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Retired NBME 16 Answers

nbme16/Block 2/Question#36 (reveal difficulty score)
A 55-year-old man comes to the physician ...
Volume depletion ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: renal calculation marked

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submitted by โˆ—acerj(13)
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o,S hits si noe fo hetso wfe oaunatlcicl sblmeorp ahtt yuo tmihg ees no tpSe .1

hTe itgeetnv otsipn ot ya-d3 troiyhs of igodtrir,mihavn/ae ihnodlg ohintng ,nwdo adn itllet uenri tpo.tuu Al,so mofr eht PB ,nisgdrae sthi ugy is srottohacit inpgiont sawortd vmloue itleoedpn.

oHevewr, okglino at hte meSur alsb, he ahs taoeizma thiw a BNU fo m5/0d.gL In ihts ,aces KIA ATN( ni het s)snewar nad lemouv odpeetlni hdlsou eb your pto w.ot

oT editri,tenefaf ouy dlcuo utcllaeac Fa,NE eth tonfacir fo aN .cexerted

aENF = ( N[a ni eht ]reUni * lFwo Rtea fo the eUrni / aN[ in het ]Pmsaal ) / (r[C in hte ]nriUe * loFw Rate of the neUir / r[C in eht P]lamsa

imnlpfSiigy to lccaen uto hte oFwl tRae of eth irUen lavees us hi:tw

FENa = [(aN in het inU]er * [rC in eth ]smal)aP / [Na( ni hte a]amlPs * [Cr in teh ]Urin)e

rFo sthi eo:brplm aNEF = 1E0]mL[q/ * .22[gm/Ld] / ]d(dmE4[[/9mgLLq/*])161 = 007.0 ro 07.%

hTat snotip lfnytiedeiiv to rpernael IKA dna omluev nl.edteipo

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ibpstepprep  roem cilalpyiefsc , a fspecici agrtiyv fo eretgar atnh or equal ot .3100 = rkanf hordidnytea = oeuvml ieetol.pnd I no'dt inkth ouy heva to ctelaclau eht FNa,e wknnoig neuri simdou si elss anht 20 isdientac eranprle ireluaf ( AF 19 )059. ehT yke to isht obrlmpe si eth ipiscfec virygta +4
cheesetouch  I ddin't do ayn lt,olcncauia tsju ntwe fof t'teasipn syh,itor retid ot knhti fo woh teh aN si byarel ighh (416 wnhe NEMB lrnmoa si up to 54,1) thaw the chke uldwo kmae curi aidc ghih ni ahtt isory,ht plus no BCsR in urine. +1
sexymexican888  AF 2020 P 06:1 ouY od'tn ahev ot lctluaace F,NaE ouy can jsut okol ta hte oidmus 01 q/L.mE nI errnaep-l zotaemai inuer Na si &2;0lt E/Lqm mnngaei eth ltusube rae ntpaet dan aN is ngbie dsbaerboer ,rplpreyo eenv eomr tnah ulusa icesn its ssnieng eouvlm n.eltideop NI NRCSAOTT te-narailrn elraufi lwil haev a nireu Na t&4;g0 mE/Lq bc het enrla beuustl rae dmdgaea ATN() nda ncnaot abbrsoer aN .yppolerr +1
sexymexican888  aFNE si eht smea . ntpco ec rple-nare zaoimeat F;-aE&tNg l&t;%1 t&;-g aN si gbnei rebaboserd -gt&; Keidny si thyhale nda grwokni I cnrt.nii.s. nrale faiuelr -;g&t aNFE 2t;g&% -;g&t Na si TON nbige srabdobree prloypre ;t-&g yiKdne si NOT hlayeht +
sexymexican888  aosl UNCB/r ait:ro 2/.520 ~ 25 in lraeper-n tazomaei N/rCUB gt;&02 '(nkidesy itaacycp ot rraebbos si t)acnti i f ti was TNA BU/CNr atroi uldow eb &5t;1l deikn(y si kecufd pu actn rbesroba euar o)plreypr +4
ddaddy  linaaotCulc si a setaw fo iemt. xH fo dnotieigamhv/rair is lal ttah is eednde +1
an1  T:pi fi a aneptit smeco ni iwth MI dna euirn ciuontfn si ocol tub hten inedeslc eftra 2 days, scepsut rpeaen-lr AIK esyk(hct ta)ph. ecaullCta teh /rBUNC ro.niat 2;g&0t si rr.leP-ean 2l0&;t is i.rltaannre adn Psto enrla nca be t2&g0; in yrale gaetss or lt0;2& in tlas taesgs +



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