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nbme18/Block 1/Question#32 (reveal difficulty score)
52 yo man with chest pain and shortness of breath
Proximal tubule: isotonic; Macula densa: hypotonic; Medullary collecting duct: hypertonic πŸ” / πŸ“Ί / 🌳

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submitted by βˆ—strugglebus(181),
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heyT are taligkn oabut nof,ealBc a GB-ABA ogntasi wonnk ot aetrt euscml iitcapssty

submitted by βˆ—match95(53),
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ihTs ludow ustj eb eht rmnloa peosnrse fo rou yseiknd ot hwen we 'dotn idknr etawr heoung aak( tjus ramo)l.n

rPlimxao euutbl is ioistnoc bceusae we are anbgsiorbre BOHT Na+ nad 2HO.

ualMac desna is oyptcohni abseuec it si nngiess eth dtlais nulteovdco tuubel -- eth msot IDLUTE patr fo teh enpr.noh eeebRmmr the unrcortreeutcn gaxeehnc sytmes - hktci sancndige lmib is lgosni alCN ur(ein tges less aocdenrttnce sa it csa.dn)es

ledrlaMuy licgeonltc udct si hoiypecntr sceeuba ew rea orbrsabegin lal het rtwae gnakim het eruni omre endnaco.cetrt

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