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NBME 22 Answers

nbme22/Block 2/Question#3 (reveal difficulty score)
A previously healthy 28-year-old man comes to ...
Nephrolithiasis ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +14  upvote downvote
submitted by โˆ—hopsalong(32)
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Tihs qtonuise has a lto of nearws ospt,nio dna yuo ravier ta aisiNsihhoretpl yb wrgthion otu all teh herot optonsi yb athw is nii.gmss

,A B - Circoalt cseioNrs and aPiyalrpl Nssrcieo stmaol laywsa orucc ni hte gntiets of iecsahi.m syrieluvoP ltayehh 82 yrae odl man has on encievde of yisigtfincnla esrdeaedc lnaer .ofnpsirue

C - euctA lbraTuu sscioNre si hwta ouy lsduho iknth of iwth itcyleSlaa SD)INA( tciit.oyx eTreh rea many eorth rtcxohponie grdus hatt secau NA,T ubt khnti fo NAT as dgur cdunedi eiynkd mdaeag.

D - tsytisCi - akFnl aipn is erltdae ot eikdny i,rujny otn lbdadre .daegma yCssiitt luodc eb bsopiels in scnnigead U,TI btu hte teiatnp sah no rfeev and is amel h(umc esls oncmom ni sm)ael.

E - Gnorruotihlelsmpei - isTh tsge oint noieprtrnitpcciheh/ ssndmrey.o eTh smte stoinmne htat he has bdloo ni teh euirn hhwci amy dale you ndwo eth ehricipnt a,aywpht tub he odes otn ehva yan of the ehtor esioscdaat ypsmotsm.

F - pahmyrHnreope - ornheAt wdor fro Rnael leCl nmocr.iCaa oN ewghti slos ro oerht nrceca tadeerl sopsymtm iefatug( )e.tc

G - eIttnisairlt Nrepthiis - ishT si ftone a grud eicnddu MEMINU teaiemdd cn.ioetpihxoytr Tish si a yept IV hpetitssiiyyervn ctaerion tath rcuocs kswee ot mohnst etraf het asttr of iecmandiot e(kil DN)s.AIS NTA is emro seaoascdit wiht rdug rooveesd ilweh isInetattilr is eorm cdstaasieo htiw ienmum ncerot.ai tietarlsIin eitihsrNp illw eavh BWC cssat in unrie.

I - lthsPyopnreiie - adsCeu by cisedagnn TIU utb no fvree si eps.entr

hisT seleva hisershiitNpalo )H( sa teh rcteroc ns.aerw 58% fo hithoaserlsiipN si sdicatsoea thiw etacyvpioh elwob uso.nsd Teh npia for hinsptoielhairs acn reeplsa nad tmeri, and anlyocaslioc hte pain anc vtearl mrfo the ykeidn af(kln ni)ap ot eht mtorcsu as the oenst meovs rutgohh hte rru.eet

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whoissaad  Graet ploxanei.tna sAlywa ofudn ti dhra ot ffdirteiteane enwetbe ANT dna ANI eud ot SNIAD eus. Tsih deam it ac.ler a!hskTn +6
hyperfukus  sasys +1
dubywow  s"acnioollcya hitsewr ni aip"n -- sa a gyu owh has dha a nkedyi set,no trginwih ni pain ieledytnfi siht the k.amr iuecPrt ousyeflr neske on eth o,nrdug ecaf on teh cc,hou igmscnrea rlonitneehyc lhiew eth aidmaseprc era heret scubeae ouy cn'ta rltonoc uyor nwo dybo momtenve and otdn' kwon fi uryo'e dnyig or otawnth ormf the aannlblco zsedi eohl hatt ya(m ro mya ton )be in royu nkfa.l Then ianemig oen fo the daseaicrmp is ruoy demper sdyut u.ybdd Nvere rtofge ihrgntwi dna iihthonrapsiles dan epderm yusdt e.bisudd oYu will vrfreoe gte isth sqotnuei etccror ni het e.ruutf +8
bharatpillai  i ewsra ot gdo vie onde a raimils uqnsoite no hte rmsuelx bq and tehy wensar wsa enlar ylalprpia cnseior.s ihwch si hyw i tgo it owgnr (: +1
targetmle  i laos emerrmbe atht uw qeus which ogt em ihts ques orng.w i ikthn ni htat ,iqepesttuan ngsiibl ro he mfhelis had eslcik clle +1



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