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Retired NBME 20 Answers

nbme20/Block 1/Question#19 (reveal difficulty score)
A 60-year-old man comes to the physician ...
Urine Na+: increased; Serum osmolality: decreased ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +7  upvote downvote
submitted by โˆ—hayayah(1212)
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ihTs pettani sha almsl clel io.caarcmn Thsi eytp fo rcecna is tcdaesiosa hwti loiapcsanearpt seormdysn hucs as: Cnughsi nr,eoySdm IASDH, or dieaotnbis siganta 2a+C ncnsalhe rtomb)LaEea(-tn or rounes.n nciiflpimtoAa of myc ocnsogeen is osla omnco.m

SDIAH nySorme(d of iiarppparntoe initaudteric nmrhooe i)orseecnt is zeiceaatcdrhr y:b

  • ecvxessEi feer wtera tnontiree
  • evmEuclio hnmeytiaoapr htiw dcinaiou tnrryuen N+a inrtoecex
  • nireU smatlliooy g&;t eusrm lyoomtiasl

Body ospdenrs to wrate tneienrot htwi loaoeredtsn nda AยPN and BN.P That is wtha aceuss teh sndeercia ryuairn +aN ieeotnrcs ยŽhchwi edlas to ootzailnmanri fo leruxaertllca dfiul ulvmeo danยŽ hte oclevumei otnhyaami.pre

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hello  Wyh uwodl bdyo nepsrod to rewat enoitentr wthi DALO? OLAD ouwld senricae ewatr e.n.t.rtonei +7
nala_ula  heol@l, teh db'yos ersspnoe is ot rseedcae odernAtosle csnei ehter si draeiecns mveoul enoitertn nda syuetbqlseun nrisdeaec dolbo sepu sr.re hTsi ctncoep sefnduoc em a ,lot utb I edned pu stuj neviwig ti as saeparet speoesrn.s tFsir, eth earcnieds evmolu rtnnoeeti lsdae to isnrceae APN nda PBN nositeecr ahtt ldae to asdceered Na+ erirtpbosoan in the euusblt a(gpe 249 ni FA )0192 and coe,dsn hist cresiaden olevmu asblaciyl elsad to adesnrcie rprueses os setl lsao deaersce sedltaenoor os hreet si on +Na nenettori n(cesi etraw cmeos htwi ti.).. I tohthgu it wsa nneiutirvectutio to ecetesr os humc Na+ censi 'oyreu yraelad ahvngi eeascdred musre ylmiotaols ecadse(der +Na cionnao)tetrnc euecbsa fo eth etwar ,enietnrot ubt m'I sgguenis htta itsh si ujst traonhe way rou sd'boy lwle sinietnton dne pu nkamig us ewsro XD +37
compasses  ees agpe 344 0F12A9 rof DI.SAH +
dickass  atuorh dtaesp etxt gsthirat form AF tub eth sowarr tdd'ni ypoc vo,er etingnirv eht nioiarlg mnaigen +4
medninja  The edai of eiisngacrn rnuei Na is itggtne ird of e,tawr ttsah wyh ihst mimencsah nde nrenacisig irune Na rtieecnso eenv nhew eethr era rvye owl eusrm Na level.s +
srmtn  tsih is a lipcoaanrpaes XS erldeat ot lmsal llce Ca. os nsaicere in HAD HAID(S) seakm eefr erwat ntneitore aerscnei( ni )gwheit nda lotulinaid iNhaop in rmsue and h+Nerpai in ineu.r sduimo is teh anim artcfo in loaiotlsym so esnci is aphNio+ eth oms lilw be eeardsce.d +
skonys  I kithn 'ist sa limeps as HDASI &-g;t cnI AHD enteocsri ehreoerft sirncaeed eefr earwt iotpsraronbe De(c eSrmu mlsoO)ytail and darcsIene eiUrn Na+ aseubce esr'the sesl rtwae sse(l old/emeuitr .toc)enedntrac meRbmeer thta AHD teeacrs a vetisiop aN+ adn raeU iagrdnat ni the cgtoceliln ucdt ot tcilitfaea rtihe nioatsrbopre in teh llamdue suht( ntihssbeglaeri the gd.airetn Hre e are the ctraieir fmro 7io7sk/o7hpt5s.nb./n.oKBm/gni.lwN/:bv0/w7whtceTh rhtcSwaz adn tBatrre lnCilaic Ceirortni erumS smouid sesl hnat 5E q1m/r3mLeSu itoasmllyo lsse athn 257 imgUkO /nmres miosud reeatgr nhat 40 qm/LE de(u ot AaitHde-eDdm fere twear obnartisop rmof naerl cgetionlcl sebuu)tl +1



 +2  upvote downvote
submitted by โˆ—dickass(127)
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I:+HDAS vecexEsis feer ratew nt ert+neoi Eoilvumec hyanratipoem iwth cnudontie yirruna Na c+on xerite irUen miltyoloas tg&; ersmu iosotlymla

yBod sndsproe to etarw itorennet DRAEtE wCEihDS nrolstdoaee nad EIDRACNES NAP nad PBN

arWte rinteenot ;=gt& sLse lrdeansotoe ;g&t= essL ACNE sechlnna t=;&g sLse uoismd atreupke t;=g& osLs fo uomdsi ni eiurn

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 +0  upvote downvote
submitted by โˆ—ag21(1)
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Smeru iOstaolylm is sfel ay.nrlxtpaeo

ensceaIr einUr Na is bsaeecu &g;t Iercsean ni Wrtea eoVulm > + iatNcuetrri pieds.pte

sA the emna sy:sa NA" ierrc"rut ei, aicneers etwar idsursei whti AN.

ARSA si usdreepssp

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