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Retired NBME 21 Answers

nbme21/Block 2/Question#35 (reveal difficulty score)
A 4-month-old female infant is brought to the ...
Hyponatremia ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +7  upvote downvote
submitted by โˆ—champagnesupernova3(93)
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aDraheir cusesa sosl fo re,twa Na adn biar.Bc eeemRbrm htat harrdiea is a saceu fo non ianno pga etilbaocm icosiads bacseeu het loss of ocinbebatra si otaemspdcne by iigacrnnse hoCilder orrasietnpo.b So ehs anc vahe mhapryhieerloc or ramitoahpnye ude ot iteakn fo olny efre tware rof 24 .usrho tuB hes hsa SZSIEEUR os aeyintmoaprh si stmo yiklel

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drzed  I hknti the ltniaii mriycpleehrhoa owuld eb qilckyu uiddetl out by teh erlga oopitcsmnun of et,awr so eosht wot pmenticgo sosseepcr dluwo yilkle arlizneeut the cironelh evel,l ro vnee kmae hte idlhc oier.phhcoylcm +1



 +5  upvote downvote
submitted by โˆ—haliburton(224)
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hisT is ewtra coiiaotnxitn. .dnpm/hipgnw1i.b:stlt7bhvcw/nwm97.7u/o.8/e5

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thisisfine   !eegdAr 'Ist onalg the enils of shteo amroatnh rsruenn ohw elasolpc osqe.ntisu ghniNto btu rwate rof 24 rosuh = igntgte ird fo oto ucmh sm.diuo +2
temmy  rae ew ujst gigno to gernoi eht hierarda ofr 3 ysad? htwa si its ccgsninaieif +4
kard  ,mTemy We tnia iggInrno teh ,aDrehiar acuylAtl eht omst kelliy elytcrsletoe ot etg ostl itwh ti si soi;d&gmut ;l&edothcirg ota&itmps;sgu .iaeb.arnto.bc luPs eht Watre iontacxntoii ;t&g- AIRNTPEAHMOY +1
bronchophony  wyh not ylophgeimay?c +1
saulgoodman  eaesBcu gocleus si ont an teyroecle,tl it osed ont octnudc lryictiteec ni toi.snolu The tinquose si kignas Wh"hic of hte nfwllgoio cyleterelto iamlsbeo.r"itna +4
skonys  opbconro@hhny isasngmu hes tn'oeds aevh a lcegieouonse/sncnggyglo b,rop hse utondw'l eb epyhyiogcmcl ftera .2shr4 9AF1 +1



 +3  upvote downvote
submitted by โˆ—readit(18)
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heT yke to shit etuisoqn is taht hte ptnitea si 4 homnst dol dan tgniegt a.rtew

ronsebwN sulohd NTO be tgtenig nlpai aretw tliun teraf 6 tsnomh fo gea eascbue ti anc aucse imatoeyhrapn -g;-&t rueiszse

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 +3  upvote downvote
submitted by โˆ—haozhier(23)
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Wyh si ti otn ?mileopagyhcy? leaomyyicpHg cna loas lead ot uzesier

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cuthbertallg0od  Smae sthhuotg ,here nda I tnkhi olaiecpgmhyy sucorc rleiera in nidkstna/ifs athn in saltdu eil(k 8 ohu?r)s -- bmyae usjt erom ylilke ot be ayaihoremtnp scien Na+ sotl in the e..rdra.hia +2
fbehzadi  I tknih smoylt the tfac tath 24 is nto anong ecduer sih coeslgu ot het opnti fo ngcsuia a uzree.si +1
fbehzadi  24 s*rouh +



 +1  upvote downvote
submitted by โˆ—drzed(332)
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prPehas I htu-tudregnoh hits tsq,usione utb ti is lhgihy iuyklnel to ahve -EYRPH of aithnnyg wenh imunnsgco alreg mnouast of te,arw beesuca rvaehwte oni si tsernep si gingo to gte dtdei.lu So ni eht esac fo namlor pga oscsdaii omrf radrh,aei sye htere yam eb an alniiti yicomrehapr,leh ubt eth ewtra si noigg to luitde ti uot.

wteeBne iypgoclmahye dna hpmeyanrtai,o ti is reom lkiely to be rmhnayteapio baeseuc eth dlich hda reuseisz

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 +1  upvote downvote
submitted by โˆ—didelphus(70)
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ynA ieda wyh molheeyirapcrh 'tisn na ?aenswr The aradhrei udlwo suaec an molrna onain pga mprerlyo(c)ichhe ebtoamlic oiiad.css

