromatin69(16)
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pacygnrne si a irks frcaot rfo autce ipp ornFehiysletA 9021 pg 589

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 -2  upvote downvote
submitted by ∗laminin(18)
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osla baemy lcodu od csrpoes fo t.ho.ia.tleenmini ocp'ritonhsce nelga ednnsteres' uecsl us ni ot ti eginb a larne e,oplrmb and the ylon arnel nraesw oicech si vtoscireutb prohuayt

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spdrwmn  ogshmiupiotneerllr aws na ewarns ieohcc +1



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