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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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hrrDeaia ecssau ssol of r,weta Na nad Br.caib Rmrebeem atth darrihea si a caesu of non nonia apg oemcltiba assiocid escbaue eth sosl fo ibracnotbae is ectneaospmd by naseicgirn iCdhloer b.teirrspnooa oS hse cna haev hpelharyocerim or tiehymoaprna eud to tikane of lyno free artew fro 24 osru.h But hes hsa ESSEUIZR os hrpaomtniaey is stom kllyei

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drzed  I iknht eht aiitnli rihrphleeyaomc wldou eb klyicqu liedtud tou yb the rglae untmnipcoos of ewrt,a so estoh wto cmgenoitp srsceoeps wdluo ykleli uelzrtnaei teh conirehl lee,vl or even akme hte cidlh hym.cphleocrio +1



 +5  upvote downvote
submitted by โˆ—haliburton(224)
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shTi is eartw toaiininoxct. lwst/.u8icm:o7hdn/gtb.b./7w1n759wmei./phpnv

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thisisfine   !dgAere It's ongal the nilse of hoets otmrahna errnuns woh lacseplo uiqnses.ot Notignh utb traew fro 24 orhsu = tggetin rdi of oto hmuc .umisdo +2
temmy  era we sjtu oggni to riengo eht dhiaraer fro 3 ?syda awht is tsi eiisncngciaf +4
kard  emym,T eW inta ngngiorI teh rDaahrei, tAlaucyl the tsmo iklely terelseolytc to teg sotl htwi it is miosut&;dg &lirtghde;oc i;gtamtspou&s o.catbi..rneab slPu the Wetar niootcaintxi &-t;g MYTNIAOAREPH +1
bronchophony  ywh ont yp?ghayoelicm +1
saulgoodman  eesBcau losuegc is otn na el,rctoeylte ti osed ont ocducnt iyterciltec in u.olonist Teh utseiqno is ksngai hhWc"i of eth owifgolnl oleteteylcr air"taoebnislm. +4
skonys  cnyhobn@ohpor gnasmuis hes dso'ent veha a lnogsy/iogusnloccengeeg p,bro ehs odtnlwu' be cmoilyychpge rfaet sr2.4h 1A9F +1



 +3  upvote downvote
submitted by โˆ—readit(18)
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The yke ot shti uotnesiq is atht teh ntieatp si 4 htomsn dol adn ntggeit .eatrw

eNrbsnow hduslo TON eb gtenitg inlpa aetrw utiln farte 6 nshmot fo eag eeacsbu it anc cseua myhntapreioa -g&-;t rsezuies

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 +3  upvote downvote
submitted by โˆ—haozhier(23)
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hyW is ti otn imh?cgloya?pey myyeaHigploc cna aols aeld to usireez

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cuthbertallg0od  eSam hhotugst ,rhee dan I nhtki pcmloahieyyg rcoucs eierral ni ifsknsnit/da naht ni utdsal kli(e 8 uhr)?so -- bmyea sujt ermo lieykl ot be eparhyotniam cisen aN+ solt in the ar.i.dreah. +2
fbehzadi  I khitn oymtls teh ftac atth 42 is ont ognna eecudr his locgues ot eht tpoin of acgnisu a .eseizur +1
fbehzadi  42 *hruso +



 +1  upvote downvote
submitted by โˆ—drzed(332)
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erspPah I ghotuth-enrdu htis su,enotiqs ubt ti si hgylhi iullyken ot vaeh YH-ERP of nyathgni ehwn ncgmsniou rleag tamnuso fo wetr,a absecue wehrvtae oni is ernepst si ignog ot etg tde.dliu oS in teh aces fo nlraom gap aiicodss mrfo dar,erhai esy eethr amy eb na nltiaii mherieocrhpy,la ubt hte watre is ongig ot itledu it to.u

eeBnewt agpyemohycil nda eoayrtpm,ainh it si rmoe kyliel to be ymhianteopra baescue het diclh dha euszeris

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 +1  upvote downvote
submitted by โˆ—didelphus(70)
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ynA aide wyh rrhymlepcaioeh 'nsti an ?nrwesa heT rherdiaa wodul uscae na rmnaol ianon gpa yreepohhccl()irm lcmbtaeoi iisas.doc

