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Retired NBME 21 Answers

nbme21/Block 3/Question#12 (reveal difficulty score)
A 55-year-old man with hypertension comes to ...
Left renal artery atherosclerosis 🔍 / 📺 / 🌳 / 📖
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submitted by pg32(218)
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MBNwlE/Uodr love ot etts realn retrya stnoiess ni the ginttes of yreentsehivp nyrmeuy/.rcceengeg stJu eacbeus tish has bene ndoe so myna m,eits yuo nac csaiyllab teg eth ghtir esrnwa morf het tisfr lahf of eht s.neoqtiu tP wiht nde oragn iusess ehha,cae(d o)cunsifon nda laerly hghi BP (I know ti snt'i 02/11,08 btu it is learly h)hig. So tish ygu llbcaayis sah pvsteehreyni rmy.neeceg mI' ydlreaa ktgihnin t'si anerl yaetrr osits.nes txeN seneecnt? A ritbu ovre teh lfte andmo.eb .oignB nReal rryate nissotes, stmo nfote aeudcs by ohtoseslcarseri ni odrel enm (as edaorcmp to aurormsclbuif siadpasly ni rneyuog no.emw)

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lovebug  He is havye skmreo tbu, oN wtiheg slo,s No aihcecax -g;t& so cna be RO/ teLf anler clle maai.onccr is ti hirgt? +
lovebug  cRsanlarouev s.d 029A,F1 pg 952. +
misrao  dan no urhimteaa os r/o RCC +
realnorthomfs  00A2,2F pg 604 +


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 +3  upvote downvote
submitted by necantoramericanus(3)
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mI otn lerayl srue btu I hitkn het nipot is ttah with eth alroppitc ucnearidldoi nsac reeht is a yelda in inntuocf of het inyk.ed Waht they nawted su to eeremrmb ereh si that nweh oyu gvie a " A "rpil to a eainptt hitw elRan rtayer trsoesrhcsoieal hte enral iufcnnto soneswr ebuaecs ereht is ntniotsioccr of eht entrefef aierroetl

FA 0812 - 756

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kevin  rfenteef sdetlai thwi na CI-EA eud ot slos fo ngiensaniot eedmtdai sasicitvnnotoroc +
skonys  Thsi is an adise utb ehty voel nitegts enlaR yrretA tseiSson in het ntxetoc fo EAC ostiinhbIr bseaecu ist' a odog ysplgiyhoo n.ie-it F,irst ti plhse to nkow thta initAongnse IIs' tierne rloe ni teh /ehnykteid eansro ti deov,vel is to inanamit RGF in eht ttniges fo lwo dyneki psrnfueio ho(yplmiveco c.sk)ho It elnrlieeyarptf iatcvtssosrnco eht eff eoiterl,ar ngiriasnec het spseurer utsj rtnioare ot teh iuo,csncol suth rcingof rtetlaif tion bwmoasn lacspeu eiedspt eethr eginb esls dlobo lvuoem guninrn ouhrhtg hte trayer. In rleialatB nRael Arryet Seos,isnt ancetmeiann of hte GFR is eelotmpcly elairtn on IngAI ootsncnsairocvit fo teh feternef roert.leai fI yuo ievg monoees na AEC hortb,iini oyu seareced AInIg adn oiedatasvl the frteneef er.atielro heT ceofr ninmaitigan eht RGF si ngoe, ipcegttapnrii ralepnr-e eziotma.a ht'saT hwy eopepl wthi esctpsedu lnaRe AS deen to hvae trehi CK ntomedoir slcyoel caeesbu ti lliw sieneacr tefra igsattmidnrnia and EAC irtoibnI.h +


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 +2  upvote downvote
submitted by usmleuser007(464)
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Jstu lezaired hatt nalre lcle iorccmana 'nsti the rercoct snarew bc/ ti nvaided teh nueovs nrccaltuioi nad ton the raet.lari BP mya otn eb afedecft as hmu.c fi CCR reew het aewsnr tenh neth eehtr olwdu haev nebe meaed nepsret rdo/an eanlr .NTH

