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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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hTsi tpnaeti ahs lalms lecl amaino.crc iTsh ypte of cecnra is disacoesat tihw aasiolpaepnctr rmdsosney hucs s:a snhCiug erd,noSmy HDAIS, or ntiidsobea astgani Ca2+ nehalcsn mobaL(ea)nr-Ett ro snour.en Aopcfianitiml of cym gsenecoon is sloa mno.mco

DAISH edm(rSoyn fo toeiappnpriar raiidcitnteu roemhon reietons)c is arhtzeardceic :by

  • Eeesixsvc free rewat ttronneei
  • uevoEimcl omteanhrpiya iwth d itirrcuneannoyu a+N nicterxoe
  • einUr otolyslaim gt;& mures mtillooasy

oyBd nsrdeops ot aewrt nnerttieo hiwt enedoalstor nad AยNP and B.NP thTa si wtah usesca hte cenisdrea yurrani Na+ nseciotre whยŽhci ldesa to ronlaztnmoaii of ltrreluxelcaa uidfl elvmou ยŽdna eht cieluevmo amhiye.atrpon

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hello  hWy owuld bdyo soprend to artwe eeonrintt itwh ?DALO LODA lwoud eaecsrin rwaet rton.einte.. +7
nala_ula  elloh@, eht sbo'yd ospsrene is ot cedsaree nlerteAodos ecins eetrh si cnradeies muvelo eitenntor nda tnylbuussqee nicesrade bodlo .rs e rus ep ishT pncoect oseucnfd me a lot, btu I neded up utsj vinwgie it sa rtaepeas eosnsrep.s s,iFrt het aenrdcies meoulv tnteionre lasde to crieeasn NPA dan BNP itnrcosee ttha ldea to reedasdce Na+ bptoeranoris in hte teulubs p(ega 492 in AF 1209) dan oscde,n hsti aenscrdie meolvu clysaabil dlase to rnaidesec sreresup so stle lsoa edescear sanoeroletd os eerht si on aN+ tieoerntn (senic rtaew ecosm itwh )..ti. I tuohhtg it wsa ciueoittnetvinur ot ctesere os chmu N+a enisc u'oyer dryaael ginahv rcsadedee rmsue sooylialmt a(csedeerd +aN toccotnranine) besceau of teh trwea nnrte,otei btu 'Im nuggessi atht thsi si tujs othrane yaw ruo odsyb' elwl einonttisn nde up kngaim su sweor DX +37
compasses  ese eagp 443 F1A209 orf .IASDH +
dickass  htuaor pdsaet ettx htigtrsa mrof FA tub teh sroawr 'ndidt pcoy ,rveo rginitenv hte onaiigrl neiangm +4
medninja  hTe iade fo gneianrics ueirn Na is ettggin dir fo eta,wr hstat wyh sthi imashcmne ned nsiecngrai erinu Na torniesec vene nehw eehtr aer yrve lwo eursm Na lelv.se +
srmtn  tsih si a roipapnseacal XS aleetdr ot mlasl llec aC. os neaeicrs ni HDA ASD)H(I amsek eefr waert tnrnoteei cae(srnie in hge)iwt adn udiialnlto iohpaN ni emusr and Nar+ihpe ni ur.ien iusmod si eth nami arftco in iymtlolaso so icens is i+paNho eht smo iwll be rcde.eesda +
skonys  I nthik 'tsi as splemi sa SHDIA ;g&-t Inc ADH rtenocesi teoheefrr ariedcnes efer teraw anoosrtepbir cD(e muSer ymOaso)ltli nad nIresdcae enrUi aN+ ucbaees ts'rhee elss ewtra se(sl ero/muiletd no)e.rcntdteac meReremb hatt AHD rtsecae a siipotve aN+ adn rUae ntgirdaa ni hte ncgliletoc utdc to acfiteailt hiter apotrebrions in hte dlleaum (tsuh ieraltsbheigns het rgat.endi eHer ear the catrriei orfm b757oBgon.p/n//h..mitshw/l.7sw7KnvNoic:b/0twkTh e rSczhatw dna tetrBar aCcliiln orinrtiCe Sem ur osdmiu less htan emLE3r 1S5mu/q aioslmltyo sles anht 572 r OgnmUemisk/ dosumi agertre htan 04 q/LEm due( ot atme-DiHAdde fere treaw osnbtoapir orfm ranel cleicgnotl )uetulsb +1



 +2  upvote downvote
submitted by โˆ—dickass(127)
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S:+AIHD eexcsivsE rfee retaw ntni+ore et oiuceEvml yopniaemraht hwit cenoudnit riayurn Na + creietoxn rniUe ltlmyooisa t&;g emurs ooltymlsia

ydoB ssopdren to rtwea reieonttn EhDDwREiStCE A ntodreaelos adn DEENCASIR PNA nad BPN

aerWt entnteori t&g=; Lsse edlreosonta >= ssLe ECNA lacnsenh =&;gt esLs udmios rptueeak ;=t&g sosL fo doiums in iurne

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 +0  upvote downvote
submitted by โˆ—ag21(1)
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mreuS tolmyOlsia si sfel a.elrxnaoytp

Ireensca Urnei Na si esaebuc tg&; enIscrea ni rteWa luVmoe ;tg& + ireutrNtcai sdippete.

As eth mena sa:ys A"N rrtruec"i ie, rceeinas wtera rudsiise thiw AN.

ARAS is udsresepsp

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