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charcot_bouchard  sith is the relmbpo teb uw adn mn.eb in wu it dwluo be ofr esru a oachtg sequ. tub ni nbme ehyt rea sayulul loikong ofr tmso obusivo. oasl kloo hwta tyeh era iskang sot"m "l.yeilk yabb wloud evd owl aN bfeeor coisasdi. sTaht my 2 tnsec +29
temmy  ehicheorapmlry iwll nto ccotanu rfo het iueresz taht uoghrtb het eiatnpt ot het tplhoia.s eissuzre agdiccnor to tisfr ida is casude yb cmeyhalcpoai and mpniatyaehro +1
cry2mucheveryday  hedrlinC hwti airreoadh ohw dkrin aeglr unmatso of watre ro rheto pohyticon lisdfu ngtcionian yevr low rnonttcsecoain of lsat dan ehtor ule,ssot ro hwo irvceee uvnaeoistrn insousnfi fo 5%0 ueogscl ni ,erwat mya veelpdo rpnaeaaitohym. hiTs ccusro ueaescb eartw is doaersbb mfor hte ugt ilwhe het osls of ltas Na(Cl) tueniocns, gcsiuan ten esossl of imusod in sxseec fo aw.ert hTe inalrppic artuefes fo iyeotamhanrpc tnroeiddhay e hreer:at si a ectdiif of rweat adn dsu,mio utb eth edtcfii fo dimous si mr eueertrgsa; sodmiu ccortnntnieao is wlo &1(;0lt3 o)/ mlleums;mr ytslaoiolm si olw 27;5tl&( l/;mmlt oO)she hdilc si ;gehirctal teqfirunl,ney rhete rea ursseie .z:2rg020d.rEQhOpIm0eSeC%/%etOroE#oTEWrsh2Ry/Desmra.dd/Ch/dStRt2RdiEUFtE%AAmaNhNa/tYOAH +
cry2mucheveryday  Also, wyh si itsh bnegi vgine .mo.lu.raf? Mya be cealsta w.ifidehe.ccyhnci. sldea ot osciotm li.ads.ere.harda to )ilrhanmeng'n yeopj(raAttoa wnerobsn ssodpuep ot be kpet on lxieecvus arsebt mkli itll 6 ?htson?m +
hello  heycv@2rumycraeyd Dnot' raed oto uhcm toni ti. heT atcf ahtt het ybba si eeigncrvi foamrul n'sti anetrelv to ganrisenw hte Q. , Btw tno yvrenoee rsteba sdef.e dy,todiiAlnla the Q twdulno' mkae hmuc esnes fi it idas t"hey rna otu of sail.btmek".r. +1
hello  hmydce@ruercvay2y ngieB no oulafmr nteh the etapnrs nnugrni tuo of olfuarm is omre of a eucl ofr retwa ictaxoiniotn. iThs is ltpycilya teh socrnaie thta rtaew aniottnioxic rreensH,evow.st ep I ppuosse fi ofr oesm nraoes the ybab asw nbegi teadrbesf dna het teparns tiscdhew to cxlvsiuleye nrtdgeiewfae (and no eorht f)odo,s tnhe rweat tiiinxnoaoct ludow olsa elutsr. +



 +0  upvote downvote
submitted by โˆ—champagnesupernova3(93)
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iDaharre ceassu sols of ,wreta aN nda rBb.cia Rbeemrme atht daaerirh si a ecsua of non ainno gap bticolaem idsscaoi euecbsa eth ssol of cbantbriaoe si aoescemtnpd by gincsairne lhdreioC aieotnrop.srb oS seh can vhea yerliemoacphhr or ieytpnroaahm ude to tkiaen of oynl rfee trwea rof 24 .rhsuo tuB seh sha UEERSSZI os ayroihtaenpm si mots ykelli

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 +0  upvote downvote
submitted by โˆ—umpalumpa(6)
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sihT okddi has toms iykell eerotscry hirderaa r(eteh aer no uscel ni het notqieus that hsti is msiotco )ia.rardeh euD ot orseecytr arerid,ah hte pt ash encemiaurt ompaveoyihl whti aycehmlhorierp. Hoewver, het rpneats evig eht atfinn ynol 2OH rof 42 ,hh hwchi smean ahtt aN dna lC gte dtlei.du It is reom ekylli htta eht pt tgse amoirtcpyhen thna hrcholempiocy endisnorcig ha,tt roebef vggiin O2H, hrleocmia swa ihgh nad aN asw w.ol eTh wol iaaNem suecas crlabere adm,ee whihc sdlea to ezs.erusi

louscGe can lsyiae be coessdr uot cbeaseu is ton na eloyclteert adn eht tuoesnqi ssak rfo elrcotylete cnegs.ah

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umpalumpa  entocoirCr fo shit nseteenc: I"t si oerm lylkei atth eth tp steg notcmypaireh ntah hmcieyocrholp iscinrdogen ht,ta befero iviggn ,OH2 olaehimrc saw hghi and Na asw nmaorl (i avhe ltinykmsae twrinet a"N aws olw" obe,av btu I aedwnt to ertiw "aN asw "rmolna. +



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