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Retired NBME 20 Answers

nbme20/Block 4/Question#28 (reveal difficulty score)
A 78-year-old man dies of chronic congestive ...
Failure of the Na+–K+ pump 🔍 / 📺 / 🌳 / 📖
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 +11  upvote downvote
submitted by nwinkelmann(366)
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Tihs sieanpxl it llayer lewl htiw a :utpreic /itm1fi.te/Alohahltpghssa.llAwe/Pp2.tm./nhsmw/twdyo0:tutalolds/ai.

oricHydp gheanc = one of eht lreya sgins of llueaclr aeedtonnrgie ni onsprees ot jyurin htta stserul ni atinouuamccl fo rawet ni het .clel iixa/ysmhpaecHio dsael ot dceeeas ni oiebrca pierrsitoan ni the rcdohmniaoti nda dsedcaeer APT pnrcoiduot eud to fliurae of eht K+a+N/ AaTePs delinag to +Na adn eawrt iuoffdisn ntio teh ell.c iIiundvald ubutel lscel erapap owselnl adn p"ymte" hiwt smlato coudcdle ,meunl ugurllomse is rhly.aprleeluc

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dickass  'tsi iaasyblcl omrf oamathp hprecta 1: cerlulal yujnri ssaceu lnigwels +7
md_caffeiner  k@cdassi ouy yhw tenra uoy on yeevr q ems?t +2
mangotango  do you nmae sucng"ai erauilf fo teh +/aNK+ esTaP"A enasidt fo u"de to ulrfeai fo N+K+/a T..ea.sAP" ? ehT low TAP si eud to ced iobecar apetsnirri,o I be.ileve +2
fatboyslim  gMntaagoon@ esy cte.xlya N/aK esPTAa opsts nirokgw deu ot eht lcka fo .ATP I thnik lmwanninken mexdi it up +1



 +7  upvote downvote
submitted by xxabi(293)
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itollSehewn gf  c.d rl.gciepolyhe(,  d  rasoheeum)eia→tiscn:setei gin t  eurscedTpArcnadoePdio naad aa de+sPsd /e c+NrAK→eTe p+u2pmaC iysiovufc a→i tnfo dift d+anN a erwta totihne   l→cel lwlcnasulil lgree

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endochondral1  anc enomose neapixl ohw ot rossc out eht toerh &cisceg;tho +1
endochondral1  twah is phircoyd odniatrnege dan ehwer od i nrael abuot t?i ywh si it nto eht slos fo spaaml baemrenm ?itntiyger +1
shaeking  ,Edlracd1noohn I hda het smae itneqosu. I riedt igiunfgr ti out and htis si whta I maec up .twih eTh FHC adn cotesningo fo eth slung si udinrgce eth notmau of ynxgoe negtgti ot eth naerl .leslc ithW ahpoyxi ether si rdceaseed aoericb spre ni ochinaridmto iwth addsrceee .PAT Wutitoh TesaPA aN sdbiul pu nda atwre lfwsolo. As far as teh ossl of mabrmene ti.reitgny I nhitk ti oudlw aescu ulcerlal rtinotsdcue nto tsuj ryhoipcd nga.hcse This si my sbte .gssue +2
charcot_bouchard  eernMmab mdaega is eblrsviereir asget of elllracu rn.jyui if nbareemm si dadegma lcle si dniyg p;&ma ti liwl nih.srk ro oalyltt edydstoer yb itfhn emtomyi.laan are sylciaeicflp sgnaki ihpdryco ashecng ei rllecula lewg.insl hwhci si eth t1s ngsi fo elrseeibvr lcle nuiyjr ude to fuaelri fo aNK/ pump +2
winelover777  rl@hodnndce1oa eahrtpC 1 of Poa.htam Aosl FA 9201 0p72 dsrecsbei chdiropy roienenetadg wuihott nsiayg sohte xaect swrod in hte trsfi ubltle nerdu eevrisrbel clel .yjunir +1



 +0  upvote downvote
submitted by qfever(67)
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taohmPa 8012 deinoti aepg ah4t pcre 1 - ullalreC urInyj - I.II eiRvbelers ;pa&m ebelsrrrievi rcaellul juriyn - B.1.

I adh fiuytdflic nrgiyt ot rgeiuf out atwh yriodchp gcenah names thg..h.ou

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bharatpillai  i sarew 'eiv neod hte asem qoesunit efeobr on duwr/lo neo fo het vuisproe NEBMs dan hte rnaesw ot atht swa lartrunlileac aC cailutcnm.oua +2
mangotango  arhpaliilabt@ ttsh'a osla rtue! Dec APT &&g;g;tt cde tivaicyt of +2Ca nda a+N+/K pmspu tg;;>& alrelluc iesgllnw stra(leei ohrcgpioolm intfmaostenia fo vsbrirleee llec inj,ry)u ialcrhonmtido nlwgelsi --- FA, pg 7+N20/aK+ ATaseP nidhitbie &t&;g;tg icn lueialcratrnl N+a g;gtt&;& ecd tiviytca of a+32C/a+N egehancx ppmu gtg&;&;t nci earulalincltr 2+aC --- hsti si eht emas way dinoxig okrws ni hte a!rhet +1



 +0  upvote downvote
submitted by andremosq(9)
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tQnsoieu atoub lallrcue yrn:uij

pdrcHyio gencah anmes lwiesnlg. eanttPi ahs a phoxicy ecganh t.oo

risRevlebe llec jn:yuri esrceDae TPA -;t&-g eracDsee aicyttiv of aC2+ dan a++/KN upmp laugc-&tlelr-; gnelislw elrtsei(a milooropghc tafintnsi,a)meo ormdctihaloin gw.snleli

20.2FA0 gpa 027

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