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Retired NBME 21 Answers

nbme21/Block 1/Question#16 (reveal difficulty score)
A 43-year-old man comes to the physician for ...
Aortic ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +38  upvote downvote
submitted by โˆ—mcl(671)
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eLbldae CXR owinhsg oiisntpo fo fdfrteien v.vlsae

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hyperfukus  itsh inlk si ra!etg 'yeethr slitl dnki fo socle tgeheort (: tsi os radh to tlel rof em /ow efrcneeer fo het orhtse +
hyperfukus  shti iknl is tae!gr eyerht' lilts dkin fo csleo ottgreeh (: ist os ahdr ot tell for me wo/ creenreef of eht tsoreh +
mannywillsee  oS teh ayw to deietaefnftir cArito vvale ormf eth hsetor is by nieghckc eht aaleltr w,eiv VA illw eb meor madeil than ohtb tipscurid nad iam;trl itcupdsir lwil eb omre rtaoienr adn armlti will be orsotpeir lwihe rluonymPa is gindo its won htgin +3
sunnyside  A oruesgn otdl em noec htat hrete si no el""ft dan "girh"t rhtae - loyn terroain adn tspororie - frgreneri to who het rtaeh tiss in ovvi. peHls em inkht rotuhgh igmgani and teshe wedri aonmaty sntisuoeq +1
sunnyside  tJsu ot fhnisi tuo atth .gut.ho.th gRtih esdi = ier.noatr Lfte sdie = rispooetr. +

One thing people haven't noted yet is that this valve is definitely a ventricular outflow valve. You can tell it's a ball valve which prevents backflow from either the pulmonary artery or aorta (https://www.researchgate.net/profile/Mohammad_Gudarzi/publication/265601727/figure/fig1/AS:392097598328837@1470494760407/Three-kinds-of-mechanical-valves-a-caged-ball-b-tilting-disc-and-c-bileaflet.png) vs a mitral/tricuspid valve which looks more like this (https://myheart.net/wp-content/uploads/2015/11/replacement-mitral-valves.jpg)



 +19  upvote downvote
submitted by โˆ—step1soon(51)
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r.ye/htst/h--ivla:edd/yupm/aegvllrcootieasksroaa

koLo ta hewre het cusps aer opnignti โ†’ wsrpdau tfrreheoe ot.ciar fi ucsps ewer wndrwdao โ†’ thne ilmtra vvale dwulo be eth rhigt nrewsa

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misterdoctor69  imatlr vlaev wuldo olny have 2 uscsp enev if ti reew eacrdpel ghhout ?h.g.rti. +
bbr  fetrA insrtga at sthi rfo al,eiwh I deatnw ot baaetolre on tsih ot kame ti eevn lr.earce ehT 3 aears htta eetm ta a pitno wodul eb hte 3 cspus. eeshT 3 sflap era ggion to etg bwoln eop.n naesM fwol si from dnwo to pu. +5



 +4  upvote downvote
submitted by โˆ—kentuckyfan(47)
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aonethr ilnk I fnodu uehfllp

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 +3  upvote downvote
submitted by โˆ—suckitnbme(239)
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I asw scutk bewtnee iratml nda citroa dan wnte wiht oritac ubasece eth L eniclrevt lkoos lngr,eaed obyispls iihtgnn hatt the eatnpit ahd tcoiar nseio.tss

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drzed  I wtne ihtw raoitc eeacsub ti slook ikel eht avevl ash rteeh pucs,s lehiw hte mrilta eavlv luhsod only evah ow.t ortceIcnr iogl?c +4
an1  I asw ckust eteebnw coirta adn limtar. ohgtTuh eh elkood ekil he mhtig evha spskyoih, uaemssd it aws inrtyg to kame su thkni ranaMf and nwet ofr trliam vlaev :( +



 +0  upvote downvote
submitted by โˆ—nbaumgarten(0)
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hsiT amy be o,rwng btu it losa oolks elik he yam hvea hda arioct rgreigottanui frobe.e ouY cna see that ish sah efLt ntcarVeliru eagernemnl.t

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ali_hassan  otyhelsn i utjs hhgotut tath eh ahd na aelyr rlauvlav seioln adh( ryugrse henw eh aws 34) oiuwhtt any yisrtho of oesm srto of eidoiadcstnr ce..t odclu eb eh hda ipsbiucd lveva chwih edneed nrlpegica +
ali_hassan  *33 +



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