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NBME 18 Answers

nbme18/Block 4/Question#10 (reveal difficulty score)
A 4-year-old boy undergoes radiographic ...
Tubular atrophy πŸ” / πŸ“Ί / 🌳
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 +24 
submitted by βˆ—anechakfspb(64),
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tusJ a nrta - i heta htis ncg*fki ipcetur ist' bene on 3 ENBsM now nad ryeev eimt e'vI nogtet it wo.gnr

cbreland  And it's a different answer every time +16  
krukenberg  same +  



 +5 
submitted by βˆ—faus305(32),
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I nkhit narta1sbea@ has teh rrceotc inaalnexpot tbu I ustj wtan to yas ihs ydnike si b"arlamynol mllsa and i"onnoanftclun cihwh maesn taht ti is ont nebig used. ehnW eth ydbo ndsot'e eus iesomghtn ke(il a uc)eslm ti iropst.eah oS altburu phyaort saemk .sesne

Artphyo = urlaagd cniedle in fteiscefenevs ro iogrv edu ot eernudus or nc.elget

nheW a ionstequ essme ylwdil oceatilcdpm nad ouy heva on daei stha'w nggoi n,o keta a depe rtbahe nad pxaniel ti to lseouyrf ikle 'eoyur fv.ei




 +2 
submitted by βˆ—beastaran1(2),
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elveiBe tshi noe si netiustirlbuoltati oirfbiss of teh idyen:k

uldalymer ticycs eeaisds si caartrceziehd mtb oaoyusal nnatimdo rniecnehait t epepnsaierrgtsorv and lwso memrptaini ni nlear nnituocf that luaittelym lsrtseu in sg-eaentd aelrn neeadi sos or lammiin riuiapretno thwi a dalnb iurne liml ddsrneytaeuem cssyt no eranl nouarunil dst tsom aescs rledlumya tcyss rea ton c arptsenen ese nukhnser knsidey no rdslntuauo

makepoopinggreatagain  Tubular atrophy (hint: dilated ureter/calyx in image) ↓ Posterior urethral valves is the 1 cause of bladder obstruction in males ...Diagnosed by hydronephrosis and thick walled bladder +  
nbmeanswersownersucks  this can't be posterior urethral valve because then both kidneys would be effected. +9  
j44n  I agree its the medullary cystic kindey disease-> FA19-592 talks about it +  



 +1 
submitted by βˆ—overa(21),
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I khtni thta this is a ciuretre ettcrsriu ro ocirvereeuplt incunotj nurtciboots otn( suer fi yteh rae the esam )tnigh tub goradcinc ot ske,thcy ti si eth toms monmco cuesa of luireaatln lecganfelinoat/t hshyosnioerprd and toms lnmycomo paehnps in toehs ohw sydrtaaSu ear .rfo. );

dhpainte22  If only kidney was involved I would agree with you but the ureter also being involved equally as much as the kidney leads me towards cystic kidney. +  
utap2001  Hydronephrosis is associated with cortical atrophy and tubular atrophy. But atrophy is different from necrosis, atrophy is chronic fibrosis change, necrosis result from acute ischemia or inflammation. +  



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