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sympathetikey  loA,s sutj tgiihnkn uot ulo,d ni teh saec of CC,R st'i the iekdyn itsuse ath'ts ilscdatspy &pam; ngomvi, so letclaiychn teh anelr teryra lifets tn'si adscy,plist hitr?g +
paperbackwriter  rulsm07eu0e@s veyr oogd opnti arrngdige eht osveun sv aartreil ruiiclcotna tath I gncetelde to nroesi!cd +


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 +1  upvote downvote
submitted by rainlad(33)
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owH do we ieplxna hte tbrui in shti se?ac solA why i'tns it telf tyrear asnureym? thaT sseme lkie ti wlodu trbete ilpaexn teh ubirt

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gdupgrant  The brtiu si callsabiy jsut lurntbute wfol, hihcw si tsmo mocolynm cesdau yb taeryr rn.ianrgwo I wsa tusj daigner -licn4de5cmlrm.ce1aie/lshcidcice/.oaitnet/3p:s6t0pe/am no rlaen tearyr enrmusay nda it sloko ikle tmso of eht eoehinyntspr is ltuyalca eetrlda ot a epr manyesur ossi,nest os i ntihk nssiesot si het tt"re"be s,rneaw ps.e nceis eth tp ash ielk eyvre kris afrtco rfo sesi.Tns oto eb ntohse I dha ont eevr alyerl gtohhtu utaob ARA fro tish saec baeecsu triub rove RA sah been rdilled inot my head as renla artyer ,neisstso tub i caeapeiprt seegni owh thsi is a psure aaebsrelon snewra - sutj teh snseosti is "orme yi"kell +2


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submitted by usmleuser007(464)
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oFr :RCC (sA rpe D)LUWRO

ycmirmtSe rliablaet rlwoe ietyetxrm tiintgp eamed nad uutsroot domlinaab esinv rae rncignoenc for  riaenrfnio anev aacv ()IVC ns,tctorobui chh,wi ni het gentist of a -slediedft lnfak ,sams  utsgslsreenga ecll iC)oRrcn acaCm( tihw eetnoxnsi tion hte .C IV RCC outanccs rfo %09&;gt of all gcinnmeaisal isgrani ni the kiendy adn si ghiylh escidstoaa itwh isgk.nmo  Psina tet iwht CCR yialaslcscl aevh a atrid of kfnla ,napi allbppae ms,as adn iaamht,uer lghauoth aynm emirna toayipmsamtc nluti hte sieeasd si avCad.CnecdR is a lyhihg vusalrac torum  tehatadvsin the narel ivnien  up to %25 of a.s ces VCI nsiotrtcoub can cocur ude ot uatnnmalilir nexntiose dan srmobuht iarfonm,to rharet than ssam etffce fomr hte tourm i.el fts

eTh bontioutrcs anc rucoc ualeytc ro rgluydaal vreo iem t. In hicnroc cseas, olelacratl voesnu oiurticclna aym vdloeep edasb on eht tsie fo eht tcbsuritoon.  Pnetnoimr doaailbnm ltlr awacaeloll ves,in as in sith aet,tipn gsteusg oorbucstint fo het euppr ntemesg of eht ICV.

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nor16  high blodo rsus,eepr .i.e iHtenrepsyn,o srki tscarof rfo lt.socar,eh rtuib !!! rove left oe,bdnma asncrydeo ta.r npeeiynsr.otH htey ywaasl natw hte alner reyart nossetis eikl( WFv in .agoc sr.i.d.e)srod +


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submitted by jackie_chan(34)
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I apheoacdrp isth eiosqnut acbeeus anm with rretha exeertm TNH nda dlnboamai biurt is iueqt eoftn lrnea istoenss

LAso iatlporcp nelra iiloacedndru 'anscs ifnucotn si ilayleltr ot ssesas aelnr tonesiss lo(keod it ,up ubt i did nto nkow ttah hwen i es)endarw

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