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charcot_bouchard  hist is het poelrmb teb uw nda enbm. in uw ti dwuol eb ofr eurs a cgahot ue.qs but ni nemb heyt era luuylsa gnokloi rfo tmos osbiov.u aslo lkoo what yeth ear iakgsn toms" l"eyl.ik yabb ulowd vde olw Na fbreoe a.cdiioss ahTst ym 2 cstne +29
temmy  mhlyrarceoiehp illw ont cnoacut rof het eierszu tath gtruobh het tepaint ot eth .hlpatsoi reuezsis caidnorgc ot fstri iad si saecud yb apcicyaomehl nda aentihpyaomr +1
cry2mucheveryday  ndlrhCie hitw roaeiadhr woh knidr legra umtanso fo erwta or trohe iohnptyoc lifusd nioigntcan very lwo netosncitncora of astl dna erhot tle,suso ro how ievrece itnesuonvra sfninuios fo 5%0 ocgelsu ni arwt,e aym pdeleov yaimh.naotrepa This rosucc cebsuea retwa si abrodbes omfr het tug elihw eth olss fo atsl ()NalC c,onusietn saniucg ten sssloe fo smdiou in ecesxs fo .eatrw eTh airniplpc reftaseu of prnaytmieocah rtdahneoyid t e:rraeeh is a idceift fo raetw nad ,siodum btu het decifti of smudio is saet rrrguem;e oismdu oonntncretcia si olw 13(t0;l& llosm e/)m;mru otmaillsoy is wol ;5(<72 /m h;Ooels)mtl lchid is aeht;cgilr ,eulntrfinqye rhtee are i.zus erseRSDptYW20stA.hTNiIdHEE.rEog%are//rreE2t#R%h0mOQhtmUa:seFaOStAyd//0Eddo2CA%OCer/dNmRh2 +
cry2mucheveryday  sAo,l yhw si tsih ibegn envgi rmfo.?.au.l May be tsaaelc .icyhi.hwidf.ecenc elsad to csooitm aeaaldr.drie.sh. ot (gr'm jayontrepoA)aeihlntna esonbrwn dpoessup to be tpke on uxeislevc estabr milk iltl 6 so?tm?hn +
hello  ydyyr2ceacevu@mrh ont'D rdea oto umhc tnoi .it ehT fact taht the aybb is iceiregvn rfmalou is'nt lntereva ot rngnaswie het .Q tB ,w otn veryeoen basrte sfd.ee iyldionlAa,dt hte Q nuotld'w eakm hcmu sseen fi ti idas e"thy nra otu fo tkmsire."..alb +1
hello  ceyvm2haucrrydey@ egnBi no mrloauf enht the tsperna nruingn tuo fo farolmu si orem fo a eclu rfo weart ocna.iniitotx siTh si liaypltcy het aeicsnro thta wrtae xioctniaonti pHnresworee .vts,e I eouspsp if orf emos orensa het bbya swa engbi dferbeast nad eht rpnates dschtwei ot luecyesxivl nweeafdiergt (nad on ehort ,)odsof tehn etwra tiicaoinxotn olduw saol .tlsreu +



 +0  upvote downvote
submitted by โˆ—champagnesupernova3(93)
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aiaDehrr usecsa loss fo wt,are Na adn biracB. ebeermRm that airehdra is a ucsae fo onn oinan gap tmcielbao iscisdoa uebaces eht lsos of etbbanoairc is camoetsnpde yb ancirgnsie iCeohrld ta.iesnoborpr oS hes anc ehva mchaoeriylreph or emaohnprtaiy ude to nitake of yoln erfe twear ofr 24 o.usrh uBt esh ahs SEURZSEI so ytinahmpeaor si tmos lkelyi

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 +0  upvote downvote
submitted by โˆ—umpalumpa(6)
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sTih doidk sha stmo ekylli styecorre rhaiarde erteh( rae no sluce in eht iutsneoq ttah hist is icsootm aardh.)rie eDu to roecyesrt he,aradri eth tp sha ctamirneue oimhaleypvo wiht mr.paeclyihehro ,oHweevr teh psraent gvei het ntnaif ylno H2O for 42 h,h hihwc saemn ahtt Na and lC etg ue.tlidd It si mreo iylkel htta het tp gest oephrcnatmyi htan ohrecoyhclpmi iesnngcrodi tht,a fbreoe igngiv ,O2H rlomhaeci saw ghih adn Na was wl.o The low Neimaa esausc ablceerr edm,ae hwhic alesd to irszeuse.

lsecuGo nca ileysa eb crsedso uot aeubces si otn an olltreteyce dna eth eitqsuon skas rof teolelytcer cehs.ang

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umpalumpa  eorCrnctoi fo sith neens:tec tI" si meor ielykl ahtt eht tp gest aopycrihtnem hnat roochylhempic gcnidonseri ,ttah froeeb vgngii OH,2 oehiamlcr saw ghih nad Na wsa nomlar i( veah ystiklmane rinwett aN" swa wo"l be,voa utb I eawdtn to triwe N"a saw om"lnar. +



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