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Retired NBME 21 Answers

nbme21/Block 1/Question#49 (reveal difficulty score)
An 80-year-old woman comes to the emergency ...
Hydrochlorothiazide 🔍 / 📺 / 🌳 / 📖
tags:

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 +32  upvote downvote
submitted by ∗hungrybox(1277)
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hdirceithloHdyazroo si a ethzidai udtrecii >= izthdiae isdrcuiet rae distsaeaoc ihwt ho.iyemalpka

thaW rhteo idirutesc are sicesoadat wthi mkaeliaphoy? Lopo s.crieitdu

Why?

ibIiionnht of Na+ btaerspoionr uscorc ni otbh pool ceutridsi iniithb( KCCN cootsrrr)apetn and eazdihit iscedutir bthiin(i aNlC eraoortpn)rsrt.c lAl of tish easrdicen a+N isercnsea nesteldAroo iycta.vit

evtalnRe ot isth bmlpoer, Aeorlsendto eugeuasrtlp eoxinspsre fo the a+/+NK TAP paettirron breraobs( a+N otin dybo, plxee +K tion n)mlu.e siTh rlusets in lahoykpimea ni the .bdyo

agHn ,no trh'ese emro high lediy io!fn

ldnAoeerost edos one threo tiorpnamt thign - ncitoaiavt fo a H+ clenhna tath eslxpe H+ otni eth .mnelu

So, envgi that hsit tineapt hsa aypkm,aieohl uoy ownk rthee is goiarlpuunet of Asoeodtrl.en oD you ihntk rhe pH uodlw be ghhi, ro w?ol y,alExtc it lwuod eb ghih uaesceb icn. slodeAtneor gt&=; nic. H+ elxdepel tion eth nelmu t=;g& mcleoiatb osias.alk

Now oyu eastdunrnd wyh thbo oplo usiitcred dan hdezaiti stdrcieui nca acues wh'tsa elaldc ekoicpya"hml ilaotbecm iasa"s.olkl

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hungrybox  ejsus htsi sewarn aws yplbbaro oto nolg 'im rrsyo +9
meningitis  I r.egdeisa 'sIt the cplmoete gtthhuo osesrpc deneed rfo ynam ioTdeoa/Lhzpi etunioqs thta cna be ron.twh .aknhsT +17
amirmullick3  siTh is thwa NEBM uhdsol eb ogniivdrp tihw heca isut'eoqsn tcrcroe !wsrnea nakshT hgry!nubxo +1
amirmullick3  hoxur@nybg idd oyu anem lA"l fo shit ERCDADESE aN eerinsasc odoetaensrl va?"ic.ytti +2
pg32  Aneyon raec to nexpail hwy hse fsele esh ,ash otsl" [er]h e?"pp sI ttha eud to eht oelay?ampihk Or iaayemcrcelhp usdeca yb eth e?iiatsdzh +
cmun777  om@jado g23@p I emasuds teebwen hre kmypheolaia chwih( nac ceusa k/au)swigseaetnfe dan bessipol otircnaocnt aaklossil thsoe were the ostm keyill ausces for the to"ls rhe "pep .ncmmeto I hinkt fi tyhe tandew to tdaeinci miplyhcrceaae ot rtteifieeafnd if oopl sredictui erwe lsoa ni the arwsne cscohei ehty ulwod cyrlntiae giev mroe tnecxot ofr cmreicehpyala xs +



 +8  upvote downvote
submitted by usmlewarrior(8)
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fI ohbt TCZH dan oplo rietcuisd were dierdopv sa na nsarwe i,oecch tufhrre uecl hatt chzt uodwl eb teh eawnsr ciecoh si teh renipaettnos of eht etniatp efgein"l f.ny"un isTh egstugss mcehcleraipay pactcyrsh(ii ot)novsere hihcw si a dies ftecef eiuunq to HTZC.

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adong  rthee wtns'a nya loop .dicu.t.isre +
the_enigma28  Good ei!xntoaapln! +



 +3  upvote downvote
submitted by ∗neonem(630)
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daezhTii rucsetidi rae eht slsac thiw eht taseglr kirs of miheylokaap.

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 +2  upvote downvote
submitted by ∗the_enigma28(69)
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Can yenoan nlpexia ahtw edso o"lts erh p"pe nem?as

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drdoom  `pp`e ylaatucl cmeos mrfo ep`e;`ppr ot `eppre`p smhngeiot glcnidnui( a fodo hi!d)s is to amke it orem rvguo,ois to geiv ti omer i,ckk ot taveizli it. so, to elos“ o’nes p”pe si to oles e’osn tv,iyiatl efle ,iuegafdt feel kurlela,cst et.c howpdsleewp/.r:n.n/otmewtt/ipwymoc/ +1



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