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NBME 24 Answers

nbme24/Block 4/Question#39 (reveal difficulty score)
A 30-year-old woman comes to the physician ...
Decreased afferent arteriolar resistance ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: renal cookies

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 +5  upvote downvote
submitted by โˆ—sattanki(82)
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Trhee era wot eascnmmhis fo ieurltaggn laenr lbodo w,lof eth ongceiym ahiemncms dan rg-urlebtooalmuul beafkedc. hsiT ntioquse ksas epyulr uboat eth yoimgcen snim,hacme iwchh is hweer eth aerffetn eetralori oclrnost dobol wofl edbsa reuylp ffo obldo rureseps nntgreie het y,dinek hwhci is hwy aerceedds tenreffa rerrotiaal ntiaecssre si the bste rnwesa eth( eelriorat is tnagilid in rseonspe to eth ecedraesd doobl ofwl ni ptmaett ot mnitaain rlamno ooldb folw to hte diyen)k.

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nwinkelmann  .naM.. I ktoo thsi AWY OOT ,FRA ll.o I altolty ddtin' ecozegnri teh eluc fo FGR nda PFR as gtsnyia eth easm to eltl me it aws ilntakg ubtoa malrno, osglcphoyii ogoaetan.lrutiu llySi s!tiakme +7
j44n  I rgaee. llA I was swa a edsensto eytrra dan IIAT octisicnntro +

w/o knowing autoregulation. You want an answer that will maintain RPF and GFR. Decreasing Afferent arteriole => increases RPF and GFR because you have relatively more blood coming in. If you decrease both afferent and efferent => increase RPF but GFR may be unchanged (e.g. dopamine effect) Decrease efferent => increases RPF and GFR will decrease

Increase any of the resistance and your kidney will go bye bye

+6/- peqmd(74)


 +4  upvote downvote
submitted by โˆ—ihavenolife(81)
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Mcngeioy emichamsn roswk in hte nffertae tiroeerla tath uplesisp eth gu.elulsmro hWne odblo respuers ieer,ascsn hoomts cluesm cslel in hte llwa fo the eretiroal are rehtdctse adn nsoedrp by cotgraitncn ot serits het erpe,rsus nrglseuit ni etlitl caehng in .ofwl hneW oobld eesrrpus s,rdpo eht ames soothm mulces llesc lrxea to rlowe etnsr,sciea lwionagl a eoicndtnu enev ofwl of .ldoob

Ccikl teh lkin ot erad aoubt ourmlrbgrtelouua bafecdek as well. wctclo2enp:r-/safeeao/nhlcl.ouaefieuarntor-orpug-omgp-u/ehl./rdsal-/isoyntslmn/ntb

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 +0  upvote downvote
submitted by โˆ—thotcandy(131)
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oT dda ot hawt oyrevnee lees sha ds,ia ihst seidl is trpeyt ood:g lm.maas.i/3/pei0l3dp2sjih4dlt121ssrege/sey2s0/i/pod:_5.l/ecgt

het tppmor syas PRF nad FRG rae uhncg,edan tsuh RBF is also ,nhgdunace to do ,hatt het raenl etreiasr odluw eahv ot eercsdae hetri en.ictseras

wre,voeH as nshow on epag 751 fo A91,F a ocnsttirinco ro lidoniat fo netrfeef lwodu aehcng FF iwhch msnea FRP nad FGR rtan'e gcnihnga aqluyel - sith si rldue tuo by hte omtppr agsyin r'eyteh .hunnadceg

vasLee su wiht a daerecse in efatnrfe rcnsas.iete

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